The World Bank Implementation Status & Results Report Senegal COVID-19 Response Project (P173838) Senegal COVID-19 Response Project (P173838) WESTERN AND CENTRAL AFRICA | Senegal | IBRD/IDA | Investment Project Financing (IPF) | FY 2020 | Seq No: 11 | Archived on 24-Jul-2024 | ISR01193 Implementing Agencies: Ministry of Health and Social Action 1.OBJECTIVE 1.1 Development Objective Original Development Objective (Approved as part of Approval package on 01-Apr-2020) The Program Development Objective is to prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness in Senegal Has the Development Objective been changed since Board Approval of the Project Objective? No 2.COMPONENTS Name Component 1. Emergency COVID-19 Response:(Cost 154,700,000.00) Component 2. Community Engagement and Risk Communication:(Cost 9,100,000.00) Component 3. Project Management and Monitoring:(Cost 5,200,000.00) 3. OVERALL RATINGS Name Previous Current Progress towards achievement of lSatisfactory lSatisfactory PDO Overall Implementation Progress (IP) lModerately Satisfactory lModerately Satisfactory Overall Risk Rating lSubstantial lSubstantial 4. KEY ISSUES & STATUS Jul 25, 2024 Page 1 of 15 The World Bank Implementation Status & Results Report Senegal COVID-19 Response Project (P173838) 4.1 Implementation Status and Key Decisions 4.2 MPA Program Development Objective Original MPA Program Development Objective (Approved as part of (Seq. ) package on ) Current MPA Program Development Objective (Approved as part of (Seq. ) package on ) 4.3 Multiphase Programmatic Approach (MPA) Status (Public Disclosure) Sustained efforts continue to be made to advance the implementation of the 87 MPA operations. Overall disbursements are being impacted by three main reasons. First, low disbursements in three country operations (seven country operations five weeks ago) -- Nigeria, Bangladesh, and Trinidad and Tobago. Second, pausing of disbursements in two countries – Afghanistan, and Myanmar. Third, processing of refunds to the project accounts, which in the past months has increased at this late stage of project implementation. Other reasons that are influencing disbursements, include: (i) large refunds processed to project accounts of two country projects -- Myanmar from the UN in March 2023 due to the inability to implement the project, and Trinidad and Tobago because of savings realized for medical supplies and medicines procured through PAHO; (ii) the amounts of Loans and Credits denominated in SDRs, and Euros have been affected because of fluctuations between the SDRs and Euros against the US dollar; and (iii) refunds processed under the Pakistan and Sri Lanka operations upon closing. As of June 17, 2024, 88 MPA-projects have been approved with a total commitment of US$4.22 billion (the overall commitment was reduced from $4.25 to $4.22 in the past months due to partial cancellations processed prior/at project closing. One operation (Guatemala) was cancelled in mid-September 2021. Total disbursements as of June 17, 2024, amount to US$3.98 billion or 94% of overall commitments. This amount does not include disbursements under MPA-V operations which are reported together with AF-V operations or disbursements under PEF grans as commitments do not include PEF Grants. Closing dates for MPA operations have been as follows: (i) ten operations closed by the end of CY22; (ii) nine operations closed on June 30, 2023; (iii) thirteen operations closed on December 31, 2023; and (iv) twelve operations closed by April 2024. Eighteen operations are scheduled to close by June 30, 2024. As with the Mid Term Review (MTR) issued on March 25, 2023, no individual ICR will be required for COVID-19 MPA operations. Only one ICR will be prepared upon completion of the SPRP COVID-19 MPA Program, which closes on December 31, 2025. The Global ICR will be informed by final ISRs packages prepared by country operations’ teams. A template for the final ISR package was issued by OPCS on March 21, 2023. Final ISR packages, include a Summary Project Assessment – Annex 1 and a Borrower’s Evaluation – Annex 2, which is optional. So far, Jul 25, 2024 Page 2 of 15 The World Bank Implementation Status & Results Report Senegal COVID-19 Response Project (P173838) twenty-eight operations have finalized final ISR packages, and some others are under preparation. The overall conclusion of the MPA MTR was that: (i) the COVID-19 MPA Program embodied a rapid, innovative approach to new lending for human health response; (ii) the COVID-19 MPA has been successful, notwithstanding considerable uncertainty and multiple constraints in the early stages of the pandemic; (iii) the Bank’s emergency response was remarkably swift in the most vulnerable countries facing human capital losses and development setbacks; and (iv) notwithstanding the challenges, the MPA is on track to achieve its PrDO, “prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness.“ Eighty (80) country projects (78 last month) or 92 percent of projects approved have reached 70- 100+ percent disbursement (reasons for >100 percent disbursements relate to fluctuations between the Euro and the SDR against the US$). Out of the 80 operations, 67 operations or 84 percent have disbursed 90 percent+ of commitments. Out of the 80 operations, 52 operations or 65 percent are fully disbursed, and 8 operations have disbursed 95-99 percent of commitments. There are three operations with less than 70 percent of commitments disbursed (1 each in AFW, LAC, and SRA). The operation in AFW has disbursed only 47 percent, despite two recent restructurings, which included partial cancellation of funds. Another restructuring is expected in the coming two weeks to cancel unspent funds. The projects are benefitting about 4.01 billion people or 50% of the global population. When countries with AF-V operations are counted, the projects are benefitting about 4.26 billion or 54 percent of the global population. This is because some countries that do not have a parent project have AF-V operations. All projects approved are disbursing. Operations in ECA and MNA are fully disbursed. In other regions, disbursements have reached: (i) LAC and SAR 95 percent, (ii) AFW 90 percent, (iii) EAP 88 percent, and (iii) AFE 84 percent. Retroactive Financing (RF) continues to represent 20 percent of commitments. SAR has the highest percentage of RF at 38 percent, followed by ECA at 18 percent. Direct Payment (DP) disbursements represent 22 percent of commitments. EAP has the highest level of disbursements using DP – 80 percent, followed by AFW at 38 percent. IDA continues to represent 40 percent while IBRD represents 60 percent of disbursements. Streamlined procedures, delegated approvals, coupled with flexible project design and intensified efforts by counterparts and Bank teams have contributed to the progress. Implementation is being guided by Bank teams working in parallel with other health related projects, including Additional Financing operations which are supporting vaccine procurement and deployment efforts. COVID-19 MPA AF-V - ISR Write-up – June 17, 2024 Considerable progress is being made in the implementation of AF-V operations. As of June 17, 2024, the Bank has approved 116 operations (including MPA-V operations) to support vaccine procurement and rollout in 78 countries amounting to $8.40 billion. One hundred and twenty-one (121) operations had been approved amounting to $10.1 billion, but with cancellation of five operations and partial cancellations of funds processed in the past months under several operations, commitments today amount to $8.40 billion. The five operations that were cancelled are: (i) Costa Rica loan ($120 million); (ii) Peru loan ($500 million); (iii) Gabon loan ($12 million), which loan agreement lapsed; (iv) Philippines AF2 loan of $300 million; and (v) Guinea AF2 credit of $25.44 million. The Afghanistan operation commitment of $113 million was reduced to $60 Jul 25, 2024 Page 3 of 15 The World Bank Implementation Status & Results Report Senegal COVID-19 Response Project (P173838) million. Of the 116 approved operations: (i) 66 are in Africa – 32 in AFE and 34 in AFW; (ii) 10 in East Asia and the Pacific; (iii) 11 in Europe and Central Asia; (iv) 11 in Latin America and the Caribbean; (v) 9 in Middle East and North Africa; and (vi) 9 in South Asia. The 116 operations approved, include 6 operations that involved restructuring of parent projects (Bhutan, Cameroon, North Macedonia, Philippines, and Pakistan) and in the case of Lebanon, restructuring of the Health Resilience Project. Partial cancellations have been/are being processed under several operations -- Afghanistan, Bangladesh, Belarus, Benin, Cabo Verde, Cameroon, Cote d’Ivoire AF2, Ethiopia, Gabon, Georgia, Lao, Madagascar, Mali, Mozambique, Nepal, Nigeria, Pakistan, Philippines, Papua New Guinea, Sierra Leone, South Africa, Sudan, Republic of Congo AF2, and Togo. Thirty-two (32) operations are being implemented in Fragile and Conflict-affected situations. IDA represents 45 percent and IBRD 55 percent of disbursements. Total disbursements under these projects as of June 17, 2024, amount to US$6.76 billion or 80 percent of overall commitments. Disbursements under MPA-V operations are included in this total while disbursements under the six restructured projects are counted under parent projects. With less than planned demand for IDA/IBRD funds for vaccine procurement because, inter alia, over supply of vaccines from donations from various sources, several projects have been/are being restructured and more will need to be restructured to reallocate funds or partially cancel funds originally allocated to procurement and deployment of COVID-19 vaccines. Guidance was issued on July 7, 2023, under an Email from the Global HNP Director, which provided direction for the use of undisbursed funds under COVID-19 operations. HNP is monitoring implementation of the guidelines. Thirteen (13) operations are fully disbursed (Argentina, Cambodia, El Salvador AF1 and AF2, Indonesia, Iraq, Mauritania, Nigeria, Republic of Congo AF2, Sri Lanka AF1, Tunisia, Ukraine AF3, and Zimbabwe AF2). Twenty-six (26) operations have disbursed 90%+ and fourteen (14) operations have disbursed 80%+ of commitments. One hundred and ten (110) operations or 95 percent of total operations approved are disbursing. EAP has the highest percentage of disbursements at 96 percent, followed by LAC at 92 percent, ECA at 91 percent, MNA and SAR at 81 percent, AFW at 71 percent, and AFE at 68 percent. Of the 116 operations approved, all financing/loan agreements have been signed and 115 agreements have become effective. Retroactive Financing (RF) continues to represent 35 percent of overall commitments. ECA has the highest level of RF at 72 percent, followed by SAR at 68 percent, LAC at 54 percent, MNA at 31 percent, AFE at 29 percent, and AFW at 12 percent. Disbursements to UN agencies continues to represent 23 percent of overall disbursements, while Direct Payment represents 17 percent of disbursements. As with the COVID-19 MPA operations, streamlined procedures, delegated approval, wide use of Bank Facilitated Procurement (BFP), coupled with flexible project design, and intensified efforts from counterparts and Bank staff, have contributed to the rapid design, processing, and implementation of AF-V operations. 5. SYSTEMATIC OPERATIONS RISK-RATING TOOL Jul 25, 2024 Page 4 of 15 The World Bank Implementation Status & Results Report Senegal COVID-19 Response Project (P173838) Rating at Last Approved Approval Rating Risk Category Approval Proposed Rating ISR Seq. 010 - 27 Package - 02 Apr Mar 2024 2020 Political and Governance lModerate lSubstantial lSubstantial Macroeconomic lModerate lModerate lModerate Sector Strategies and Policies lModerate lModerate lModerate Technical Design of Project or lSubstantial lSubstantial lSubstantial Program Institutional Capacity for lSubstantial lSubstantial lSubstantial Implementation and Sustainability Fiduciary lSubstantial lSubstantial lModerate Environment and Social lSubstantial lSubstantial lSubstantial Stakeholders lModerate lSubstantial lSubstantial Overall lModerate lSubstantial lSubstantial Jul 25, 2024 Page 5 of 15 The World Bank Implementation Status & Results Report Senegal COVID-19 Response Project (P173838) 6. RESULTS 6.1 PDO Indicators by PDO Outcomes To prevent, detect and response to the COVID-19 outbreak and other disease outbreaks. Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Suspected cases of COVID-19 0.00 Mar/2020 1,028,260.00 27-Feb-2024 1,028,260.00 10-Jul-2024 600,000.00 Dec/2025 cases reported and Comments on Achieved investigated per approved achieving targets protocol (Number) 0.00 Mar/2020 88,955.00 27-Feb-2024 88,998.00 10-Jul-2024 50,000.00 Dec/2025 Suspected cases that test Comments on Achieved positive (Number) achieving targets Health staff trained in COVID- 1,518.00 Nov/2020 6,610.00 27-Feb-2024 6,610.00 10-Jul-2024 2,500.00 Dec/2025 19 prevention, testing and Comments on Achieved care per MoHSA-approved achieving targets protocols (Number) District health 0.00 Mar/2020 84.00 27-Feb-2024 100.00 10-Jul-2024 90.00 Dec/2025 centers/hospitals with Comments on Achieved personal protective achieving targets equipment and infection control products and supplies (Percentage) Percentage of population 0.00 Feb/2021 17.00 27-Feb-2024 18.24 10-Jul-2024 55.00 Dec/2025 vaccinated (Percentage) Comments on Not achieved Page 6 of 14 The World Bank Implementation Status & Results Report Senegal COVID-19 Response Project (P173838) achieving targets Percentage of population 0.00 Feb/2021 4.77 27-Feb-2024 4.77 10-Jul-2024 20.00 Dec/2025 vaccinated, which is included Comments on Not achieved in the priority population achieving targets targets defined in national plan (Percentage) 0.00 Feb/2021 51.44 27-Feb-2024 51.44 10-Jul-2024 40.00 Dec/2025 Females vaccinated Comments on Achieved (Percentage) achieving targets Female healthcare 0.00 Feb/2021 54.41 27-Feb-2024 54.41 10-Jul-2024 60.00 Dec/2025 workers vaccinated Comments on Not achieved (Percentage) achieving targets 6.2 Intermediate Results Indicators by Components Component 1. Emergency COVID-19 Response Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year People who have received 8,085,860.00 Dec/2022 0.00 27-Feb-2024 0.00 10-Jul-2024 8,817,975.00 Dec/2025 essential health, nutrition, Comments on NA and population (HNP) services achieving targets (Number) People who have 0.00 0.00 0.00 436,886.00 received essential Comments on NA health, nutrition, and achieving targets Page 7 of 14 The World Bank Implementation Status & Results Report Senegal COVID-19 Response Project (P173838) population (HNP) services - Female (RMS requirement) (Number) 125,137.00 Dec/2022 0.00 27-Feb-2024 0.00 10-Jul-2024 275,137.00 Dec/2025 Number of children Comments on NA immunized (Number) achieving targets Number of women and 0.00 Apr/2023 0.00 27-Feb-2024 0.00 10-Jul-2024 245,229.00 Dec/2025 children who have Comments on NA received basic nutrition achieving targets services (Number) Number of deliveries 263,114.00 Dec/2022 0.00 27-Feb-2024 0.00 10-Jul-2024 600,000.00 Dec/2025 attended by skilled Comments on NA health personnel achieving targets (Number) Point of entry/ border officers 0.00 Mar/2020 901.00 27-Feb-2024 901.00 10-Jul-2024 160.00 Dec/2021 trained on COVID-19 Comments on Achieved prevention, control and achieving targets contact tracing (Number) Healthcare workers and 0.00 Mar/2020 6,335.00 27-Feb-2024 6,335.00 10-Jul-2024 2,000.00 Dec/2025 community-based nurses Comments on Achieved trained on COVID-19 achieving targets prevention, control and contact tracing (Number) Healthcare facilities that 0.00 Mar/2020 116.00 27-Feb-2024 138.00 10-Jul-2024 119.00 Dec/2025 received protective Comments on Achieved equipment and hygiene achieving targets materials (Number) Designated laboratories with 0.00 Mar/2020 9.00 27-Feb-2024 9.00 10-Jul-2024 7.00 Dec/2025 COVID-19 diagnostic Comments on Achieved Page 8 of 14 The World Bank Implementation Status & Results Report Senegal COVID-19 Response Project (P173838) equipment, test kits, and achieving targets reagents per MOHSA guidelines (Number) Patients that are satisfied 0.00 Mar/2020 71.53 27-Feb-2024 71.53 10-Jul-2024 70.00 Dec/2025 with the treatment of COVID- Comments on Achieved 19 received (Percentage) achieving targets Number of healthcare 0.00 Feb/2021 2.00 27-Feb-2024 2.00 10-Jul-2024 50.00 Dec/2025 facilities and warehouses Comments on Not Achieved. GAVI has equipped all the facilities with cold chain equipment. provided with climate- achieving targets sensitive/energy-efficient cold chain equipment to store COVID-19 vaccines (Number) Number of national, sub- 0.00 Feb/2021 0.00 27-Feb-2024 0.00 10-Jul-2024 300.00 Dec/2025 national, facility-based and Comments on This activity was carried out with the support of GAVI. mobile staff trained in COVID- achieving targets 19 vaccine cold chain, storage and handling (Number) Pharmacovigilance System No Feb/2021 Yes 27-Feb-2024 Yes 10-Jul-2024 Yes Dec/2021 (PVS) adapted to detect Comments on Yes Adverse Events Following achieving targets Vaccination (AEFI) for the COVID-19 vaccine (Yes/No) 0.00 Feb/2021 134.00 27-Feb-2024 134.00 10-Jul-2024 100.00 Dec/2025 Number of AEFI cases Comments on Yes reported (Number) achieving targets Women having 4 antenatal 65.00 Dec/2022 0.00 27-Feb-2024 0.00 10-Jul-2024 83.00 Dec/2025 care visits (ANCs) (Percentage) Contraceptive prevalence rate 25.50 Dec/2022 0.00 27-Feb-2024 25.56 10-Jul-2024 36.00 Dec/2025 Page 9 of 14 The World Bank Implementation Status & Results Report Senegal COVID-19 Response Project (P173838) (Percentage) Comments on NA achieving targets Health facilities reporting no 0.00 Apr/2023 0.00 27-Feb-2024 0.00 10-Jul-2024 80.00 Dec/2025 stock-out of tracer essential Comments on NA medicines and products, achieving targets including COVID-19 vaccincations, at the time of the health facility supervision visit (Percentage) 0.00 May/2023 0.00 27-Feb-2024 0.00 10-Jul-2024 2,000.00 Dec/2025 Health personnel trained Comments on NA (Number) achieving targets 0.00 Jun/2023 0.00 27-Feb-2024 0.00 10-Jul-2024 1,000.00 Dec/2025 Females (Number) Comments on NA achieving targets 0.00 May/2023 0.00 27-Feb-2024 0.00 10-Jul-2024 1,900.00 Dec/2025 Continuous (Number) Comments on NA achieving targets Long-term (Number) 0.00 May/2023 0.00 27-Feb-2024 31.00 10-Jul-2024 100.00 Dec/2025 Component 2. Community Engagement and Risk Communication Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Social Distancing No Mar/2020 Yes 27-Feb-2024 Yes 10-Jul-2024 Yes Jul/2020 communication strategy Comments on Achieved developed (Yes/No) achieving targets Assessment conducted to No Mar/2020 Yes 27-Feb-2024 Yes 10-Jul-2024 Yes Jun/2021 identify behavioral and socio- Comments on Achieved cultural risk factors for COVID- Page 10 of 14 The World Bank Implementation Status & Results Report Senegal COVID-19 Response Project (P173838) 19 covering all the regions achieving targets (Yes/No) People reached through 0.00 Mar/2020 540.00 27-Feb-2024 540.00 10-Jul-2024 1,000.00 Dec/2025 hygiene promotion activities Comments on On track (Number) achieving targets Community health workers 0.00 Sep/2023 0.00 27-Feb-2024 0.00 10-Jul-2024 2,000.00 Dec/2025 trained on community-based Comments on NA disease surveillance achieving targets (Number) 0.00 May/2023 0.00 27-Feb-2024 0.00 10-Jul-2024 500.00 Dec/2025 Community actors trained Comments on NA (Number) achieving targets TV, radio and social media 0.00 Feb/2021 300.00 27-Feb-2024 3,910.00 10-Jul-2024 400.00 Dec/2025 spots produced on COVID-19 Comments on Achieved (Number) achieving targets Healthcare workers and 0.00 Apr/2021 12.00 27-Feb-2024 12.00 10-Jul-2024 300.00 Dec/2025 community-based nurses Comments on Label corrected to refer to "community-based actors" instead of "community-based nurses" trained on GBV/SEA/SH achieving targets for more accuracy. (Number) Component 3. Project Management and Monitoring Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Health centers/hospitals 0.00 Mar/2020 99.00 27-Feb-2024 99.00 10-Jul-2024 80.00 Dec/2025 received supervision for Comments on Achieved COVID-19 (Percentage) achieving targets Establishment of joint M&E No Mar/2020 Yes 27-Feb-2024 Yes 10-Jul-2024 Yes Jun/2021 systems supporting the One Comments on Achieved Health approach and achieving targets Page 11 of 14 The World Bank Implementation Status & Results Report Senegal COVID-19 Response Project (P173838) epidemic preparedness and response (Yes/No) 0.00 Mar/2020 92.00 27-Feb-2024 92.00 10-Jul-2024 125.00 Dec/2025 Meetings held by the Comments on Not achieved platform (Number) achieving targets Implementation of the third No Apr/2023 No 27-Feb-2024 No 10-Jul-2024 Yes Dec/2025 and fourth phases of the rapid Comments on Achieved surveillance system for the achieving targets continuity of EHS (Yes/No) Page 12 of 14 The World Bank Implementation Status & Results Report Senegal COVID-19 Response Project (P173838) 7. DATA ON FINANCIAL PERFORMANCE 7.1 Cumulative Disbursements 7.2 Disbursements (by loan) Loan/Credit/ Cancelle Undisburs Status Original Revised Disbursed % Disbursed TF d ed IDA-69640 Effective 67.00 67.00 0.00 30.46 32.43 45.47% IDA-65990 Effective 20.00 20.00 0.00 21.03 0.00 100.00 % IDA-D8890 Effective 67.00 67.00 0.00 5.88 58.26 8.77% TF-C1978 Effective 15.00 15.00 0.00 0.00 15.00 0% Jul 25, 2024 Page 14 of 15 The World Bank Implementation Status & Results Report Senegal COVID-19 Response Project (P173838) 7.3 Key Dates (by loan) Orig. Rev. Loan/Credit/TF Status Approval Signing Effectiveness Closing Closing 03-Apr- 31-Mar- 31-Dec- IDA-65990 Effective 02-Apr-2020 06-Apr-2020 2020 2021 2025 31-Dec- 31-Dec- IDA-69640 Effective 02-Jun-2021 25-Jun-2021 09-Jul-2021 2025 2025 31-Dec- 31-Dec- IDA-D8890 Effective 02-Jun-2021 25-Jun-2021 09-Jul-2021 2025 2025 06-Oct- 30-Jun- TF-C1978 Effective 30-Jun-2023 04-Dec-2023 30-Jun-2025 2023 2025 8. KEY DATES Key Events Planned Actual Approval 02-Apr-2020 02-Apr-2020 Effectiveness 03-Apr-2020 06-Apr-2020 Mid-Term Review No. 01 30-Jul-2023 24-Apr-2023 Operation Closing/Cancellation 31-Dec-2025 9. RESTRUCTURING HISTORY Restructuring Level 2 Approved on 17-Mar-2021 10. ASSOCIATED OPERATION(S) There are no associated operations Jul 25, 2024 Page 15 of 15