The World Bank Implementation Status & Results Report Sierra Leone COVID-19 Emergency Preparedness and Response Project (P173803) Sierra Leone COVID-19 Emergency Preparedness and Response Project (P173803) AFRICA WEST | Sierra Leone | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 1 | ARCHIVED on 08-Jul-2020 | ISR42288 | Implementing Agencies: Ministry of Health and Sanitation, Ministry of Finance Key Dates Key Project Dates Bank Approval Date: 02-Apr-2020 Effectiveness Date: 03-Apr-2020 Planned Mid Term Review Date: -- Actual Mid-Term Review Date: Original Closing Date: 31-Mar-2022 Revised Closing Date: 31-Mar-2022 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 Sierra Leone. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Supporting National and Sub-national Public Health Institutions for Prevention and Preparedness:(Cost $2.30 M) Strengthening Multi-sector, National Institutions and Platforms for Policy Development and Coordination of Prevention and Preparedness using One Health approach:(Cost $1.00 M) Emergency COVID-19 Response:(Cost $3.70 M) Implementation Management and Monitoring and Evaluation:(Cost $0.50 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO -- Satisfactory Overall Implementation Progress (IP) -- Satisfactory Overall Risk Rating -- Substantial Implementation Status and Key Decisions The Sierra Leone Project aims to support the Government's effort to prevent, detect, and respond to the threat posed by COVID-19. The Project was approved by the Board on April 2, 2020 and declared effective on April 3, 2020. Project implementation is underway. Most of the initial project document requirements (Draft Procurement Plan, Draft Project Implementation Manual, Annual Work Plan, Environmental related documents) have been prepared. The project has disbursed $2.5m (33%) of the Designated Account (DA). 7/8/2020 Page 1 of 7 The World Bank Implementation Status & Results Report Sierra Leone COVID-19 Emergency Preparedness and Response Project (P173803) 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 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 undersigned 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 Substantial -- Substantial Macroeconomic Substantial -- Substantial Sector Strategies and Policies Moderate -- Moderate Technical Design of Project or Program Moderate -- Moderate Institutional Capacity for Implementation and Substantial -- Substantial Sustainability Fiduciary Substantial -- Substantial Environment and Social Substantial -- Substantial Stakeholders Moderate -- Moderate Other -- -- -- Overall Substantial -- Substantial Results 7/8/2020 Page 2 of 7 The World Bank Implementation Status & Results Report Sierra Leone COVID-19 Emergency Preparedness and Response Project (P173803) PDO Indicators by Objectives / Outcomes Prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems IN00857441 ►Country has activated their public health Emergency Operations Center for COVID-19 (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- Yes Yes Date 20-Mar-2020 -- 25-Jun-2020 31-Mar-2022 Country has administered their public health Emergency Operations Center for COVID-19, but the Comments: proposed project will support to strengthen it. IN00857442 ►Suspected COVID-19 cases reported and investigated based on national guidelines (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 100.00 90.00 Date 20-Mar-2020 -- 25-Jun-2020 31-Mar-2022 Numerator: Number of suspected COVID-19 cases reported and investigated based on national Comments: guidelines Denominator: Total number of suspected COVID-19 cases IN00857443 ►Designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents without stock-out in preceding two weeks (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 4.00 3.00 Date 20-Mar-2020 -- 25-Jun-2020 31-Mar-2022 Number of designated laboratories with COVID-19 diagnostic equipment, test kits and reagents without Comments: stock-out in preceding two weeks IN00857444 ►Designated acute healthcare facilities with isolation capacity (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 100.00 90.00 Date 20-Mar-2020 -- 25-Jun-2020 31-Mar-2022 Numerator: Number of designated treatment centers for COVID-19 with isolation unit within the facility and Comments: with trained personnel and equipment Denominator: Total number of designated treatment centers for COVID-19 Intermediate Results Indicators by Components Supporting National and Sub-national, Prevention and Preparedness IN00857445 7/8/2020 Page 3 of 7 The World Bank Implementation Status & Results Report Sierra Leone COVID-19 Emergency Preparedness and Response Project (P173803) ►Designated health facilities for COVID-19 treatment, laboratories and veterinary laboratories, regional and district hospitals reported, using eIDSR in preceding month (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 90.00 90.00 Date 20-Mar-2020 -- 25-Jun-2020 30-Mar-2022 Numerator: Number of designated health facilities for COVID-19 treatment, laboratories and veterinary laboratories, regional and district hospitals reported, using eIDSR in preceding month sebsequently Comments: Denominator: Total number of designated health facilities for COVID-19 treatment, laboratories and veterinary laboratories, regional and district hospitals IN00857450 ►Country has established a sample referral system to care for COVID-19 patients (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- Yes Yes Date 20-Mar-2020 -- 25-Jun-2020 31-Mar-2022 Comments: Country has established a sample referral system to care for COVID-19 patients IN00857455 ►Laboratory results available within 72 hours (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 90.00 80.00 Date 20-Mar-2020 -- 25-Jun-2020 31-Mar-2022 Comments: Laboratory results available within 72 hours Strengthening Multi-sector, National Institutions and Platforms for One Health IN00857446 ►At least one multi- sectoral simulation exercise conducted with results incorporated into national COVID-19 preparedness and response plans (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 20-Mar-2020 -- 25-Jun-2020 31-Mar-2022 At least one multi- sectoral simulation exercise conducted with results incorporated into national COVID- Comments: 19 preparedness and response plans Emergency COVID-19 Response IN00857447 ►Designated laboratories with staff trained to conduct COVID-19 diagnosis per EOC protocol (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 3.00 3.00 7/8/2020 Page 4 of 7 The World Bank Implementation Status & Results Report Sierra Leone COVID-19 Emergency Preparedness and Response Project (P173803) Date 20-Mar-2020 -- 25-Jun-2020 31-Mar-2022 Comments: Number of designated laboratories with staff trained to conduct COVID-19 diagnosis per EOC protocol IN00857451 ►Health workers and front line staff at the designated POEs and health and quarantine facilities for COVID-19 treatment trained in infection prevention and control per MOH-approved protocols (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 60.00 90.00 Date 20-Mar-2020 -- 25-Jun-2020 31-Mar-2022 Number of health workers and front line staff at the designated POEs and health and quarantine facilities Comments: for COVID-19 treatment trained in infection prevention and control per MOH-approved protocols IN00857453 ►Eligible households provided with food and basic supplies within quarantined populations in preceding month subsequently (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 335.00 400.00 Date 20-Mar-2020 -- 25-Jun-2020 31-Mar-2022 Cumulative number of eligible households provided with food and basic supplies within quarantined Comments: populations in preceding month IN00857456 ►Percentage of GRM cases resolved within the time frame (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 80.00 Date 20-Mar-2020 -- 25-Jun-2020 31-Mar-2022 Percentage of GRM cases resolved within the certain time frame. The time frame will be confirmed and Comments: mentioned in the Project Operations Manual. Community Engagement and Risk Communication IN00857448 ►Country has reported to have contextualized risk communication and community engagement strategies (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- Yes Yes Date 20-Mar-2020 -- 25-Jun-2020 31-Mar-2022 Comments: Country has reported to have contextualized risk communication and community engagement strategies IN00857452 ►Individuals reached with tailored information on COVID-19 (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 7/8/2020 Page 5 of 7 The World Bank Implementation Status & Results Report Sierra Leone COVID-19 Emergency Preparedness and Response Project (P173803) Value 0.00 -- 5,500,000.00 5,300,000.00 Date 20-Mar-2020 -- 25-Jun-2020 31-Mar-2022 Comments: Individuals (from 6 years and above) reached with tailored information on COVID-19 (total) IN00857454 Female individuals reached with tailored information on COVID-19 (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 2,700,000.00 2,650,000.00 Date 20-Mar-2020 -- 25-Jun-2020 31-Mar-2022 Implementation Management and Monitoring and Evaluation IN00857449 ►M&E system established to monitor COVID-19 preparedness and response plan (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- Yes Yes Date 20-Mar-2020 -- 25-Jun-2020 31-Mar-2022 Comments: M&E system has been established to monitor COVID-19 preparedness and response plan Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173803 IDA-D6030 Effective USD 7.50 7.50 0.00 2.50 4.99 33% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173803 IDA-D6030 Effective 02-Apr-2020 03-Apr-2020 03-Apr-2020 31-Mar-2022 31-Mar-2022 Cumulative Disbursements 7/8/2020 Page 6 of 7 The World Bank Implementation Status & Results Report Sierra Leone COVID-19 Emergency Preparedness and Response Project (P173803) 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. 7/8/2020 Page 7 of 7