The World Bank Implementation Status & Results Report Turkey Emergency COVID-19 Health Project (P173988) Turkey Emergency COVID-19 Health Project (P173988) EUROPE AND CENTRAL ASIA | Turkey | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 1 | ARCHIVED on 15-Aug-2020 | ISR42992 | Implementing Agencies: Ministry of Health, Ministry of Treasury and Finance Key Dates Key Project Dates Bank Approval Date: 24-Apr-2020 Effectiveness Date: 27-May-2020 Planned Mid Term Review Date: 12-Aug-2020 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) The Project development objective is to prevent, detect, and respond to the threat posed by COVID-19 in Turkey. 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 $98.00 M) Component 2: Project Management, Monitoring and Evaluation:(Cost $2.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO -- Moderately Satisfactory Overall Implementation Progress (IP) -- Moderately Unsatisfactory Overall Risk Rating -- Substantial Implementation Status and Key Decisions This is the initial Implementation Status Report of the Project. The Project was approved by the Europe and Central Asia Regional Vice President on April 24, 2020. The Loan Agreement was signed on May 4, 2020, and the Project declared effective on May 27, 2020. Implementation was initially delayed as a result of insufficient Government budget appropriations for activities completed prior to Project approval, which has since been resolved. Activities are now underway, with key staff being hired, technical specifications for critical materials and equipment approved and procurement activities set to launch in August. MPA Program Development Objective MPA PDO Table 8/15/2020 Page 1 of 5 The World Bank Implementation Status & Results Report Turkey Emergency COVID-19 Health Project (P173988) 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 Implementation is proceeding well, albeit with challenges aggravated by the lockdown. Seventy three percent (73%) of countries with MPA projects were reported still in lockdown at the end of May. As of June 17, 2020, 70 projects have been approved (including WBG funded under a TF - West Bank) with a total commitment of US$4.3 billion. The approved projects benefit a population of 3.25 billion people or 43% of the global population. Of the 70 projects approved: (i) 27 are in Africa; (ii) 9 in East Asia; (iii) 11 in Europe and Central Asia; (iv) 8 in Latin America and the Caribbean; (v) 7 in Middle East and North Africa; and (vi) 8 in South Asia. Fifty four (54) Financing Agreements have become effective or 87% of signed financing agreements (77% of approved projects). On average, it has taken only 13 days for projects to move from approval to effectiveness (a Bank record). Forty eight (48) projects are disbursing or 89% with financing agreements that are effective. Total disbursements as of June 17, 2020 under these projects amount to US$1,114.7 billion or 26 of overall commitment. In addition, US$234 million have been committed under signed contracts with UNICEF and Bank Facilitated Procurement (BFP), bringing to 32% actual disbursements and committed amounts. This level of disbursement attest to the rapid implementation of the Bank response. Bank capacity is being stretched to meet streamlined delivery demands and provide enhanced implementation to clients. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate -- Moderate Macroeconomic Substantial -- Substantial Sector Strategies and Policies Substantial -- Substantial Technical Design of Project or Program Moderate -- Moderate Institutional Capacity for Implementation and Moderate -- Moderate Sustainability Fiduciary Substantial -- Substantial Environment and Social Substantial -- Substantial Stakeholders Moderate -- Moderate Other -- -- -- Overall Substantial -- Substantial Results PDO Indicators by Objectives / Outcomes 8/15/2020 Page 2 of 5 The World Bank Implementation Status & Results Report Turkey Emergency COVID-19 Health Project (P173988) Prevent, detect and respond to the threat posed by COVID-19 IN00877521 ►Number of people tested for COVID-19 identification per approved protocol under the Project (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 300,000.00 Date 02-Apr-2020 -- 07-Aug-2020 31-Dec-2022 IN00877522 ►Diagnosed cases treated per approved protocol under the Project (cumulative) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 25.00 Date 02-Apr-2020 -- 07-Aug-2020 31-Dec-2022 Overall Comments PDO Activities have just commenced so there is no information to report now. Intermediate Results Indicators by Components Emergency COVID-19 Response IN00877523 ►Number of laboratories with COVID-19 diagnostic equipment, test kits, and reagents under the Project (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 35.00 Date 02-Apr-2020 -- 07-Aug-2020 31-Dec-2022 IN00877524 ►Number of ICU beds equipped with mechanical ventilators procured under the Project (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 3,500.00 Date 02-Apr-2020 -- 07-Aug-2020 31-Dec-2022 IN00877525 ►Number of health staff equipped with Personal Protective Equipment (PPEs) procured under the Project (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 90,000.00 8/15/2020 Page 3 of 5 The World Bank Implementation Status & Results Report Turkey Emergency COVID-19 Health Project (P173988) Date 02-Apr-2020 -- 07-Aug-2020 31-Dec-2022 IN00877526 ►Country has reported to have contextualized their risk communication and community engagement strategies (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 02-Apr-2020 -- 07-Aug-2020 31-Dec-2022 IN00877527 ►Established and functioning M&E system supporting epidemic preparedness and response (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 02-Apr-2020 -- 07-Aug-2020 31-Dec-2022 Overall Comments IR Activities have just commenced so there is no information to report now. Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173988 IBRD-91030 Effective USD 100.00 100.00 0.00 3.53 96.72 3.5% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173988 IBRD-91030 Effective 24-Apr-2020 04-May-2020 27-May-2020 31-Dec-2022 31-Dec-2022 Cumulative Disbursements 8/15/2020 Page 4 of 5 The World Bank Implementation Status & Results Report Turkey Emergency COVID-19 Health Project (P173988) 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) There are no related projects. 8/15/2020 Page 5 of 5