The World Bank Implementation Status & Results Report Djibouti COVID-19 Response (P173807) Djibouti COVID-19 Response (P173807) MIDDLE EAST AND NORTH AFRICA | Djibouti | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 3 | ARCHIVED on 27-Sep-2021 | ISR47482 | Implementing Agencies: Ministry of Health, The Republic of Djibouti Key Dates Key Project Dates Bank Approval Date: 02-Apr-2020 Effectiveness Date: 09-Apr-2020 Planned Mid Term Review Date: 03-Jan-2022 Actual Mid-Term Review Date: Original Closing Date: 31-Mar-2023 Revised Closing Date: 31-Mar-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 Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Emergency COVID-19 Response:(Cost $2.78 M) Strengthening Overall Healthcare Services and Clinical Capacity for Emergency COVID-19 Response:(Cost $2.41 M) Implementation Management and Monitoring and Evaluation:(Cost $0.50 M) Contingent Emergency Response Component Contingency (5%):(Cost $0.25 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Satisfactory Moderately Satisfactory Overall Risk Rating Moderate Moderate Implementation Status and Key Decisions The project, financed by a US$5 million IDA credit under the Multiphase Programmatic Approach supported by the Fast Track COVID-19 Facility, was approved by the Bank’s Executive Board on April 2, 2020 and declared effective on April 9, 2020. An additional financing, a US$942,857 grant from the Pandemic Emergency Financing Facility, was approved on November 29, 2020 and declared effective on January 15, 2021. The project will be implemented over three years with a closing date of March 31, 2023. To date, 64 percent of the committed amount has been disbursed to purchase medical equipment, supplies, and test kits for COVID-19 response in Djibouti. Nearly 165,000 suspected cases of COVID-19 cases reported have been investigated so far based on national guidelines, more than 260 health workers have been trained in infection prevention and control per protocols approved by the Ministry of Health, and 66 percent of acute healthcare facilities have triage capacity. 9/27/2021 Page 1 of 5 The World Bank Implementation Status & Results Report Djibouti COVID-19 Response (P173807) 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 The implementation of the MPA-funded projects continues to progress well. As of August 16, 2021, 87 MPA-projects have been approved providing a total commitment of US$4.2 billion. Disbursements during the past month have increased at a rapid pace. Forty-nine (49) country projects or 56% of projects approved have reached 70-100% disbursements. The projects benefit around 3.7 billion people or 50% of the global population. Of the 87 approved 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) 12 in Latin America and the Caribbean; (v) 7 in Middle East and North Africa; and (vi) 9 in South Asia. Eighty-one (81) or 93% projects are disbursing. Total disbursements as of August 16, 2021, amount to US$2.80 billion or 66% of overall commitments. Streamlined procedures, delegated approval coupled with flexible project design and intensified efforts across the Bank have contributed to the progress. Several projects have/are being restructured to include vaccine related procurement. Implementation is being guided by Bank teams working in parallel in other health related projects, including Additional Financing operations supporting vaccine procurement and deployment efforts in countries. Implementation continues to face challenges as many countries are still under different levels of lockdown or mobility restrictions and counterparts and Bank teams are operating from home or partially from home. Also, several countries are phasing new waves of infections with the Delta variant spreading rapidly among populations. Most Bank teams continue to conduct implementation support missions virtually, which is challenging for both Bank teams and counterparts. This “virtual” world poses connectivity challenges as internet is not reliable in many countries, especially IDA countries. Notwithstanding challenges, the MPA is on track to achieving its PrDO – 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 in just over 16 months attest to the strong implementation efforts 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 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 Substantial Moderate Substantial Sustainability Fiduciary Substantial Moderate Substantial Environment and Social Substantial Substantial Substantial Stakeholders Moderate Moderate Moderate 9/27/2021 Page 2 of 5 The World Bank Implementation Status & Results Report Djibouti COVID-19 Response (P173807) Other -- -- -- Overall Moderate Moderate Moderate Results PDO Indicators by Objectives / Outcomes To strengthen Djibouti’s capacity to respond to the COVID-19 pandemic IN01015038 ►Number of suspected cases of COVID-19 reported and investigated based on national guidelines (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 96,460.00 164,853.00 500,000.00 Date 29-Feb-2020 21-Dec-2020 25-Jun-2021 31-Mar-2023 To strengthen health system preparedness to manage existing and future disease outbreaks IN01015039 ►Number of designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 10.00 Date 29-Feb-2020 08-Oct-2020 25-Jun-2021 31-Mar-2023 Intermediate Results Indicators by Components Emergency COVID-19 Response IN01015040 ►Number of health staff trained in infection prevention and control per MoH-approved protocols (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 100.00 261.00 2,000.00 Date 29-Feb-2020 08-Oct-2020 25-Jun-2021 31-Mar-2023 Strengthening Overall Healthcare Services and Clinical Capacity to Respond to COVID-19 IN01015081 ►Percentage of acute healthcare facilities with triage capacity (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 9/27/2021 Page 3 of 5 The World Bank Implementation Status & Results Report Djibouti COVID-19 Response (P173807) Value 0.00 100.00 100.00 100.00 Date 29-Feb-2020 08-Oct-2020 25-Jun-2021 31-Mar-2023 Implementation Management and Monitoring and Evaluation IN01015082 ►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 29-Feb-2020 08-Oct-2020 30-Jun-2021 31-Mar-2023 IN01015083 ►Percentage of health and non-health workers expressing satisfaction with training on case definition, management, infection prevention and control (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 08-Oct-2020 08-Oct-2020 30-Jun-2021 31-Mar-2023 IN01015084 ►Percentage of grievances that are addressed and responded to within a timeline that has been specified and publicly communicated by the project (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 60.00 Date 08-Oct-2020 08-Oct-2020 30-Jun-2021 31-Mar-2023 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173807 IDA-66000 Effective USD 5.00 5.00 0.00 2.88 2.32 55% P173807 TF-B4364 Closed USD 0.94 0.94 0.00 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 P173807 IDA-66000 Effective 02-Apr-2020 03-Apr-2020 09-Apr-2020 31-Mar-2023 31-Mar-2023 9/27/2021 Page 4 of 5 The World Bank Implementation Status & Results Report Djibouti COVID-19 Response (P173807) P173807 TF-B4364 Closed 29-Nov-2020 08-Dec-2020 15-Jan-2021 31-Jan-2021 31-Mar-2021 Cumulative Disbursements PBC Disbursement Achievement Disbursed amount in Disbursement % PBC ID PBC Type Description Coc PBC Amount Status Coc for PBC Restructuring History Level 2 Approved on 31-Jan-2021 ,Level 2 Approved on 01-Mar-2021 Related Project(s) P174675-Additional Financing for the Djibouti COVID-19 Response Project 9/27/2021 Page 5 of 5