The World Bank Implementation Status & Results Report Djibouti COVID-19 Response (P173807) Djibouti COVID-19 Response (P173807) MIDDLE EAST AND NORTH AFRICA | Djibouti | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 2 | ARCHIVED on 27-Dec-2020 | ISR44074 | Implementing Agencies: Ministry of Health, The Republic of Djibouti Key Dates Key Project Dates Bank Approval Date: 02-Apr-2020 Effectiveness Date: 09-Apr-2020 Planned Mid Term Review Date: 02-Sep-2021 Actual Mid-Term Review Date: Original Closing Date: 31-Mar-2023 Revised Closing Date: 31-Mar-2023 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 Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Emergency COVID-19 Response:(Cost $2.78 M) Strengthening Overall Healthcare Services and Clinical Capacity for Emergency COVID-19 Response:(Cost $2.41 M) Implementation Management and Monitoring and Evaluation:(Cost $0.50 M) Contingent Emergency Response Component Contingency (5%):(Cost $0.25 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Moderate Moderate Implementation Status and Key Decisions The project was approved by the Bank’s Executive Board on April 2, 2020 and declared effective on April 9, 2020. The project is financed by a US$5 million IDA credit under the Multiphase Programmatic Approach supported by the Fast Track COVID-19 Facility. The project will be implemented over three years with a closing date of March 31, 2023. To date, 53 percent of the committed amount has been disbursed to purchase medical equipment, supplies and test kits for COVID-19 response in Djibouti. To date, more than 79,000 suspected cases of COVID-19 cases reported have been investigated based on national guidelines, 100 health workers have been trained in infection prevention and control per MOH-approved protocols, and 100 percent of acute healthcare facilities have triage capacity. 12/27/2020 Page 1 of 5 The World Bank Implementation Status & Results Report Djibouti COVID-19 Response (P173807) 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 Impressive efforts continue to be made to advance the implementation of the MPA-funded projects. As of October 14, 2020, 83 projects have been approved providing a total commitment of US$3.98 billion. The projects benefit around 3.7 billion people or 49% of the global population. Of the 83 approved projects: (i) 30 are in Africa – 10 in AFE and 20 in AFW; (ii) 14 in East Asia; (iii) 13 in Europe and Central Asia; (iv) 10 in Latin America and the Caribbean; (v) 7 in Middle East and North Africa; and (vi) 9 in South Asia. Sixty-six (66) projects are disbursing. Total disbursements as of October 14, 2020 under these projects amount to US$1.32 billion or 33% of the overall commitment. In addition, $364 million have been committed under signed contracts with UNICEF and Bank Facilitated Procurement (BFP), bringing to $1.68 billion or 42% actual disbursements and committed amounts. Streamlined procedures and delegated approval coupled with flexible project design and intensified efforts across the Bank have contributed to the progress. Implementation faces significant challenges as some countries are still under different levels of lockdown or mobility restrictions and counterparts and Bank teams are operating from home. 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 disbursement in just over six months attest to the strong implementation of the Bank response thanks to the commitment of counterparts supported by country teams. However, the capacity of teams is being stretched to meet delivery demands and provide enhanced implementation support to clients; this may not be sustainable in the long term. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate Moderate Moderate Macroeconomic Moderate Moderate Moderate Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Moderate Moderate Moderate Institutional Capacity for Implementation and Substantial Moderate Moderate Sustainability Fiduciary Substantial Moderate Moderate Environment and Social Substantial Substantial Substantial Stakeholders Moderate Moderate Moderate Other -- -- -- Overall Moderate Moderate Moderate 12/27/2020 Page 2 of 5 The World Bank Implementation Status & Results Report Djibouti COVID-19 Response (P173807) Results PDO Indicators by Objectives / Outcomes To strengthen Djibouti’s capacity to respond to the COVID-19 pandemic IN00938172 ►Number of suspected cases of COVID-19 reported and investigated based on national guidelines (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 96,460.00 500,000.00 Date 29-Feb-2020 29-Feb-2020 21-Dec-2020 31-Mar-2023 To strengthen health system preparedness to manage existing and future disease outbreaks IN00938173 ►Number of designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 0.00 1.00 10.00 Date 29-Feb-2020 29-Feb-2020 08-Oct-2020 31-Mar-2023 Intermediate Results Indicators by Components Emergency COVID-19 Response IN00938174 ►Number of health staff trained in infection prevention and control per MoH-approved protocols (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 0.00 100.00 2,000.00 Date 29-Feb-2020 29-Feb-2020 08-Oct-2020 31-Mar-2023 Strengthening Overall Healthcare Services and Clinical Capacity to Respond to COVID-19 IN00938175 ►Percentage of acute healthcare facilities with triage capacity (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 100.00 100.00 Date 29-Feb-2020 29-Feb-2020 08-Oct-2020 31-Mar-2023 12/27/2020 Page 3 of 5 The World Bank Implementation Status & Results Report Djibouti COVID-19 Response (P173807) Implementation Management and Monitoring and Evaluation IN00938211 ►M&E system established to monitor COVID-19 preparedness and response plan (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 29-Feb-2020 29-Feb-2020 08-Oct-2020 31-Mar-2023 IN00938212 ►Percentage of health and non-health workers expressing satisfaction with training on case definition, management, infection prevention and control (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 80.00 Date 08-Oct-2020 -- 08-Oct-2020 31-Mar-2023 IN00938213 ►Percentage of grievances that are addressed and responded to within a timeline that has been specified and publicly communicated by the project (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 60.00 Date 08-Oct-2020 -- 08-Oct-2020 31-Mar-2023 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173807 IDA-66000 Effective USD 5.00 5.00 0.00 2.69 2.49 52% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173807 IDA-66000 Effective 02-Apr-2020 03-Apr-2020 09-Apr-2020 31-Mar-2023 31-Mar-2023 Cumulative Disbursements 12/27/2020 Page 4 of 5 The World Bank Implementation Status & Results Report Djibouti COVID-19 Response (P173807) 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) P174675-Additional Financing for the Djibouti COVID-19 Response Project 12/27/2020 Page 5 of 5