The World Bank Implementation Status & Results Report PY: COVID-19 Emergency Response Project (P173805) PY: COVID-19 Emergency Response Project (P173805) LATIN AMERICA AND CARIBBEAN | Paraguay | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 5 | ARCHIVED on 23-Jun-2022 | ISR51750 | Implementing Agencies: Ministry of Public Health and Social Welfare, Republic of Paraguay Key Dates Key Project Dates Bank Approval Date: 02-Apr-2020 Effectiveness Date: 08-Apr-2020 Planned Mid Term Review Date: 31-Dec-2021 Actual Mid-Term Review Date: 16-May-2022 Original Closing Date: 29-Apr-2022 Revised Closing Date: 29-Dec-2022 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To strengthen the national health system for emergency preparedness and response to COVID-19 pandemic in the Republic of Paraguay. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Emergency COVID-19 Response:(Cost $19.15 M) Implementation Management and Monitoring and Evaluation:(Cost $0.80 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating High High Implementation Status and Key Decisions The Paraguay COVID-19 Emergency Response Project was approved by the WB Board of Directors on April 2, 2020 with the objective of strengthening the national health system for emergency preparedness and response to COVID-19 pandemic in the Republic of Paraguay. This Project is part of a World Bank Multi-Phase Programmatic Approach to support countries affected by the COVID-19 pandemic. The Project was signed on April 7, 2020 and declared effective on April 8, 2020. Project implementation is underway. The loan has been fully disbursed, and the closing date was extended to December 29th 2022. MPA Program Development Objective MPA PDO Table 6/23/2022 Page 1 of 5 The World Bank Implementation Status & Results Report PY: COVID-19 Emergency Response Project (P173805) 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 June 15, 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 June 15, 2022, amount to US$3.6 billion or 84% of overall commitments. This amount does not include disbursements under MPA-V operations which are reported together with AF-V operations. Sixty-seven (67) country projects or 77% of projects approved have reached 70-100% disbursement (reasons for >100% disbursements relate to fluctuations between the Euro and the SDR against the US$). Out of the 67 operations, 48 operations or 72% have disbursed over 90% of commitments. Of these, 30 operations are fully disbursed. There are thirteen (13) operations with closing dates by the end of FY22. Other 10 operations which had closing dates by the end of the FY have extended their closing dates. There are 12 operations with disbursements under 50%. Out of these 12 operations, one has not disbursed, and four have disbursed 30 percent or less. 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. MNA has the highest percentage of disbursements, followed by SRA, EAP, ECA and LAC, AFE and AFW. Retroactive Financing represents 26% of commitments. 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. Streamlined procedures, delegated approvals, coupled with flexible project design and intensified efforts across the Bank have contributed to the progress. 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 mobility restrictions. Bank staff are operating in a hybrid environment with some days at the office and others at home. 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. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High High High Macroeconomic Substantial Substantial Substantial Sector Strategies and Policies Low Low Low Technical Design of Project or Program Substantial Low Low Institutional Capacity for Implementation and High High High Sustainability Fiduciary High Substantial Substantial 6/23/2022 Page 2 of 5 The World Bank Implementation Status & Results Report PY: COVID-19 Emergency Response Project (P173805) Environment and Social Moderate Moderate Moderate Stakeholders Moderate Moderate Moderate Other -- -- -- Overall High High High Results PDO Indicators by Objectives / Outcomes To strengthen the national health system for emergency preparedness and response to COVID-19 pandem IN01150486 ►Percentage of suspected cases of COVID-19 reported and investigated per approved protocols (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 97.50 98.50 70.00 Date 28-Feb-2020 31-Mar-2021 31-Dec-2021 29-Dec-2022 End target surpassed Comments: IN01150487 ►Percentage of diagnosed cases treated per approved protocols (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 8.10 10.40 15.00 Date 28-Feb-2020 31-Mar-2021 31-Dec-2021 29-Dec-2022 Intermediate Results Indicators by Components Emergency Response to COVID-19 IN01150488 ►Percentage of public hospitals reequipped to apply response plans per MSPBS Guidelines (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 64.00 94.30 70.00 Date 28-Feb-2020 31-Mar-2021 31-Dec-2021 29-Dec-2022 IN01150489 ►Percentages of public hospitals with personal protective equipment and infection control products and supplies (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 6/23/2022 Page 3 of 5 The World Bank Implementation Status & Results Report PY: COVID-19 Emergency Response Project (P173805) Value 0.00 38.00 38.00 80.00 Date 28-Feb-2020 31-Mar-2021 31-Dec-2021 29-Dec-2022 The current percentage of accomplishment (38%) refers to a partial number of public health facilities receiving PPE and supplies. The rest of public hospitals have received personal protective equipment Comments: through other sources of financing. IN01150490 ►Number of ambulances delivered and operative (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 28.00 Date 28-Feb-2020 31-Mar-2021 31-Mar-2021 29-Dec-2022 This indicator won´t be measured under this Project since the MSPBS decided to finance the procurement Comments: of ambulances through the Loan 8963-PY. Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173805 IBRD-90890 Effective USD 20.00 20.00 0.00 20.00 0.00 100% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173805 IBRD-90890 Effective 02-Apr-2020 07-Apr-2020 08-Apr-2020 29-Apr-2022 29-Dec-2022 Cumulative Disbursements 6/23/2022 Page 4 of 5 The World Bank Implementation Status & Results Report PY: COVID-19 Emergency Response Project (P173805) Restructuring History Level 2 Approved on 25-Mar-2022 Related Project(s) There are no related projects. 6/23/2022 Page 5 of 5