The World Bank Implementation Status & Results Report DRC COVID-19 Strategic Preparedness and Response Project (SPRP) (P173825) DRC COVID-19 Strategic Preparedness and Response Project (SPRP) (P173825) AFRICA EAST | Congo, Democratic Republic of | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 1 | ARCHIVED on 13-Jul-2020 | ISR42075 | Implementing Agencies: Democratic Republic of Congo, Ministry of Health Key Dates Key Project Dates Bank Approval Date: 02-Apr-2020 Effectiveness Date: 23-Jun-2020 Planned Mid Term Review Date: 24-May-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 (PDO) is to strengthen the DRC government capacity to prepare for and respond to the COVID-19 pandemic with a focus on selected provinces. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Emergency COVID-19 Response, National and Sub-national Prevention and Preparedness:(Cost $37.00 M) Component 2: Communication campaign, Community Engagement and Behavior change:(Cost $7.20 M) Component 3: Implementation Management and Monitoring & Evaluation:(Cost $3.00 M) Component 4: Contingency Emergency Response Component (CERC) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO -- Satisfactory Overall Implementation Progress (IP) -- Satisfactory Overall Risk Rating -- High Implementation Status and Key Decisions The World Bank-supported DRC Emergency COVID-19 preparedness and response project in the amount of US$47.2 million (Grant and Credit) was approved by the Board and signed in country on April 2, 2020. It is not yet effective. It supports the DRC health preparedness and response National Action Plan initially costed at US$135 million, which is being reviewed and updated in regards of lessons learned following the first three months of implementation and in light of the evolution of the pandemic in DRC. As of June 10, 2020, 11 provinces with 72 health zones (ZS) were affected, totaling 4,514 cases with 101 recorded deaths with Kinshasa being the epicenter of the pandemic in DRC (more than 90 percent of recorded cases). Local transmission has been on the rise totaling more than 90 percent of cases with a male predominance of affected cases (around 65 percent), and doubling of the number of affected cases every 18 days on average. 7/17/2020 Page 1 of 6 The World Bank Implementation Status & Results Report DRC COVID-19 Strategic Preparedness and Response Project (SPRP) (P173825) The World Bank project has already started implementing activities through a flexible mechanism of delivery, which allowed the project implementing unit (housed in the Health System Strengthening Project) to procure and deliver US$3 million worth of equipment and ambulances to support front-liners in acting safely with virus-affected people as well as the most needed equipment, such as resuscitators and other ICU equipment to hospitals in Kinshasa (6 main hospitals) and nine other provinces. It is also providing water and sanitation hygiene and community sensitization activities through Oxfam in Kinshasa and other affected provinces and to main hospitals in Kinshasa with the digging of forages to provide safe and clean water. The World Bank team is also actively participating in strategic and coordination committees at the central level. 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 country lock downs. Seventy three percent (73%) of countries with MPA projects were reported still in lock down at the end of May 2020. As of June 17, 2020, 70 projects have been approved (including World Bank funded under a Trust Fund - West Bank) with a total commitment of US$4.3 billion. The approved projects benefit a population of 3.25 billion people or 43 percent 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 percent of the signed financing agreements (77 percent 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 percent 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, bringing to 32 percent actual disbursements and committed amounts. This level of disbursement attest to the rapid implementation of the World Bank response. World 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 High -- High Macroeconomic High -- High Sector Strategies and Policies High -- High Technical Design of Project or Program High -- High Institutional Capacity for Implementation and Substantial -- Substantial Sustainability Fiduciary High -- High Environment and Social Substantial -- Substantial 7/17/2020 Page 2 of 6 The World Bank Implementation Status & Results Report DRC COVID-19 Strategic Preparedness and Response Project (SPRP) (P173825) Stakeholders High -- High Other Substantial -- Substantial Overall High -- High Results PDO Indicators by Objectives / Outcomes Strengthen the national public health preparedness capacity to prevent, detect and respond IN00851512 ►Percentage of targeted provinces with pandemic preparedness and response plans per Ministry of Health Guidelines (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 20.00 100.00 Date 05-Mar-2020 -- 13-Jun-2020 30-Jun-2022 Numerator: number of targeted provinces with pandemic level response plan according to Ministry of Comments: Health guidelines. Denominator: number of targeted provinces IN00851513 ►Number of health staff trained in infection prevention control per MOH-approved protocols in targeted provinces (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 120.00 300.00 Date 05-Mar-2020 -- 13-Jun-2020 30-Jun-2022 Cumulative sum of health workers who have received training on infection prevention and control Comments: according to Ministry of Health guidelines. IN00851514 ►Percentage of targeted health facilities with personal protective equipment and infection control products and supplies, without stock-outs in preceding two weeks. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 15.00 70.00 Date 05-Mar-2020 -- 13-Jun-2020 30-Jun-2022 Numerator: Number of targeted health facilities with personal protective equipment and infection control Comments: products and supplies, without stock-outs in preceding two weeks. Denominator: Total number of district health centers/ district hospitals. Overall Comments PDO It is hoped that training activities and availability of protective equipment will speed-up. Intermediate Results Indicators by Components 7/17/2020 Page 3 of 6 The World Bank Implementation Status & Results Report DRC COVID-19 Strategic Preparedness and Response Project (SPRP) (P173825) Comonent 1: Emergency COVID-19 Response National and Sub-national, Prevention and Preparedness IN00851554 ►Percentage of targeted health facilities with triage capacity (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 10.00 80.00 Date 05-Mar-2020 -- 13-Jun-2020 30-Jun-2022 Numerator: number of targeted health facilities with triage capacity Denominator: number of targeted Comments: health facilities IN00851555 ►Percentage of targeted health facilities with isolation capacity (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 20.00 80.00 Date 05-Mar-2020 -- 13-Jun-2020 30-Jun-2022 Numerator: Number of targeted health facilities with isolation capacity Denominator: Number of targeted Comments: health facilities IN00851556 ►Activation of the public health Emergency Operations Centre for COVID-19 (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- Yes Yes Date 05-Mar-2020 -- 13-Jun-2020 30-Jun-2022 Comments: Emergency Operation Center is Activated (yes or no) Component 2: Communication campaign, Community Engagement and Behavior change IN00851515 ►Number of communication campaigns about COVID-19 broadcasted to communities per day (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 3.00 3.00 Date 05-Mar-2020 -- 13-Jun-2020 30-Jun-2022 Number PER DAY of communication campaigns about COVID-19 that are broadcasted to communities. Comments: reported as a monthly average. IN00851552 ►National COVID-19 risk communication and community engagement strategy established (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- Yes Yes 7/17/2020 Page 4 of 6 The World Bank Implementation Status & Results Report DRC COVID-19 Strategic Preparedness and Response Project (SPRP) (P173825) Date 05-Mar-2020 -- 13-Jun-2020 30-Jun-2022 Component 3: Implementation Management and Monitoring & Evaluation IN00851551 ►Establishment of monitoring and evaluation system for COVID-19 (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- Yes Yes Date 05-Mar-2020 -- 13-Jun-2020 30-Jun-2022 IN00851553 ►Percentage of complaints to the GRM satisfactorily addressed within 4 weeks of initial complaint being recorded. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 20.00 90.00 Date 05-Mar-2020 -- 13-Jun-2020 30-Jun-2022 Numerator: Number of complaints to the GRM addressed in four weeks of initial complaint being recorded. Comments: Denominator: Number of complaints to the GRM Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173825 IDA-66010 Effective USD 23.60 23.60 0.00 0.00 23.60 0% P173825 IDA-D6020 Effective USD 23.60 23.60 0.00 0.00 23.76 0% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173825 IDA-66010 Effective 02-Apr-2020 03-Apr-2020 23-Jun-2020 30-Jun-2022 30-Jun-2022 P173825 IDA-D6020 Effective 02-Apr-2020 03-Apr-2020 23-Jun-2020 30-Jun-2022 30-Jun-2022 Cumulative Disbursements 7/17/2020 Page 5 of 6 The World Bank Implementation Status & Results Report DRC COVID-19 Strategic Preparedness and Response Project (SPRP) (P173825) 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. 7/17/2020 Page 6 of 6