The World Bank Implementation Status & Results Report El Salvador COVID-19 Emergency Response Project (P173872) El Salvador COVID-19 Emergency Response Project (P173872) LATIN AMERICA AND CARIBBEAN | El Salvador | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 3 | ARCHIVED on 30-Aug-2021 | ISR47838 | Implementing Agencies: Ministry of Health, Republic of El Salvador Key Dates Key Project Dates Bank Approval Date: 17-Apr-2020 Effectiveness Date: 26-Aug-2020 Planned Mid Term Review Date: -- Actual Mid-Term Review Date: Original Closing Date: 29-Jul-2022 Revised Closing Date: 31-Jul-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To respond to and mitigate the threat posed by COVID-19 and strengthen the national system for public health preparedness in El Salvador. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Emergency COVID-19 response to prevention, detection and treatment :(Cost $67000000.00 M) Component 2. Project Management and Monitoring:(Cost $3000000.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating High High Implementation Status and Key Decisions The El Salvador COVID-19 Emergency Response Project was approved by the World Bank Board of Executive Directors on April 17, 2020 with the objective of responding to and mitigating the threat posed by COVID-19 and strengthening the national system for public health in the country. This Project is part of a World Bank Multi-Phase Programmatic Approach to support countries affected by the COVID-19 pandemic. The original loan in the amount of US$20 million was signed on June 4, 2020 and effectiveness was declared on August 26, 2020. An Additional Financing for the purchase and deployment of COVID-19 vaccines in the amount of US$50 million was approved by the Board on April 16, 2021, and Loan 9229-SV was signed on June 25, 2021. The total Project cost is now US$70 million. Project implementation is underway. MPA Program Development Objective 8/30/2021 Page 1 of 6 The World Bank Implementation Status & Results Report El Salvador COVID-19 Emergency Response Project (P173872) 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 Additional Financing (MPA AF-V) to the COVID-19 Strategic Preparedness and Response Program utilizing the Multiphase Programmatic Approach (“Global COVID-19 MPA”) was approved by the Board on October 13, 2021. The AF-V is significantly expanding Bank support to client countries for COVID-19 vaccination, with the aim to support vaccination of 1 billion people globally. The AF-V was approved with an envelope of US$12 billion ($6 billion from IDA and $6 billion from IBRD) in financing. This financing is critical to expand affordable and equitable financing for vaccine purchase and deployment. The AF-V is expected to enable vaccination for up to 750 million people, with potential surge capacity for an additional 250 million people in the poorest countries (depending on the delivered price of approved vaccines) while scaling support to strengthen immunization delivery, with design flexibility at the country level. The AF-V is a scale-up of planned vaccination activities already anticipated and supported under the Global COVID-19 MPA and a key contribution to the WBG’s overall COVID-19 response. As of August 16, 2021, the Bank has approved 56 operations to support vaccine procurement and rollout in 54 countries amounting to $4.6 billion. The 56 AF-V operations approved, includes 3 operations that involved restructuring of parent projects (Philippines and Pakistan) and in the case of Lebanon, restructuring of the Health Resilience Project. One other parent project is being restructured in LAC. Of the 56 approved operations: (i) 30 are in Africa – 15 in AFE and 15 in AFW; (ii) 7 in East Asia; (iii) 6 in Europe and Central Asia; (iv) 4 in Latin America and the Caribbean; (v) 4 in Middle East and North Africa; and (vi) 5 in South Asia. Fourteen (14) projects are disbursing. Total disbursements as of August 16, 2021, under these projects amount to US$361.3 million or 8% of overall commitments. As with the MPA operations, streamlined procedures, delegated approval, coupled with flexible project design and intensified efforts across the Bank contributed to the rapid design and processing of the operations. Fifty (50) loan/financing agreements have already been signed. Also, thirty four (34) loan/financing agreements have already become effective and several others are expected to become effective in the coming days/weeks. Implementation of the AF-V operations, as with MPA operations will face challenges as many countries are still under different levels of lockdown or mobility restrictions and counterparts and Bank teams are operating from home. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial High High Macroeconomic Substantial Substantial Substantial Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Moderate Substantial Substantial Institutional Capacity for Implementation and Moderate Substantial Substantial Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Substantial Substantial Substantial 8/30/2021 Page 2 of 6 The World Bank Implementation Status & Results Report El Salvador COVID-19 Emergency Response Project (P173872) Stakeholders Low Substantial Substantial Other Substantial Substantial Substantial Overall Substantial High High Results PDO Indicators by Objectives / Outcomes To respond to and mitigate the threat posed by COVID-19 and strengthen national system IN01026850 ►Confirmed cases of COVID-19 reported and investigated based on national guidelines. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 02-Apr-2020 02-Apr-2020 02-Apr-2020 31-Jul-2023 Comments: Number of confirmed cases of COVID-19 reported and investigated based on national guidelines. IN01026886 ►ICU beds in prioritized ICUs that are fully equipped and operational in the COVID-19 network health care facilities. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 02-Apr-2020 02-Apr-2020 02-Apr-2020 30-Jun-2022 An ICU unit will be considered fully equipped and operational if two conditions are satisfied: (i) all individual beds in the ICU unit have the necessary equipment (beds with electronic control, patient monitor, respiratory ventilation unit); and (ii) ICU unit (comprising of multiple beds) has all necessary Comments: shared equipment (ultrasound machine, vital signs monitor, intubation equipment). Numerator: Number of prioritized ICU units in the COVID-19 network health care facilities that satisfy conditions (i) and (ii) above. Denominator: Total number of prioritized ICU units in the COVID-19 network health care facilities. IN01026887 ►Population vaccinated, based on the targets defined by El Salvador's National COVID-19 Vaccination Plan (total and disaggregated by gender) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 50.00 Date 29-Jan-2021 29-Jan-2021 29-Jan-2021 31-Jul-2023 Intermediate Results Indicators by Components Component 1: Emergency COVID-19 response to prevention, detection and treatment IN01026888 8/30/2021 Page 3 of 6 The World Bank Implementation Status & Results Report El Salvador COVID-19 Emergency Response Project (P173872) ►Health network units with personal protective equipment and infection control products and supplies. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 02-Apr-2020 02-Apr-2020 02-Apr-2020 31-Jul-2023 Numerator: Total number of hospitals that belong to the public health system and receive personal Comments: protective equipment and infection control products and supplies financed under the Project Denominator: Total number of hospitals that belong to the public health system. IN01026889 ►COVID-19 communication activities which promote the acceptance of the vaccine and the role of the health care workers (male and female) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 6.00 Date 02-Apr-2020 02-Apr-2020 02-Apr-2020 31-Jul-2023 As part of the national communication strategy, the Health Education Unit of the National Heatlh Services Comments: Directorate will design, prepared and deliver audiovisual materials (videos, pamphlets, etc.) and education activities to improve population awareness about COVID-19. IN01026890 ►User Satisfaction Survey applied and reported (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 29-Jan-2021 29-Jan-2021 29-Jan-2021 28-Jul-2023 IN01026891 ►Health staff trained in provision of COVID-19 vaccination per MoH-approved protocols (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1,300.00 Date 29-Jan-2021 29-Jan-2021 29-Jan-2021 31-Jul-2023 IN01026892 ►Vaccination sites targeted by the Project with energy efficient equipment (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 29-Jan-2021 29-Jan-2021 29-Jan-2021 28-Jul-2023 IN01026893 ►Increased share of female health workers that report they are better equipped to handle mental and emotional stress during the pandemic. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 50.00 8/30/2021 Page 4 of 6 The World Bank Implementation Status & Results Report El Salvador COVID-19 Emergency Response Project (P173872) Date 26-Feb-2021 26-Feb-2021 26-Feb-2021 31-Jul-2023 IN01026894 ►Population vaccinated based on the number of vaccines available in the country (total and disaggregated by gender) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 01-Feb-2021 01-Feb-2021 01-Feb-2021 31-Jul-2023 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173872 IBRD-91000 Effective USD 20.00 20.00 0.00 0.55 19.45 2.8% Not P173872 IBRD-92290 USD 50.00 50.00 0.00 0.00 50.00 0% Effective Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173872 IBRD-91000 Effective 17-Apr-2020 04-Jun-2020 26-Aug-2020 29-Jul-2022 31-Jul-2023 Not P173872 IBRD-92290 16-Apr-2021 25-Jun-2021 -- 31-Jul-2023 31-Jul-2023 Effective Cumulative Disbursements 8/30/2021 Page 5 of 6 The World Bank Implementation Status & Results Report El Salvador COVID-19 Emergency Response Project (P173872) 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) P176033-AF El Salvador COVID-19 Emergency Response Project 8/30/2021 Page 6 of 6