The World Bank Implementation Status & Results Report Bosnia and Herzegovina Emergency COVID-19 Project (P173809) Bosnia and Herzegovina Emergency COVID-19 Project (P173809) EUROPE AND CENTRAL ASIA | Bosnia and Herzegovina | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 3 | ARCHIVED on 25-Aug-2021 | ISR47878 | Implementing Agencies: Ministry of Health and Social Welfare of Republika Srpska, Bosnia and Herzegovina, Ministry of Health of the Federation of Bosnia and Herzegovina, Ministry of Labor and Social Policy of the Federation of Bosnia and Herzegovina Key Dates Key Project Dates Bank Approval Date: 23-Apr-2020 Effectiveness Date: 01-Sep-2020 Planned Mid Term Review Date: 28-Feb-2022 Actual Mid-Term Review Date: Original Closing Date: 30-Jun-2022 Revised Closing Date: 30-Jun-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 the COVID-19 pandemic in Bosnia and Herzegovina. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1. Responding to the COVID-19 Pandemic in Republika Srpska:(Cost $14.21 M) Component 2. Responding to the COVID-19 Pandemic in the Federation of Bosnia and Herzegovina:(Cost $21.51 M) Component 3. Project Management:(Cost $0.40 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions A virtual implementation support mission was held from May 12-19, 2021, focused primarily on reviewing the social protection-related activities under the project. Procurement under the health-related sub-component is satisfactory. In Republika Srpska, retroactive financing was undertaken, and other goods and services have been procured, including personal protective equipment and furniture. In the Federation of Bosnia and Herzegovina, a contract with the United Nations Development Programme is supporting procurement under the health and social-protection-related sub-components. Disbursement of social assistance funds has significantly progressed. Progress towards achievement of the PDO and Overall IP are rated Satisfactory. 8/25/2021 Page 1 of 11 The World Bank Implementation Status & Results Report Bosnia and Herzegovina Emergency COVID-19 Project (P173809) MPA Program Development Objective MPA PDO Table The Program Development Objective is to prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness MPA Table Multiphase Programmatic Approach (MPA) Status MPA Table Body The implementation of the MPA-funded projects continues to progress well. As of August 16, 2021, 87 MPA-projects have been approved providing a total commitment of US$ 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 the Middle East and North Africa; and (vi) 9 in South Asia. Eighty-one (81) or 93% of 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 and 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 the 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 Substantial Substantial Substantial Macroeconomic Substantial Substantial Substantial Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Substantial Substantial Substantial 8/25/2021 Page 2 of 11 The World Bank Implementation Status & Results Report Bosnia and Herzegovina Emergency COVID-19 Project (P173809) Institutional Capacity for Implementation and Substantial Substantial Substantial Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Substantial Substantial Substantial Stakeholders Moderate Moderate Moderate Other -- -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Respond to the COVID-19 pandemic by strengthening BiH health systems IN01028085 ►Number of acute healthcare facilities with isolation capacity in BiH (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 12.00 12.00 26.00 28.00 Date 16-Mar-2020 08-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator measures the total number of acute healthcare facilities with isolation capacity in both Comments: Republika Srpska and Federation of BiH IN01028102 Number of acute healthcare facilities with isolation capacity in Republika Srpska (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 11.00 10.00 Date 16-Mar-2020 08-Feb-2021 30-Jun-2021 30-Jun-2022 IN01028104 Number of acute healthcare facilities with isolation capacity in Federation of BiH (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 10.00 15.00 18.00 Date 16-Mar-2020 08-Feb-2021 30-Jun-2021 30-Jun-2022 IN01028106 ►Number of intensive care beds fully equipped (with ventilators) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 282.00 282.00 490.00 490.00 Date 16-Mar-2020 08-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator tracks the number of new intensive care beds fully equipped, especially with ventilators, to Comments: treat COVID-19 patients in BiH 8/25/2021 Page 3 of 11 The World Bank Implementation Status & Results Report Bosnia and Herzegovina Emergency COVID-19 Project (P173809) IN01028107 Number of intensive care beds fully equipped (with ventilators) in Republika Srpska (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 82.00 82.00 192.00 140.00 Date 16-Mar-2020 08-Feb-2021 30-Jun-2021 30-Jun-2022 IN01028108 Number of intensive care beds fully equipped (with ventilators) in Federation of BiH (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 200.00 200.00 298.00 350.00 Date 16-Mar-2020 08-Feb-2021 30-Jun-2021 30-Jun-2022 IN01028109 ►Number of suspected COVID-19 cases reported and investigated based on guidelines (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1,642.00 1,642.00 953,576.00 160,000.00 Date 16-Mar-2020 08-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator tracks the number of suspected COVID-19 cases reported and investigated based on Comments: guidelines in the whole country IN01028110 Number of suspected COVID-19 cases reported and investigated based on guidelines in Republika Srpska (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 586.00 586.00 193,576.00 50,000.00 Date 16-Mar-2020 08-Feb-2021 30-Jun-2021 30-Jun-2022 IN01028111 Number of suspected COVID-19 cases reported and investigated based on guidelines in Federation of BiH (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 1,056.00 1,056.00 760,000.00 110,000.00 Date 16-Mar-2020 08-Feb-2021 30-Jun-2021 30-Jun-2022 Respond to the COVID-19 pandemic by providing social assistance to most vulnerable groups IN01028101 ►Total number of beneficiaries covered by COVID-related social protection benefits (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 39,255.00 50,575.00 Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 8/25/2021 Page 4 of 11 The World Bank Implementation Status & Results Report Bosnia and Herzegovina Emergency COVID-19 Project (P173809) This indicator measures the total number of beneficiaries who receive COVID-related social protection Comments: benefits in BiH IN01028103 Total number of beneficiaries covered by COVID-related social protection benefits in Republika Srpska (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 16,429.00 14,600.00 Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 IN01028105 Total number of beneficiaries covered by COVID-related social protection benefits in Federation of BiH (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 22,826.00 35,975.00 Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 Intermediate Results Indicators by Components Component 1: Responding to the COVID-19 Pandemic in Republika Srpska IN01028113 ►Number of designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents per MOH guidelines in Republika Srpska (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 5.00 4.00 Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator tracks the number of designated laboratories with COVID-19 diagnostic equipment, test kits, Comments: and reagents per MOH guidelines in Republika Srpska IN01028114 ►Percentage of cases who are healthcare workers in Republika Srpska (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 4.5% 4.5% 2.9% Under 2% Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator measures the ratio of COVID-19 infected cases who are healthcare workers in Republika Comments: Srpska IN01028116 ►Risk communication and community engagement strategies for COVID-19 adapted in Republika Srpska (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Some contextualised risk Strategies have been communication and Strategies are in place No contextualized established and Value community engagement and operational strategies operational documents strategies have taken documents issued have been adopted place 8/25/2021 Page 5 of 11 The World Bank Implementation Status & Results Report Bosnia and Herzegovina Emergency COVID-19 Project (P173809) Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator measures the country's efforts in contextualizing their risk communication and community Comments: engagement strategies in Republika Srpska IN01028118 ►Pandemic preparedness and response plan as per Ministry of Health/ Agriculture guidelines updated and adopted for Republika Srpska (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value Yes Yes No Yes Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator tracks how Republika Srpska prepares and responds to the pandemic by updating and Comments: adopting a preparedness and response plan as per Ministry of Health/ Agriculture guidelines IN01028120 ►Republika Srpska has activated their Public Health Emergency Operations Center or a coordination mechanism for COVID-19 (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target The coordination The coordination mechanism mechanism Value Partly established Established established and established and functional functional Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator tracks the country's efforts to address COVID-19 pandemic by activating its Public Health Comments: Emergency Operations Center or a coordination mechanism for COVID-19 IN01028122 ►Number of COVID-19 related beneficiaries of the permanent social assistance program in Republika Srpska (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 4,300.00 4,300.00 4,004.00 6,300.00 Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator tracks the number of COVID-19 related beneficiaries of the permanent social assistance Comments: program in Republika Srpska IN01028124 ►Number of COVID-19 related beneficiaries of disability benefits in Republika Srpska (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 12,425.00 5,500.00 Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator tracks the number of COVID-19 related beneficiaries who receive disability allowances in Comments: Republika Srpska IN01028126 ►Number of COVID-19 related beneficiaries who are elderly and PWDs residing in institutions in Republika Srpska (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 350.00 8/25/2021 Page 6 of 11 The World Bank Implementation Status & Results Report Bosnia and Herzegovina Emergency COVID-19 Project (P173809) Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator tracks the number of COVID-19 related beneficiaries who are elderly and PWDs residing in Comments: institutions programs in Republika Srpska IN01028128 ►Number of new applications received for COVID-related beneficiaries for social protection benefits (for accommodation in social institutions or one-time cash assistance) in Republika Srpska (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 34.00 2,000.00 Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator tracks the number of applications received for COVID-related permanent social assistance, Comments: including those who reside in social institutions and those who receive one-off cash assistance IN01028130 ►Percentage of complaints received and resolved related to COVID related social assistance benefits in Republika Srpska (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator tracks how complaints received relating to COVID-19 related social assistance in Republika Comments: Srpska are handled and resolved. IN01028132 ►Number of in-kind assistance packages delivered to social care institutions in Republika Srpska (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 323.00 20.00 Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator tracks in-kind assistance packages delivered to social care institutions in Republika Srpska. Comments: The package size will be based on the number of beneficiaries living in the institutions IN01028135 ►Number of communication and dissemination activities undertaken on social protection benefits in Republika Srpska (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 15.00 15.00 Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator follows on communication and dissemination activities that provide information on COVID- Comments: 19 related social protection benefits to the targeted groups of population. The activities include blogs, online updates, radio and TV ads, and info spots. Component 2: Responding to the COVID-19 pandemic in the Federation of Bosnia and Herzegovina IN01028112 ►Number of designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents per MOH guidelines in Federation of BiH (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 8/25/2021 Page 7 of 11 The World Bank Implementation Status & Results Report Bosnia and Herzegovina Emergency COVID-19 Project (P173809) Value 3.00 3.00 7.00 6.00 Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator tracks the number of designated laboratories with COVID-19 diagnostic equipment, test kits, Comments: and reagents per MOH guidelines in Federation of BiH IN01028115 ►Percentage of cases who are healthcare workers in Federation of BiH (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 4% 4% 4% under 2% Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator measures the ratio of COVID-19 infected cases who are healthcare workers in Federation of Comments: BiH IN01028117 ►Risk communication and community engagement strategies for COVID-19 and for specific communities adapted in Federation of BiH (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value Yes Yes Yes Yes Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator tracks the country's efforts in adapting risk communication and community engagement Comments: strategies for COVID-19 and for specific communities in Federation of BiH. IN01028119 ►Pandemic preparedness and response plans updated and adopted, according to government and international guidelines, in Federation of BiH (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value Yes Yes Yes Yes Date 16-Mar-2020 09-Feb-2021 09-Feb-2021 30-Jun-2022 This indicator tracks how Federation of BiH prepares and responds to the pandemic by updating and Comments: adopting a preparedness and response plan according to government and international guidelines IN01028121 ►Public Health Emergency Operations Center, or other coordination mechanism for COVID-19, activated in Federation of BiH (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value Yes Yes Yes Yes Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator tracks the Federation of BiH's efforts to address the COVID-19 pandemic by activating its Comments: Public Health Emergency Operations Center or a coordination mechanism IN01028123 ►Number of beneficiaries covered by COVID-related permanent social assistance program in Federation of BiH (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10,000.00 10,000.00 7,700.00 15,000.00 8/25/2021 Page 8 of 11 The World Bank Implementation Status & Results Report Bosnia and Herzegovina Emergency COVID-19 Project (P173809) Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 Number of beneficiaries covered by COVID-related permanent social assistance program in Federation of Comments: BiH. IN01028125 ►Number of beneficiaries receiving COVID-19 related one-off cash assistance in Federation of BiH (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 4,838.00 4,838.00 4,838.00 4,838.00 Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator tracks the number of beneficiaries who receive COVID-19 related one-off cash assistance in Comments: Federation of BiH IN01028127 ►Number of beneficiaries receiving COVID-related home assistance in Federation of BiH (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 15,893.00 15,893.00 15,126.00 16,137.00 Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 Comments: This indicator tracks the number of COVID-19 related home assistance beneficiaries in Federation of BiH IN01028129 ►Number of applications received for COVID-related social assistance in Federation of BiH (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 5,000.00 Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator tracks the number of applications received for COVID-related social assistance in Comments: Federation of BiH IN01028131 ►Number of complaints received relating to COVID-19 related social assistance benefits in Federation of BiH (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 10.00 500.00 Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator tracks the beneficiaries' complaints relating to COVID-19 related social assistance in Comments: Federation of BiH IN01028133 ►Number of in-kind assistance packages delivered to social care institutions in Federation of BiH (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 29.00 Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 8/25/2021 Page 9 of 11 The World Bank Implementation Status & Results Report Bosnia and Herzegovina Emergency COVID-19 Project (P173809) This indicator tracks in-kind assistance packages delivered to social care institutions. The package size Comments: will be based on the number of people living in the institutions IN01028134 ►Number of communication and dissemination activities undertaken on social protection benefits in the Federation of BiH (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 85.00 Date 16-Mar-2020 09-Feb-2021 30-Jun-2021 30-Jun-2022 This indicator tracks communication and dissemination activities that provide information on COVID-19 Comments: related social protection benefits to the targeted groups of population. The activities include include blogs, online updates, radio and TV ads, and info spots. Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173809 IBRD-90970 Effective USD 36.20 36.20 0.00 31.18 7.86 80% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173809 IBRD-90970 Effective 23-Apr-2020 13-May-2020 01-Sep-2020 30-Jun-2022 30-Jun-2022 Cumulative Disbursements 8/25/2021 Page 10 of 11 The World Bank Implementation Status & Results Report Bosnia and Herzegovina Emergency COVID-19 Project (P173809) 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. 8/25/2021 Page 11 of 11