The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) Africa CDC Regional Investment Financing Project (P167916) EASTERN AND SOUTHERN AFRICA | Eastern and Southern Africa | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 5 | ARCHIVED on 27-Jun-2022 | ISR51879 | Implementing Agencies: Africa Centres for Disease Control and Prevention, African Union, Ethiopia Ministry of Health (MOH), Ethiopia Public Health Institute, Federal Democratic Republic of Ethiopia Ministry of Finance (MOF), Republic of Zambia, Zambia Ministry of Health Key Dates Key Project Dates Bank Approval Date: 10-Dec-2019 Effectiveness Date: 06-Mar-2020 Planned Mid Term Review Date: 15-Nov-2022 Actual Mid-Term Review Date: Original Closing Date: 31-Dec-2025 Revised Closing Date: 31-Dec-2025 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective is to support Africa CDC to strengthen continental and regional infectious disease detection and response systems. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Governance, Advocacy, and Operational Frameworks:(Cost $2.14 M) Public Health Assets:(Cost $210.80 M) Human Resources Development:(Cost $23.52 M) Project Management:(Cost $13.54 M) Contingent Emergency Response Component (CERC) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating High High Implementation Status and Key Decisions There has been significant acceleration of project activities since the Financing Agreements for African Union, Ethiopia, and Zambia became effective on March 6, April 14, and May 20, 2020, respectively. The Africa CDC (Centres for Disease Control and Prevention)’s regional role in facilitating regional knowledge exchange and access to timely technical expertise has strengthened considerably. Ethiopia is making steady progress on the complex Biosafety Level (BSL)2 and BSL3 laboratory agenda, while Zambia is working on transitioning the institutional arrangements for the project to the Zambia National Public Health Institute and implementation is expected to accelerate once this is completed. 6/27/2022 Page 1 of 11 The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High High High Macroeconomic High High High Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Moderate Moderate Moderate Institutional Capacity for Implementation and Substantial Substantial Substantial Sustainability Fiduciary High High High Environment and Social High Substantial Substantial Stakeholders Moderate Moderate Moderate Other -- -- -- Overall High High High Results PDO Indicators by Objectives / Outcomes 1. Early detection and timely reporting of outbreaks (surveillance) IN01154139 ►Countries that have achieved the required timeliness of reporting for immediately reportable diseases under IDSR. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 63.00 100.00 Date 01-Apr-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 This value is for Zambia only (average of Q1 and Q2 2022). No data currently available for Ethiopia. Comments: IN01154156 ►Samples from suspected outbreaks of immediately reportable diseases that are confirmed within the stipulated WHO standard time at reference laboratories supported by the project (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 01-Apr-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 Comments: Data is not yet available for this indicator. 6/27/2022 Page 2 of 11 The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) Numerator: Number of suspected outbreaks of immediately reportable diseases with samples tested at reference laboratories Denominator: Total number of suspected outbreaks of immediately reportable diseases which require laboratory confirmation 2. Rapid response to infectious disease outbreaks (response) IN01154137 ►Countries responding within 48 hours to confirmed outbreaks of immediately reportable diseases (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 01-Apr-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 Data is not yet available for this indicator. Numerator: Number of countries which responded to outbreaks of immediately reportable diseases within Comments: 48 hrs Denominator: Total number of countries 3. Laboratory quality IN01154138 ►BSL-2 and BSL-3 laboratories supported by the project that have been awarded a SLIPTA rating of two stars or higher under the regional WHO AFRO stepwise accreditation program (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 25.00 Date 01-Aug-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 None of these laboratories have been constructed yet. Number of laboratories in Ethiopia and Zambia that have been awarded a SLIPTA rating of two stars or Comments: above under the regional WHO AFRO step-wise accreditation program IN01154157 Ethiopia (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 24.00 Date 01-Aug-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 IN01154159 Zambia (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1.00 Date 01-Aug-2019 23-Nov-2021 13-Jun-2022 30-Apr-2027 4. Regional and continental indicators IN01154140 ►Africa CDC standard manuals, procedures, guidelines developed (Yes/No, Custom) 6/27/2022 Page 3 of 11 The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Aug-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 IN01154158 For NPHI management and operations (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 01-Aug-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 IN01154160 For epidemic preparedness and response (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Aug-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 IN01154161 ►Regions with functional RISLNETs (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 4.00 Date 01-Oct-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 Comments: Number of RCCs with RISLNETs established and functioning IN01154162 ►At least one yearly outreach event conducted to link implementing partners of existing regional disease surveillance and response projects in a systematic way (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 3.00 6.00 Date 01-Oct-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 One meeting was held at the regional level, plus two at the country level (one each in Ethiopia and Comments: Zambia). IN01154163 ►The information technology systems developed by the Africa CDC, EPHI, and ZNPHI have been connected (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Oct-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 Intermediate Results Indicators by Components 6/27/2022 Page 4 of 11 The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) Component 1: Governance, Advocacy, and Operational Framework IN01154165 ►Zambia: Selected policy reform notes are developed to propose revisions to legislation, procedures, and regulations as a first step to harmonize legal frameworks among SA-RCC countries (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Apr-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 Policy reform notes are developed to propose revisions to legislation, procedures, and regulations as a Comments: first step to harmonize legal frameworks among SA-RCC countries. IN01154169 ►Africa CDC: the SA-RCC is operational (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 01-Apr-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 IN01154172 ►MOU signed between Ethiopia and Africa CDC to facilitate cooperation/collaboration and to establish arrangements to ensure the shared use of the Ethiopia’s public health assets (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 01-Apr-2019 23-Nov-2021 13-Jun-2022 30-Jun-2020 IN01154174 ►Zambia: Country Hosting agreement for the SA-RCC implemented (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 01-Apr-2019 23-Nov-2021 13-Jun-2022 31-Dec-2020 The Host Country agreement for SA-RCC was signed in March 2021 and has since been operationalized. Comments: Component 2: Public Health Assets IN01154164 ►Ethiopia: Laboratories constructed and equipped as per standards (BSL-2 and BSL-3) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 24.00 Date 01-Apr-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 6/27/2022 Page 5 of 11 The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) Comments: Number of laboratories constructed and/or upgraded as per standards. IN01154167 National Reference Laboratory BSL-3 (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1.00 Date 01-Apr-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 IN01154170 Regional Reference laboratories (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 23.00 Date 01-Apr-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 IN01154175 ►Zambia: Laboratories constructed, upgraded as per standards (BSL-3) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1.00 Date 01-Apr-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 Comments: Number of laboratories constructed and/or upgraded as per standards. IN01154177 Regional reference laboratory (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1.00 Date 01-Apr-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 IN01154178 ►NPHI’s system for PHEOCs is operational based on standards (both national and regional) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Apr-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 This has so far been made operational for Ethiopia (on January 27, 2020 following the confirmation of the Comments: first case of COVID-19 outside of China). IN01154180 Ethiopia (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No No Yes Yes Date 01-Apr-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 6/27/2022 Page 6 of 11 The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) IN01154181 Zambia (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No No Yes Yes Date 01-Apr-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 IN01154182 ►NPHI system for Communication and Technology (ICT)/Data Management Center is operational (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Apr-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 IN01154183 Ethiopia (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No No Yes Yes Date 01-Apr-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 IN01154184 Zambia (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Apr-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 IN01154185 ►Ethiopia: AMR scorecard rolled out in all 11 regions in Ethiopia (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 11.00 Date 01-Oct-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 IN01154186 ►Zambia: AMR scorecard implemented in 10 provinces in Zambia (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 10.00 Date 01-Oct-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 IN01154187 ►NPHI system for EBS is operational according to Standard Operating Procedures (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target 6/27/2022 Page 7 of 11 The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) Value No No No Yes Date 01-Oct-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 IN01154188 Ethiopia (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No No Yes Yes Date 01-Oct-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 IN01154189 Zambia (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Oct-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 IN01154190 ►Annual operating costs for BSL-3 laboratories have been confirmed and set aside in the annual budget (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Oct-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 IN01154191 Ethiopia (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Oct-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 IN01154192 Zambia (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Oct-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 IN01154193 ►Citizens and/or communities involved in planning/implementation/evaluation of development programs (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No Yes Yes Date 01-Oct-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 Ethiopia has implemented a Citizen Score Card, while Zambia has District/Community Surveillance Comments: Teams that engage communities on implementation of programs related to disease outbreak and control. 6/27/2022 Page 8 of 11 The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) IN01154194 Ethiopia (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No No Yes Yes Date 01-Oct-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 IN01154195 Zambia (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No No Yes Yes Date 01-Oct-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 Component 3: Human Resources Development IN01154166 ►Ethiopia: Professional/semi-professional personnel trained through the Project in critical skills such as disease surveillance, outbreak investigations and response, M&E, risk communication, auditing (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 2,303.00 800.00 Date 01-Apr-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 Number of professional/semi-professional personnel trained in critical skills including disease surveillance, Comments: outbreak investigations and response, M&E, risk communication, and auditing. IN01154168 Of which female (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 20.80 30.00 IN01154171 ►Zambia: Professional/semi-professional personnel trained under the Project in critical skills including disease surveillance, outbreak investigations and response, M&E, risk communication, auditing (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 16.00 500.00 Date 01-Apr-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 Number of professional/semi-professional personnel trained in critical skills including disease surveillance, outbreak investigations and response, M&E, risk and communication. Comments: 16 staff have been trained so far on M&E, 9 of which are female. IN01154173 Of which female (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 56.25 30.00 IN01154176 6/27/2022 Page 9 of 11 The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) ►Africa CDC - Number of personnel trained in Field Epidemiology Training Program (FETP) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 200.00 Date 01-Apr-2019 23-Nov-2021 13-Jun-2022 31-Dec-2025 Comments: Number of personnel that completed FETP. IN01154179 Of which female (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 30.00 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P167916 IDA-65030 Effective USD 90.00 90.00 0.00 2.02 88.83 2.2% P167916 IDA-65040 Effective USD 75.00 75.00 0.00 18.48 55.56 25% P167916 IDA-D5250 Effective USD 75.00 75.00 0.00 9.74 69.06 12% P167916 IDA-D5260 Effective USD 10.00 10.00 0.00 4.31 6.08 41% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P167916 IDA-65030 Effective 10-Dec-2019 08-May-2020 20-May-2020 31-Dec-2025 31-Dec-2025 P167916 IDA-65040 Effective 10-Dec-2019 06-Feb-2020 14-Apr-2020 31-Dec-2025 31-Dec-2025 P167916 IDA-D5250 Effective 10-Dec-2019 06-Feb-2020 14-Apr-2020 31-Dec-2025 31-Dec-2025 P167916 IDA-D5260 Effective 10-Dec-2019 06-Mar-2020 06-Mar-2020 31-Dec-2025 31-Dec-2025 Cumulative Disbursements 6/27/2022 Page 10 of 11 The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 6/27/2022 Page 11 of 11