The World Bank Implementation Status & Results Report Indonesia: Emergency Response to COVID19 (P173843) Indonesia: Emergency Response to COVID19 (P173843) EAST ASIA AND PACIFIC | Indonesia | Health, Nutrition & Population Global Practice | Requesting Unit: EACIF | Responsible Unit: HEAHN IBRD/IDA | Program-for-Results Financing | FY 2020 | Team Leader(s): Pandu Harimurti, Somil Nagpal Seq No: 1 | ARCHIVED on 23-Aug-2020 | ISR43098 | Created by: Somil Nagpal on 06-Aug-2020 | Modified by: Pandu Harimurti on 19-Aug-2020 Program Development Objectives Program Development Objective (from Program Appraisal Document) To prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness in Indonesia. Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO -- Satisfactory Overall Implementation Progress (IP) -- Satisfactory Implementation Status and Key Decisions The Indonesia Emergency Response to COVID-19 Program for Results provides support to the Ministry of Health (MOH) to strengthen their response capacity for COVID-19. The PforR became effective on July 7th. The project is progressing well, and as of August 3rd, 2020, the MOH has reported its DLI achievements to the designated independent verification agency, the Government Audit Office (BPKP). This project is jointly co-financed with the Asian Infrastructure Investment Bank (AIIB), and the financing from AIIB is also effective now. 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 TBL_MULTIPHASE Multiphase Programmatic Approach (MPA) Status Impressive efforts have been made to advance the implementation of the MPA-funded projects. As of June 30, 2020, 73 projects had been approved providing a total commitment of US$4.7 billion. The projects benefit around 4.7 billion people or 62% of the global population. Of the 73 approved projects: (i) 28 are in Africa; (ii) 11 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. Total disbursements as of June 30, 2020 under these projects amount to US$1,294.5 billion or 28% of overall commitment. In addition, $233.4 billion have been committed under signed contracts with UNICEF and Bank Facilitated Procurement (BFP), bringing to 32% actual disbursements and committed amounts. Flexible project design and streamlined procedures as well as intensified efforts across the Bank have contributed to the progress. The implementation faces significant challenges as seventy three percent (73%) of countries with MPA projects were reported still in lockdown at the end of May. Some specific challenges identified by teams include: (i) ) several countries have not adopted emergency procedures for signing of financing agreements, processing procurement and payments – bureaucracy in making decisions and approving procurement, contracts, and payments continue to be a bottleneck; (ii) fear of future audits/investigations by national audit agencies and accountability offices is one of the reasons that is holding back the use of BFP; (iii) limited face-to-face meetings makes it difficult to communicate and engage with counterparts; (iv) a fundamental implementation challenge is that some government officials are not equipped to carry out their roles and responsibility during country lockdowns, with many trying to operate with cell phones; (v) Retroactive Financing has little or no uptake in some countries, mainly because the reimbursed funds will go to central government (MOF) and not to the ministries of health. 8/23/2020 Page 1 of 17 The World Bank Implementation Status & Results Report Indonesia: Emergency Response to COVID19 (P173843) Notwithstanding these 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 disbursement in less than three months attest to the strong implementation of the Bank response thanks to the commitment of 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. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173843 IBRD-91220 Effective USD 250.00 250.00 0.00 0.00 250.00 0% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173843 IBRD-91220 Effective 22-May-2020 06-Jul-2020 08-Jul-2020 31-Oct-2021 31-Oct-2021 DLI Disbursement Achievement Disbursed amount in Disbursement % for DLI ID DLI Type Description Coc DLI Amount Status Coc DLI Loan: IBRD91220-001 Impl Guidlines for Health 1.1 Regular USD 50,000,000.00 Fully Achieved 0.00 Prof issued&pa i.Estbsh Natnal 2.1 Regular USD 10,000,000.00 Fully Achieved 0.00 TaskForce,ii.issued resp 1500 Beds convrtd to 3.1 Regular USD 7,500,000.00 Fully Achieved 0.00 serve temp,low inte MOH issued 3.2 Regular Claims&Reimbmnt USD 7,500,000.00 Fully Achieved 0.00 Guidlines 3000 highcare bedsequipd 4.1 Regular USD 75,000,000.00 Not Achieved 0.00 to treat resp i 1M sets of Protctive 5.1 Regular USD 20,000,000.00 Not Achieved 0.00 Equipmnt procured Jan1,'21-100K sets of PE 5.2 Regular USD 10,000,000.00 Not Achieved 0.00 is reserved for MOH devlpd protcol for 6.1 Regular USD 10,000,000.00 Not Achieved 0.00 IPC mngmnt Estblsh Extrnal Qualty 7.1 Regular USD 6,000,000.00 Not Achieved 0.00 Assurnce systm 350 qulty-rapid molecular 7.2 Regular USD 14,000,000.00 Not Achieved 0.00 testng mach Jan1'21-a.Updtd 8.1 Regular USD 20,000,000.00 Not Achieved 0.00 NPPP;b.conduct simulatio 8/23/2020 Page 2 of 17 The World Bank Implementation Status & Results Report Indonesia: Emergency Response to COVID19 (P173843) Jan1'21-rolldout comm 9.1 Regular USD 10,000,000.00 Not Achieved 0.00 strtegy on COVID19 MOH dvlpd tracker basd- 10.1 Regular USD 10,000,000.00 Not Achieved 0.00 health survey sys Program Action Plan Protocol for clinical management of serious respiratory illnesses is issued as a Section in the MOH Guideline for Action Description Prevention and Management of Coronavirus Diseases (COVID-19) Source DLI# Responsibility Timing Timing Value Status Technical DLI 4 MOH Due Date 31-May-2020 Completed Completion Measurement Protocol/Guideline issued and available for reference Comments Nominate responsible staff from MOH and MOEF to coordinate advise hospitals and laboratories in managing the Action Description increasing volume of medical waste during the pandemic Source DLI# Responsibility Timing Timing Value Status DLI 4 Directorate Environmental and Social Environmental Due Date 31-May-2020 In Progress Systems Health Completion Measurement Letters which indicate the nomination of responsible staff from MOH and MOEF Comments Conduct rapid assessment on current capacity/practice in referral hospitals, laboratories and field hospitals to Action Description manage medical waste and the expected volume of waste generated during the pandemic Source DLI# Responsibility Timing Timing Value Status DLI 4 Directorate Environmental and Social Environmental Other 30 June 2020 In Progress Systems Health Completion Measurement Number of rapid assessments of MOH’s vertically managed referral hospitals, laboratories, and field hospitals Comments Advise hospitals and laboratories on the alternatives to manage their wastes (in house and external services), Action Description support approval of agreed options and develop the necessary work instructions for these alternatives. Based on agreed options for medical Source DLI# Responsibility Timing Timing Value Status Directorate Environmental and Social Environmental Other Ongoing In Progress Systems Health 8/23/2020 Page 3 of 17 The World Bank Implementation Status & Results Report Indonesia: Emergency Response to COVID19 (P173843) Completion Measurement Administrative records Comments Provide training to hospitals and laboratories on the alternatives to manage COVID-19 wastes (web-based training). Action Description Provide guidance for third parties on medical waste management. Source DLI# Responsibility Timing Timing Value Status Directorate Environmental and Social Environmental Other Ongoing In Progress Systems Health Completion Measurement Number of e-training delivered Comments Training manuals and cascade training to hospitals and laboratories workers for the proper handling of COVID-19 Action Description cases and specimens, including the proper usage of PPEs (web-based training) Source DLI# Responsibility Timing Timing Value Status Directorate of Environmental and Social Occupational Health Other Ongoing In Progress Systems of MO Completion Measurement Number of e-training delivered Comments Measures to enhance the existing public Feedback and Grievance Mechanism (FGRM) for COVID-19 response, such Action Description as https://covid19.kemkes.go.id/ and hotline 119 ext. 9, and ‘Halo Kemkes’ in terms of their accessibility, credibility and level of response Source DLI# Responsibility Timing Timing Value Status Environmental and Social Directorate of Other Ongoing In Progress Systems Referral Services Completion Measurement Grievance records on COVID-19 management tracked with resolution status Comments A protocol for surveillance incorporating data protection measures and consent is developed and disseminated to Action Description health facilities Source DLI# Responsibility Timing Timing Value Status Center of Health Environmental and Social Data and Information Other Ongoing In Progress Systems (P 8/23/2020 Page 4 of 17 The World Bank Implementation Status & Results Report Indonesia: Emergency Response to COVID19 (P173843) Completion and issuance of protocols and evidence of dissemination incorporating, as a minimum, the principles set Completion Measurement forth in the Personal Data Management Protocol Comments A communication strategy on public health messaging and community outreach on COVID-19 related facts, in Action Description coordination with media and civil society organizations and in line with good practice guidelines such as https://www.who.int/docs/default-source Source DLI# Responsibility Timing Timing Value Status Environmental and Social DLI 9 Directorate of Health Other 31 May 2020 Completed Systems Promotion Completion Measurement Communication strategy issued Comments Strengthen the existing system to monitor patients’ security and safety during isolation and treatment at COVID19 Action Description referral hospitals, on aspects related to Sexual, Exploitation & Abuse/Violence against Children (SEA/VAC) Source DLI# Responsibility Timing Timing Value Status Environmental and Social Directorate General Other Ongoing In Progress Systems of Health Service (D Evidence of an operating system to monitor and track risks related to patients’ wellbeing, including their security and Completion Measurement safety during isolation and treatments at COVID-19 referral hospitals Comments Priority testing for healthcare workers and facility staff responsible for direct handling of COVID-19 at MOH vertical Action Description hospitals (i.e. cleaners, ambulance drivers, receptionists, etc.) Source DLI# Responsibility Timing Timing Value Status Environmental and Social DLI 1 Directorate General Due Date 30-Jun-2020 Completed Systems of Health Service Completion Measurement A guideline which prescribe priority testing for healthcare workers and facility staff has been developed Comments Additional capacity for patient isolation and low-intensity medical care by converting non-medical establishments with Action Description the needed equipment and human resources Source DLI# Responsibility Timing Timing Value Status DLI 3 DG of Health Environmental and Social Service (Directorate Other Ongoing In Progress Systems of Hea 8/23/2020 Page 5 of 17 The World Bank Implementation Status & Results Report Indonesia: Emergency Response to COVID19 (P173843) Completion Measurement MOH administrative records Comments A system for assessing needs and monitoring distribution of PPEs, to health facilities based on needs across Action Description Indonesia. Source DLI# Responsibility Timing Timing Value Status Environmental and Social DLI 5 COVID-19 Crisis Other 31 May 2020 Completed Systems Center of MOH Completion Measurement Evidence of an operating system to monitor and track procurement, need assessment and distribution Comments Inform the Bank promptly of all credible and material allegations or other indications of Fraud and Corruption in Action Description connection with the Program that come to its attention, together with the investigative and other actions that it proposes to take Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems Ministry of Health Recurrent Semi-Annually Not Yet Due Semi-annual reports provided to the Bank on allegations of F&C under the Program received or registered during Completion Measurement such period, as well as any related investigations and actions taken Comments Require its Pokja UKPBJ/Procurement Officers/PPK to check the Bank’s debarment (www.worldbank.org/debarr) & Action Description temporary suspension lists and record the verification in the bid evaluation report before contract award Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems Ministry of Health Recurrent Continuous In Progress Guidance provided to UKPBJ/Procurement Officers/PPK is implemented to ensure that no contract under the Completion Measurement Program is awarded to a firm or individual that is under debarment and/or temporary suspension by the Bank Comments Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate -- Moderate 8/23/2020 Page 6 of 17 The World Bank Implementation Status & Results Report Indonesia: Emergency Response to COVID19 (P173843) Macroeconomic Moderate -- Moderate Sector Strategies and Policies Moderate -- Moderate Technical Design of Project or Program Substantial -- Substantial Institutional Capacity for Implementation and Substantial -- Substantial Sustainability Fiduciary Substantial -- Substantial Environment and Social Substantial -- Substantial Stakeholders Substantial -- Substantial Other -- -- -- Overall Substantial -- Substantial Results PDO Indicators by Objectives / Outcomes Reduced service readiness gap in treating severe respiratory illness patients IN00880822 ►Reduced service readiness gap in treating severe respiratory illness patients (as measured by the available number of intensive care beds equipped as per national protocol) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 3,000.00 Date 01-Apr-2020 -- 01-Apr-2020 29-Oct-2021 Ministry of Health's proposal for the health sector emergency response is to strengthen the capacity of its referral services (hospital) to prepare for the surge of inpatient services, especially for SARI and critical care Comments patients as the pandemic progresses. The MOH' s proposal was supported by the most recent hospital capacity gap information, and the epidemic projection for Indonesia. Strengthened laboratory capacity (measured as total capacity for quality assured tests per day) IN00880823 ►Strengthened laboratory capacity (measured as total capacity for quality assured tests per day) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 3,000.00 -- 3,000.00 20,000.00 Date 01-Apr-2020 -- 01-Apr-2020 31-Oct-2021 The GoI has acknowledged the importance of testing in its emergency response to COVID19 pandemic, Comments and has committed to scale up and strengthen its testing capacity in accordance to the WHO recommendation Improved reporting and surveillance system IN00880824 ►Improved reporting and surveillance system (measured as the availability of an improved surveillance system that incorporates lessons from the COVID-19 response experience) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes 8/23/2020 Page 7 of 17 The World Bank Implementation Status & Results Report Indonesia: Emergency Response to COVID19 (P173843) Date 01-Apr-2020 -- 01-Apr-2020 31-Oct-2021 Currently the disease surveillance information, especially for communicable diseases, zoonotic, and new Comments emerging disease is done manually and in fragmentation. There is a need to develop an integrated system to inform decision making in timely manner Enhanced community engagement and communication IN00880825 ►Enhanced community engagement and communication (as measured by the number of interactions with the COVID-19 phone line) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 5,000.00 Date 01-Apr-2020 -- 01-Apr-2020 31-Oct-2021 Comments The involvement of the community to contain the spread of the disease is one of the strategies of GoI. Concrete measures to support and compensate health professionals IN00880836 ►Concrete measures to support and compensate health professionals for added COVID-19 related workload and risk are implemented (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Incentives and death compensation for health Concrete measures to Concrete measures to professionals in COVID- support and support and compensate 19 response is compensate health Value health professionals for -- supported with MOH professionals for COVID-19 are not Decree KMK Number COVID-19 are implemented. HK.01.07/MENKES/392 implemented. /2020 Date 01-Apr-2020 -- 30-Jun-2020 31-Dec-2020 The Government of Indonesia has committed to provide financial incentives for frontline health workers, and Comments death compensation for the health workers' family, during the national emergency response. Number of beds temporarily converted for patient isolation and/or low intensity medical care IN00880837 ►Number of beds temporarily converted for patient isolation and/or low intensity medical care (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 6,011.00 1,500.00 Date 01-Apr-2020 -- 08-Jun-2020 31-Dec-2020 Temporary isolation and treatment for those confirmed cases with mild and moderate symptoms is an Comments important part of the disease containment strategy Number of COVID-19 cases successfully treated, disaggregated by sex IN00880838 ►Number of COVID-19 cases successfully treated, disaggregated by sex (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 89,618.00 25,000.00 8/23/2020 Page 8 of 17 The World Bank Implementation Status & Results Report Indonesia: Emergency Response to COVID19 (P173843) Date 01-Mar-2020 -- 13-Aug-2020 29-Jan-2021 Monitoring the quality of health services especially for critical care, while at the same time ensuring equal Comments access to care Infection prevention and clinical management protocols developed and disseminated IN00880839 ►Infection prevention and clinical management protocols developed and disseminated to all non-referral facilities (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target MoH has issued the 5th revision of Guidelines Infection prevention for COVID-19 and clinical Infection prevention and Prevention and Control, management protocols Value clinical management -- which contains guiding developed and protocols not developed information on services disseminated to all and treatment of cases, non-referral facilities among others Date 01-Mar-2020 -- 13-Jul-2020 31-Dec-2020 The availability of protocol for COVID-19 treatment and care is critical not only to ensure the quality of Comments services provided, but also is fundamental for planning and budgeting Cumulative number of COVID-19 suspect cases tested by PCR IN00880840 ►Cumulative number of COVID-19 suspect cases tested by PCR or rapid molecular testing, disaggregated by sex (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10,000.00 -- 1,039,682.00 300,000.00 Date 01-Apr-2020 -- 14-Aug-2020 30-Nov-2020 Comments Describe the country's increased testing capacity A surveillance mechanism for community-based reporting of outbreaks and new illnesses IN00880841 ►A surveillance mechanism for community-based reporting of outbreaks and new illnesses among humans and animals is functional (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Integration of different information sources to Baseline situation- no Value -- In progress provide inputs for change surveillance is functional Date 01-Apr-2020 -- 14-Aug-2020 30-Jun-2021 Improved coordination across sector for pandemic preparedness as a part of the updated national pandemic Comments preparedness plan MOH supports the creation of a multi-sectoral coordination mechanism for COVID-19 response IN00880842 ►MOH supports the creation of a multi-sectoral coordination mechanism for COVID-19 response (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target A multi-sectoral The multi-sectoral The multi-sectoral Value -- coordination mechanism coordination coordination 8/23/2020 Page 9 of 17 The World Bank Implementation Status & Results Report Indonesia: Emergency Response to COVID19 (P173843) for COVID-19 response mechanism for COVID- mechanism for does not exist 19 response is COVID-19 response is functional functional. Date 01-Mar-2020 -- 13-Mar-2020 30-Sep-2020 The GoI has been using a multi sectoral approach in its COVID-19 pandemic national response. The health Comments sector plays is significant and active roles in the national task force (Gugus Tugas) for COVID-19 response. Cumulative number of website visitors to the COVID-19 communication portal set up by the Government IN00880843 ►Cumulative number of website visitors to the COVID-19 communication portal set up by the Government of Indonesia (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 311,747.00 100,000.00 Date 01-Feb-2020 -- 14-Aug-2020 31-Mar-2021 Comments Improved access to reliable information Number of times MOH counters COVID-19 related misinformation and posts on its website IN00880844 ►Number of times MOH counters COVID-19 related misinformation and posts on its website (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 375.00 200.00 Date 01-Feb-2020 -- 14-Aug-2020 31-Mar-2021 Comments Countering misinformation is an important part of the public risk communication Intermediate Results Indicators by Results Areas Addressing Hospital and Health System Readiness Needs IN00880845 ►Concrete measures to support and compensate health professionals for added COVID-19 related workload and risk are implemented (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- Yes Yes Date 01-Apr-2020 -- 30-Jun-2020 31-Oct-2021 The Government of Indonesia has committed to provide financial incentives for frontline health workers, and Comments death compensation for the health workers' family, during the national emergency response IN00880848 ►Number of beds temporarily converted for patient isolation and/or low intensity medical care (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 6,011.00 1,500.00 Date 01-Apr-2020 -- 08-Jun-2020 31-Oct-2021 8/23/2020 Page 10 of 17 The World Bank Implementation Status & Results Report Indonesia: Emergency Response to COVID19 (P173843) Temporary isolation and treatment for those confirmed cases with mild and moderate symptoms is an Comments important part of the disease containment strategy IN00880851 ►Number of COVID-19 cases successfully treated, disaggregated by sex (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 89,618.00 25,000.00 Date 01-Apr-2020 -- 14-Aug-2020 31-Oct-2021 Monitoring the quality of health services especially for critical care, while at the same time ensuring equal Comments access to care IN00880853 ►Infection prevention and clinical management protocols developed and disseminated to all non-referral facilities (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- Yes Yes Date 01-Apr-2020 -- 13-Jul-2020 31-Oct-2021 The availability of protocol for COVID-19 treatment and care is critical not only to ensure the quality of Comments services provided, but also is fundamental for planning and budgeting Strengthen public health laboratory and surveillance systems IN00880846 ►Cumulative number of COVID-19 suspect cases tested by PCR or rapid molecular testing, disaggregated by sex (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10,000.00 -- 1,039,682.00 300,000.00 Date 01-Apr-2020 -- 14-Aug-2020 31-Oct-2021 Monitor the progress of the country's testing capacity; to measure the country's capacity for confirmatory Comments testing IN00880849 ►A surveillance mechanism for community-based reporting of outbreaks and new illnesses among humans and animals is functional (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 01-Apr-2020 -- 30-Jul-2020 31-Oct-2021 Improved coordination across sector for pandemic preparedness as a part of the updated national pandemic Comments preparedness plan Enable communication and coordination for emergency response IN00880847 ►MOH supports the creation of a multi-sectoral coordination mechanism for COVID-19 response (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- Yes Yes Date 01-Mar-2020 -- 13-Mar-2020 31-Oct-2021 8/23/2020 Page 11 of 17 The World Bank Implementation Status & Results Report Indonesia: Emergency Response to COVID19 (P173843) The GoI has been using a multi sectoral approach in its COVID-19 pandemic national response. The health Comments sector plays is siginificant and active roles in the national task force (Gugus Tugas) for COVID-19 response IN00880850 ►Cumulative number of website visitors to the COVID-19 communication portal set up by the Government of Indonesia (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5,000.00 -- 311,747.00 100,000.00 Date 01-Apr-2020 -- 14-Aug-2020 31-Oct-2021 Comments Improved access to reliable information IN00880852 ►Number of times MOH counters COVID-19 related misinformation and posts on its website (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 25.00 -- 375.00 200.00 Date 01-Apr-2020 -- 14-Aug-2020 31-Oct-2021 Comments Countering misinformation is an important part of the public risk communication IN00880854 ►Number of simulation exercises undertaken as per updated national pandemic preparedness plan (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 3.00 Date 01-Apr-2020 -- 01-Apr-2020 31-Oct-2021 Simulation exercisesn aims to test and validate the existing government's system to respond to the threats Comments of pandemic Disbursement Linked Indicators DLI_IND_TABLE ►DLI 1 Specific additional measures to support and compensate health professionals for added COVID-19 related workload and risk are implemented (Process, 50,000,000.00, 0%) May 2020 to Baseline Actual (Previous) Actual (Current) October 2021 Value No -- Yes -- Date -- -- 30-Jul-2020 -- MoH has issued guidelines to provide incentives for health workers through Decree of the Minister of Health (KMK). Incentives have been transferred. The decree is Number HK.01.07/MENKES/392/2020 on Providing Incentives and Death Benefits for Frontline Comments Health Workers on COVID-19 Response, accessible through https://setkab.go.id/pemerintah-sederhanakan- prosedur-pemberian-insentif-dan-santunan-tenaga-kesehatan-covid-19/. Verification of DLIs is in process ►DLI 2 MOH works closely in coordination with the country's multi-sectoral National Task Force to Accelerate the Response to the COVID- 19 Emergency (Process, 10,000,000.00, 0%) May 2020 to Baseline Actual (Previous) Actual (Current) October 2021 8/23/2020 Page 12 of 17 The World Bank Implementation Status & Results Report Indonesia: Emergency Response to COVID19 (P173843) Value No -- Yes -- Date -- -- 13-Mar-2020 -- The Government of Indonesia has set up a national taskforce to accelerate its response to COVID-19 through Presidential Decree No. 9 Year 2020 on Amendment to Presidential Decree No. 7 Year 2020 on 'COVID-19 Handling Acceleration Taskforce'. The document has been released and is accessible through the following link: https://covid19.go.id/p/regulasi/keppres-nomor-9-tahun-2020-tentang-perubahan-atas-keppres-nomor-7-tahun- 2020. Comments The division of tasks in the taskforce is explained in Decree of the Taskforce Leader No. 17.A on Description, Organizational Structure, Secretariat and Work Procedure of the COVID-19 Handling Acceleration Taskforce, accessible through https://loker.bnpb.go.id/apps/onlyoffice/s/GugusTugasCovid19?fileId=65472. The Health Crisis Center has prepared an Operational Health Plan in Response to the COVID-19 Pandemic across Indonesia and published on the following link http://www.pusatkrisis.kemkes.go.id/rencana-operasi- bidang-kesehatan-penanganan-pandemi-corona-virus-diseases-covid-19-i . Verification of DLIs is in process ►DLI 3 Increased capacity for patient isolation and medical care (Output, 7,500,000.00, 0%) May 2020 to Baseline Actual (Previous) Actual (Current) October 2021 The GoI has established COVID-19 Emergency Hospitals (RSDC) at Kemayoran Jakarta Athletes’ Homestead (Wisma Atlet) by making some modifications, Value None -- -- improvements and adaptations to closely resemble the standards of health facilities so that they may serve as both medical facilities and special isolation houses Date -- -- 30-Jul-2020 -- The Wisma Atlet emergency health services are provided in a synergic and well coordinated manner by medical and non-medical workers coming from Ministries/Agencies, the Armed Forces (TNI), the Police and volunteers under the command of the COVID-19 Handling Acceleration Taskforce while assistance of medical supplies/devices is coordinated by the SOE Ministry. MoH takes the positions of Medical Service Coordinator Comments and Vice Coordinator. According to letter of the Wisma Atlet Kemayoran RSDC Coordinator number B/1555/VI/2020/RSDCWA dated 9 June 2020 on Available Inpatient Rooms, as of 8 June 2020, there were overall 2,391 inpatient rooms with 6,011 beds across Towers 4, 6 and 7 IN00880858 DLI 3.1 Increased capacity for patient isolation and medical care (Output, 7,500,000.00, 0%) Unit of Measure: Text Indicator Type: May 2020 to Baseline Actual (Previous) Actual (Current) October 2021 The GoI has published the guidelines for reimbursing Value None -- -- claims from hospitals treating COVID-19 cases 8/23/2020 Page 13 of 17 The World Bank Implementation Status & Results Report Indonesia: Emergency Response to COVID19 (P173843) Date -- -- 30-Jun-2020 -- https://infeksiemerging.kemkes.go.id/downloads/?dl_cat=3. Further, the Minister of Health issued Circular Letter Number HK.02.01/MENKES/295/2020 on Claiming Reimbursement of Medical Expenses for Patients with Specific Emerging Infectious Diseases in Hospitals Providing COVID-19 Services to provide a guarantee for COVID-19 services provided by COVID-19 Hospitals on April 24, 2020. Comments To accelerate the process of reimbursements of medical expenses for patients with specific emerging infectious diseases and ensure sustainable health services at hospitals providing COVID-19 services, technical guidelines are needed as contained in KMK No. HK.01.07/MENKES/446/2020 on Technical Guidelines to Claim Reimbursements of Medical Expenses for Patients with Specific Emerging Infectious Diseases in Hospitals Providing COVID-19 Services. The KMK was enacted on July 22, 2020. ►DLI 4 Health facilities’ readiness for emergency response (Output, 75,000,000.00, 0%) May 2020 to Baseline Actual (Previous) Actual (Current) October 2021 At least 3000 high care beds in existing medical facilities are equipped to manage severe respiratory Value None -- In progress illnesses pursuant to the National Protocol (of which at least 50% are equipped with ventilators) Date -- -- 14-Aug-2020 -- Comments ►DLI 5 Strengthen the implementation of optimal infection control measures in healthcare settings (Output, 20,000,000.00, 0%) May 2020 to Baseline Actual (Previous) Actual (Current) October 2021 At least 1,000,000 sets of Personal Protective Value None -- Not yet due Equipment (PPE) have been procured and received by the Borrower. Date -- -- 30-Jul-2020 -- Comments IN00880861 DLI 5.1 Strengthen the implementation of optimal infection control measures in healthcare settings (Output, 10,000,000.00, 0%) Unit of Measure: Text Indicator Type: 8/23/2020 Page 14 of 17 The World Bank Implementation Status & Results Report Indonesia: Emergency Response to COVID19 (P173843) May 2020 to Baseline Actual (Previous) Actual (Current) October 2021 As of January 1, 2021, at least 100,000 sets of Personal Protective Value None -- Not yet due Equipment (PPE) are available as reserves for future emergency needs. Date -- -- 30-Jul-2020 -- Comments ►DLI 6 Protocols for infection prevention and clinical management of patients with respiratory symptoms (Output, 10,000,000.00, 0%) May 2020 to Baseline Actual (Previous) Actual (Current) October 2021 MOH has developed protocols for infection prevention and clinical management of Value None -- Not yet due patients with respiratory symptoms and disseminated them to all Non-Referral Facilities Date -- -- 30-Jul-2020 -- Comments ►DLI 7 Installed capacity of quality-assured COVID-19 confirmatory tests per day (Output, 6,000,000.00, 0%) May 2020 to Baseline Actual (Previous) Actual (Current) October 2021 The Borrower has established and maintained an external quality assurance system for the entire installed capacity of COVID-19 Value None -- In progress confirmatory Polymerase Chain Reaction (PCR) tests – including MOH and non-MOH hospitals authorized to carry out COVID- 19 testing. Date -- -- 30-Jul-2020 -- 8/23/2020 Page 15 of 17 The World Bank Implementation Status & Results Report Indonesia: Emergency Response to COVID19 (P173843) Comments IN00880864 DLI 7.1 Installed capacity of quality-assured COVID-19 confirmatory tests per day (Output, 14,000,000.00, 0%) Unit of Measure: Text Indicator Type: May 2020 to Baseline Actual (Previous) Actual (Current) October 2021 The Borrower has made at least 350 quality-assured rapid molecular testing Value None -- In progress machines regularly functional for undertaking COVID- 19 confirmatory tests. Date -- -- 30-Jul-2020 -- Comments ►DLI 8 Updated National Pandemic Preparedness Plan and regular simulation exercises (Intermediate Outcome, 20,000,000.00, 0%) May 2020 to Baseline Actual (Previous) Actual (Current) October 2021 DLR #8.1: On or after January 1, 2021, the Borrower has: (a) Updated its National Pandemic Preparedness Plan to cover any potential pandemic Value None -- Not yet due threats, as per the Verification Protocol; and (b) rolled out and conducts regular emergency simulation exercises based on the updated Plan. Date -- -- 30-Jul-2020 -- Comments ►DLI 9 Communications strategy on COVID-19 based on experience and lessons-learned (Process, 10,000,000.00, 0%) May 2020 to Baseline Actual (Previous) Actual (Current) October 2021 Value None -- Not yet due On or after January 1, 2021, the Borrower has developed and 8/23/2020 Page 16 of 17 The World Bank Implementation Status & Results Report Indonesia: Emergency Response to COVID19 (P173843) rolled out a communications strategy on COVID- 19, based upon its experience and lessons-learned. Date -- -- 30-Jul-2020 -- Comments ►DLI 10 Strengthened surveillance system in place, incorporating lessons from COVID-19 experience (Intermediate Outcome, 10,000,000.00, 0%) May 2020 to Baseline Actual (Previous) Actual (Current) October 2021 MOH has developed an improved event- and/or tracker-based health surveillance Value None -- Not yet due system, based upon its experience and lessons-learned on COVID-19. Date -- -- 30-Jul-2020 -- Comments 8/23/2020 Page 17 of 17