The World Bank Implementation Status & Results Report Angola COVID-19 Strategic Preparedness And Response Project (P176630) Angola COVID-19 Strategic Preparedness And Response Project (P176630) EASTERN AND SOUTHERN AFRICA | Angola | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2022 | Seq No: 2 | ARCHIVED on 20-Jun-2022 | ISR51802 | Implementing Agencies: Angola Ministry of Finance, Angola Ministry of Health Key Dates Key Project Dates Bank Approval Date: 29-Jul-2021 Effectiveness Date: 15-Dec-2021 Planned Mid Term Review Date: 15-Sep-2022 Actual Mid-Term Review Date: 03-Jun-2022 Original Closing Date: 31-Jul-2023 Revised Closing Date: 31-Jul-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) is to prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness in Angola. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Support to the COVID-19 response:(Cost $10.00 M) COVID-19 Immunization:(Cost $130.00 M) Community engagement and risk communication for demand creation:(Cost $3.00 M) Project Implementation and monitoring:(Cost $7.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating High High Implementation Status and Key Decisions The Angola COVID-19 Response and Emergency Preparedness Project was approved on July 29th, 2021. The Legal Agreement was signed on September 16th. The Project became effective on December 15th, 2021. Since project effectiveness, the pace of implementation has been satisfactory with strong results on the ground and a solid disbursement of fifty-two percent of project proceeds in less than 6 months. The project has successfully supported the Government of Angola in responding to the COVID-19 pandemic, namely in COVID-19 vaccine deployment. Of note, with the support of the World Bank, Angola was able to deploy nearly 20 million COVID19 vaccines, which represents 68% coverage for first dose and 37% for full regimen for the eligible population above 12 years old. 6/20/2022 Page 1 of 7 The World Bank Implementation Status & Results Report Angola COVID-19 Strategic Preparedness And Response Project (P176630) MPA Program Development Objective MPA PDO Table 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 MPA Table Multiphase Programmatic Approach (MPA) Status MPA Table Body As of May 16, 2022, 88 MPA-projects had been approved with a total commitment of US$4.3 billion. One operation (Guatemala) was cancelled in mid-September 2021, at the request of the Government. Six parent projects have been restructured to include vaccine-related procurement. Total disbursements as of May 16, 2022, amount to US$3.56 billion or 83% of overall commitments. This amount does not include disbursements under MPA-V operations which are reported together with AF-V operations. Sixty-seven (67) country projects or 77% of projects approved have reached 70-100% disbursement (reasons for >100% disbursements relate to fluctuations between the Euro and the SDR against the US$). Out of the 67 operations, 48 operations or 72% have disbursed over 90% of commitments. Of these, 30 operations are fully disbursed. There are twelve (12) operations with disbursements under 50%. The projects are benefitting around 3.7 billion people or 50% of the global population. Of the 87 active projects: (i) 33 are in Africa – 12 in AFE and 21 in AFW; (ii) 12 in East Asia; (iii) 14 in Europe and Central Asia; (iv) 11 in Latin America and the Caribbean; (v) 8 in Middle East and North Africa; and (vi) 9 in South Asia. Eighty-six (86) or 99% of projects approved are disbursing. Two operations closed last CY. Closing dates for several operations have been extended beyond the end of the FY; twelve (12) operations have closing dates by the end of FY22. Country teams for operations, which have been under implementation for twelve months or more by June 30, 2022, are preparing Mid-Term Review (MTR) ISRs to inform the Global MPA MTR, which will be prepared early next FY. The Additional Financing (MPA AF-V) to the COVID-19 Strategic Preparedness and Response Program utilizing the Multiphase Programmatic Approach (“Global COVID-19 MPA”) was approved by the Board on October 13, 2021. The AF-V is significantly expanding Bank support to client countries for COVID-19 vaccination, with the aim to support vaccination of 1 billion people globally. The AF-V was approved with an envelope of US$12 billion ($6 billion from IDA and $6 billion from IBRD) in financing. On June 30, 2021, President Malpass announced the expansion of financing available for COVID-19 vaccine financing to $20 billion over the next 18 months, adding $8 billion to the previously announced $12 billion. This financing is critical to expand affordable and equitable financing for vaccine purchase and deployment. The AF-V is expected to enable vaccination for up to 750 million people, with potential surge capacity for an additional 250 million people in the poorest countries (depending on the delivered price of approved vaccines) while scaling support to strengthen immunization delivery, with design flexibility at the country level. The AF-V is a scale-up of planned vaccination activities anticipated and supported under the Global COVID-19 MPA and a key contribution to the WBG’s overall COVID-19 response. As of May 16, 2022, the Bank has approved 96 operations (including MPA-V operations) to support vaccine procurement and rollout in 73 countries amounting to $8.1 billion. The 96 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. Of the 96 approved operations: (i) 54 are in Africa – 24 in AFE and 30 in AFW; (ii) 9 in East Asia and the Pacific; (iii) 10 in Europe and Central Asia; (iv) 8 in Latin America and the Caribbean; (v) 7 in Middle East and North Africa; and (vi) 8 in South Asia. Fifty (50) projects are disbursing. Twenty-two (22) new operations are under various stages of processing. Total disbursements as of May 16, 2022, under these projects amount to US$3.3 billion or 40% 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. Fifteen (15) operations have disbursed over 70% of their commitments. Eighty-five (85) loan/financing agreements have been signed. Also, eighty (80) loan/financing agreements have become effective; several others are expected to become effective in the coming weeks. As with the MPA operations, streamlined procedures, delegated approval, coupled with flexible project design, and intensified efforts across the Bank have contributed to the rapid design and processing of the operations. Implementation of the AF-V operations, as with MPA operations is facing challenges as several countries are still under different levels 6/20/2022 Page 2 of 7 The World Bank Implementation Status & Results Report Angola COVID-19 Strategic Preparedness And Response Project (P176630) of mobility restrictions and counterparts and Bank teams are operating in a hybrid environment with some days at the office and some at home. Also, countries are dealing with new waves of infections, as the Omicron variant continues to spread rapidly among populations. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Substantial Substantial Macroeconomic High High High Sector Strategies and Policies Substantial Substantial Substantial Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and High High High Sustainability Fiduciary High High High Environment and Social Substantial Substantial Substantial Stakeholders Substantial Substantial Substantial Other Substantial Substantial Substantial Overall High High High Results PDO Indicators by Objectives / Outcomes Percentage (%) of priority population vaccinated, based on the targets defined in national plan IN01151936 ►Percentage (%) of population vaccinated, which is included in the priority population targets defined in the national plan [disaggregated by sex]. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.80 14.10 22.00 48.00 Date 01-Jun-2021 24-Jan-2022 03-Jun-2022 31-Jul-2023 Percentage coverage by sex: 56% of fully vaccinated - men; 44% of fully vaccinated women. Of note the Comments: coverage among eligible population (18,932,660) is 68% for first dose and 37% for full regimen. Number of COVID-19 designated hospitals with oxygen producing units IN01151937 ►Number of COVID-19 designated hospitals with oxygen producing units (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 6/20/2022 Page 3 of 7 The World Bank Implementation Status & Results Report Angola COVID-19 Strategic Preparedness And Response Project (P176630) Value 3.00 3.00 9.00 11.00 Date 01-Jun-2021 16-Dec-2021 03-Jun-2022 30-Jun-2024 Intermediate Results Indicators by Components Component 1: Emergency COVID-19 response IN01151938 ►Number of health staff trained in infection prevention and control per MOH-approved protocols (disaggregated by sex) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1,500.00 1,500.00 14,390.00 10,000.00 Date 01-Jul-2021 16-Dec-2021 07-Jun-2022 31-Jul-2023 IN01151941 ►Number of designated laboratories with staff trained to conduct COVID-19 diagnosis (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 13.00 13.00 52.00 18.00 Date 01-Jul-2021 16-Dec-2021 03-Jun-2022 31-Jul-2023 IN01151944 ►Number of COVID-19 Rapid Response Teams trained (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 85.00 85.00 306.00 170.00 Date 01-Jun-2021 16-Dec-2021 03-Jun-2022 30-Jun-2024 Component 2: COVID-19 Immunization IN01151939 ►Number of provincial level EVMs assessments completed with composite scores of 80% or higher (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 18.00 Date 01-Jul-2021 16-Dec-2021 16-Dec-2021 31-Jul-2023 IN01151942 ►Percentage of targeted sites where requested Cold Chain Equipment has been installed and functional (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 100.00 90.00 6/20/2022 Page 4 of 7 The World Bank Implementation Status & Results Report Angola COVID-19 Strategic Preparedness And Response Project (P176630) Date 01-Jul-2021 16-Dec-2021 03-Jun-2022 30-Jun-2023 IN01151945 ►Number of provinces where Logistimo/IOTA management system has been implemented (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 6.00 6.00 18.00 18.00 Date 01-Jul-2021 16-Dec-2021 03-Jun-2022 30-Jun-2023 IN01151947 ►Number of municipalities with health facilities that have adopted COVID-19 related AEFI mechanisms (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 50.00 159.00 130.00 Date 01-Jul-2021 16-Dec-2021 03-Jun-2022 30-Jun-2023 IN01151949 ►Number of vaccination centers that have implemented standard operating procedures (SOPs) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 30.00 30.00 318.00 180.00 Date 01-Jul-2021 16-Dec-2021 03-Jun-2022 30-Jun-2023 Of note that there have been established 1,054 vaccination points with the following breakdown: 9 large health facilities, 79 high-performance vaccination sites, 230 health posts and lastly 736 mobile teams. The Comments: Task Team did not count the mobile teams for the results for this indicator. IN01151950 ►Number of selected hospitals that implemented updated guidelines for the collection and disposal of COVID-19 vaccine related medical waste (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 40.00 40.00 383.00 200.00 Date 01-Jul-2021 16-Dec-2021 07-Jun-2022 30-Jun-2023 These include all the facilities (for the three levels -National, Provincial, Municipal) that have implemented Comments: the SOPs for the correct management of the COVID-19 related waste. Component 3: Community engagement and risk communication for demand creation IN01151940 ►Number of people reached with key messages and materials developed for public communications and advocacy, in alignment with COVID-19 risk communication and demand plan (disaggregated by sex) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 12,245,723.00 8,000,000.00 Date 01-Jul-2021 16-Dec-2021 03-Jun-2022 31-Jul-2023 Comments: The percentage breakdown is 47% women and 53% men. 6/20/2022 Page 5 of 7 The World Bank Implementation Status & Results Report Angola COVID-19 Strategic Preparedness And Response Project (P176630) IN01151943 ►Number of health professionals and community workers trained in COVID-19 immunization risk communication and community engagement (desegregated by sex) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 18,243.00 15,000.00 Date 01-Jul-2021 16-Dec-2021 03-Jun-2022 30-Jun-2023 IN01151946 ►Number of community health workers trained to deliver key messages to promote demand for COVID-19 vaccines and other essential health services (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 6,535.00 324.00 Date 01-Jul-2021 16-Dec-2021 03-Jun-2022 30-Jun-2023 The number of community health workers that receive training from the MOH on proper messages to Comments: reach out to the population to increase demand for COVID-19 vaccination. Community health workers includes ADECOS and agentes comunitarios da saude. IN01151948 ►Consultations through multi-media platform (i.e 111 hotline) with key information on COVID-19, including vaccinations (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 1,852,708.00 3,000,000.00 Date 01-Jul-2021 16-Dec-2021 16-Dec-2021 30-Jun-2023 Overall there were 1,852,708 consultation with the population on key COVID19 information: - 52,708 calls to the 111 hotline; - 600,000 calls to the ReDIV platform hotline; Comments: - 1,200,000 emails sent through the ReDIV platform; Additionally there were 17,000,000 SMS/text messages sent through the ReDIV platform users about COVI-19 related issues. Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P176630 IBRD-92870 Effective USD 150.00 150.00 0.00 77.93 72.07 52% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date 6/20/2022 Page 6 of 7 The World Bank Implementation Status & Results Report Angola COVID-19 Strategic Preparedness And Response Project (P176630) P176630 IBRD-92870 Effective 29-Jul-2021 16-Sep-2021 15-Dec-2021 31-Jul-2023 31-Jul-2023 Cumulative Disbursements Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 6/20/2022 Page 7 of 7