The World Bank Implementation Status & Results Report Pandemic Preparedness and Basic Health Services Delivery Project (P174903) Pandemic Preparedness and Basic Health Services Delivery Project (P174903) EASTERN AND SOUTHERN AFRICA | Madagascar | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2022 | Seq No: 1 | ARCHIVED on 29-Jun-2022 | ISR52098 | Implementing Agencies: Ministry of Public Health, Republic of Madagascar Key Dates Key Project Dates Bank Approval Date: 29-Mar-2022 Effectiveness Date: -- Planned Mid Term Review Date: -- Actual Mid-Term Review Date: Original Closing Date: 30-Jun-2026 Revised Closing Date: 30-Jun-2026 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To strengthen cross-sectoral capacity for pandemic preparedness and response and improve the provision of basic health services and quality of care Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Strengthening Capacities for Pandemic Preparedness and Response:(Cost $60.00 M) Component 2: Strengthening the Resilience and Performance of Basic Health Services:(Cost $64.90 M) Component 3: Project Management and Monitoring:(Cost $10.00 M) Component 4: Contingent Emergency Response Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO -- Satisfactory Overall Implementation Progress (IP) -- Satisfactory Overall Risk Rating -- Substantial Implementation Status and Key Decisions The Project was approved on March 29, 2022 and signed on April 18, 2022. It is not yet effective. Effectiveness of the Project is expected by July 15, 2022. Project activities are expected to start during the last quarter of calendar year 2022. 6/29/2022 Page 1 of 7 The World Bank Implementation Status & Results Report Pandemic Preparedness and Basic Health Services Delivery Project (P174903) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial -- Substantial Macroeconomic Moderate -- Moderate Sector Strategies and Policies Substantial -- Substantial Technical Design of Project or Program Substantial -- Substantial Institutional Capacity for Implementation and High -- High Sustainability Fiduciary Substantial -- Substantial Environment and Social Substantial -- Substantial Stakeholders Moderate -- Moderate Other -- -- -- Overall Substantial -- Substantial Results PDO Indicators by Objectives / Outcomes Strengthen cross-sectoral capacity for pandemic preparedness and response IN01160288 ►Progress towards establishing an active and functional "One Health" platform (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 4: Action plan is Value 1: No capacity -- 1.00 budgeted and implemented Date 18-Jan-2022 -- 27-Jun-2022 30-Jun-2026 1. No capacity = No capacity built yet. Comments: IN01160290 ►Interoperable and interconnected real-time electronic notification system (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2 : Limited capacity -- 2.00 3: Developed capacity Date 14-Jul-2017 -- 27-Jun-2022 30-Jun-2026 2. Limited capacity = Country is developing an interoperable, interconnected, electronic real-time reporting Comments: system, for either public health or veterinary surveillance systems. 6/29/2022 Page 2 of 7 The World Bank Implementation Status & Results Report Pandemic Preparedness and Basic Health Services Delivery Project (P174903) IN01160302 ►Laboratory Quality System (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 4: Demonstrated Value 1: No capacity -- 1.00 capacity Date 14-Jul-2017 -- 27-Jun-2022 30-Jun-2026 1. No capacity = There are no national laboratory quality standards Comments: Improve the provision of basic health services and quality of care IN01160289 ►Percentage of CSBs meeting revised national standards (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 Date 18-Jan-2022 -- 27-Jun-2022 30-Jun-2026 IN01160301 ►Number of women using a modern contraceptive method (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1,913,153.00 -- 1,913,153.00 2,161,645.00 Date 15-Dec-2021 -- 15-Dec-2021 30-Jun-2026 Overall Comments PDO Project was approved March 29, 2022 and is not yet effective. Intermediate Results Indicators by Components Strengthening capacities for pandemic preparedness and response IN01160303 ►Percentage of health districts that have conducted a simulation exercise at least once in the past 24 months (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 Date 18-Jan-2022 -- 27-Jun-2022 30-Jun-2026 IN01160305 ►Surveillance system in place for priority zoonoses/pathogens (Text, Custom) 6/29/2022 Page 3 of 7 The World Bank Implementation Status & Results Report Pandemic Preparedness and Basic Health Services Delivery Project (P174903) Baseline Actual (Previous) Actual (Current) End Target 4: Demonstrated Value 1: No capacity -- 1.00 capacity Date 18-Jan-2022 -- 27-Jun-2022 30-Jun-2026 1. No capacity = No zoonotic surveillance systems exist Comments: IN01160307 ►Number of reference documents available for the One Health approach (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 8.00 Date 18-Jan-2022 -- 27-Jun-2022 30-Jun-2026 IN01160309 ►Number of phone surveys conducted to assess service offerings and access to services (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 4.00 Date 18-Jan-2022 -- 27-Jun-2022 30-Jun-2026 Strengthening the resilience and performance of basic health IN01160304 ►Number of children vaccinated with Penta 3 under the project (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 3,560,000.00 Date 18-Jan-2022 -- 27-Jun-2022 30-Jun-2026 IN01160306 ►Implementation rate based on payment of communal health programs as of November 30 (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 30.00 -- 30.00 90.00 Date 18-Jan-2022 -- 18-Jan-2022 30-Jun-2026 IN01160308 ►Share of CSBs in priority areas that have filled medical and paramedical posts in compliance with HR norms (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 70.00 Date 18-Jan-2022 -- 27-Jun-2022 31-Dec-2025 IN01160310 6/29/2022 Page 4 of 7 The World Bank Implementation Status & Results Report Pandemic Preparedness and Basic Health Services Delivery Project (P174903) ►Proportion of paramedics in post in accordance with the standards of positions certifications (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 75.00 Date 18-Jan-2022 -- 27-Jun-2022 30-Jun-2026 IN01160311 ►Modernize human resources management (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 4: 100% of key HR procedures are Value 0.00 -- 0.00 digitized + publication of annual HRM report Date 21-Jan-2022 -- 27-Jun-2022 30-Jun-2026 IN01160312 ►Number of people covered by financial protection mechanisms (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 1,900,000.00 Date 18-Jan-2022 -- 27-Jun-2022 30-Jun-2026 IN01160313 ►Percentage of communes of which the CSO assessments are available and shared (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 40.00 Date 30-Jun-2022 -- 27-Jun-2022 30-Jun-2026 IN01160314 ►Number of adolescents using modern contraceptives methods (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 374,053.00 -- 374,053.00 422,637.00 Date 31-Dec-2021 -- 31-Dec-2021 30-Jun-2026 Overall Comments IR Interventions under the Project have not yet started as the Project is not yet effective. Performance-Based Conditions 6/29/2022 Page 5 of 7 The World Bank Implementation Status & Results Report Pandemic Preparedness and Basic Health Services Delivery Project (P174903) IN01160315 ►PBC 1 Share of CSBs in priority areas that have filled medical and paramedical posts in compliance with HR norms (Percentage, Intermediate Outcome, 7,500,000.00, 5.6%) Baseline Actual (Previous) Actual (Current) End of 2025 Value 0.00 -- 0.00 -- Date -- -- 27-Jun-2022 -- Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed Not P174903 IDA-70730 USD 50.00 50.00 0.00 0.00 48.23 0% Effective Not P174903 IDA-D9940 USD 50.00 50.00 0.00 0.00 48.23 0% Effective Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date Not P174903 IDA-70730 29-Mar-2022 18-Apr-2022 -- 30-Jun-2026 30-Jun-2026 Effective Not P174903 IDA-D9940 29-Mar-2022 18-Apr-2022 -- 30-Jun-2026 30-Jun-2026 Effective Cumulative Disbursements 6/29/2022 Page 6 of 7 The World Bank Implementation Status & Results Report Pandemic Preparedness and Basic Health Services Delivery Project (P174903) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 6/29/2022 Page 7 of 7