The World Bank Implementation Status & Results Report Albania Emergency COVID-19 Response Project (P174101) Albania Emergency COVID-19 Response Project (P174101) EUROPE AND CENTRAL ASIA | Albania | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2021 | Seq No: 1 | ARCHIVED on 23-Dec-2020 | ISR45094 | Implementing Agencies: Ministry of Finance and Economy, Ministry of Health and Social Protection Key Dates Key Project Dates Bank Approval Date: 30-Jul-2020 Effectiveness Date: -- Planned Mid Term Review Date: -- 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 objectives of the Project are to prevent, detect, and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness in the Republic of Albania. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Supporting the health sector’s COVID-19 response in the immediate and mid-term:(Cost $16.25 M) Project management:(Cost $0.55 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO -- Satisfactory Overall Implementation Progress (IP) -- Moderately Satisfactory Overall Risk Rating -- Moderate Implementation Status and Key Decisions The Project has been signed on October 15, 2020 and has been ratified by the Parliament on December 3rd. Currently, following the approval by the President, the Project is published in the official gazette on December 21, 2020, expected to be declared effective on January 5, 2021. In parallel the Government has made progress to prepare for implementation as soon as the Project becomes effective. MPA Program Development Objective MPA PDO Table 12/23/2020 Page 1 of 5 The World Bank Implementation Status & Results Report Albania Emergency COVID-19 Response Project (P174101) 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 Sustained efforts continue to be made to advance the implementation of the MPA-funded projects. As of December 14, 2020, 83 MPA-projects have been approved providing a total commitment of US$4.14 billion. In addition, 12 PEF funded projects have been approved to complement the COVID response. Disbursements have continued to increase at a rapid pace. Twenty four (24) country projects or 29% of projects approved have reached 70-100% disbursements. The projects benefit around 3.7 billion people or 50% of the global population. Of the 83 approved projects: (i) 32 are in Africa – 11 in AFE and 21 in AFW; (ii) 11 in East Asia; (iii) 12 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 (70) projects are disbursing. Total disbursements as of December 14, 2020 under these projects amount to US$1.76 billion or 43% of overall commitments (a 7% increase in the past month). In addition, $465 million have been committed under signed contracts with UNICEF and Bank Facilitated Procurement (BFP), bringing to 53% actual disbursements and committed amounts. Streamlined procedures, 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. This creates connectivity challenges. 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 nine months 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 Moderate -- Moderate Macroeconomic Moderate -- Moderate Sector Strategies and Policies Moderate -- Moderate Technical Design of Project or Program Moderate -- Moderate Institutional Capacity for Implementation and Moderate -- Moderate Sustainability Fiduciary Moderate -- Moderate Environment and Social Moderate -- Moderate Stakeholders Moderate -- Moderate Other Moderate -- Moderate Overall Moderate -- Moderate Results PDO Indicators by Objectives / Outcomes 12/23/2020 Page 2 of 5 The World Bank Implementation Status & Results Report Albania Emergency COVID-19 Response Project (P174101) Health care delivery and health system strengthening IN00940676 ►Number of designated laboratories with diagnostic equipment, test kits, and reagents, as per MoHSP guidelines (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 5.00 Date 12-May-2020 -- 17-Dec-2020 30-Jun-2022 IN00940677 ►Percentage of COVID-19 cases that are health care workers (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 3.50 -- 3.50 2.00 Date 12-May-2020 -- 17-Dec-2020 30-Jun-2022 Intermediate Results Indicators by Components Health care delivery and health system strengthening IN00940686 ►Upgraded infrastructure of the Infectious Disease Clinic in Mother Teresa Hospital completed (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 12-May-2020 -- 17-Dec-2020 30-Jun-2022 IN00940687 ►Number of volunteer healthcare staff covered with salaries for at least 3 months (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 300.00 Date 12-May-2020 -- 17-Dec-2020 30-Jun-2022 IN00940688 ►Number of medical ambulances provided to Tirana tertiary hospital, regional hospitals and IPH (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 32.00 Date 12-May-2020 -- 17-Dec-2020 30-Jun-2022 IN00940689 12/23/2020 Page 3 of 5 The World Bank Implementation Status & Results Report Albania Emergency COVID-19 Response Project (P174101) ►Establishment of an information system among key laboratories and training of lab specialists (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 7 (IPH, Tirana University, Shefqet Value 0.00 -- 0.00 Ndroqi, and 4 regional hospitals) / 80 laboratory specialists Date 12-May-2020 -- 17-Dec-2020 30-Jun-2022 IN00940690 ►Number of medical staff in public health laboratories, trained to undertake field epidemiology (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 100.00 Date 12-May-2020 -- 17-Dec-2020 30-Jun-2022 IN00940664 ►Number of ICU beds supplied for the Infectious Disease Hospital (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 18.00 -- 18.00 58.00 Date 12-May-2020 -- 17-Dec-2020 30-Jun-2022 IN00940665 ►Number of green zones, in a given month, in which the number of new cases on any day exceeds 12 (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target tbd pending project tbd pending project Value -- 0.00 effectiveness effectiveness Date 12-May-2020 -- 17-Dec-2020 30-Jun-2022 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed Not P174101 IBRD-91600 USD 16.80 16.80 0.00 0.00 16.80 0% Effective Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date 12/23/2020 Page 4 of 5 The World Bank Implementation Status & Results Report Albania Emergency COVID-19 Response Project (P174101) Not P174101 IBRD-91600 30-Jul-2020 15-Oct-2020 -- 30-Jun-2022 30-Jun-2022 Effective Cumulative Disbursements 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. 12/23/2020 Page 5 of 5