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: 2 | ARCHIVED on 24-Feb-2021 | ISR45305 | 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: 01-Sep-2021 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) Satisfactory Moderately Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions The Project became effective on September 1, 2020 and the Project Implementation Units (PIU) are staffed and operational. The Project Operations Manual (POM) has been finalized and the Environmental and Social Commitment Plan has been published in both entities. The designated account in Federation of Bosnia and Herzegovina has just become operational at the end of January 2021. As of January 7, 2021, the project has disbursed USD 6.02 million equivalent to the RS out of USD 36.2 million. However, none of the 6.02. million USD disbursed to Republika Srpska have been paid to permanent social assistance beneficiaries and other targeted vulnerable groups. The PIUs in both entities have prepared lists of social assistance beneficiaries and are also waiting for all pre-conditions to be fulfilled for payments to beneficiaries to be made. Under Component 1, the RS PIU is ready with lists of all beneficiaries and their payment details to start actual disbursements. The implementing ministry has prepared a Decree on project implementation that specifies all details regarding project content and 2/24/2021 Page 1 of 11 The World Bank Implementation Status & Results Report Bosnia and Herzegovina Emergency COVID-19 Project (P173809) payments. This Decree has to be approved by the Government of Republika Srpska before the project can disburse the social assistance payments. Under Component 2, the Project Implementation Team (PIT) in Federation of Bosnia and Herzegovina prepared full lists for three months of payments and is expected to transfer payments to beneficiaries soon. 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 February 16, 2021, 86 MPA-projects have been approved providing a total commitment of US$4.20 billion. Disbursements have continued to increase at a rapid pace. Thirty-three country projects or 37% of projects approved have reached 70-100% disbursements. The projects benefit around 3.7 billion people or 50% of the global population. Of the 86 approved projects: (i) 32 are in Africa – 12 in AFE and 21 in AFW; (ii) 12 in East Asia; (iii) 13 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-two projects are disbursing. Total disbursements as of February 16, 2021 under these projects amount to US$1.977 million or 47% of overall commitments. Procurement contracts signed and in process with UNICEF (US$595.3 million) and under BFP (US$132 million) amount to US$727.3 million. As of February 16, 2021, one project has been restructured and 3 AF-V operations have been approved for a total amount of US$98.1 million. Under the MPA parent projects, sstreamlined procedures, delegated approval coupled with flexible project design and intensified efforts across the Bank have contributed to the progress. Implementation continues to face challenges as some countries are still under different levels of lockdown or mobility restrictions and counterparts and Bank teams are operating from home and communicating virtually. 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 over ten months under the MPA attest to the strong implementation of the Bank response thanks to the commitment of counterparts supported by 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 Institutional Capacity for Implementation and Substantial Substantial Substantial Sustainability Fiduciary Substantial Substantial Substantial 2/24/2021 Page 2 of 11 The World Bank Implementation Status & Results Report Bosnia and Herzegovina Emergency COVID-19 Project (P173809) 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 IN00947894 ►Number of acute healthcare facilities with isolation capacity in BiH (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 12.00 0.00 12.00 28.00 Date 16-Mar-2020 28-Jul-2020 08-Feb-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 IN00947901 Number of acute healthcare facilities with isolation capacity in Republika Srpska (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 0.00 2.00 10.00 Date 16-Mar-2020 28-Jul-2020 08-Feb-2021 30-Jun-2022 IN00947903 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 0.00 10.00 18.00 Date 16-Mar-2020 28-Jul-2020 08-Feb-2021 30-Jun-2022 IN00947905 ►Number of intensive care beds fully equipped (with ventilators) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 282.00 0.00 282.00 490.00 Date 16-Mar-2020 28-Jul-2020 08-Feb-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 IN00947906 Number of intensive care beds fully equipped (with ventilators) in Republika Srpska (Number, Custom Breakdown) 2/24/2021 Page 3 of 11 The World Bank Implementation Status & Results Report Bosnia and Herzegovina Emergency COVID-19 Project (P173809) Baseline Actual (Previous) Actual (Current) End Target Value 82.00 0.00 82.00 140.00 Date 16-Mar-2020 28-Jul-2020 08-Feb-2021 30-Jun-2022 IN00947907 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 0.00 200.00 350.00 Date 16-Mar-2020 28-Jul-2020 08-Feb-2021 30-Jun-2022 IN00947908 ►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 0.00 1,642.00 160,000.00 Date 16-Mar-2020 28-Jul-2020 08-Feb-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 IN00947909 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 0.00 586.00 50,000.00 Date 16-Mar-2020 28-Jul-2020 08-Feb-2021 30-Jun-2022 IN00947910 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 0.00 1,056.00 110,000.00 Date 16-Mar-2020 28-Jul-2020 08-Feb-2021 30-Jun-2022 Respond to the COVID-19 pandemic by providing social assistance to most vulnerable groups IN00947895 ►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 0.00 50,575.00 Date 16-Mar-2020 28-Jul-2020 09-Feb-2021 30-Jun-2022 This indicator measures the total number of beneficiaries who receive COVID-related social protection Comments: benefits in BiH IN00947902 2/24/2021 Page 4 of 11 The World Bank Implementation Status & Results Report Bosnia and Herzegovina Emergency COVID-19 Project (P173809) 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 0.00 14,600.00 Date 16-Mar-2020 28-Jul-2020 09-Feb-2021 30-Jun-2022 IN00947904 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 0.00 35,975.00 Date 16-Mar-2020 28-Jul-2020 09-Feb-2021 30-Jun-2022 Overall Comments PDO Project indicator values are unchanged from baseline at the present time. The PIUs are expected to return their first quarterly implementation reports in mid-March, and this will include latest figures on acute healthcare facilities with isolation capacity, intensive care beds fully equipped, and suspected COVID-19 cases reported and investigated based on guidelines. As explained earlier, the number of beneficiaries covered by COVID-related social protection benefits is currently zero. This is expected to rapidly climb in the next four to six weeks. Intermediate Results Indicators by Components Component 1: Responding to the COVID-19 Pandemic in Republika Srpska IN00947911 ►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 2.00 4.00 Date 16-Mar-2020 28-Jul-2020 09-Feb-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 IN00947914 ►Percentage of cases who are healthcare workers in Republika Srpska (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 4.5% 4.5% 4.5% Under 2% Date 16-Mar-2020 28-Jul-2020 09-Feb-2021 30-Jun-2022 This indicator measures the ratio of COVID-19 infected cases who are healthcare workers in Republika Comments: Srpska IN00947916 2/24/2021 Page 5 of 11 The World Bank Implementation Status & Results Report Bosnia and Herzegovina Emergency COVID-19 Project (P173809) ►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 communication Strategies are in place No contextualized No contextualized Value and community and operational strategies strategies engagement strategies documents issued have taken place Date 16-Mar-2020 28-Jul-2020 09-Feb-2021 30-Jun-2022 This indicator measures the country's efforts in contextualizing their risk communication and community Comments: engagement strategies in Republika Srpska IN00947918 ►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 No No Yes Yes Date 16-Mar-2020 28-Jul-2020 09-Feb-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 IN00947920 ►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 mechanism Value Partly established Partly established Established established and functional Date 16-Mar-2020 28-Jul-2020 09-Feb-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 IN00947922 ►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 4,300.00 6,300.00 Date 16-Mar-2020 28-Jul-2020 09-Feb-2021 30-Jun-2022 This indicator tracks the number of COVID-19 related beneficiaries of the permanent social assistance Comments: program in Republika Srpska IN00947924 ►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 0.00 5,500.00 Date 16-Mar-2020 28-Jul-2020 09-Feb-2021 30-Jun-2022 2/24/2021 Page 6 of 11 The World Bank Implementation Status & Results Report Bosnia and Herzegovina Emergency COVID-19 Project (P173809) This indicator tracks the number of COVID-19 related beneficiaries who receive disability allowances in Comments: Republika Srpska IN00947926 ►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 Date 16-Mar-2020 28-Jul-2020 09-Feb-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 IN00947928 ►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 0.00 2,000.00 Date 16-Mar-2020 28-Jul-2020 09-Feb-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 IN00947930 ►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 28-Jul-2020 09-Feb-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. IN00947932 ►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 0.00 20.00 Date 16-Mar-2020 28-Jul-2020 09-Feb-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 IN00947933 ►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 0.00 15.00 Date 16-Mar-2020 28-Jul-2020 09-Feb-2021 30-Jun-2022 2/24/2021 Page 7 of 11 The World Bank Implementation Status & Results Report Bosnia and Herzegovina Emergency COVID-19 Project (P173809) 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 IN00947912 ►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 Value 3.00 3.00 3.00 6.00 Date 16-Mar-2020 28-Jul-2020 09-Feb-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 IN00947913 ►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 28-Jul-2020 09-Feb-2021 30-Jun-2022 This indicator measures the ratio of COVID-19 infected cases who are healthcare workers in Federation of Comments: BiH IN00947915 ►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 28-Jul-2020 09-Feb-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. IN00947917 ►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 28-Jul-2020 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 IN00947919 ►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 2/24/2021 Page 8 of 11 The World Bank Implementation Status & Results Report Bosnia and Herzegovina Emergency COVID-19 Project (P173809) Date 16-Mar-2020 28-Jul-2020 09-Feb-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 IN00947921 ►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 10,000.00 15,000.00 Date 16-Mar-2020 28-Jul-2020 09-Feb-2021 30-Jun-2022 Number of beneficiaries covered by COVID-related permanent social assistance program in Federation of Comments: BiH. IN00947923 ►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 28-Jul-2020 09-Feb-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 IN00947925 ►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 15,893.00 16,137.00 Date 16-Mar-2020 28-Jul-2020 09-Feb-2021 30-Jun-2022 Comments: This indicator tracks the number of COVID-19 related home assistance beneficiaries in Federation of BiH IN00947927 ►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 28-Jul-2020 09-Feb-2021 30-Jun-2022 This indicator tracks the number of applications received for COVID-related social assistance in Comments: Federation of BiH IN00947929 ►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 0.00 500.00 Date 16-Mar-2020 28-Jul-2020 09-Feb-2021 30-Jun-2022 2/24/2021 Page 9 of 11 The World Bank Implementation Status & Results Report Bosnia and Herzegovina Emergency COVID-19 Project (P173809) This indicator tracks the beneficiaries' complaints relating to COVID-19 related social assistance in Comments: Federation of BiH IN00947931 ►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 28-Jul-2020 09-Feb-2021 30-Jun-2022 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 IN00947934 ►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 28-Jul-2020 09-Feb-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. Overall Comments IR Some intermediate indicator values are unchanged from baseline at the present time. The PIUs are expected to return their first quarterly implementation reports in mid-March, and this will include latest figures on each of the intermediate indicators. In the meantime, the PIUs inform the WB team that there has been progress in the number of designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents; risk communication and community engagement strategies, funded partly through this project, as well as other donors' assistance. 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 6.02 30.56 16% 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 2/24/2021 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. 2/24/2021 Page 11 of 11