The World Bank Implementation Status & Results Report Fiji COVID-19 Emergency Response Project (P173903) Fiji COVID-19 Emergency Response Project (P173903) EAST ASIA AND PACIFIC | Fiji | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 4 | ARCHIVED on 26-Jun-2022 | ISR51548 | Implementing Agencies: Ministry of Health & Medical Services, Republic of Fiji Key Dates Key Project Dates Bank Approval Date: 24-Jun-2020 Effectiveness Date: 23-Jul-2020 Planned Mid Term Review Date: 01-Apr-2022 Actual Mid-Term Review Date: 20-Apr-2022 Original Closing Date: 30-Jun-2023 Revised Closing Date: 30-Jun-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness in the Republic of Fiji. 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 $4.85 M) Component 2: Health Systems Strengthening:(Cost $1.40 M) Component 3: Implementation Management, Monitoring and Evaluation:(Cost $1.10 M) 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 Moderate Moderate Implementation Status and Key Decisions Progress towards achievement of the Project development objective (PDO) remains moderately satisfactory. The two PDO indicators have been met as the Project has improved the country's capacity to test and manage COVID-19 through the procurement of six Gene Xpert machines, test kits, personal protective equipment and essential medical equipment. This support complements other development partner support. The Project has provided accommodation, meal allowances for 401 staff and volunteers engaged in the providing contact tracing and testing for COVID-19 during the second wave of COVID-19 experienced between May - November 2021. Three workshops have been held to assess the strength, weakness, opportunities and threats (SWOT) of the Government of Fiji’s response to the COVID-19 pandemic and assessing community response and engagement and effectiveness of community surveillance. The findings from the workshop are expected to be used to strengthen preparedness for future health emergencies. The project has also improved internet connectivity in five out of a target 41 health facilities. 6/26/2022 Page 1 of 6 The World Bank Implementation Status & Results Report Fiji COVID-19 Emergency Response Project (P173903) Despite delays in implementing the construction of the pharmaceutical warehouse, request for quotations (RFQs) for the warehouse construction have been advertised. The Ministry of Infrastructure and Meteorological services will continue to provide technical guidance and supervision during construction of the warehouse. MPA Program Development Objective MPA PDO Table 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 Moderate Moderate Moderate 6/26/2022 Page 2 of 6 The World Bank Implementation Status & Results Report Fiji COVID-19 Emergency Response Project (P173903) Macroeconomic Substantial Substantial Moderate Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Moderate Moderate Moderate Institutional Capacity for Implementation and High High High Sustainability Fiduciary Moderate Moderate Moderate Environment and Social Substantial Substantial Substantial Stakeholders Substantial Substantial Substantial Other Moderate Moderate Moderate Overall Substantial Moderate Moderate Results PDO Indicators by Objectives / Outcomes To prevent, detect and respond to the threat posed by COVID-19 IN01144875 ►Proportion of identified at-risk population investigated with laboratory testing for COVID-19 (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 80.00 100.00 100.00 95.00 Date 25-Mar-2020 15-Nov-2021 30-Apr-2022 31-May-2023 Like other countries, testing protocols continue be revised and adopted to reflect the changing COVID-19 Comments: disease transmission. IN01144876 ►Proportion of suspected and diagnosed cases treated as per approved protocol (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 80.00 100.00 100.00 100.00 Date 27-Apr-2020 15-Nov-2021 30-Apr-2022 31-May-2023 Response protocols continue to be revised and adopted to reflect the changing COVID-19 disease Comments: transmission. Intermediate Results Indicators by Components Component 1: Emergency COVID-19 Response IN01144879 ►Number of health facilities with improved connectivity for case reporting and public health surveillance (Number, Custom) 6/26/2022 Page 3 of 6 The World Bank Implementation Status & Results Report Fiji COVID-19 Emergency Response Project (P173903) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 5.00 35.00 Date 25-Mar-2020 15-Nov-2021 30-Apr-2022 31-May-2023 Five (5) sites have been configured and fully operational as of the mid term review. Comments: IN01144881 ►Number of health workers responding to surge receiving overtime and per diem payments (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 401.00 401.00 100.00 Date 27-Apr-2020 15-Nov-2021 30-Apr-2022 31-May-2023 A total of 300 health workers involved in COVID contact tracing (49 teams) and 101 health workers for the Comments: Fiji Emergency Medical Assistance Team (FEMAT) Field Hospital by the end of November 2021. Component 2: Health Systems Strengthening IN01144877 ►Number of health facilities with access to improved health care waste management facilities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 3.00 Date 25-Mar-2020 15-Nov-2021 30-Apr-2022 31-May-2023 Significant delays in completion of the EIA for the Naboro landfill to finalize land allocation for the Comments: incinerator. Component 3: Implementation Management, Monitoring and Evaluation IN01144878 ►Monitoring and evaluation system established to monitor COVID-19 preparedness and response plan (No/yes) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes No Yes Date 25-Mar-2020 15-Nov-2021 30-Apr-2022 31-May-2023 At the MTR, MHMS confirmed that a fully functioning system is yet to be established. It was agreed that the General Manager – COVID Incidence Management Team would provide additional details on the M&E Comments: system currently being developed and a timeline on the finalization of the system by June 1, 2022. IN01144880 ►Beneficiaries who expressed satisfaction with the project interventions, including on delivery and communication modalities (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 94.00 80.00 6/26/2022 Page 4 of 6 The World Bank Implementation Status & Results Report Fiji COVID-19 Emergency Response Project (P173903) Date 01-Oct-2020 15-Nov-2021 30-Apr-2022 31-May-2023 A beneficiary satisfaction survey (BSS) was completed in December 2021 focusing on (i) risk communications; (ii)provision of hand sanitizers; (iii) provision of meals for contact tracing teams; and (iv) Comments: accommodation for the Fiji Emergency Medical Assistance Team (FEMAT). The results of the BSS will be used to inform MHMS operations. Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173903 IDA-67330 Effective USD 6.40 6.40 0.00 2.31 4.21 35% P173903 TF-B3100 Closed USD 0.95 0.94 0.01 0.94 0.00 100% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173903 IDA-67330 Effective 24-Jun-2020 20-Jul-2020 23-Jul-2020 30-Jun-2023 30-Jun-2023 P173903 TF-B3100 Closed 24-Jun-2020 20-Jul-2020 23-Jul-2020 31-Jan-2021 01-Mar-2021 Cumulative Disbursements 6/26/2022 Page 5 of 6 The World Bank Implementation Status & Results Report Fiji COVID-19 Emergency Response Project (P173903) Restructuring History Level 2 Approved on 30-Jan-2021 Related Project(s) There are no related projects. 6/26/2022 Page 6 of 6