The World Bank Implementation Status & Results Report BENIN COVID-19 PREPAREDNESS AND RESPONSE PROJECT (P173839) BENIN COVID-19 PREPAREDNESS AND RESPONSE PROJECT (P173839) WESTERN AND CENTRAL AFRICA | Benin | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 6 | ARCHIVED on 22-Jun-2022 | ISR51789 | Implementing Agencies: National Council to Combat HIV/AIDS, Tuberculosis, Malaria and Epidemics, Republic of Benin Key Dates Key Project Dates Bank Approval Date: 27-Apr-2020 Effectiveness Date: 29-May-2020 Planned Mid Term Review Date: 15-Jun-2022 Actual Mid-Term Review Date: 02-Jun-2022 Original Closing Date: 30-Nov-2021 Revised Closing Date: 31-Dec-2022 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To prevent, detect and respond to COVID-19 and strengthen national systems for public health emergency preparedness in Benin. 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 $51.21 M) Component 2: Implementation Management and Monitoring and Evaluation:(Cost $0.83 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions Benin has benefitted from four COVID-19 financing: the Benin COVID-19 Preparedness and Response Project, financed by the International Development Association (IDA); the first additional financing (AF), from the Pandemic Emergency Financing, and the IDA-financed second and third AFs. The parent project and first AF closed on November 30, 2021 and February 28, 2022, respectively. The second AF is still being implemented. The third AF was approved on April 21, 2022, but is not yet effective. As of June 13, 2022, the target for two out of the four Project Development Objective indicators had been attained. Progress towards achievement of the PDO and overall implementation progress are deemed satisfactory. MPA Program Development Objective MPA PDO Table 6/22/2022 Page 1 of 9 The World Bank Implementation Status & Results Report BENIN COVID-19 PREPAREDNESS AND RESPONSE PROJECT (P173839) 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. 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 June 15, 2022, the Bank has approved 105 operations (including MPA-V operations) to support vaccine procurement and rollout in 77 countries amounting to $9.6 billion. The 105 operations approved, include 6 operations that involved restructuring of parent projects (Bhutan, 6/22/2022 Page 2 of 9 The World Bank Implementation Status & Results Report BENIN COVID-19 PREPAREDNESS AND RESPONSE PROJECT (P173839) Cameroon, North Macedonia, Philippines, and Pakistan) and in the case of Lebanon, restructuring of the Health Resilience Project. Of the 105 approved operations: (i) 56 are in Africa – 26 in AFE and 30 in AFW; (ii) 9 in East Asia and the Pacific; (iii) 11 in Europe and Central Asia; (iv) 11 in Latin America and the Caribbean; (v) 9 in Middle East and North Africa; and (vi) 9 in South Asia. Fifty-three (53) projects are disbursing. Total disbursements as of June 15, 2022, under these projects amount to US$3.4 billion or 35% 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. Sixteen (16) operations have disbursed over 70% of their commitments. Out of the 16, seven have disbursed 90%. Retroactive Financing represents 44% of overall commitments. Thirteen (13) new operations are under various stages of processing. 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. Eighty-eight (88) loan/financing agreements have been signed. Also, eighty-six (86) 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 mobility restrictions and counterparts and Bank teams are operating in a hybrid environment with some days at the office and some at home. 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 Moderate Moderate Moderate Macroeconomic Moderate Moderate Moderate Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Moderate Moderate Moderate Institutional Capacity for Implementation and Moderate Moderate Moderate Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Substantial Substantial Substantial Stakeholders Moderate Moderate Moderate Other Moderate Moderate Moderate Overall Moderate Substantial Substantial Results PDO Indicators by Objectives / Outcomes To prevent, detect and respond to COVID-19 and strengthen national systems for public health emergen IN01151617 ►Designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents as per the National Response Plan (Number, Custom) 6/22/2022 Page 3 of 9 The World Bank Implementation Status & Results Report BENIN COVID-19 PREPAREDNESS AND RESPONSE PROJECT (P173839) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 13.00 13.00 20.00 Date 27-Apr-2020 30-Sep-2021 30-Nov-2021 30-Nov-2021 IN01151618 ►Acute healthcare facilities with isolation capacity (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 100.00 100.00 100.00 100.00 Date 27-Apr-2020 30-Sep-2021 30-Nov-2021 30-Nov-2021 IN01151619 ►Country adopted personal and community non-pharmaceutical interventions (schools’ closures, telework and remote meetings, reduce/cancel mass gatherings) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 27-Apr-2020 30-Sep-2021 30-Nov-2021 30-Nov-2021 IN01151620 ►Population fully vaccinated, which is included in the priority population targets defined in the national plan by sex. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2.10 21.25 35.00 Date 07-Jun-2021 30-Sep-2021 13-Jun-2022 30-Dec-2022 IN01151626 Women fully vaccinated among the total population fully vaccinated (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 35.16 47.25 50.00 Date 01-Apr-2021 30-Sep-2021 13-Jun-2022 30-Dec-2022 Overall Comments PDO Three Project Development Objective (PDO) indicators were included in the parent project: 1. Number of designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents as per the National Response Plan; 2. Percentage of acute healthcare facilities with isolation capacity; and 3. Country adopted personal and community non-pharmaceutical interventions (schools’ closures, telework and remote meetings, reduce/cancel mass gatherings). Regarding the number of designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents as per the national response plan, during implementation, the Government decided to equip 13 laboratories (one laboratory in each of the 12 regions and one mobile P3 laboratory), instead of 20 laboratories, as initially planned. This is because the country’s testing capacities (through the 13 laboratories) was 6/22/2022 Page 4 of 9 The World Bank Implementation Status & Results Report BENIN COVID-19 PREPAREDNESS AND RESPONSE PROJECT (P173839) satisfactory and COVID-19 was relatively well contained in the country. As of the closing date of the parent project (November 30, 2021), the target for the two other indicators had been attained. No additional PDO indicators were included in the first Additional Financing (AF) The PDO indicator Percentage of population fully vaccinated, which is included in the priority population targets defined in the national plan (by gender), and its sub-indicator Percentage of women fully vaccinated among the total population fully vaccinated were included in the second AF. As of June 13, 2022, 21.25 percent of people in the priority population, as defined in the national plan, had been fully vaccinated (compared to an end-target of 35 percent). Of those, 47.25 percent were women (compared to an end-target of 50 percent). No additional PDO indicators were included in the third AF. Intermediate Results Indicators by Components Component 1: Emergency COVID-19 Response IN01151627 ►Health staff trained in infection prevention and control per MOH-approved protocols (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,832.00 1,832.00 300.00 Date 27-Apr-2020 30-Sep-2021 30-Nov-2021 30-Nov-2021 IN01151629 ►Country has prepared guidelines to care for COVID-19 patients (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 27-Apr-2020 30-Sep-2021 30-Nov-2021 30-Nov-2021 IN01151630 ►Tests per million population (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 6,733.00 74,493.00 81,465.00 12,581.00 Date 08-Sep-2020 30-Sep-2021 30-Nov-2021 30-Nov-2021 IN01151631 ►Complaints received through the Grievance Redress Mechanism (GRM) addressed within 3 weeks (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 6/22/2022 Page 5 of 9 The World Bank Implementation Status & Results Report BENIN COVID-19 PREPAREDNESS AND RESPONSE PROJECT (P173839) Value 0.00 100.00 100.00 100.00 Date 08-Sep-2020 30-Sep-2021 13-Jun-2022 30-Dec-2022 IN01151632 ►Management case centers without stock-outs of protective equipment (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 100.00 100.00 100.00 100.00 Date 18-Jan-2021 30-Sep-2021 30-Nov-2021 30-Nov-2021 IN01151633 ►Key gender-responsive messages and materials developed for public communications and advocacy, in alignment with demand plan (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No Yes Yes Date 01-Apr-2021 30-Sep-2021 13-Jun-2022 30-Dec-2022 IN01151634 ►Health districts with a budgeted micro-plan for COVID-19 vaccination campaign (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 100.00 Date 01-Apr-2021 30-Sep-2021 13-Jun-2022 31-Dec-2022 IN01151635 ►Health region with cold rooms fully equipped (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 41.70 41.70 80.00 Date 01-Apr-2021 30-Sep-2021 13-Jun-2022 31-Dec-2022 IN01151636 ►AEFI cases that have been monitored and treated as per national protocol, by sex (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 50.00 Date 01-Apr-2021 30-Sep-2021 13-Jun-2022 31-Dec-2022 IN01151637 ►Vaccinators trained on GBV/SEA/SH (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 100.00 95.00 6/22/2022 Page 6 of 9 The World Bank Implementation Status & Results Report BENIN COVID-19 PREPAREDNESS AND RESPONSE PROJECT (P173839) Date 07-Jun-2021 30-Sep-2021 13-Jun-2022 30-Dec-2022 IN01151638 ►Beneficiaries reporting that community engagement and outreach meet their needs (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 90.10 50.00 Date 11-Jun-2021 30-Sep-2021 13-Jun-2022 31-Dec-2022 Component 3: Implementation Management and Monitoring and Evaluation IN01151628 ►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 Yes Date 27-Apr-2020 30-Sep-2021 30-Nov-2021 30-Nov-2021 Overall Comments IR Six intermediate indicators were included in the parent project and the first AF: 1. Number of health staff trained in infection prevention and control per MOH-approved protocols; 2. Country has prepared guidelines to care for COVID-19 patients; 3. Number of tests per million population; 4. Percentage of complaints to the Grievance Redress Mechanism (GRM) satisfactorily addressed within 3 weeks of initial complaint being received; 5. Percentage of management case centers without stock-outs of protective equipment; and 6. M&E system established to monitor COVID-19 preparedness and response plan. The parent project and first AF closed on November 30, 2021 and February 28, 2022, respectively. As of the closing date of the parent project, the target for all six indicators had either been attained or surpassed. Since the "Percentage of complaints to the Grievance Redress Mechanism (GRM) satisfactorily addressed within 3 weeks of initial complaint being received" was included as part of the World Bank's corporate commitment on citizen engagement, it will still be used until the closing date of the third AF. Six intermediate indicators were included in the second AF: 1. Key gender-responsive messages and materials developed for public communications and advocacy, in alignment with demand plan; 2. Percentage of Health districts with a budgeted micro-plan for COVID-19 vaccination campaign; 6/22/2022 Page 7 of 9 The World Bank Implementation Status & Results Report BENIN COVID-19 PREPAREDNESS AND RESPONSE PROJECT (P173839) 3. Percentage of health region with cold rooms fully equipped; 4. Percentage of AEFI cases that have been monitored as per national protocol; 5. Percentage of Vaccinators trained on GBV/SEA/SH; and 6. Percentage of Beneficiaries reporting that community engagement and outreach meet their needs. No additional PDO indicators were included in the third AF, but the indicator "Percentage of AEFI cases that have been monitored as per national protocol" was disaggregated by sex. As of June 13, 2022, the target for five indicators were attained or surpassed. The end target for the other indicator (percentage of health region with cold rooms fully equipped) had been 52 percent attained. Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173839 IDA-66400 Closed USD 5.20 5.19 0.01 5.41 0.00 100% P173839 IDA-69720 Effective USD 15.00 15.00 0.00 8.28 4.91 63% Not P173839 IDA-71180 USD 5.35 5.35 0.00 0.00 5.25 0% Effective P173839 IDA-D6320 Closed USD 5.20 5.16 0.04 5.35 0.00 100% P173839 IDA-D8980 Effective USD 15.00 15.00 0.00 13.87 0.72 95% Not P173839 IDA-E0330 USD 5.35 5.35 0.00 0.00 5.27 0% Effective P173839 TF-B4521 Closed USD 0.94 0.91 0.03 0.91 0.00 100% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173839 IDA-66400 Closed 27-Apr-2020 04-May-2020 29-May-2020 30-Nov-2021 30-Nov-2021 P173839 IDA-69720 Effective 28-Jun-2021 06-Jul-2021 03-Aug-2021 31-Dec-2022 31-Dec-2022 Not P173839 IDA-71180 21-Apr-2022 10-May-2022 -- 31-Dec-2022 31-Dec-2022 Effective 6/22/2022 Page 8 of 9 The World Bank Implementation Status & Results Report BENIN COVID-19 PREPAREDNESS AND RESPONSE PROJECT (P173839) P173839 IDA-D6320 Closed 27-Apr-2020 04-May-2020 29-May-2020 30-Nov-2021 30-Nov-2021 P173839 IDA-D8980 Effective 28-Jun-2021 06-Jul-2021 03-Aug-2021 31-Dec-2022 31-Dec-2022 Not P173839 IDA-E0330 21-Apr-2022 10-May-2022 -- 31-Dec-2022 31-Dec-2022 Effective P173839 TF-B4521 Closed 24-Feb-2021 26-Feb-2021 26-Feb-2021 28-Feb-2021 28-Feb-2021 Cumulative Disbursements Restructuring History There has been no restructuring to date. Related Project(s) P175441-AF Benin COVID-19 Preparedness and Response Project ,P176557-BENIN COVID-19 VACCINES DEPLOYEMENT PROJECT ,P176562-Second Additional Financing for the COVID-19 Preparedness and Response Project ,P178245-Benin COVID-19 Emergency Preparedness and Response Project Third Additional Financing 6/22/2022 Page 9 of 9