The World Bank Implementation Status & Results Report Cambodia COVID-19 Emergency Response Project (P173815) Cambodia COVID-19 Emergency Response Project (P173815) EAST ASIA AND PACIFIC | Cambodia | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 2 | ARCHIVED on 22-Dec-2020 | ISR43649 | Implementing Agencies: Ministry of Finance, Ministry of Health Cambodia Key Dates Key Project Dates Bank Approval Date: 02-Apr-2020 Effectiveness Date: 06-Apr-2020 Planned Mid Term Review Date: 30-Jul-2021 Actual Mid-Term Review Date: Original Closing Date: 31-Dec-2022 Revised Closing Date: 31-Dec-2022 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To assist Cambodia in its efforts 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 Component 1: Case detection and management:(Cost $9.64 M) Component 2. Medical Supplies and Equipment:(Cost $6.50 M) Component 3. Preparedness, Capacity Building and Training:(Cost $3.50 M) Component 4. Project Implementation and Monitoring:(Cost $1.50 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 This is the first implementation status and results report for the Project Additional financing was provided from the Pandemic Emergency Financing Facilities (PEF) to the original IDA credit. Contracts totaling US$10.89 million have been signed, and, as of December 10, 2020, approximately 80% of the procured items have been delivered. The standard design for isolation, treatment and intensive care facilities at provincial referral hospitals has benefitted from WHO guidance and will be finalized by end-December 2020. The PEF grant was used to procure the GeneXpert machines and cartridge for establishing COVID-19 capacity testing for all 14 provincial laboratories (three of them are being upgraded to be regional laboratories) along the border with the neighboring countries, they are expected to be delivered by end of December 2020. The needs assessment for renovation of sub-national level laboratories for installation of GeneXpert machines was completed in Mid-November 2020, and the training and installation of these equipment is expected to be completed before end of December 2020. The Emergency Operating Center in every of the 25 provinces are now functional. Risk communication and community engagement have been on-going, through support by other development partners, including 12/22/2020 Page 1 of 7 The World Bank Implementation Status & Results Report Cambodia COVID-19 Emergency Response Project (P173815) the development of a variety of materials in local languages, which have been successfully disseminated to promote the public awareness on COVID-19 transmission and prevention. Overall progress towards project development objective (PDO) remains satisfactory. All the PDO indicators are on track to achieve the set targets and the country continues to advance management of COVID-19 pandemic. 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 Sustained efforts continue to be made to advance the implementation of the MPA-funded projects. As of December 14, 2020, 83 MPA-projects have been approved providing a total commitment of US$4.14 billion. In addition, 12 PEF funded projects have been approved to complement the COVID response. Disbursements have continued to increase at a rapid pace. Twenty four (24) country projects or 29% of projects approved have reached 70-100% disbursements. The projects benefit around 3.7 billion people or 50% of the global population. Of the 83 approved projects: (i) 32 are in Africa – 11 in AFE and 21 in AFW; (ii) 11 in East Asia; (iii) 12 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. Seventy (70) projects are disbursing. Total disbursements as of December 14, 2020 under these projects amount to US$1.76 billion or 43% of overall commitments (a 7% increase in the past month). The 43% disbursements compare to more than an annual disbursement percentage for the entire HNP Global Practice. In addition, $465 million have been committed under signed contracts with UNICEF and Bank Facilitated Procurement (BFP), bringing to 53% actual disbursements and committed amounts. Streamlined procedures, delegated approval coupled with flexible project design and intensified efforts across the Bank have contributed to the progress. Implementation faces significant challenges as some countries are still under different levels of lockdown or mobility restrictions and counterparts and Bank teams are operating from home. This creates connectivity challenges. Notwithstanding challenges, the MPA is on track to achieving its PDO – 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 nine months attest to the strong implementation of the Bank response thanks to the commitment of counterparts supported by country teams. However, the capacity of teams is being stretched to meet delivery demands and provide enhanced implementation support to clients. This may not be sustainable in the long term. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High Substantial Substantial Macroeconomic High Substantial Substantial Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Moderate Moderate Moderate Institutional Capacity for Implementation and Substantial Substantial Substantial Sustainability Fiduciary Substantial Substantial Substantial 12/22/2020 Page 2 of 7 The World Bank Implementation Status & Results Report Cambodia COVID-19 Emergency Response Project (P173815) Environment and Social Substantial Substantial Substantial Stakeholders Moderate Substantial Substantial Other Moderate Moderate Moderate Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Early detection and timely reporting of outbreaks IN00898137 ►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 3.00 2.00 Date 19-Mar-2020 08-Jun-2020 01-Dec-2020 31-Dec-2022 Rapid response to infectious disease outbreaks IN00898138 ►Number of provincial hospitals with adequate supply of PPE to manage 30 COVID-19 cases and undertake outbreak investigations (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 25.00 25.00 Date 19-Mar-2020 08-Jun-2020 01-Dec-2020 31-Dec-2022 Clinical management and infection prevention and control IN00898139 ►Number of acute healthcare facilities with isolation capacity (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 5.00 25.00 Date 19-Mar-2020 08-Jun-2020 01-Dec-2020 31-Dec-2022 The procurement process for medical equipment to equip the isolation room is underway. Comments: Intermediate Results Indicators by Components Quarantine, Isolation and Treatment Centers Establishment (Component 1) 12/22/2020 Page 3 of 7 The World Bank Implementation Status & Results Report Cambodia COVID-19 Emergency Response Project (P173815) IN00898141 ►Standard design for provincial hospital isolation and treatment centers is finalized (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 19-Mar-2020 08-Jun-2020 01-Dec-2020 31-Dec-2022 MOH has drafted a standard design for provincial hospital isolation room and is consulting with WHO to Comments: receive technical advices for finalization. IN00898145 ►Number of provincial hospitals with functioning isolation and treatment centers (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 5.00 25.00 Date 19-Mar-2020 08-Jun-2020 01-Dec-2020 31-Dec-2022 The procurement process has began. Comments: IN00898148 ►Number of bio-safety level 2+ laboratory established at regional laboratory (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2.00 Date 15-Jul-2020 15-Jul-2020 01-Dec-2020 31-Dec-2022 Medical Supplies and Equipment (Component 2) IN00898142 ►Daily capacity of NIPH in conducting COVID-19 or similar tests (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 100.00 200.00 600.00 400.00 Date 19-Mar-2020 08-Jun-2020 01-Dec-2020 31-Dec-2022 IN00898146 ►Number of laboratories at provincial referral hospitals equipped per national guideline (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 1.00 25.00 Date 19-Mar-2020 08-Jun-2020 01-Dec-2020 31-Dec-2022 IN00898149 ►Percentage of healthcare workers trained in surveillance and investigation (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 12/22/2020 Page 4 of 7 The World Bank Implementation Status & Results Report Cambodia COVID-19 Emergency Response Project (P173815) Value 0.00 0.00 0.00 80.00 Date 19-Mar-2020 08-Jun-2020 01-Dec-2020 31-Dec-2022 Preparedness, Capacity Building and Training (Component 3) IN00898143 ►Percentage of EOCs functioning at national, province and district level (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 100.00 80.00 Date 19-Mar-2020 08-Jun-2020 01-Dec-2020 31-Dec-2022 IN00898147 ►Percentage of healthcare workers trained in clinical management/infection prevention and control (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 19-Mar-2020 08-Jun-2020 01-Dec-2020 31-Dec-2022 IN00898150 ►Number of call centers established and functioning (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 10.00 10.00 100.00 Date 19-Mar-2020 08-Jun-2020 01-Dec-2020 31-Dec-2022 Government has decided to keep the call center at the central level at this stage. The call center will be Comments: extended to provincial level when the community outbreak becomes larger. IN00898151 ►Number of bio-safety level 3 lab established (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 2.00 Date 19-Mar-2020 08-Jun-2020 01-Dec-2020 31-Dec-2022 The need assessment to update the national reference lab is on-going, and the construction will be commenced in February 2021. Comments: Project Implementation and Monitoring (Component 4) IN00898140 ►Percentage of complaints to the Grievance Redress Mechanism (GRM) satisfactorily addressed within 15 weeks of initial complaint being recorded (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 12/22/2020 Page 5 of 7 The World Bank Implementation Status & Results Report Cambodia COVID-19 Emergency Response Project (P173815) Value 0.00 0.00 0.00 80.00 Date 19-Mar-2020 08-Jun-2020 01-Dec-2020 31-Dec-2022 The project has not received any complaints yet. Comments: IN00898144 ►Message and material developed to build awareness in the event of a pandemic infectious disease outbreak (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 19-Mar-2020 08-Jun-2020 01-Dec-2020 31-Dec-2022 Risk communication and community engagement have been on-going, including the development of a variety of information, education and communication materials in the local language, which have been Comments: successfully disseminated to promote the public awareness on COVID-19 transmission and prevention. Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173815 IDA-65960 Effective USD 20.00 20.00 0.00 11.36 9.20 55% P173815 TF-B3729 Effective USD 1.15 1.15 0.00 0.00 1.15 0% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173815 IDA-65960 Effective 02-Apr-2020 02-Apr-2020 06-Apr-2020 31-Dec-2022 31-Dec-2022 P173815 TF-B3729 Effective 15-Sep-2020 30-Sep-2020 30-Sep-2020 31-Jan-2021 31-Jan-2021 Cumulative Disbursements 12/22/2020 Page 6 of 7 The World Bank Implementation Status & Results Report Cambodia COVID-19 Emergency Response Project (P173815) 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) P174605-Additional Financing to Cambodia COVID-19 Emergency Response Project 12/22/2020 Page 7 of 7