The World Bank Implementation Status & Results Report Malawi Health Emergency Preparedness, Response and Resilience Project Using the Multiphase Programmatic Approach (P505187) Malawi Health Emergency Preparedness, Response and Resilience Project Using the Multiphase Programmatic Approach (P505187) EASTERN AND SOUTHERN AFRICA | Malawi | IBRD/IDA | Investment Project Financing (IPF) | FY 2024 | Seq No: 1 | Archived on 30-Sep-2024 | ISR01812 Implementing Agencies: Ministry of Health 1. OBJECTIVE 1.1 Development Objective Original Development Objective (Approved as part of Approval package on 12-Jun-2024) To strengthen health system resilience and multisectoral preparedness and response to health emergencies in the Republic of Malawi Has the Development Objective been changed since Board Approval of the Project Objective? No 2. COMPONENTS Name Component 1: Strengthening the Preparedness and Resilience of the Health System to Manage HEs:(Cost 27,700,000.00) Component 2: Improving early detection of and response to HEs through a multisectoral approach:(Cost 26,700,000.00) Component 3: Project Management and Monitoring and Evaluation:(Cost 5,600,000.00) Component 4: Contingent Emergency Response :(Cost 0.00) 3. OVERALL RATINGS Name Current Progress towards achievement of PDO Satisfactory Overall Implementation Progress (IP) Satisfactory Overall Risk Rating Moderate Sep 30, 2024 Page 1 of 9 The World Bank Implementation Status & Results Report Malawi Health Emergency Preparedness, Response and Resilience Project Using the Multiphase Programmatic Approach (P505187) 4. KEY ISSUES & STATUS 4.1 Implementation Status and Key Decisions The project was approved by the Regional Vice President on June 13, 2024, signed on July 23, 2024, and is expected to be effective by October 23, 2024. The Ministry of Health (MOH) has made significant strides in the key steps towards fulfilling the project effectiveness conditions specifically: (i) recruiting key positions for the PIU; (ii) finalizing the project implementation manual (PIM); and (iii) preparing the environmental and social instruments. The project also received parliamentary approval on September 11, 2024. 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) The AFE MPA Program was approved by the World Bank's Board of Executive Directors on September 29, 2023. As of September 4, 2024, a total of 8 country and 2 regional operations have been approved under the MPA, with 6 additional countries expected to be approved during the 2025 and 2026 fiscal years. Thus far, 6 projects have become effective (i.e. Burundi, Ethiopia, STP, IGAD, ECSA-HC). Additional Financing of US$500 million was also approved in March 2024, paving the way for inclusion of additional countries in subsequent phases of the Program. The Annual Work Plans for all five entities—under Phase 1 of the Program—have been developed, reviewed by the World Bank, and endorsed by the Regional Advisory Committee (RAC). Implementation has commenced in ECSA HC, Ethiopia, IGAD, and STP with a total of US$36.16 million already disbursed from Phase 1 (P180127). Within the next six months, effectiveness is expected to be completed for DRC, Kenya, Malawi, Rwanda, and Zambia, and implementation to commence. 5. SYSTEMATIC OPERATIONS RISK-RATING TOOL Sep 30, 2024 Page 2 of 9 The World Bank Implementation Status & Results Report Malawi Health Emergency Preparedness, Response and Resilience Project Using the Multiphase Programmatic Approach (P505187) Rating at Approval Risk Category Approval Package - 13 Jun Proposed Rating 2024 Political and Governance Substantial Substantial Macroeconomic Substantial Substantial Sector Strategies and Policies Moderate Moderate Technical Design of Project or Program Moderate Moderate Institutional Capacity for Implementation and Moderate Moderate Sustainability Fiduciary Substantial Substantial Environment and Social Moderate Moderate Stakeholders Moderate Moderate Overall Moderate Moderate Sep 30, 2024 Page 3 of 9 The World Bank Implementation Status & Results Report Malawi Health Emergency Preparedness, Response and Resilience Project Using the Multiphase Programmatic Approach (P505187) 6. RESULTS 6.1 PDO Indicators by PDO Outcomes PDO Baseline Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Month/Year Average score of 3 core capacity areas 2.30 May/2019 2.30 13-Sep-2024 3.50 Dec/2029 in the JEE Prevent axis (Number) Average score of 3 core capacity areas 2.10 May/2019 3.50 Dec/2029 in the JEE Detect axis (Number) Average score of 3 core capacity areas 1.50 May/2019 3.50 Dec/2029 in the JEE Respond axis (Number) Percentage of detected health events, 33 May/2023 33 13-Sep-2024 50 Dec/2029 where the country met the 7-1-7 target (Percentage) Project supported laboratories that 0 Apr/2024 75 Dec/2029 have achieved a 3-star rating or higher during a SLIPTA audit (Percentage) 6.2 Intermediate Results Indicators by Components Component 1: Strengthening the Preparedness and Resilience of the Health System to Manage HEs Page 4 of 9 The World Bank Implementation Status & Results Report Malawi Health Emergency Preparedness, Response and Resilience Project Using the Multiphase Programmatic Approach (P505187) Baseline Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Month/Year Multisectoral National Action Plan for No Apr/2024 Yes Dec/2029 Health Security Developed/Updated (Yes/No) Percentage of field epidemiologists 0 Mar/2024 0 13-Sep-2024 50 Dec/2029 that are female who have completed Comments on achieving targets No description available for this Corporate indicator a minimum 1-year training program and are assigned to or based in districts (Percentage) National clinical case management No Mar/2024 No 13-Sep-2024 Yes Dec/2029 guidelines for priority health events in Comments on achieving targets No description available for this Corporate indicator Malawi are developed (Yes/No) A percentage of districts that have 0 Apr/2024 0 13-Sep-2024 50 Dec/2029 integrated performance management system for health workers into integrated human resources information system (iHRIS) (Percentage) Guidelines and architectural drawings No Apr/2024 Yes Nov/2029 for climate resilient and energy efficient health care infrastructure are developed and disseminated (Yes/No) Component 2: Improving early detection of and response to HEs through a multisectoral approach Baseline Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Month/Year Percentage of IDSR trainees qualified 37 Apr/2024 37 13-Sep-2024 45 Dec/2029 and employed that are female Comments on achieving targets No description available for this Corporate indicator (Percentage) Page 5 of 9 The World Bank Implementation Status & Results Report Malawi Health Emergency Preparedness, Response and Resilience Project Using the Multiphase Programmatic Approach (P505187) Availability of an RCCE plan and No Mar/2024 No 13-Sep-2024 Yes Dec/2029 standard operating procedure applicable to both routine and emergency contexts and accounts for gender dimensions of RCCE (Yes/No) People benefiting from strengthened 0 Apr/2024 0 13-Sep-2024 2,000,000 Dec/2029 capacity to prevent, detect, and respond to health emergencies (Number of people) People benefiting from 0 Apr/2024 0 13-Sep-2024 1,000,000 Dec/2029 strengthened capacity to prevent, detect, and respond to health emergencies – Youth (Number of people) People benefiting from 0 Apr/2024 0 13-Sep-2024 1,000,000 Dec/2029 strengthened capacity to prevent, detect, and respond to health emergencies – Female (Number of people) Deployment of a rapid cycle approach No Apr/2024 Yes Dec/2029 for data collection to enable timely response to essential health services disruptions during HEs (Yes/No) Component 3: Project Management and Monitoring and Evaluation Baseline Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Month/Year Client satisfaction (disaggregated by 0 Apr/2024 50 Nov/2029 gender) with availability and adequacy of primary and emergency health care services (Percentage) Page 6 of 9 The World Bank Implementation Status & Results Report Malawi Health Emergency Preparedness, Response and Resilience Project Using the Multiphase Programmatic Approach (P505187) Page 7 of 9 The World Bank Implementation Status & Results Report Malawi Health Emergency Preparedness, Response and Resilience Project Using the Multiphase Programmatic Approach (P505187) 7. DATA ON FINANCIAL PERFORMANCE 7.1 Cumulative Disbursements 7.2 Disbursements (by loan) Loan/Credit/TF Status Original Revised Cancelled Disbursed Undisbursed % Disbursed Historical Disbursed Not IDA-E3360 50.00 50.00 0.00 0.00 50.73 0% 50.00 Effective 7.3 Key Dates (by loan) Loan/Credit/TF Status Approval Signing Effectiveness Orig. Closing Rev. Closing Not IDA-E3360 13-Jun-2024 23-Jul-2024 31-Dec-2029 31-Dec-2029 Effective Sep 30, 2024 Page 8 of 9 The World Bank Implementation Status & Results Report Malawi Health Emergency Preparedness, Response and Resilience Project Using the Multiphase Programmatic Approach (P505187) 8. KEY DATES Key Events Planned Actual Approval 13-Jun-2024 13-Jun-2024 Effectiveness 31-Oct-2024 Mid-Term Review No. 01 30-Jun-2027 Operation Closing/Cancellation 31-Dec-2029 9. RESTRUCTURING HISTORY 10. ASSOCIATED OPERATION(S) There are no associated operations Sep 30, 2024 Page 9 of 9