The World Bank Implementation Status & Results Report Cote d'Ivoire COVID-19 Strategic Preparedness and Response Project (SPRP) (P173813) Cote d'Ivoire COVID-19 Strategic Preparedness and Response Project (SPRP) (P173813) AFRICA WEST | Cote d'Ivoire | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 1 | ARCHIVED on 24-Nov-2020 | ISR43476 | Implementing Agencies: Government of Côte d'Ivoire, Ministere de la Sante et de l'Hygiene Publique (MSHP) Key Dates Key Project Dates Bank Approval Date: 02-May-2020 Effectiveness Date: 21-May-2020 Planned Mid Term Review Date: -- Actual Mid-Term Review Date: Original Closing Date: 31-May-2021 Revised Closing Date: 31-May-2021 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 Cote d'Ivoire. 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 $28.80 M) Component 2: Health Communication and Community Engagement:(Cost $5.00 M) Component 3: Project implementation management and monitoring and evaluation:(Cost $1.20 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO -- Satisfactory Overall Implementation Progress (IP) -- Satisfactory Overall Risk Rating -- Moderate Implementation Status and Key Decisions The project was approved on May 2, 2020, became effective on May 21, 2020 and the current closing date is on May 31, 2021. The first case of COVID-19 was reported on March 11, 2020 and as of October 19, 2020, an estimated 20,324 cases have been reported including 121 deaths. The SPRP provides support to the Governments national COVID-19 emergency response plan. Despite some delays, implementation is progressing well and the Project Development Objective (PDO) remains achievable. As of September 14, 2020, the targets of three of the six PDO level indicators have already been surpassed, and of the seven intermediate results indicators, five have already been achieved, including all indicators assessing Component 2 and Component 3 of the project. MPA Program Development Objective 11/24/2020 Page 1 of 7 The World Bank Implementation Status & Results Report Cote d'Ivoire COVID-19 Strategic Preparedness and Response Project (SPRP) (P173813) 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 Impressive efforts have been made to advance the implementation of the MPA-funded projects. As of June 30, 2020, 73 projects had been approved providing a total commitment of US$4.7 billion. The projects benefit around 4.7 billion people or 62% of the global population. Of the 73 approved projects: (i) 28 are in Africa; (ii) 11 in East Asia; (iii) 11 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. Total disbursements as of June 30, 2020 under these projects amount to US$1,294.5 billion or 28% of overall commitment. In addition, $233.4 billion have been committed undersigned contracts with UNICEF and Bank Facilitated Procurement (BFP), bringing to 32% actual disbursements and committed amounts. Flexible project design and streamlined procedures as well as intensified efforts across the Bank have contributed to the progress. The implementation faces significant challenges as seventy three percent (73%) of countries with MPA projects were reported still in lockdown at the end of May. Some specific challenges identified by teams include: (i) ) several countries have not adopted emergency procedures for signing of financing agreements, processing procurement and payments – bureaucracy in making decisions and approving procurement, contracts, and payments continue to be a bottleneck; (ii) fear of future audits/investigations by national audit agencies and accountability offices is one of the reasons that is holding back the use of BFP; (iii) limited face-to-face meetings makes it difficult to communicate and engage with counterparts; (iv) a fundamental implementation challenge is that some government officials are not equipped to carry out their roles and responsibility during country lockdowns, with many trying to operate with cell phones; (v) Retroactive Financing has little or no uptake in some countries, mainly because the reimbursed funds will go to central government (MOF) and not to the ministries of health. Notwithstanding these challenges, the MPA is on track to achieving its PrDO – to prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness. The significant level of disbursement in less than three months attest to the strong implementation of the Bank response thanks to the commitment of country teams. However, the capacity of teams is being stretched to meet delivery demands and provide enhanced implementation support to clients, this may not be sustainable in the long term. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial -- Substantial Macroeconomic Substantial -- Low Sector Strategies and Policies Moderate -- Moderate Technical Design of Project or Program Moderate -- Low Institutional Capacity for Implementation and Moderate -- Moderate Sustainability Fiduciary Substantial -- Substantial Environment and Social Substantial -- Substantial Stakeholders Low -- Low 11/24/2020 Page 2 of 7 The World Bank Implementation Status & Results Report Cote d'Ivoire COVID-19 Strategic Preparedness and Response Project (SPRP) (P173813) Other -- -- -- Overall Substantial -- Moderate Results PDO Indicators by Objectives / Outcomes Strengthen national public health preparedness capacity to prevent, detect and respond to COVID-19 IN00893082 ►Number of suspected cases of COVID-19 reported and investigated based on national guidelines, dissagregated by gender (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 153,225.00 80,000.00 Date 04-May-2020 -- 14-Sep-2020 31-May-2021 Cumulative number of suspected COVID-19 suspected cases that are reported and investigated based on Comments: national guidelines, disaggregated by gender IN00893083 ►Number of suspected COVID-19 patients who test positive (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 19,349.00 8,000.00 Date 04-May-2020 -- 14-Sep-2020 31-May-2021 Comments: Cumulative number of COVID-19 cases who test positive IN00893084 ►Number of beds for quarantine, isolation, and treatment, including for minor and severe cases (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 845.00 -- 1,975.00 3,100.00 Date 04-May-2020 -- 14-Sep-2020 31-May-2021 Comments: Cumulative number beds used for quarantine, isolation, and treatment, including minor and serious cases IN00893085 ►Number of severe cases of COVID-19 treated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 706.00 1,600.00 Date 04-May-2020 -- 31-Jul-2020 31-May-2021 Comments: Cumulative number of severe COVID-19 cases treated 11/24/2020 Page 3 of 7 The World Bank Implementation Status & Results Report Cote d'Ivoire COVID-19 Strategic Preparedness and Response Project (SPRP) (P173813) IN00893086 ►Number of deaths among confirmed COVID-19 cases (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 120.00 160.00 Date 01-May-2020 -- 14-Sep-2020 31-May-2021 Comments: Cumulative number of deaths among patients with confirmed COVID-19 status IN00893087 ►Number of COVID-19 cases treated and cured (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 18,523.00 1,600.00 Date 04-May-2020 -- 14-Sep-2020 31-May-2021 Comments: This indicators is the cumulative number of diagnosed COVID-19 cases who are treated and cured Intermediate Results Indicators by Components Component 1: Emergency COVID-19 Response IN00893090 ►Number of point of entry staff, contact tracers and frontline healthcare workers trained by project on COVID-19 preparedness and response (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 282.00 -- 825.00 2,960.00 Date 01-May-2020 -- 14-Sep-2020 31-May-2021 Cumulative number of POE staff, contact tracers and front line health care workers trained by the project Comments: on CoVid19 preparedness and response IN00893093 ►Number of healthcare workers working with COVID-19 patients, who contract the disease (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 204.00 44.00 Date 01-May-2020 -- 18-Sep-2020 31-May-2021 Comments: Cumulative number of health care workers managing COVID-19 patients contract the virus IN00893094 ►Number of treatment and isolation centers renovated and/or equipped (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 -- 4.00 20.00 11/24/2020 Page 4 of 7 The World Bank Implementation Status & Results Report Cote d'Ivoire COVID-19 Strategic Preparedness and Response Project (SPRP) (P173813) Date 01-May-2020 -- 14-Sep-2020 31-May-2021 Comments: Cumulative number of treatment and isolation centers renovated and/or equipped Component 2: Community Engagement and risk communication IN00893088 ►Implementation of a communication strategy on the fight against COVID-19 at the national level (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- Yes Yes Date 01-May-2020 -- 14-Sep-2020 31-May-2021 Context specific risk-communication and community engagement strategies implemented at the national Comments: level IN00893091 ►Implementation of the community engagement component of the national strategy for the fight against COVID-19 (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- Yes Yes Date 01-May-2020 -- 14-Sep-2020 31-May-2021 Implementation of mechanism to collect feedback and complaints (observed and community level), Comments: advocacy Component 3: Project management and monitoring and evaluation IN00893089 ►M&E system established to monitor COVID-19 preparedness and response plan. (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- Yes Yes Date 01-May-2020 -- 14-Sep-2020 31-May-2021 Comments: Implementation of a plan to monitor and evaluate interventions forming part of the response. IN00893092 ►Proportion of individuals who have knowledge on COVID-19, and adopt protective measures against the transmission of COVID-19 (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 99.40 75.00 Date 01-May-2020 -- 02-Jul-2020 31-May-2021 Au niveau des pratiques, la majorité a affirmé avoir changé de comportement depuis l’avènement de la Covid-19 (91,6%) Comments: 11/24/2020 Page 5 of 7 The World Bank Implementation Status & Results Report Cote d'Ivoire COVID-19 Strategic Preparedness and Response Project (SPRP) (P173813) Overall Comments IR Au niveau des pratiques, la majorité a affirmé avoir changé de comportement depuis l’avènement de la Covid-19 (91,6%). Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173813 IDA-66520 Effective USD 35.00 35.00 0.00 15.49 22.38 41% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173813 IDA-66520 Effective 02-May-2020 05-May-2020 21-May-2020 31-May-2021 31-May-2021 Cumulative Disbursements 11/24/2020 Page 6 of 7 The World Bank Implementation Status & Results Report Cote d'Ivoire COVID-19 Strategic Preparedness and Response Project (SPRP) (P173813) 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) There are no related projects. 11/24/2020 Page 7 of 7