The World Bank Implementation Status & Results Report Niger COVID-19 Emergency Response Project (P173846) Niger COVID-19 Emergency Response Project (P173846) AFRICA WEST | Niger | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 4 | ARCHIVED on 18-Feb-2022 | ISR50102 | Implementing Agencies: Ministry of Public Health, Population and Social Affairs, Republic of Niger Key Dates Key Project Dates Bank Approval Date: 13-Apr-2020 Effectiveness Date: 08-Jul-2020 Planned Mid Term Review Date: 17-Oct-2022 Actual Mid-Term Review Date: Original Closing Date: 30-Apr-2022 Revised Closing Date: 31-Dec-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness in Niger Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Emergency COVID-19 Response:(Cost $37.55 M) Component 2: Communication campaign, community engagement and Behavior change:(Cost $3.00 M) Component 3: Implementation Management and Monitoring and Evaluation:(Cost $2.60 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions Overall, the project implementation progress is satisfactory. The project continues to maintain progress in activities' implementation and especially in acquisitions for COVID-19 response. The COVID-19 Additional Financing project of US$ 29.2 million was declared effective on December 17, 2021. The AF will support country efforts on vaccine deployment and acquisition and therefore accelerate progress on COVID-19 vaccination in Niger. MPA Program Development Objective MPA PDO Table 2/18/2022 Page 1 of 8 The World Bank Implementation Status & Results Report Niger COVID-19 Emergency Response Project (P173846) 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 January 17, 2022, 87 MPA-projects had been approved with a total commitment of US$4.2 billion. One operation (Guatemala) was canceled in mid-September 2021, at the request of the Government. Therefore, there are 86 MPA active operations. Fifty-eight (58) country projects or 67% of projects approved have reached 70-100% disbursement (reasons for >100% disbursements relate to fluctuations between the Euro and the SDR against the US$). Out of the 58 projects, 35 operations or 60% have disbursed over 90% of commitments. The projects are benefitting around 3.7 billion people or 50% of the global population. Of the 86 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) 7 in Middle East and North Africa; and (vi) 9 in South Asia. Eighty-five (85) or 99% of projects approved are disbursing. Total disbursements as of January 17, 2022, amounted to US$3.30 billion or 78% of overall commitments. Streamlined procedures, delegated approvals, coupled with flexible project design and intensified efforts across the Bank have contributed to the progress. Six parent projects have been restructured to include vaccine-related procurement. Implementation is being guided by Bank teams working in parallel with other health related projects, including Additional Financing operations supporting vaccine procurement and deployment efforts. Implementation continues to face challenges as several countries are still under different levels of lockdown or mobility restrictions, and counterparts and Bank teams are operating from home or partially from home. Also, countries are dealing with new waves of infections as the Omicron variant is spreading rapidly among populations. The variant which was first identified in South Africa and Botswana has been detected in more than 80 nations by mid-December. Many Bank teams continue to conduct implementation support missions virtually, which is challenging for both Bank teams and counterparts. This “virtual” world poses connectivity challenges as the internet is not reliable in many countries, especially IDA countries. Notwithstanding the challenges, the MPA is on track to achieve its PrDO, which is to prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness. The significant level of disbursements attests to the strong implementation of the Bank' response thanks to the commitment of counterparts supported by Bank country teams. 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. 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 January 17, 2022, the Bank has approved 83 operations to support vaccine procurement and rollout in 69 countries amounting to $7.6 billion. The 83 AF-V 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 83 approved operations: (i) 45 are in Africa – 21 in AFE and 24 in AFW; (ii) 8 in East Asia; (iii) 9 in Europe and Central Asia; (iv) 6 in Latin America and the Caribbean; (v) 7 in Middle East and North Africa; and (vi) 8 in South Asia. Forty-three (43) projects are disbursing. Thirty new operations are under various stages of processing. Total disbursements as of January 17, 2022, under these projects amount to US$1.8 billion or 24% of overall commitments. 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. Seventy (70) loan/financing agreements have been signed. Also, sixty (60) loan/financing agreements have become effective; several others are expected to become effective in the coming weeks. Implementation of the AF- V operations, as with MPA operations is facing challenges as several countries are still under different levels of lockdown or mobility restrictions and counterparts and Bank teams are operating from home. Countries are dealing with new waves of infections as the Omicron variant is spreading 2/18/2022 Page 2 of 8 The World Bank Implementation Status & Results Report Niger COVID-19 Emergency Response Project (P173846) rapidly among populations. The variant, which was first identified in South Africa and Botswana, has been detected in more than 80 nations by mid- December. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High Substantial Substantial Macroeconomic High Substantial Substantial Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Substantial Moderate Moderate Institutional Capacity for Implementation and Moderate Substantial Substantial Sustainability Fiduciary High Substantial Substantial Environment and Social Substantial Substantial Substantial Stakeholders Moderate Moderate Moderate Other -- -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes To prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for p IN01097155 ►Efficiency of a public health coordination mechanism for COVID-19 (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 24-Mar-2020 12-Feb-2021 14-Feb-2022 31-Dec-2024 Country has established its coordination mechanism for COVID-19 with daily reporting of different Comments: commissions IN01097161 ►Suspected cases of COVID-19 cases reported and investigated based on national guidelines (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 99.91 99.81 100.00 2/18/2022 Page 3 of 8 The World Bank Implementation Status & Results Report Niger COVID-19 Emergency Response Project (P173846) Date 24-Mar-2020 12-Feb-2021 14-Feb-2022 30-Apr-2022 Numerator: Number of suspected cases of COVID-19 cases reported and investigated based on national Comments: guidelines Denominator: Number of of suspected cases of COVID-19 cases reported and investigated IN01097162 ►Laboratories with trained staff and consumables for collecting COVID-19 samples and transporting to the National Public Health Llaboratory (Centre de Recherche Médicale et Sanitaire, CERMES) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 17.00 17.00 4.00 Date 24-Mar-2020 12-Feb-2021 14-Feb-2022 31-Dec-2024 Comments: Cumulative targeted laboratories equipped with COVID-19 diagnostic equipment IN01097163 ►Targeted regions with pandemic preparedness and response plans per Ministry of Public Health Guidelines (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 100.00 Date 24-Mar-2020 12-Feb-2021 14-Feb-2022 31-Dec-2024 Numerator: number of targeted regions with pandemic level response plan according to Ministry of Public Comments: Health guidelines. Denominator: number of targeted regions IN01097164 ►Population vaccinated, which is included in the priority population targets defined in national plan (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 4.20 25.00 Date 12-Mar-2021 12-Mar-2021 14-Feb-2022 31-Dec-2024 IN01097165 Population vaccinated, which is included in the priority population targets defined in national plan - Female (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 1.50 10.00 Date 11-Jun-2021 11-Jun-2021 14-Feb-2022 31-Dec-2024 Intermediate Results Indicators by Components Component 1: Emergency COVID-19 Response IN01097168 ►Personal protective equipment (PPE) kits delivered to health facilities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 2/18/2022 Page 4 of 8 The World Bank Implementation Status & Results Report Niger COVID-19 Emergency Response Project (P173846) Value 0.00 500,000.00 500,000.00 12,000.00 Date 24-Mar-2020 02-Jul-2021 14-Feb-2022 31-Dec-2024 Comments: Cumulative number of PPE kits distributed to health facilities IN01097170 ►Health staff trained in infection prevention per MOH-approved protocols (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 300.00 300.00 300.00 Date 24-Mar-2020 12-Feb-2021 14-Feb-2022 31-Dec-2024 Comments: Cumulative number of staff receiving infection prevention control (IPC) or similar training via the project IN01097172 ►Laboratories with trained staff and consumables for collecting COVID-19 samples and transporting to National Public Health laboratory (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 17.00 17.00 12.00 Date 24-Mar-2020 12-Feb-2021 14-Feb-2022 31-Dec-2024 IN01097174 ►Targeted healthcare facilities with clinical capacity for COVID-19 patients (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 56.00 56.00 12.00 Date 24-Mar-2020 12-Feb-2021 14-Feb-2022 31-Dec-2024 Numerator: Total number of targeted healthcare facilities with capacity to treat COVID-19 patients Comments: Denominator: Total number of targeted health care facilities for COVID-19 patients IN01097175 ►Doses of eligible COVID-19 vaccines delivered in-country (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2,000,000.00 Date 11-Jun-2021 11-Jun-2021 14-Feb-2022 31-Dec-2024 IN01097176 ►People trained on the installation, monitoring and maintenance of the cold chain equipment (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 200.00 Date 12-Mar-2021 12-Mar-2021 14-Feb-2022 31-Dec-2024 IN01097177 People trained on the installation, monitoring and maintenance of the cold chain equipment-Female (Number, Custom Breakdown) 2/18/2022 Page 5 of 8 The World Bank Implementation Status & Results Report Niger COVID-19 Emergency Response Project (P173846) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 60.00 Date 11-Jun-2021 11-Jun-2021 14-Feb-2022 31-Dec-2024 IN01097178 ►Expansion of functioning cold chain equipment and stored vaccines (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 124.00 Date 12-Mar-2021 12-Mar-2021 14-Feb-2022 31-Dec-2024 IN01097179 Expansion of functioning cold chain equipment and stored vaccines in urban, nomadic and desert areas- nomadic and desert areas (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 60.00 Date 04-Jun-2021 04-Jun-2021 14-Feb-2022 31-Dec-2024 Component 2: Communication campaign, community engagement and Behavior change IN01097166 ►Country has developed a communication and risk communication plan including community engagement strategies (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 24-Mar-2020 12-Feb-2021 14-Feb-2022 31-Dec-2024 Comments: Existence of a communication and risk communication plan IN01097169 ►Radio Stations broadcast COVID-19 risk communication message (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 12.00 90.00 Date 24-Mar-2020 12-Feb-2021 14-Feb-2022 31-Dec-2024 Cumulative number of COVID-19 sensitization campaigns conducted as per contextualized their risk Comments: communication and community engagement strategies IN01097171 ►Gender sensitive educational materials on COVID-19 vaccines distributed (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes 2/18/2022 Page 6 of 8 The World Bank Implementation Status & Results Report Niger COVID-19 Emergency Response Project (P173846) Date 07-May-2021 07-May-2021 14-Feb-2022 31-Dec-2024 IN01097173 ►Grievances received and addressed within the defined timeframe (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 2.00 90.00 Date 11-Jun-2021 11-Jun-2021 14-Feb-2022 31-Dec-2024 Component 3: Implementation Management and Monitoring and Evaluation IN01097167 ►M&E system established and implemented to monitor project progress (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 24-Mar-2020 12-Feb-2021 14-Feb-2022 31-Dec-2024 Comments: M&E system has been established and implemented to monitor project progress Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173846 IDA-66200 Effective USD 6.98 6.98 0.00 2.55 4.78 35% P173846 IDA-69570 Effective USD 14.00 14.00 0.00 0.00 12.97 0% P173846 IDA-D6180 Effective USD 6.98 6.98 0.00 7.42 0.00 100% P173846 IDA-D8700 Effective USD 14.00 14.00 0.00 0.00 13.58 0% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173846 IDA-66200 Effective 13-Apr-2020 08-May-2020 08-Jul-2020 30-Apr-2022 31-Dec-2024 P173846 IDA-69570 Effective 25-Jun-2021 27-Aug-2021 17-Dec-2021 31-Dec-2024 31-Dec-2024 P173846 IDA-D6180 Effective 13-Apr-2020 08-May-2020 08-Jul-2020 30-Apr-2022 31-Dec-2024 P173846 IDA-D8700 Effective 25-Jun-2021 27-Aug-2021 17-Dec-2021 31-Dec-2024 31-Dec-2024 2/18/2022 Page 7 of 8 The World Bank Implementation Status & Results Report Niger COVID-19 Emergency Response Project (P173846) Cumulative Disbursements PBC Disbursement Achievement Disbursed amount in Disbursement % PBC ID PBC Type Description Coc PBC Amount Status Coc for PBC Restructuring History There has been no restructuring to date. Related Project(s) P176345-Niger COVID-19 Emergency Response Project - Additional Financing 2/18/2022 Page 8 of 8