The World Bank Implementation Status & Results Report Solomon Islands COVID-19 Emergency Response Project (P173933) Solomon Islands COVID-19 Emergency Response Project (P173933) EAST ASIA AND PACIFIC | Solomon Islands | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2021 | Seq No: 3 | ARCHIVED on 29-Jun-2022 | ISR51696 | Implementing Agencies: Ministry of Health and Medical Services, Solomon Islands Key Dates Key Project Dates Bank Approval Date: 04-Jan-2021 Effectiveness Date: 08-Feb-2021 Planned Mid Term Review Date: 21-Feb-2022 Actual Mid-Term Review Date: 02-Jun-2022 Original Closing Date: 31-Dec-2022 Revised Closing Date: 31-Dec-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To prevent, detect and respond to the threat posed by COVID-19 and to strengthen national systems for public health preparedness in Solomon Islands. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Emergency COVID-19 Preparedness and Response:(Cost $6.56 M) Health Systems Strengthening:(Cost $5.62 M) Implementation Management and Monitoring and Evaluation:(Cost $0.82 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 Progress towards achieving the project development objective and implementation progress remains Satisfactory. The Ministry of Health and Medical Services (MHMS) has established the Project Management Unit (PMU) which is responsible for the day-to-day management of the project. Several project activities been successfully implemented, including the procurement of PPE, laboratory consumables and test-kits, and the recruitment of short-term laboratory technicians and technical advisors to support the Government's response to COVID-19. The implementation of infrastructure activities under the project is expected to improve now that a project infrastructure officer and environmental and social advisor have commenced work. MPA Program Development Objective 6/29/2022 Page 1 of 8 The World Bank Implementation Status & Results Report Solomon Islands COVID-19 Emergency Response Project (P173933) 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 Substantial Moderate Moderate Macroeconomic Substantial Moderate Moderate Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Moderate Moderate Moderate Institutional Capacity for Implementation and High Substantial Substantial Sustainability 6/29/2022 Page 2 of 8 The World Bank Implementation Status & Results Report Solomon Islands COVID-19 Emergency Response Project (P173933) Fiduciary Substantial Substantial Substantial Environment and Social Substantial Substantial Substantial Stakeholders Moderate Moderate Moderate Other Moderate Moderate Moderate Overall High Substantial Substantial Results PDO Indicators by Objectives / Outcomes To respond to the threat posed by COVID-19 in Solomon Islands IN01149006 ►Number of suspected cases of COVID-19 reported and investigated per MHMS approved protocol (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 3,000.00 19,053.00 12,955.00 40,000.00 Date 30-Sep-2020 07-Dec-2021 21-May-2022 31-Dec-2024 Cumulative number of suspected COVID-19 cases reported and investigated as per MHMS Comments: protocol. Investigated means the number of people tested by MHMS. IN01149007 ►Number of acute healthcare facilities with isolation capacity (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 4.00 Date 30-Sep-2020 22-Apr-2021 30-May-2022 31-Dec-2024 Cumulative number out of the five provincial hospitals included in Component 2 which have basic isolation Comments: capacity for suspected and/or confirmed COVID-19 cases. To respond to the threat posed by COVID-19 in Solomon Islands IN01148930 ►Percentage of vaccination coverage of the total population (fully vaccinated), disaggregated by sex (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 49.00 80.00 Date 07-Dec-2020 07-Dec-2021 26-Mar-2022 31-Dec-2024 Percentage of population aged 18+ years that have received 2 doses of Covid-19 vaccination as reported Comments: by MHMS Covid-19 Vaccination Program data. IN01149008 Women (Percentage, Custom Breakdown) 6/29/2022 Page 3 of 8 The World Bank Implementation Status & Results Report Solomon Islands COVID-19 Emergency Response Project (P173933) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 13-Oct-2020 18-Mar-2022 26-Mar-2022 31-Dec-2024 Intermediate Results Indicators by Components Component 1. Emergency COVID-19 Preparedness and Response IN01149010 ►First COVID-19 case reported to WHO within 24 hours of confirmation reported per IHR requirements (SC1.1) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 15-Oct-2020 22-Apr-2021 02-Jun-2022 31-Dec-2024 Submission of required WHO reporting forms according to protocols upon the confirmation of at least one Comments: respiratory specimen that tested positive for the virus that causes COVID-19 within 24 hours. IN01149012 ►Number of designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents (SC1.1) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 7.00 6.00 Date 30-Sep-2020 22-Apr-2021 02-Jun-2022 31-Dec-2024 Cumulative number of designated laboratories with COVID-19 testing capacity with diagnostic equipment, test kits, and reagents per MHMS protocol. MHMS will define the appropriate testing protocol and Comments: diagnostic capacity will including the availability of qualified human resources, and specifications of the diagnostic equipment, test kits, and reagents required for COVID-19 testing. IN01149014 ►Percentage of beneficiaries who expressed satisfaction with the project interventions, disagregated by sex (SC1.1) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 30-Oct-2020 22-Apr-2021 02-Jun-2022 31-Dec-2024 IN01149017 Percentage of beneficiaries who are women expressing satisfaction with the project interventions (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 30-Oct-2020 22-Apr-2021 02-Jun-2021 31-Dec-2024 IN01149018 ►Percentage of healthcare workers fully vaccinated, disaggregated by sex (SC1.2) (Percentage, Custom) 6/29/2022 Page 4 of 8 The World Bank Implementation Status & Results Report Solomon Islands COVID-19 Emergency Response Project (P173933) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 46.00 0.00 90.00 Date 07-Dec-2021 07-Dec-2021 02-Jun-2022 31-Dec-2024 IN01149021 Percentage of healthcare workers who are women that are fully vaccinated (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 46.00 0.00 90.00 Date 07-Dec-2021 07-Dec-2022 02-Jun-2022 31-Dec-2024 Component 2. Health Systems Strengthening IN01149011 ►Percentage of acute healthcare facilities with triage capacity (SC2.1) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 10.00 10.00 80.00 Date 30-Sep-2020 22-Apr-2021 02-Jun-2022 31-Dec-2024 Numerator: number of hospitals (out of the national referral hospital and the 11 provincial hospitals) which Comments: have put in place COVID-19 triage protocols. Denominator: total number of hospitals (national referral hospital plus the 11 provincial hospitals). IN01149013 ►Number of health workers trained in infection prevention and control per MHMS-approved protocols, disaggregated by sex (SC2.1) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 50.00 648.00 1,500.00 Date 30-Sep-2020 07-Dec-2021 02-Jun-2022 31-Dec-2024 IN01149015 Number of health workers who are women trained in infection prevention and control per MHMS-approved protocols (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 38.00 38.00 0.00 743.00 Date 30-Sep-2020 07-Dec-2022 02-Jun-2022 31-Dec-2024 IN01149016 ►Percentage of frontline health care workers with the knowledge to recognize, medically manage, and refer GBV survivors to appropriate services, disaggregated by sex (SC2.1) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 20.00 20.00 137.00 60.00 Date 30-Sep-2020 22-Apr-2021 30-Nov-2021 31-Dec-2024 6/29/2022 Page 5 of 8 The World Bank Implementation Status & Results Report Solomon Islands COVID-19 Emergency Response Project (P173933) Cumulative percentage of frontline health workers trained on prevention and response to the risk of GBV. Comments: A GBV module will be integrated to all trainings supported through the project, including IPC, surveillance, healthcare waste management, medical supply management, and fiduciary. IN01149019 Percentage of frontline health care workers who are women with the knowledge to recognize, medically manage, and refer GBV survivors to appropriate services (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 20.00 20.00 0.00 60.00 Date 30-Sep-2020 22-Apr-2022 02-Jun-2022 31-Dec-2024 IN01149020 ►Number of provincial hospitals renovated and refurbished with climate and disaster-resilient standards (SC2.1) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 6.00 Date 30-Oct-2020 22-Apr-2021 02-Jun-2022 31-Dec-2024 IN01149022 ►Number of frontline workers trained on public health emergency (SC2.2) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 378.00 1,000.00 Date 07-Dec-2021 07-Dec-2021 02-Jun-2022 31-Dec-2024 Component 3: Implementation Management and Monitoring and Evaluation IN01149009 ►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 30-Apr-2020 22-Apr-2021 02-Jun-2022 30-Jun-2023 Overall Comments IR Data to be provided on several indicators by next mission, particularly for sex disaggregation. These include: - Percentage of vaccination coverage (fully vaccinated), disaggregated by sex - Percentage of healthcare workers fully vaccinated, disaggregated by sex - Number of health staff trained in infection prevention and control per MHMS-approved protocols, disaggregated by sex - Percentage of frontline health care workers with the knowledge to recognize, medically manage, and refer GBV survivors to appropriate services, disaggregated by sex 6/29/2022 Page 6 of 8 The World Bank Implementation Status & Results Report Solomon Islands COVID-19 Emergency Response Project (P173933) Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173933 IDA-66330 Effective USD 2.50 2.50 0.00 0.65 1.79 27% P173933 IDA-D6280 Effective USD 2.50 2.50 0.00 1.39 1.07 57% P173933 IDA-E0250 Effective USD 5.00 5.00 0.00 0.00 4.99 0% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173933 IDA-66330 Effective 04-Jan-2021 27-Jan-2021 08-Feb-2021 31-Dec-2022 31-Dec-2022 P173933 IDA-D6280 Effective 04-Jan-2021 27-Jan-2021 08-Feb-2021 31-Dec-2022 31-Dec-2022 P173933 IDA-E0250 Effective 29-Apr-2022 23-May-2022 31-May-2022 31-Dec-2024 31-Dec-2024 Cumulative Disbursements 6/29/2022 Page 7 of 8 The World Bank Implementation Status & Results Report Solomon Islands COVID-19 Emergency Response Project (P173933) Restructuring History There has been no restructuring to date. Related Project(s) P177552-Solomon Islands Covid-19 Emergency Response Project ,P178250-Solomon Islands Covid-19 Emergency Response Additional Financing 6/29/2022 Page 8 of 8