The World Bank Implementation Status & Results Report Sudan COVID-19 Emergency Response Project (P174352) Sudan COVID-19 Emergency Response Project (P174352) AFRICA EAST | Sudan | Health, Nutrition & Population Global Practice | Recipient Executed Activities | Investment Project Financing | FY 2021 | Seq No: 3 | ARCHIVED on 13-Mar-2022 | ISR49362 | Implementing Agencies: Republic of Sudan, Federal Ministry of Health Key Dates Key Project Dates Bank Approval Date: 30-Sep-2020 Effectiveness Date: 07-Dec-2020 Planned Mid Term Review Date: 14-Jun-2022 Actual Mid-Term Review Date: Original Closing Date: 30-Jun-2023 Revised Closing Date: 30-Jun-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The objectives of the project are to prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness in Sudan. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Emergency COVID-19 Response:(Cost $96.90 M) Implementation Management and Monitoring and Evaluation:(Cost $4.00 M) Contingent Emergency Response 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 Project implementation progress has been affected by the pause of disbursements under Operational Policy 7.30 “Dealing with De Facto Governments”, which was triggered on October 25, 2021. Disbursements remain on hold until the Bank evaluates the operational environment and completes the assessments under OP 7.30. 3/13/2022 Page 1 of 7 The World Bank Implementation Status & Results Report Sudan COVID-19 Emergency Response Project (P174352) 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 Substantial Substantial Substantial 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 Substantial Substantial Substantial Stakeholders Moderate Moderate Moderate Other -- -- -- Overall High High High Results PDO Indicators by Objectives / Outcomes To prevent, detect and respond to the threat posed by the COVID-19 pandemic IN01073611 ►Proportion of reported suspected cases of COVID-19 that are investigated based on national guidelines (disaggregated) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 100.00 80.00 Date 16-Mar-2020 15-Dec-2020 06-Dec-2021 31-Dec-2023 From August to October, 2021: Male: 5152 cases (52.5%). Comments: Female: 4463 cases (46.4%). IN01073612 ►Number of designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 6.00 6.00 Date 16-Mar-2020 15-Dec-2020 06-Dec-2021 31-Dec-2023 Designated laboratories equipped with supplies for COVID-19 such as diagnostic equipment, test kits, and Comments: reagents 3/13/2022 Page 2 of 7 The World Bank Implementation Status & Results Report Sudan COVID-19 Emergency Response Project (P174352) IN01073613 ►Proportion of designated healthcare facilities with isolation capacity (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 8.00 8.00 100.00 100.00 Date 16-Mar-2020 15-Dec-2020 06-Dec-2021 31-Dec-2023 The country had identified 38 isolation centers as designated facilities for COVID-19 cases isolation. These centers are distributed all over the 18 states including 3 centers at Khartoum state which is the capital and considered as national centers. All centers are equipped with both human resources and Comments: equipment. However, bed capacity differs significantly within and between states. FMoH is currently planning to expand isolation capacity and the project will support this effort. IN01073614 ►Percentage of priority population vaccinated based on the targets defined in national plan, disaggregated by gender. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 2.93 60.00 Date 31-May-2021 31-Dec-2023 06-Dec-2021 31-Dec-2023 -Target of 45-59 with co-morbid and above 60 years old received first dose of COVID-19 vaccines: 20% (dominator:2,327,599 numerator:478,405). -Target of 45-59 with co-morbid and above 60 years old received second (fully vaccinated) dose of COVID-19 vaccines: 6.1% (dominator: 2,327,599 numerator:141,842). -Health Workers received first dose COVID-19 vaccines.: 31.4% (dominator:500,000 Comments: numerator: 157,131). -Health Workers received second dose COVID-19 vaccines. (Fully vaccinated): 8.9% (dominator: 500,000 numerator: 44,608). The current reporting system does not provide detailed data on vaccination per gender. The PIU is working with the EPI to provide vaccination data disaggregated per gender by the next ISR. Intermediate Results Indicators by Components Emergency COVID-19 Response IN01073615 ►Number of health staff trained in infection prevention and control (disaggregated) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 49.00 1,000.00 Date 16-Mar-2020 15-Dec-2020 06-Dec-2021 31-Dec-2023 49 health staff trained in infection prevention and control ( Male: 34, Female: 60). Comments: IN01073617 ►Number of laboratory staff trained to conduct COVID-19 diagnosis (disaggregated) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 3/13/2022 Page 3 of 7 The World Bank Implementation Status & Results Report Sudan COVID-19 Emergency Response Project (P174352) Value 0.00 0.00 55.00 80.00 Date 16-Mar-2020 15-Dec-2020 06-Dec-2021 31-Dec-2023 55 laboratory staff received training on COVID-19 diagnosis (Male: 30, Female: 25). Comments: IN01073619 ►Number of people reached out with awareness campaign messages on COVID-19 prevention and vaccination (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 6,317,813.00 20,000,000.00 Date 20-Jul-2021 31-Dec-2023 06-Dec-2021 31-Dec-2023  19 campaigns / 114 orientation sessions 7 videos 4 broadcast  (259) TV and radio continued broadcasting messages related to the COVID-19 vaccine daily on 35 TV/radio stations representing a total of 8,829 TV and radio broadcasts.  193 social media messages.  Advocacy for vaccine among 1,539 key community influencers was conducted in 18 states (Populations of specific focus Indigenous, Nomadic, Refugee and IDP, Cross-border were sensitized on the benefits of this campaign and uptake of Covid -19 vaccine).  Scientific forum for 360 health care providers at State level was conducted in 18 states. Comments:  18 Advocacy meeting was conducted for Civil society organization was conducted in 18 states.  Orientation workshop for 360 religious’ leaders from all localities was conducted in the18 states.  A state-sponsored roving megaphone roving was used in 5,707 villages in different states.  Religious leaders delivered speeches at 62,465 mosques and churches. (covering around 6,246,500 person).  8500 Home visits at 18 states.  Exit interviews for 46,715 persons. Total target achieved: 6,317,813 = 31% IN01073621 ►Proportion of targeted healthcare facilities with clinical capacity for COVID-19 patients (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 89.90 90.00 Date 06-Dec-2021 15-Dec-2020 06-Dec-2021 31-Dec-2023 Total Number of health facilities 355. Number of targeted facilities 319. These HFs are general hospitals & Comments: rural hospitals at 18 states. IN01073622 ►Micro-plans developed and costed for COVID-19 vaccine deployment (yes/no) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No Yes Yes Date 20-Jul-2021 20-Jul-2021 06-Dec-2021 31-Dec-2023 IN01073623 ►Standard operating procedures (SOPs) or guidelines updated for collection and disposal of medical waste for COVID-19 (yes/no) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target 3/13/2022 Page 4 of 7 The World Bank Implementation Status & Results Report Sudan COVID-19 Emergency Response Project (P174352) Value No No No Yes Date 20-Jul-2021 20-Jul-2021 06-Dec-2021 31-Dec-2023 Updating operating procedures for collecting and disposal of medical waste for COVID-19 has been Comments: initiated and is currently under process. IN01073624 ►Number of Solar Direct Drive Refrigerators Purchased and Installed in Health Facilities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 25.00 Date 20-Jul-2021 20-Jul-2021 06-Dec-2021 30-Jun-2023 Procurement of solar direct drive refrigerators is planned. Comments: Implementation Management and Monitoring and Evaluation IN01073616 ►M&E system established to monitor COVID-19 preparedness and response plan (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 16-Mar-2020 15-Dec-2020 06-Dec-2021 31-Dec-2023 based on the existing EPI M&E system, a digitalized information system was introduced for all COVID-19 vaccination activities. This includes the registration, verification, and categorization. Further features and Comments: enhancement are planned to added to the system to make it fully functional. IN01073618 ►Proportion of patients or their care takers satisfied with the received treatment of COVID-19 (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 60.00 Date 16-Mar-2020 15-Dec-2020 06-Dec-2021 31-Dec-2023 Establishment of regular feedback collection mechanism has already been planned with FMOH. Comments: IN01073620 ►Percentage of grievances addressed within the time specified in the project implementation manual (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 60.00 Date 30-Sep-2020 15-Dec-2020 06-Dec-2021 31-Dec-2023 The GRM system established & incorporated in the FMOH system, the call center staffs have been Comments: trained on the GRM format. However, no grievance cases were received. 3/13/2022 Page 5 of 7 The World Bank Implementation Status & Results Report Sudan COVID-19 Emergency Response Project (P174352) Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P174352 IDA-D8660 Effective USD 100.00 100.00 0.00 10.20 88.38 10% P174352 TF-B4057 Effective USD 6.50 6.50 0.00 1.82 4.68 28% P174352 TF-B4058 Effective USD 15.49 15.49 0.00 13.39 2.09 86% P174352 TF-B5920 Effective USD 0.90 0.90 0.00 0.00 0.90 0%% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P174352 IDA-D8660 Effective 22-Jun-2021 29-Jun-2021 01-Jul-2021 31-Dec-2023 31-Dec-2023 P174352 TF-B4057 Effective 30-Sep-2020 11-Oct-2020 07-Dec-2020 31-Dec-2022 31-Dec-2022 P174352 TF-B4058 Effective 30-Sep-2020 11-Oct-2020 07-Dec-2020 31-Dec-2022 31-Dec-2022 P174352 TF-B5920 Effective 29-Jun-2021 29-Jun-2021 01-Jul-2021 30-Jun-2023 30-Jun-2023 Cumulative Disbursements 3/13/2022 Page 6 of 7 The World Bank Implementation Status & Results Report Sudan COVID-19 Emergency Response Project (P174352) 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) P176824-Additional Financing for the Sudan COVID-19 Emergency Response Project ,P178004-Sudan COVID-19 Emergency Response Project Second Additional Financing 3/13/2022 Page 7 of 7