78090   QUARTERLY REPORT TO THE ADVISORY BOARD  For the Period July 1st through September 30th, 2011    1. Summary  2. Donor Contributions  3. Grant Approvals and Pipeline  4. Grant Disbursements  5. Implementation  a. Implementation Highlights since March 2011   b. Rating and Risk Changes  c. Closed Projects  6. Challenges  7. Patterns of Achievement      ANNEX 1 – Donor Contributions  ANNEX 2 – Grant Approvals   ANNEX 3 – Grant Disbursements (for Active and Closed Grants)  ANNEX 4 – Regional Grant Disbursements Charts  ANNEX 5 – Regional Funding Requirements          ANNEX 6 – Implementation Details for Active Projects  1    Quarterly Report to the Advisory Board (AHIF) For the Period July 1st through September 30th, 2011 1. Summary During the quarter ending on September 30, 2011: ï‚· No new grants were approved, and no new grants were submitted for approval. ï‚· Regional grant for South Asia which had been approved on December 9, 2010, still awaits signature. ï‚· Second grant for Vietnam ($13 million) which had been approved on May 31, 2011 was signed in October 2011. ï‚· Four grants were closed; Mexico, Myanmar, Regional ECA, and Syria. ï‚· Six grants were extended; Honduras, Lao PDR 1, Morocco, Regional – Middle East and North Africa (MNA), Tunisia, and Vietnam. ï‚· Four new grants were reported to be in the pipeline; China ($1.5 million), Mongolia ($3.5 million), Sri Lanka ($5 million), and Regional – Europe and Central Asia (ECA) ($1.8 million). ï‚· Total disbursements reached $66 million (67 percent of signed grants), from $63 million at the end of June 2011. ï‚· Completion reports are under preparation for twelve grants, including the four grants closed during this quarter and eight grants closed between April 1 and June 30, 2011 (Bangladesh, Colombia, Dominican Republic, Egypt, Lao PDR 2, Uganda, West Bank Gaza, and Yemen). 2. Donor Contributions Donor pledges and contributions remained unchanged from the previous Report. Donor contributions received to date are $110.6 million. Annex 1 shows the status of donor pledges and contributions. 3. Grant approvals and pipeline The tables in Annex 2 present the status of all approved grants, as well as the reflows realized to date from closed grants. Amount of funding available under the AHIF were $120.7 million (net of 5 percent administration fee) of which $105.1 million have been received (net of 5 percent administration fee). The cumulative value of approvals to date equals $115.4 million, while the cumulative reflows from closed grants total $16.2 million; leaving $21.5 million still available for new grants. In total, 39 out of the 53 signed grants have closed. Of these, 12 have closed after March 31, 2011 (results of closed grants before this date are reported in detail through the quarterly report covering January – March 2011). Four grants closed in the quarter. The grants for Mexico, Myanmar, and Regional ECA closed on September 30, 2011; the grant for Syria closed on August 31, 2010. The total approved amount for these grants was $7.7 million, and the total disbursement amount was $4.1 million. 2    Eight grants closed in the previous quarter. All (Bangladesh, Colombia, Dominican Republic, Egypt, Lao PDR 2, Uganda, West Bank Gaza, and Yemen) closed on June 30, 2011. The total approved amount for these grants was $19.5 million, and the total disbursement amount was $12.9 million. As of this quarter there are fourteen active grants for which implementation is ongoing. Out of these active grants ten are scheduled to close in the next quarter; extensions are possible for all but three of them. ï‚· Belize (scheduled to close on October 31, 2011, extension is not possible); ï‚· Cambodia (scheduled to close on December 31, 2011); ï‚· China 2 (scheduled to close on November 30, 2011); ï‚· Global 2 (scheduled to close on December 31, 2011); ï‚· Honduras (scheduled to close on October 30, 2011, extension is not possible); ï‚· Lao PDR 3 (scheduled to close on December 31, 2011); ï‚· Mongolia (scheduled to close on November 30, 2011); ï‚· Nicaragua (scheduled to close on October 31, 2011, extension is not possible); ï‚· Regional - South Asia Region (SAR) (scheduled to close on December 31, 2011); and ï‚· Vietnam 1 (scheduled to close on December 31, 2011). No new grants were approved in the quarter. Two grants that have been approved previously are still pending signature. The first one, for Regional SAR, has been approved on December 9, 2010 with a total of $3.9 million, the second one, for Vietnam, has been approved on May 31, 2011 with a total of $13 million. The signatures for these grants are expected to be finalized in the next quarter. Two new grants (for China and Mongolia) in the East Asia/Pacific region, one (for Sri Lanka) in the South Asia region, and one (for Regional ECA) in the Europe and Central Asia region are being prepared for submission. The largest is a second phase grant of $5 million for Sri Lanka. The other two grants in East Asia/Pacific will be a third-phase grant of $1.5 million in China, and a second-phase grant of $3.5 million in Mongolia. The grant in Europe and Central Asia Region will be a regional grant for epidemiology training of $1.8 million. A detailed grant pipeline is presented in Annex 5. 4. Grant Disbursements The cumulative disbursement percentage reached 67 percent of cumulative signed grant amount on September 30, 2011, $65.9 million out of $98.5 million. At the end of June 30, 2011, according to the last quarterly report, the cumulative percentage was 64 percent, and disbursements were $63 million. Four of the fourteen signed grants that are currently under implementation - Lao PDR 3, Morocco, Nicaragua, and regional grant in the Middle East & North Africa - have disbursement rates under fifty percent. The Morocco grant was signed on October 2010, but is yet to make any disbursement.. This is an indication that the portfolio in the Middle East and North Africa (MNA) Region continues to experience implementation delays, resulting in low disbursement rates, due to on-going political crisis in the region. 3    However, the Morocco grant is now expected to start disbursements and achieve its development objectives. Table 2 below shows net disbursements by region in each of the last four quarters, April 1, 2009 through March 31, 2011. Total net disbursements for the Facility between July 1 and September 30, 2011, were $1.8 million. This is the sum of gross disbursements, $2.9 million, less the total of adjustments made to closed grant accounts through reflows ($1.2 million in total; from grants to Djibouti, Sri Lanka, and Lao PDR). Highest disbursement in the quarter was recorded for Regional ECA grant with $1.4 million. Colombia grant returned $0.2 million that was recorded as disbursed in the previous quarter and has been closed with zero disbursement. Table 2 - Quarterly Disbursements by Region (excluding global grants) (US$000) Net Amount Disbursed During the Quarter 2010: 4th Qtr. 2011 1st Qtr. 2011: 2nd Qtr. 2011 3rd Qtr. October 1 to January 1 to April 1 to July 1 to Region December 31 March 31 June 30 September 30 Africa 1,019 0 0 0 East Asia/ Pacific 3,700 2,316 1,899 1,315 Europe/ Central Asia 94 76 821 1,403 Latin America/ Caribbean 86 196 766 124 Middle East/ North Africa 13 469 357 0 South Asia 2,553 313 572 104 TOTAL (net disbursed) 7,465 3,369 3,721 1,758 Reflows (Closed Grants) 181 108 702 1,188 TOTAL (gross disbursed) 7,645 3,477 4,423 2,946 4    Table 3 shows cumulative disbursements by region for the end of the last quarter of each year from 2007 through 2010. Current level of 2011 is reflected for the end of third quarter. Table 3 - Cumulative Disbursements by Region (excluding global grants) ($000) As of December 31 of each year As of Sep 30 Region 2007 2008 2009 2010 2011 Africa 539 1,389 2,818 5,131 5,131 East Asia/ Pacific 1,252 4,901 10,622 21,920 27,450 Europe/ Central Asia 642 3,833 11,024 11,746 14,047 Latin America/ Caribbean 0 179 603 992 2,078 Middle East/ North Africa 3,120 5,109 8,101 8,828 9,654 South Asia 500 2,260 3,106 6,576 7,564 TOTAL 6,053 17,671 36,274 55,193 65,923 Annex 3 provides a detailed disbursement record of signed grants. To ease the analysis of portfolio activity, Annex 3 has been split into two tables: one for currently active grants, and the second for closed grants that had lapsed their grant closing dates. 5. Implementation Out of fifty-three national and regional grants that have been signed, twenty seven closed before April 1, 2011. The remaining twenty-six grants were under implementation in eighteen countries and three regions. 5    Five country grants, and one regional grant, accounted for more than seventy-two percent of disbursements for project implementation from April through September 2011. The countries are listed in Table 4 below, along with disbursements from April through September 2011. In addition, Table 4 shows cumulative disbursements over the life of the grant, the original grant amount approved, the amount remaining to be disbursed, and the percentage of the remaining amount to the approved amount. Table 4 - Countries Receiving Largest Disbursements for Implementation April 2011 through September 2011 Disbursed Disbursed Cumulative Remaining April-June July-Sept Disbursement Originally Disbursement Remaining / 2011 2011 to Sept 2011 Approved Sept 2011 Approved ($000) ($000) ($000) ($000) ($000) Percent Regional ECA 760 1,403 2,163 3,000 837 28 Vietnam 827 472 9,751 10,000 249 2.5 China 334 240 2,752 3,500 748 21 Myanmar 67 371 1,685 1,685 0 0 Sri Lanka 420 0 1,363 1,433 70 5 Mongolia 277 117 4,002 4,656 654 14 TOTAL 2,685 2,603 21,716 24,274 2,558 11 (10 countries) Implementation Highlights since March 2011 Several projects made strong implementation gains since March 2011; Annex 6 gives accounts of recent progress for active projects individually. This section provides illustrations of achievements in three projects with highest disbursements in the last two quarters. Regional ECA: The project carried out gap analysis in animal and human health sectors as well as an analysis of economic burden of selected zoonoses in each country - one of the first analyses of such kind. Systemic analysis of gaps in veterinary and health sectors with direct participation of key government agencies have increased ownership and understanding both at the country level and at the regional level. Peer to peer learning through high quality technical assistance has contributed significantly to build capacity of local institutions to control zoonoses. Vietnam: The project has helped build capacity at all levels of the veterinary network and the human health sector to prevent, detect, and respond to AHI outbreaks. Coordination between the animal and human health sectors at both the central and local levels has been substantially improved through joint simulation exercises and several other operational mechanisms. Upgrade of the live bird market in Hanoi has been completed and it is being regularly tested. The project reduced the turnaround time for laboratory confirmations, from 5.2 days to 3.0 days for animal health tests, and to 4.8 days for human health tests. 6    Additional financing of about $25 million (including $13 million from AHIF) has been approved and it will further consolidate the achievements of the project for the long term. China: The project performed careful, thorough work on operational research studies and informed policy in the areas such as; Standards and strategy for Avian Influenza Free compartmentalization, Introduction of advanced techniques such as social networking to be used as part of High Pathogenic Avian Influenza (HPAI) surveillance strategy, Risk Communication Plan and spokesperson training, and Lab capacity investigation. In addition, Rapid Response Toolkits have been distributed to project provinces and have been put into use. Field epidemiology training has been completed for animal and human health sectors in two provinces. The last cohort of trainees has been dispatched to field to practice what they have learned. Rating and Risk Changes Three active projects changed the ratings of their implementation progress or their estimate of project activity risk compared to the ratings of six months earlier. Two projects reported these ratings for the first time: ï‚· China’s progress with regard to achieving grant objectives has been changed from Highly Satisfactory to Satisfactory. The change of the rating was due to the fact that project achieved its objectives but it did not exceed the expectations that were greater than originally thought. ï‚· Morocco’s implementation progress has been marked as Satisfactory for the first progress report. Activity risk rated as Negligible or Low Risk. ï‚· Regional MNA (support for the Middle East Consortium on Infectious Disease Surveillance - MECIDS) implementation progress has been marked as Satisfactory for the first progress report. Activity risk rated as Negligible or Low Risk. ï‚· Tunisia’s implementation progress has been improved from Unsatisfactory to Moderately Satisfactory. The recruitment of a project manager has accelerated the implementation of some important activities, and reduced delays. The activity risk has been increased from Negligible or Low Risk to Modest Risk because of the political unrest and the ousting of the previous Government. The country is currently in a transitional period and the commitment of the new administration towards the project remains to be clarified. ï‚· Vietnam’s activity risk improved from Substantial Risk to Modest Risk as coordination between human health and animal health sectors improved significantly. Closed Projects The closed grants with results covered in respective quarterly reports are listed in Table 5. This report (July through September 2011) will focus on the closed grants that had not been reported in previous quarterly reports. 7    Table 5 – List of Closed Grants with Results Reported in Previous Quarterly Reports Since Inception through March 2011 Quarterly Report Period Closed Grants for Which Results Were Reported July through September 2011 Bangladesh, Colombia, Dominican Republic, Egypt, Lao PDR 2, Mexico, Myanmar, Regional ECA, Syria, Uganda, West Bank Gaza, and Yemen January through March 2011 Bhutan, Cameroon, Kyrgyz Republic, Sri Lanka, Turkmenistan July through September 2010 Afghanistan, Armenia, Malawi, Mercusor, China 1 January through March 2010 Congo, Djibouti, Georgia, Indonesia, Moldova, Tajikistan, Uzbekistan, Regional MNA July through September 2009 Global January through March 2009 Zambia, Yemen 1, Sierra Leone, Mozambique July through September 2008 Liberia, Mauritania, Uganda 1 As mentioned earlier, eight grants had been closed between April 1 and June 30, 2011 (Bangladesh, Colombia, Dominican Republic, Egypt, Lao PDR 2, Uganda, West Bank Gaza, and Yemen), and four grants had been closed between July 1 and September 30, 2011 (Mexico, Myanmar, Regional ECA, and Syria). Selected accomplishments over the lifetime of these closed grants appear below. Bangladesh: The project strengthened epidemiology surveillance and diagnostic capacity of Bangladesh. Department of Livestock Services has been equipped with information system for rapid detection and response of new outbreaks, strengthened capacity is evidenced during the outbreaks in January - March 2011. Diagnostic capacity has been strengthened through renovation of Bangladesh Livestock Research Institute Laboratory, the National Reference Laboratory for HPAI, and seven Field Disease Investigation Laboratories. Training has been provided to 41,000 stakeholders including poultry farmers, transporters, vendors, handlers, consumers, NGOs, government agencies, border personnel, and media. Public awareness on avian influenza has been improved considerably as reported in surveys conducted in 2007 and 2010. Colombia: Due to procedural delays within the government of Colombia for processing grants, the project was not executed and the grant has been cancelled before activities begun. 8    Dominican Republic: The project has trained personnel and provided key equipment to undertake surveillance, control and response activities in case of an outbreak. This capacity building was confirmed through simulation of an AHI outbreak with satisfactory results.  Manual of norms and procedures for surveillance and response to AHI at the borders and shores has been distributed. A communications plan for sanitary crisis in the country has been established. The Central Laboratory has been equipped to be able to diagnose threats locally. An official register of poultry producer established and majority of producers have been registered. 17 private veterinaries incorporated into the accreditation system. An inter- institutional technical and scientific advisory committee is created to provide analysis, monitoring and recommendations on progress of the program. Haiti and the Dominican Republic have signed an agreement on AHI and organize joint regular meetings on AHI. Egypt: Some project activities were completed. However, due to political instability and changing objectives and priorities during a tumultuous time, several planned activities could not be achieved and the project closed with an undisbursed balance of 46 percent. As part of the project, 500 staff in 15 governorates has been trained as field teams and adequate equipment and transport for field monitoring and surveillance has been provided to them. Information flow among relevant agencies has been improved. Routine serological surveys and epidemiological surveillance have been conducted on migratory bird habitats and backyard levels. Lao PDR 2: The grant successfully supported Government's National Avian Influenza Control and Pandemic Preparedness Plan. The umbrella project had five components; i) Animal Health, ii) Human Health: Surveillance and Response, iii) Human Health: Curative Services, iv) Information, Education and Communication, v) Project Coordination, Project management, and Regulatory Framework. Majority of the implementation progress indicators have been either met or exceeded. Selected results from the project are as follows; 100 percent of diagnostic tests and samples have been reaching the laboratory within 48 hours. Approximately 90 percent of the provinces send weekly surveillance reports; 100 percent of the targeted influenza specimens are tested, and 100 percent of Avian Influenza specimens have been tested within 24 hours; 100 percent of the provinces have a multi-sectoral Avian Influenza team, and an avian influenza and pandemic preparedness plan. Mexico: Some of the planned grant activities are completed. However, due to time constraints General Directorate for Health Promotion (GDHP) was not able to fully execute grant resources before grant closing date. Activities amounting 56 percent of grant resources have been committed and only 9 percent have been disbursed as of September 1, 2011. Grant activities that cannot be financed by the grant are expected to be financed with GDHP resources. Selected results are as follows: 3.3 million vulnerable people have been reached by communication campaigns in 6 federal entities. A website containing updated information on A/H1N1 virus has been established. 64 health promotion staff of the 32 federal entities have been trained in the operation of the Collaborative Communication Network for data recording of the General Directorate for Health Promotion (GDHP) priority programs, including influenza, obesity and dengue. 9 of the federal entities with the highest number of indigenous population have established multidisciplinary teams to provide technical assistance on risk communication strategies in their areas of Health Promotion. 9    Myanmar: The project was implemented successfully and has achieved its targets. The overall understanding of the epidemiology of HPAI in Myanmar is a key result of this project. This has been achieved through three major field activities: i) the implementation of a national survey on HPAI in ducks; ii) the implementation of a national surveillance program involving nearly 1,000 community animal health workers; and iii) improved investigations of HPAI outbreaks in chickens. The project also greatly improved understanding of the structure of the poultry and pig industries and disease risks. This has been achieved through the establishment of a national database of commercial poultry and pig farms (pigs were included due to the emergence of H1N1), and a series of risk assessment studies based on an innovative methodology developed under the project. Furthermore, the project helped keep HPAI outbreaks limited due to effective control measures, and as a result there is no need for further poultry vaccination. Regional ECA: The project was implemented successfully and has achieved its targets despite the very short period of time it had for implementation. The development objective of the grant was to assist Tajikistan, Uzbekistan, Kyrgyz Republic and Kazakhstan to manage infectious disease risks, focusing at the human-animal-environmental interface. The results include: gap analysis in animal health sector; gap analysis in the human public health sector; analysis of economic burden of selected zoonoses in each country - one of the first analyses of such kind; regional action plan for control of zoonoses and food safety. Project provided Technical Assistance to help produce both national plans and regional plans. There is ongoing debate on the potential sources of funding for the implementation of these plans. Systemic analyses of gaps in veterinary sector and health sector with direct participation of key government agencies have increased ownership and understanding both at the local/country level and at the regional level. Peer- to-peer learning (through high quality technical assistance working on specific products directly with key counterparts) has contributed enormously to build capacity of local institutions to control zoonoses. Syria: The project suffered from the political instability in Syria, so the objectives could not be reached. Despite the limited disbursements, the following results were obtained; environmental management plan was prepared, procurement plan was prepared, the Ministry of Health and Ministry of Agriculture were able to procure laboratory supplies to enhance their monitoring ability. Uganda: The project was implemented successfully and has achieved most of its targets. On the animal health side; 36 percent of districts reported promptly on veterinary services, 5 at risk districts established active community-based surveillance system. All commercial poultry farms have been registered and 80 percent of HPAI protocols, SOPs and case definitions have been printed and distributed. The policy on compensation for poultry destroyed during outbreak has been adopted by cabinet. On the human health side, 40 percent of districts developed preparedness and response plans for HPAI, 40 percent of districts reported data on influenza-like illnesses using weekly integrated data reporting system, 40 percent of district and regional referral hospitals incorporated bulletins, integrated data reporting and feedback reports, and 75 percent of districts employed trained District Response Teams. Overall, the capacity of the government to prevent, control, and manage disease outbreaks has been enhanced. West Bank Gaza: The project fully met its objectives and was successful in improving the existing capacity of the Ministry of Agriculture's veterinary services and the capacity of Ministry of Health's public health staff by providing them with the necessary training, equipment and materials to carry out surveillance and 10    monitoring activities. The project trained veterinarians and technical staff on disease control methodology and Standard Operating Procedures (SOPs) and provided them with necessary equipment. Two veterinary laboratories and two district veterinary offices have been upgraded and provided with diagnostics and surveillance equipment. Infection control guidelines as well as social distancing measures were established and endorsed by the Palestinian Authority. Inter-sectoral command and control system structures established and laboratory equipment such as personal protective equipments, hand sprayers, and reagents necessary to perform required tests have been delivered. 500,000 people have been reached through leaflets during public awareness campaigns and outreach. Yemen: The project suffered from the political instability in Yemen. However, despite difficulties with security, the project has made some modest gains. Purchase of all major equipment, aimed at improving diagnostic capacity, has been completed. Two technicians have been trained for diagnostic services and four new lab technicians have been hired. Nine persons (of whom five are women) have been trained by the international virologist in diagnostic methods. Two communication and advocacy training events have been completed, including a three-day course for training of trainers, where 80 people participated. Nine high-risk governorates have received communications equipment. 6. Challenges A number of projects have continued to experience implementation and disbursement delays for a variety of reasons. In Colombia, for instance, due to procedural delays for processing grants within the government, the project was not executed on time and the grant has been cancelled before activities begun. Similarly in Mexico, administrative bottlenecks slowed down implementation considerably and the project was only able to commit 56 percent of funds before the closing date. In Honduras, the implementation of the grant was hindered by various political problems, and once these were resolved, by various administrative problems. In some cases, such as in Belize, the projects have been able to adjust their priorities and output targets through timely restructuring and were able to avoid interruption of implementation. Political instability had a negative impact on implementation of grants in the Middle East and North Africa region. In Syria, implementation has been interrupted and objectives could not be reached; only 8 percent of grant funding has been disbursed as of the closing date. In Egypt, several planned activities could not be achieved and the project closed with an undisbursed balance of $3.3 million. In Yemen and Tunisia, despite initial implementation delays, the projects were able to make modest progress. In Morocco, although no disbursements have been made since the signing of the grant agreement a year ago, the implementation team is committed and hopeful that all objectives will be achieved. 7. Patterns of Achievement Across the program, majority of accomplishments were obtained through training, surveillance strengthening, laboratory upgrading, and increased public awareness. This section provides illustrations of country achievements in the context of common themes. 11    Training: Training, to increase both capacity and awareness, has been a leading activity among the AHIF funded projects. Some training has been in the form of focused instruction for small numbers of technicians and health professionals, such as; specialized training in epidemiology for veterinarians in provinces in Mongolia, Provincial Field Epidemiology Training Program (FETP) in China, surveillance training of 45 health professionals at ports of entry in Belize, and Master's degree in epidemiology for 65 veterinarians and medical doctors in South Asia Region. Some of the training has been delivered more widely to various other stakeholders such as training provided to 1,760 small poultry farmers by Vietnam Women Union. Surveillance: Surveillance work ranged from operational research, to development of protocols, to actual operational implementation. The project in China produced high quality operational research including introduction of advanced techniques such as social networking to be used as part of High Pathogenic Avian Influenza (HPAI) surveillance strategy. In Belize, protocols have been developed to strengthen the country's surveillance system particularly in border areas. In Dominican Republic, manual of norms and procedures for surveillance and response to AHI at the borders and shores have been distributed. In Mongolia, poultry surveillance has been conducted in all provinces and Early Warning Systems have been expanded and upgraded. In Nicaragua seventy percent of alternative health centers have been equipped with basic surveillance equipment. The project in Myanmar completed a national database on poultry and pig farms, with data and geographical coordinates from 6,154 commercial poultry farms, and 1,859 commercial pig farms. Laboratory Upgrading: Constructing or upgrading animal health or human health laboratories has been a significant element in many projects. In Vietnam, all nine national and regional veterinary laboratories have received investment and training and are implementing a quality management system, moving toward internationally accepted ISO/10725 standards. In Lao PDR, construction has begun on the National Animal Health Center laboratory. In Dominican Republic the Central Laboratory has been equipped to be able to diagnose avian influenza threats. In Bangladesh, Livestock Research Institute Laboratory, the National Reference Laboratory for HPAI, and seven Field Disease Investigation Laboratories have been renovated. Rapid Response: Projects continue to establish, equip, and train rapid response teams, as in Mongolia, where the project set up and trained twenty-two Rapid Response Teams. In Vietnam, each project province has established and maintained at least two rapid response teams, these teams received training and equipment to conduct simulation exercises. In China, Rapid Response Toolkits have been distributed to project provinces. In Cambodia, the rapid response capabilities as well as disaster preparedness have been strengthened. Communication and Public Awareness: In Bangladesh, training has been provided to 41,000 stakeholders including poultry farmers, transporters, vendors, handlers, consumers, NGOs, government agencies, border personnel, and media. Public awareness on avian influenza has been improved considerably as reported in surveys conducted in 2007 and 2010. In West Bank and Gaza, 500,000 people have been reached through leaflets during public awareness campaigns and outreach. In Dominican Republic, a communications plan 12    for sanitary crisis in the country has been established. In Mexico, 3.3 million vulnerable people have been reached by communication campaigns in 6 federal entities. A website containing updated information on H1N1 virus has been established. In Yemen, two communication and advocacy training events have been completed, including a three day course for training of trainers, to which 80 people participated. Nine high- risk governorates have received communications equipment. Biosecurity: Several projects incorporated implementation of a set of preventive measures designed to reduce the risk of transmission of infectious diseases. In Vietnam, Biosecurity Standards of Practice (SOPs) for commercial farms have been developed and disseminated through workshops to 58 commercial farms. Selected farms have implemented the SOPs with technical assistance from the project. 80 demonstration models on poultry biosecurity farming have been successfully implemented by the Vietnam Women Union to provide training for 1,760 small poultry farmers. In Tunisia, equipment and biosecurity products have been made available to the veterinary research institutes, the regional veterinary laboratories, and veterinary services in 24 regions. Intersectoral Coordination: Many projects reported that inter-sectoral coordination and cooperation between animal health (Ministries of Agriculture) and human health (Ministries of Health) sectors is critical for success. In Vietnam, coordination between the animal and human health sectors at both the central and local levels has been substantially improved through joint simulation exercises and several other operational mechanisms. Flexibility: Many projects have proved to be flexible in response to the changing needs of governments and were adjusted accordingly. Adjustments to projects have also been made in response to time pressures and chronic implementation delays. In Belize, the project has been restructured in response to government’s request to reallocate funds to focus most of its resources on surveillance efforts as the country's needs and existing challenges had changed from when the original proposal was developed. In Egypt, the poultry vaccination campaign was canceled due to doubts about the effectiveness of vaccination in the poultry backyard sector and the funds were reallocated towards establishment of a laboratory facility and purchase of equipment for local veterinary technicians and clinics. 13    ANNEX 1: DONOR CONTRIBUTIONS Donor contributions have remained unchanged for more than a year. Table 1 - Donor Pledges and Contribution Receipts to Date (as of September 30, 2011) Country/ Amount Received to Percent Organization Pledged Date (US$)* Received** European Commission € 70,930,000 80,731,224 83.1 United Kingdom ₤ 7,000,000 13,491,450 100.0 Australia AUD 10,500,000 8,488,250 100.0 Russian Federation USD 3,000,000 3,000,000 100.0 China USD 2,000,000 2,000,000 100.0 India USD 1,670,000 1,668,157 99.9 Korea USD 1,000,000 1,000,000 100.0 Iceland USD 200,000 200,000 100.0 Slovenia € 30,000 38,373 100.0 Estonia € 21,344 27,645 100.0 Total Contributions Received 110,645,099 87.1 *After conversion to US Dollars and before deduction of administration fee. **As computed in the pledging currencies. 14    ANNEX 2 – GRANT APPROVALS C HRO NO L O G IC A L L IS T O F FA C IL IT Y G RA NT S A P P RO V ED In US $ M illio n s , A s o f S e p 3 0 , 2 0 1 1 Eu r o p e a n C o m m is s io n Ea s t & Ea s t & C e n tr al Ea s t e r n M e d it e r r a n e a n M u lt i A HI Fa c ilit y En v e lo p e A p p r o val T OT A L S o u t h A s ia S o u t h A s ia A s ia Eu r o p e L it t o r a l Do n o r Da t e s FA C IL IT Y ( T F0 7 0 5 3 3 ) ( T F0 7 0 9 3 4 ) ( T F0 7 0 5 4 0 ) ( T F0 7 0 5 4 1 ) ( T F0 7 0 5 4 2 ) ( T F0 7 0 5 1 5 ) Ex p e c t e d Fu n d s A v a ila b le * 3 5 .7 3 1 .4 5 .9 6 .3 1 3 .0 2 8 .4 1 2 0 .7 L a o PDR - 1 8-A ug-06 ( 2 .0 ) ( 2 .0 ) Djib o u ti 7-Sep-06 ( 2 .1 ) ( 2 .1 ) G e o r g ia 18-Sep-06 ( 1 .6 ) ( 1 .6 ) W es t Bank and Gaz a 22-Sep-06 ( 3 .0 ) ( 3 .0 ) Z a mb ia 26-Sep-06 ( 1 .0 ) ( 1 .0 ) Ch in a - 1 1 8 - O c t- 0 6 ( 2 .7 ) ( 2 .7 ) L ib e r ia 2 8 - No v - 0 6 ( 0 .1 ) ( 0 .1 ) S ie r r a L e o n e 2 9 - No v - 0 6 ( 0 .1 ) ( 0 .1 ) V ie tn a m 1 5 - De c - 0 6 ( 1 0 .0 ) ( 1 0 .0 ) In d o n e s ia 1 5 - De c - 0 6 ( 1 0 .0 ) ( 1 0 .0 ) Re g io n a l - MNA 1 9 - De c - 0 6 ( 1 .0 ) ( 1 .0 ) A f g h a n is ta n 2 2 - De c - 0 6 ( 5 .0 ) ( 5 .0 ) Re g io n a l - L CR 2 2 - De c - 0 6 ( 0 .5 ) ( 0 .5 ) Ta jikis ta n 2 2 - De c - 0 6 ( 1 .5 ) ( 1 .5 ) Y e me n - 1 5 - Fe b - 0 7 ( 0 .1 ) ( 0 .1 ) A r me n ia 1 2 - Fe b - 0 7 ( 2 .0 ) ( 2 .0 ) Ma u r ita n ia 2 0 - Fe b - 0 7 ( 0 .0 ) ( 0 .0 ) Ug a n d a - 1 2 6 - Fe b - 0 7 ( 0 .1 ) ( 0 .1 ) Ca mb o d ia 5 - Ma r - 0 7 ( 2 .0 ) ( 2 .0 ) Mo ld o v a 2 6 - Ma r - 0 7 ( 1 .0 ) ( 1 .0 ) Ma la w i 16-A pr-07 ( 1 .0 ) ( 1 .0 ) Eg y p t 18-A pr-07 ( 7 .1 ) ( 7 .1 ) Uz b e kis ta n 2 - Ma y - 0 7 ( 3 .0 ) ( 3 .0 ) My a n ma r 1 6 - Ma y - 0 7 ( 1 .3 ) ( 1 .3 ) Mo z a mb iq u e 7 - Ju n - 0 7 ( 0 .1 ) ( 0 .1 ) B a n g la d e s h 1 6 - Ju l- 0 7 ( 2 .0 ) ( 2 .0 ) B h u ta n - 1 1 9 - Ju l- 0 7 ( 1 .3 ) ( 1 .3 ) L a o PDR - 2 6-A ug-07 ( 2 .4 ) ( 2 .4 ) S r i L a n ka 1 5 - O c t- 0 7 ( 1 .4 ) ( 1 .4 ) Ca me r o o n 1 8 - O c t- 0 7 ( 1 .3 ) ( 1 .3 ) Tu r kme n is ta n 1 6 - No v - 0 7 ( 1 .1 ) ( 0 .9 ) ( 2 .0 ) Co n g o 2 7 - Fe b - 0 8 ( 1 .0 ) ( 1 .0 ) Tu n is ia 9-A pr-08 ( 0 .7 ) ( 0 .7 ) K y r g y z Re p u b lic 14-A pr-08 ( 0 .4 ) ( 0 .8 ) ( 1 .2 ) Mo n g o lia 21-A pr-08 ( 4 .7 ) ( 4 .7 ) Ho n d u r a s 1 9 - Ma y - 0 8 ( 0 .3 ) ( 0 .3 ) Y e me n - 2 11-A ug-08 ( 1 .1 ) ( 1 .1 ) Do min ic a n Re p u b lic 12-A ug-08 ( 1 .0 ) ( 1 .0 ) Ug a n d a - 2 10-Sep-08 ( 2 .0 ) ( 2 .0 ) B h u ta n - 2 9 - De c - 0 8 ( 1 .2 ) ( 1 .2 ) L a o PDR- 3 1 8 - Ja n - 0 9 ( 0 .1 ) ( 0 .1 ) G lo b a l - 1 2 - Ma r - 0 9 ( 0 .1 ) ( 0 .1 ) S y r ia 2 3 - Ma r - 0 9 ( 1 .3 ) ( 1 .3 ) Me x ic o 24-A ug-09 ( 1 .7 ) ( 1 .7 ) B e liz e 9 - No v - 0 9 ( 0 .5 ) ( 0 .5 ) Mo r o c c o 1 0 - No v - 0 9 ( 0 .9 ) ( 0 .9 ) Ch in a - 2 2 2 - De c - 0 9 ( 3 .5 ) ( 3 .5 ) Re g io n a l - S A R 1 1 - Ja n - 1 0 ( 3 .8 ) ( 3 .8 ) G lo b a l - 2 2 - Ma r - 1 0 ( 0 .1 ) ( 0 .1 ) Nic a r a g u a 18-A pr-10 ( 0 .3 ) ( 0 .3 ) S u b r e g io n a l - Mid d le Ea s t 7 - O c t- 1 0 ( 0 .3 ) ( 0 .3 ) Re g io n a l - ECA 1 5 - No v - 1 0 ( 3 .0 ) ( 3 .0 ) Co lo mb ia 2 - De c - 1 0 ( 0 .9 ) ( 0 .9 ) Re g io n a l - S A R 9 - De c - 1 0 ( 3 .9 ) ( 3 .9 ) My a n ma r ( s u p p le me n ta l) 2 0 - Ma y - 1 1 ( 0 .4 ) ( 0 .4 ) V ie tn a m 3 1 - Ma y - 1 1 ( 1 3 .0 ) ( 1 3 .0 ) T o tal A p p r o ve d : ( 3 7 .6 ) ( 2 6 .4 ) ( 5 .9 ) ( 4 .6 ) ( 1 3 .0 ) ( 2 8 .0 ) ( 1 1 5 .4 ) C o n f ir m e d C lo s e d G r a n t Re f lo w s 1 2 .9 0 .5 0 .0 0 .1 2 .7 1 6 .2 P e r c e n t o f Ex p e c t e d Fu n d s 69% 82% 99% 71% 100% 89% 82% P r o je c t e d Ba la n c e A v a ila b le ** 1 1 .0 5 .5 0 .0 1 .8 ( 0 .0 ) 3 .1 2 1 .5 * Fu n d s c o n tr ib u te d o r p le d g e d , n e t o f 5 % a d min is tr a tio n f e e . **In c lu d e s r e f lo w s r e c e iv e d to d a te f r o m c lo s e d g r a n ts . 15    ANNEX 3 – GRANT DISBURSEMENTS – TABLE 1 – ACTIVE GRANTS   Active AHIF Grants (as of 9/30/2011) Signing Approved Closing Disbursed Movem ent Disbursed Project Nam es TTL Dates Am ounts Dates Jun 30 2011 since June Sep 30 2011 Belize 22-Jan-10 $501,744 31-Oct-11 Carm en Carpio $153,125 $143,358 $296,483 Cambodia** 8-May-08 $2,000,000 31-Dec-11 Mudita Cham roeun $1,078,645 $115,347 $1,193,992 China-2 25-Feb-10 $3,500,000 30-Nov-11 Shiyong Wang $2,512,568 $239,696 $2,752,264 Global-2*** N/A $90,000 31-Dec-11 Om ar Hayat $55,485 $0 $55,485 Honduras 1-Aug-08 $300,000 30-Oct-11 Marie-Helene Collion $225,000 $50,000 $275,000 Lao PDR - 1** 11-Dec-06 $2,000,000 30-Jun-12 Hope C. Phillips Volker $1,355,834 $0 $1,355,834 Lao PDR - 3*** N/A $120,000 31-Dec-11 Hope C. Phillips Volker $38,097 $0 $38,097 Mongolia 5-Jun-08 $4,656,463 30-Nov-11 Shiyong Wang $3,885,313 $117,014 $4,002,327 Morocco 6-Oct-10 $888,490 30-Jun-12 Pierre Rondot $0 $0 $0 Nicaragua 22-Jul-10 $300,000 31-Oct-11 Am paro Elena Gordillo-Tobar $104,181 $0 $104,181 Regional MNA 24-Feb-11 $310,900 30-Jun-12 Eileen Brainne Sullivan $100,000 $0 $100,000 Regional SAR 11-May-10 $3,835,629 31-Dec-11 Norm an Bentley Piccioni $2,664,195 $0 $2,664,195 Tunisia 14-Feb-09 $653,105 31-Dec-12 Maurice Saade $352,777 $0 $352,777 Vietnam 1 12-Apr-07 $10,000,000 31-Dec-11 Binh Cao $9,278,736 $472,191 $9,750,927 Total Active $29,156,331 $21,803,955 $1,137,606 $22,941,561 GRAND TOTAL $29,156,331 $21,803,955 $1,137,606 $22,941,561 *Rapid Assessm ent Grants **Co-financing Grants ***Bank-Executed   16    ANNEX 3 – GRANT DISBURSEMENTS – TABLE 2 – CLOSED GRANTS C lo s e d AHIF G r a n ts (a s o f 9 /3 0 /2 0 1 1 ) Sig n in g A p p r o ve d C lo s in g Dis b u r s e d M o ve m e n t Dis b u r s e d Re flo w at C l. Pr o je ct Nam e s TTL Dat e s A m o u n ts Dat e s Ju n 30 2011 s in ce Ju n e Se p 30 2011 Se p 30 2011 A f ghanis tan** 30- M ay-07 $5,000,000 31- M ar -10 Us m an Qam ar $395,547 $0 $395,547 $4,604,453 A r menia** 8-Ju n -07 $2,000,000 31- Ju l-10 Br ian G. Be d ar d $1,960,462 $0 $1,960,462 $39,538 Banglades h** 8- Oct -07 $2,000,000 30-Ju n -11 Ou s m an e Se ck $1,069,121 $104,033 $1,173,154 Bhutan- 1 2- Oct -07 $1,300,000 30- Ju l-10 San d r a Ro s e n h o u s e $1,300,000 $0 $1,300,000 $0 Bhutan- 2 28- M ay-09 $1,200,000 31- Jan -11 San d r a Ro s e n h o u s e $668,802 $0 $668,802 $531,198 Camer oon 26- M ar -08 $1,270,000 31-De c-10 Ou s m an e Se ck $1,183,781 $0 $1,183,781 China- 1 16-A p r -07 $2,650,000 30-Ju n -10 Sh iyo n g W an g $2,650,000 $0 $2,650,000 $0 Colombia 6- Jan -11 $890,000 30-Ju n -11 Die g o A r ias C ar b allo $178,000 - $178,000 $0 Congo 2- Ju l-08 $1,000,000 31-De c-09 M ah am at Go ad i L o u g n i $678,795 $0 $678,795 $321,205 Djibouti 21- Oct -06 $2,111,236 31- A u g -09 Je an - Ph ilip p e T r e $1,010,994 $0 $1,010,994 $1,100,242 Dominic an Republic 8-No v-08 $1,000,000 30-Ju n -11 Die g o A r ias C ar b allo $667,106 $56,159 $723,265 Egy pt 29- Oct -07 $7,141,842 30-Ju n -11 M au r ice Saad e $3,837,901 $0 $3,837,901 Georgia** 23- Jan -07 $1,600,000 31- A u g -09 Dio n a Pe t r e s cu $1,536,915 $0 $1,536,915 $63,085 Global- 1*** N/A $100,000 31-De c-09 Om ar Hayat $8,969 $0 $8,969 $91,031 Indones ia 13-Ju n -07 $10,000,000 31-De c-09 Sh o b h a Sh e t t y $1,813,685 $0 $1,813,685 $8,186,315 Ky r gy z Republic **a/ 11- Ju l-08 $1,150,000 31-De c-10 Br ian G. Be d ar d $1,057,118 $0 $1,057,118 $92,882 Lao PDR - 2** 7-De c-07 $2,400,000 30-Ju n -11 Ho p e C . Ph illip s V o lk e r $2,207,515 $0 $2,207,515 $17,529 Liberia-1* 19-De c-06 $94,300 30-Ju n -08 Yve s Jan t z e m $89,130 $0 $89,130 $5,170 Malaw i 31- Ju l-07 $1,000,000 10-Fe b -10 Sh e ila Du tt a $200,000 $0 $200,000 $800,000 Mauritania* 22- M ar -07 $29,500 30-Ju n -08 C h e r if Diallo $29,500 $0 $29,500 $0 Mex ic o 24-Fe b -10 $1,700,000 30- Se p -11 C lau d ia M acias $126,870 $52,384 $179,254 $0 Moldov a** 20-Ju n -07 $1,000,000 31- A u g -09 A n ato l Go b jila $1,000,000 $0 $1,000,000 $0 Moz ambique* 10- Se p -07 $98,850 30-Ju n -09 Dan ie l L ib o r io Da C r u z So u s a $95,341 $0 $95,341 $3,509 My anmar 7- M ar -08 $1,685,353 30- Se p -11 Paavo Elis te $1,314,453 $370,900 $1,685,353 $0 Regional ECA 9- M ar -11 $3,000,000 30- Se p -11 Ne d im Jag an jac $760,221 $1,403,048 $2,163,269 $0 Regional LCR 22-Ju n -07 $500,000 31- M ar -20 M ich ae l G. C ar r o ll $500,000 $0 $500,000 $0 Regional MNA 1- M ar -07 $976,899 31-De c-09 C o lin S. Sco t t $976,899 $0 $976,899 $0 Sierr a Leone* 20-De c-06 $94,300 31-De c-08 Yve s Jan t z e m $84,772 $0 $84,772 $9,528 Sr i Lanka 26- M ar -08 $1,433,000 31- M ar -11 No r m an Be n t le y Piccio n i $1,362,689 $0 $1,362,689 $70,311 Sy r ia 22- Oct -09 $1,316,070 30- A u g -11 M au r ice Saad e $100,000 $0 $100,000 $0 Tajikis tan** 22-Fe b -07 $1,500,000 1-De c-09 Bo b o jo n Yatim o v $1,494,131 $0 $1,494,131 $5,869 Turkmenis tan a/ 28-Fe b -08 $1,970,000 31-De c-10 T am e r Sam ah Rab ie $1,891,843 $0 $1,891,843 $78,157 Uganda- 1* 21- M ay-07 $94,300 30-Ju n -08 W ils o n On yan g Od w o n g o $93,321 $0 $93,321 $979 Uganda- 2** 10- Oct -08 $2,000,000 30-Ju n -11 W ils o n On yan g Od w o n g o $1,835,000 $0 $1,835,000 Uz bekis tan 18- M ay-07 $2,960,275 30- Se p -09 Dils h o d Kh id ir o v $2,942,854 $0 $2,942,854 $17,421 W es t Bank & Gaz a 3- Oct -06 $3,000,000 30-Ju n -11 M au r ice Saad e $3,000,000 $0 $3,000,000 Y emen- 1* 10-Fe b -07 $57,260 31- M ar -09 Pie r r e Ro n d o t $53,881 $0 $53,881 $3,379 Y emen- 2 5-No v-08 $1,080,100 30-Ju n -11 Pie r r e Ro n d o t $221,064 $0 $221,064 Z ambia 22-De c-06 $999,552 31-De c-08 A le x M w an ak as ale $841,168 $0 $841,168 $158,384 T OT A L S $69,402,837 $41,237,847 $1,808,524 $43,046,371 $16,200,187 *Rap id A s s e s s m e n t Gr an t s **C o - fin an cin g Gr an ts ***Ban k -Exe cu te d Gr an ts a/ T h e s u m o f t w o s e p ar at e ch ild acco u n ts r e p o r t e d as th e y r e fe r t o t h e s am e p r o je ct , th e lat e s t clo s in g d at e is in d icat e d   17       ANNEX 4 – REGIONAL GRANT DISBURSEMENT CHARTS         Chart  1  â€? Cumulative  Approval &  Disbursements â€? as of Sep  30, 2011 Chart  2 â€? Disbursements This Quarter â€? as of Sep 30, 2011 $60 SAR, 4% LCR, 4% s $50 n o i l l i $40 M   D S U $30 $20 EAP, 45% $10 ECA, 48% $0 AFR EAP ECA LCR MNA SAR Cumulative  Approval Cumulative  Disbursement       18    ANNEX 5 – REGIONAL FUNDING REQUIREMENTS Africa Region AHI Grant Proposal Funding Source (in US$ million) Bank  Financing PHRD AHI Facility Staff  Country Grant Name IDA  Grant  Grant  Contacts Type IBRD IDA Credit Status Date Grant Amount Amount Avian and Human Influenza  Cameroon Stand Alone 1.270 Closed  31 â€?Decâ€?10 Manievel Sene Prevention and Control Project Republic of  Avian Influenza Emergency  Legally  Mahamat Goadi  Stand Alone 1.000 1 â€?Novâ€?10 Congo Preparedness Response Closed Louani Legally  Liberiaâ€?1 Rapid Assessment Stand Alone 0.094 31 â€?Julâ€?08 Yves Jantzem Closed Avian Influenza Prevention &  Legally  Malawi Stand Alone 1.000 25â€?Mar â€?10 Sheila Dutta Control Closed Legally  Mauritania Rapid Assessment Stand Alone 0.030 16â€?Junâ€?08 Cherif Diallo Closed Legally  Mozambique Rapid Assessment Stand Alone 0.099 30â€?Novâ€?09 Daniel Sousa Closed Legally  Sierra Leone Rapid Assessment Stand Alone 0.094 29â€?Mayâ€?09 Yves Jantzem Closed Legally  Wilson Onyang  Ugandaâ€?1 Rapid Assessment Stand Alone 0.095 1 â€?Decâ€?08 Closed Odwongo Avian and Human Influenza  Wilson Onyang  Ugandaâ€?2 Coâ€?financing 10.000 2.000 Closed 30â€?Junâ€?11 Preparedness & Response Project Odwongo Avian Influenza Prevention &  Legally  Alex   Zambia Stand Alone 1.000 29â€?Sepâ€?09 Control Closed Mwanakasale Totals by Source â€?                10.000        â€? â€?         6.682 Note: "Closed" means all services / activities chargeable to Trust Fund are completed, disbursement may be ongoing at this point until the grace period is expired.              "Legally Closed" means all services / activities are completed plus all financial activities are finalized including disbursements and reflows.   19    East Asia and Pacific Region AHI  Grant Proposal Funding Source  (in US$  million) Bank  Financing PHRD AHI  Facility Staff  Country Grant Name IDA  IDA  Grant   Grant   Contacts Type IBRD Status Date Credit Grant Amount Amount Avian and Human Influenza Control &  Cambodia Cofinance 6.000 3.000 2.000 Approved 5â€?Mar â€?07 Mudita Chamroeun Preparedness Emergency Project Capacity Building for  HPAI  Prevention  Stand  Legally  Chinaâ€?1 2.650 27â€?Decâ€?10 Shiyong Wang & HI  Pandemic Preparedness Alone Closed Capacity Building for  HPAI  Prevention  Stand  Chinaâ€?2 3.500 Approved 22â€?Decâ€?09 Shiyong Wang & HI  Pandemic Preparedness Alone Avian and Human Influenza Control &  Stand  Legally  Indonesia 5.000 10.000 4â€?Augâ€?10 Shobha Shetty Preparedness Project Alone Closed 2.000 Approved 8â€?Augâ€?06 Avian and Human Influenza Control &  Lao PDR Cofinance 4.000 2.000 2.400 Closed 30â€?Junâ€?11 Hope  C. Phillips Preparedness Project 0.120 Approved 18â€?Janâ€?09 Avian Influenza Control and Human  Stand  Mongolia 4.656 Approved 21 â€?Apr â€?08 Shiyong Wang Influena Preparedness &  Response Alone Support  for  Control of Highly  Stand  Myanmar 1.685 Closed 30â€?Sepâ€?11 Paavo Eliste Pathogenic Aian Influenza Alone Second Avian and Human Influenza  Vietnam Cofinance 20.000 5.000 10.000 Approved 15â€?Decâ€?06 Binh Thang Cao Control &  Prevention Project Avian and Human Influenza Control &  Norman Bentley  Vietnam  â€?2 Cofinance 10.000 13.000 Approved 31 â€?Mayâ€?11 Preparedness Project Piccioni Avian and Human Influenza Control &  Stand  China  1.500 Pipeline Preparedness Project Alone Avian Influenza Control and Human  Stand  Mongolia 3.500 Pipeline Influena Preparedness &  Response Alone Totals by Source         â€?   20.000 20.000   15.000    57.011 Note: "Closed" means all services / activities chargeable  to Trust  Fund are  completed, disbursement  may be  ongoing at  this point  until the  grace  period is expired.              "Legally Closed" means all services / activities are  completed plus all financial activities are  finalized including disbursements and reflows. 20    Europe and Central Asia Region AHI Grant Proposal Funding Source (in US$ million) Bank Financing PHRD AHI Facility Staff  Country Grant Name IDA  IDA  Grant  Grant  Contacts Type IBRD Status Date Credit Grant Amount Amount Legally  Armenia Avian Influenza Preparedness Project Cofinance 6.250 0.804 2.000 20â€?Janâ€?11 Brian Bedard Closed Avian Influenza Control and Human  Legally  Georgia Cofinance 3.500 3.500 1.400 1.600 22â€?Febâ€?10 Doina Petrescu Pandemic Closed Avian Influenza Control and Human  Legally  Kyrgyz Republic Cofinance 4.000 1.000 1.150 13â€?Junâ€?11 Brian Bedard Pandemic Preparedness & Control Closed HPAI Preparedness and Response  Legally  Moldova Cofinance 4.000 4.000 0.500 1.000 8â€?Janâ€?10 Anatol Gobjila Project Closed Regional Training in Animal and  Stand  Brian Bedard &  Regional ECA 3.000 Closed 30â€?Sepâ€?11 Human Health Epidemiology Alone Nedim Jaganjac Avian Influenza Control and Human  Legally  Tajikistan Cofinance 5.000 1.500 16â€?Aprâ€?10 Bobojon Yatimov Pandemic Preparedness & Response Closed Avian Influenza Control and Human  Stand  Legally  Tamer Samah  Turkmenistanâ€?1 1.077 9â€?Novâ€?10 Preparedness & Response Project Alone Closed Rabie Avian Influenza Control and Human  Stand  Legally  Tamer Samah  Turkmenistanâ€?2 0.893 23â€?Mayâ€?11 Preparedness & Response Project Alone Closed Rabie Avian Influenza Control and Human  Stand  Legally  Uzbekistan 2.960 1â€?Aprâ€?10 Dilshod Khidirov Preparedness & Response Project Alone Closed Regional ECA Regional Epidemiology Training 1.830 Pipeline Brian Bedard Totals by Source         â€? 16.500        13.750    3.704 17.010 Note: "Closed" means all services / activities chargeable to Trust Fund are completed, disbursement may be ongoing at this point until the grace period is expired.              "Legally Closed" means all services / activities are completed plus all financial activities are finalized including disbursements and reflows. 21    Latin America & Caribbean Region AHI Grant Proposal Funding Source (in US$ million) Bank Financing PHRD AHI Facility Staff  Country Grant Name IDA  IDA  Grant  Grant  Contacts Type IBRD Status Date Credit Grant Amount Amount Stand  Belize Influenza Detection and Response 0.502 Approved 9â€?Novâ€?09 Carmen Carpio Alone Avian Influenza Prevention and  Stand  Colombia 0.890 Closed 30â€?Junâ€?11 Diego Arias Carballo Control Project Alone Avian Influenza Pandemic  Stand  Dominican Re 1.000 Closed 30â€?Junâ€?11 Diego Arias Carballo Preparedness Project Alone Highly Pathogenic Avian Influenza  Stand  Honduras 0.300 Approved 19â€?Mayâ€?08 Marieâ€?Helene Collion Prevention and Control Project Alone México Influenza A/H1N1N Prevention Cofinance 25.000 1.700 Closed 30â€?Sepâ€?11 Claudia Macias Strengthening Surveillance and  Stand  Nicaragua Evaluation for an Effective Response  0.300 Approved 18â€?Aprâ€?10 Marcelo Bortman Alone to Epidemiological Emergencies Regional  Strengtheing of CAS  for Avian Flu  Stand  Legally  0.500 14â€?Sepâ€?10 Michael G. Carroll LCRâ€?1 Preparedness Alone Closed Totals by Source   25.000         â€?         â€? â€?          5.192 Note: "Closed" means all services / activities chargeable to Trust Fund are completed, disbursement may be ongoing at this point until the grace period is expired.              "Legally Closed" means all services / activities are completed plus all financial activities are finalized including disbursements and reflows.   22    Middle East & North Africa Region AHI Grant Proposal Funding Source (in US$ million) Bank Financing PHRD AHI Facility Staff  Country Grant Name IDA  IDA  Grant  Grant  Contacts Type IBRD Status Date Credit Grant Amount Amount Avian Influenza Prevention and  Stand  Legally  Djibouti 2.111 1 â€?Augâ€?11 Jeanâ€?Philippe Tré Control Project Alone Closed Avian and Human Influenza Control &  Stand  Egypt 7.142 Closed 30â€?Junâ€?11 Maurice Saade Prevention Project Alone Stand  Morocco Avian Influenza Preparedness Project 0.888 Approved 10â€?Novâ€?09 Pierre Rondot Alone Regional  Subâ€?regional Avian and Pandemic  Stand  Legally  0.977 1 â€?Junâ€?10 Colin Scott MNA â€? 1 Influenza Preparedness (MECIDSâ€?1) Alone Closed Regional  Subâ€?regional Avian and Pandemic  Stand  Eileen Brainne  0.311 Approved 7â€?Octâ€?10 MNA â€? 2 Influenza Preparedness (MECIDSâ€?2) Alone Sullivan Stand  Syria Avian Influenza Preparedness Project 1.316 Closed 30â€?Augâ€?11 Maurice Saade Alone Stand  Tunisia Avian Influenza Preparedness Project 0.653 Approved 9â€?Aprâ€?08 Maurice Saade Alone West Bank  Avian Influenza Prevention & Control  10.000 Cofinance 3.000 Closed 30â€?Junâ€?11 Maurice Saade & Gaza Project (Cancelled) Strengthening the Integrated  Stand  Legally  Yemen â€? 1 National Action Plan for Svian and  0.057 31 â€?Augâ€?09 Jeanâ€?Philippe Tré Alone Closed Human Influenza Avian Influenza Prevention and  Stand  Yemen â€?2 1.080 Closed 30â€?Junâ€?11 Pierre Rondot Control Project Alone Totals by Source         â€?         â€? â€?          17.535 Note: "Closed" means all services / activities chargeable to Trust Fund are completed, disbursement may be ongoing at this point until the grace period is expired.              "Legally Closed" means all services / activities are completed plus all financial activities are finalized including disbursements and reflows. 23    South Asia Region AHI Grant Proposal Funding Source (in US$ million) Bank Financing PHRD AHI Facility Staff  Country Grant Name IDA  IDA  Grant  Grant  Contacts Type IBRD Status Date Credit Grant Amount Amount Legally  Afghanistan AHI Preparedness and Control Project Cofinance 4.000 5.000 29â€?Decâ€?10 Usman Qamar Closed Avian Influenza Preparedness and  Bangladesh Cofinance 13.000 2.000 Closed 30â€?Junâ€?11 Ousmane Seck Response Project National Influenza Preparedness and  Stand  Legally  Bhutan â€? 1 1.300 16â€?Decâ€?10 Sandra Rosenhouse Response Project Phase I Alone Closed National Influenza Preparedness and  Stand  Legally  Bhutan â€? 2 1.200 24â€?Mayâ€?11 Sandra Rosenhouse Response Project Phase II Alone Closed Regional Stand  Epidemiological Training (Phase 1) 3.836 Approved 11â€?Janâ€?10 Norman Piccioni SAR â€? 1 Alone Regional Stand  Epidemiological Training (Phase 2) 3.866 Approved 9â€?Decâ€?10 Norman Piccioni SAR â€? 2 Alone Avian Influenza Preparedness and  Stand  Legally  Vichitrani  Sri Lankaâ€?1 1.433 17â€?Augâ€?11 Response Project Alone Closed Gunawardene Avian Influenza Preparedness and  Stand  Sri Lankaâ€?2 5.000 Pipeline Response Project Alone Totals by Source         â€? 13.000        4.000 â€?          23.635 Note: "Closed" means all services / activities chargeable to Trust Fund are completed, disbursement may be ongoing at this point until the grace period is expired.              "Legally Closed" means all services / activities are completed plus all financial activities are finalized including disbursements and reflows. 24    ANNEX 6: IMPLEMENTATION DETAILS FOR ACTIVE GRANTS This section reports on progress made by projects funded by currently active AHIF grants: Belize $0.5 million original grant; $0.3 disbursed as of September 30, 2011; Grant closure date: October 31, 2011 Despite the fact that the project implementation was initially slow and rated moderately satisfactory, the implementing agency has shown an increased pace of implementation and it is moving towards completing most of the pending activities. The project management unit’s efforts in implementing the grant after redefining the country's needs and grant activities has been commendable, therefore the currently implementation rating is satisfactory. In particular, activities such as the purchase of medical and lab equipment as well as surveillance training have been completed and the remaining activities are proceeding well and are aimed at being completed before the new closing date. Specific grant results to date include preparation of draft protocols to strengthen the country's surveillance system, particularly in border areas. Terms of references have been drafted for establishing surveillance committees in each of the country's six districts. Epidemiological profiles have been developed for each of the country's six districts. 80 mini-laptop computers have been purchased for the expansion of the surveillance system to include data capture at ports of entry. Data that is being captured at ports of entry surveillance stations has been integrated into the Belize Health Information System (BHIS). Surveillance training of 45 health professionals at ports of entry has been completed. Equipment has been purchased to strengthen the capacity of the Central Medical Laboratory for storage of a wider variety of samples and provision of medical and lab supplies. Communication equipment has been purchased to support and expand national public information campaign strategy. Capacity of the country has been strengthened in being able to work with infectious agents through provision of technical assistance certifying a bio-safety cabinet. Cambodia $2.0 million original grant; $1.2 million disbursed as of September 30, 2011; Grant closure date: December 31, 2011 Overall, implementation of the project proceeded very well during the review period. The February 2011 Mid Term Review mission found that good support from the project is reaching the provincial Animal Health, Human Health and Disaster Management units. The rapid response capability for suspected animal and human disease outbreaks has been improved, and disaster preparedness has also been strengthened. Specific grant results to date include: i) The implementing government agencies have responded very effectively to measure and control the outbreaks of H5N1 (avian flu) and the 2009 H1N1 flu pandemic; ii) The Good Governance Framework (GGF) has been translated into Khmer and follow-up on disclosure, civil society engagement, the complaint handling mechanism, and the code of ethical conduct has been satisfactory; iii) The procedures established under the project have proven effective for responding to other 25    types of influenza outbreaks, such as H1N1 as well as other diseases, and it is recognized that the project is providing critical financial and technical support for responding to threats in animal and human health; iv) 1,788 village animal health workers (150 female) in 194 districts have been trained during the review period. China 2 $3.5 million original grant; $2.8 million disbursed as of September 30, 2011; Grant closure date: November 30, 2011 The project has achieved its project development objectives. The implementation has been satisfactory in the short project implementation period. Majority of the operational research under the project are of good quality and have the potential to influence policy change. Capacity built under the project has the potential for responding to other public health emergencies. Specific grant results to date include revision of National policy on HPAI prevention and control. High quality operational research outputs have been produced with potential to change the national HPAI surveillance. Provincial Field Epidemiology Training Program (FETP) course has been implemented. Training on risk communication has been completed. All project counties have been assessed for pandemic preparedness. Business continuity plans have been developed for three counties. Laboratory capacity has been assessed for animal health and human health laboratories in two provinces. Extensive epidemiology training has been implemented. Honduras $0.3 million original grant; $0.28 million disbursed as of September 30, 2011; Grant closure date: October 30, 2011 Ministry of Agriculture and Livestock through the National Plant and Animal Health Service (SENASA) has implemented all the activities planned under the grant agreement except the construction of a farm to produce virus free eggs and the cost-benefit analysis of mitigation measures against Avian Flu. However, it has been determined that the construction of the farm was not essential to achieve the objectives. Instead of the farm, SENASA opted to purchase much needed laboratory equipment for its regional lab, and additional training for laboratory staff. Grant objectives will likely be achieved by the closing date if laboratory equipment is delivered on time. Specific grant results to date include; i) SENASA staff and other stakeholders have been trained; ii) Laboratory equipment have been purchased, iii) Laboratory staff have been trained. Lao PDR (1 and 3) $2 million and $0.12 million original two grants; $1.4 million and $0.04 disbursed as of September 30, 2011; Grant closure date: June 30, 2011 and December 31, 2011 respectively All three grants to Lao PDR from AHIF supports different aspects of the same umbrella project that supports the National Plan for avian and human influenza control through the following five components; 26    i) Animal Health, ii) Human Health: Surveillance and Response, iii) Human Health: Curative Services, iv) Information, Education and Communication, v) Project Coordination, Project management, and Regulatory Framework. Majority of the implementation progress indicators have been either met or exceeded for the Lao PDR 1 grant. Selected results from the grant are as follows; 100 percent of diagnostic tests done, and samples reaching laboratory within 48 hours; 100 percent of Districts free from infection in poultry; all Provinces have a multi-sectoral AI team; 100 percent of trained staff properly apply (by role-play) respiratory disease infection control and case management. Grant objectives are expected to be achieved as a result of the additional time gained through extension. The objective of the Lao PDR 3 grant was to strengthen fiduciary and technical oversight for completion of an animal health laboratory and renovation of a human health laboratory. A consultant continues to provide relevant expertise to task team on laboratory renovation/completion. Successful completion of the implementation for this grant would be dependent on government selected contractors to proceed according to the construction schedule. Mongolia $4.7 million original grant; $4 million disbursed as of September 30, 2011; Grant closure date: November 30, 2011 The project has been steadily progressing towards achieving its objectives. All available funds are already committed and it is expected that the project will be completed on time. The project set up, trained and equipped 22 rapid response teams and conducted poultry surveillance in all provinces. Early Warning Systems (EWARS) based on migratory bird maps have been expanded and upgraded. National Pandemic Influenza Preparedness Plan has been revised and Pandemic Preparedness Plan developed for 6 provinces. National Animal Health and Zoonoses Strategy drafted and exercises and drills on surge capacity planning conducted in 5 provinces. A prototype for Incidence Response Information System (IRIS), an information management system designed for disease outbreaks, has been developed. Epidemiology training for county level veterinarians has been completed and technicians from province hospitals have been trained on how to operate medical equipment. Morocco $0.9 million original grant; no disbursement as of September 30, 2011; Grant closure date: June 30, 2012 Although no disbursements have been made since the signing of the grant agreement on October 2010, close to $100,000 has been committed, representing 15 percent of the project cost. The technical and management team is committed to the project. The accountability system is in place and progress has been made in all four components. Steady implementation progress is expected going forward. 27    Specific grant results to date include; i) Laboratory materials under procurement; ii) A procurement specialist has been recruited and all key documents have been prepared; iii) Three trainings have been completed, four under preparation. Nicaragua $0.3 million original grant; $0.1 million disbursed as of September 30, 2011; Grant closure date: October 31, 2011 Progress is being made on the grant objective, which is to ensure that 100 percent of the targeted alternative health centers are conducting epidemiological surveillance. The grant has contributed to: (i) identifying the gaps in the surveillance capacity at the local level, (ii) reviewing the training and education materials before distribution, use and reproduction; (iii) creating the mapping of surveillance needs. So far, the communication plan has been implemented in all the departments included in the original plan and education messages have been transmitted through radio. In addition, 71 percent of the alternative health centers have been equipped with basic equipment for surveillance and symtomatology detection. Finally, an assessment of the response to the emergency is taking place with the purpose of identifying grey areas where the country still needs to improve in the preparedness for epidemiological emergency responses. Middle East and North Africa Regional $0.3 million original grant; $0.1 million disbursed as of September 30, 2011; Grant closure date: June 30, 2012 The grant has been achieving its objectives. The main objective is to support the Middle East Consortium on Infectious Disease Surveillance (MECIDS), a sub-regional initiative including Jordan, Israel and the Palestinian Authority, to detect and respond to transboundary infectious diseases and outbreaks in the region, including Avian and Human Influenza (AHI) and other zoonoses, by means of closely coordinated surveillance systems and joint epidemiologic and diagnostic trainings and activities. Nuclear Threat Initiative, Inc. (NTI) provides programmatic and financial oversight for the grant, primarily through its sub-grant agreements with the MECIDS partner organizations. Specific grant results to date include; i) Preparation of the Middle East Program for Intervention Epidemiology (MEPIET) course held near Jerusalem; iii) NTI prepared an implementation plan with schedule of training activities by the MECIDS partners; iv) Agreements with Search for Common Ground and the Middle East Scientific Institute for Security (MESIS, formerly the Cooperative Monitoring Center) in support of MECIDS Secretariat activities, have been finalized; v) Convening of workshop for 15 doctors and laboratory technicians to review feedback from the sentinel laboratory sites and set activities for the coming year, February 2011. South Asia Regional I $3.8 million original grant; $2.7 million disbursed as of September 30, 2011; Grant closure date: December 31, 2011 28    The grant will likely meet its development objective. The objective of the program is to strengthen the national institutional capacity in epidemiology and biosecurity through training of selected animal health and human health experts from the national institutions of 7 selected countries in South Asia that are directly or indirectly responsible for diagnosis, preparedness, response and control of Highly Pathogenic Avian Influenza (HPAI) and other zoonoses in domestic poultry and other animals. The online training is expected to complete by December 2011. Approximately 65 veterinarians and medical doctors from South Asia are expected to obtain the master's degree in epidemiology, with the completion rate as high as 93 percent. Tunisia $0.7 million original grant; $0.4 million disbursed as of September 30, 2011; Grant closure date: December 31, 2012 Despite some initial implementation delays due to the recent political events in Tunisia, the grant objectives remain unchanged and are expected to be fully achieved. Progress has been made in each component; of particular importance has been the signing of the technical assistance contract with FAO, and the acquisition of equipment and biosecurity products that have been made available to the veterinary research institutes, the regional veterinary laboratories, and veterinary services in 24 regions. Vietnam $10.0 million original grant; $9.8 million disbursed as of September 30, 2011; Grant closure date: December 31, 2011 Implementation of the VAHIP project continued progressing well in the reporting period. The M&E reports show that the project has helped build capacity at all levels of the veterinary network and the human health sector to prevent, detect, and respond to AHI outbreaks. Coordination between the animal and human health sectors at both the central and local levels has been substantially improved through joint simulation exercises and several other operational mechanisms. The performance of the client is satisfactory and the objective of the project is achievable by the closing date. Specific grant results to date include: 8 out of 9 national and regional veterinary laboratories assessed by the consultants have met the international standards. One regional lab was accredited three other labs are applying for certification of international standards. Ha Vi market - the largest live bird market in Hanoi - has been upgraded and is being regularly tested for outbreak incidents, recent tests are negative regarding H5N1virus. Biosecurity Standards of Practice (SOPs) for commercial farms have been developed and disseminated through workshops to 58 commercial farms, selected farms have implemented the SOPs with technical assistance from the project. 80 demonstration models on poultry bio-security farming have been successfully implemented by the Vietnam Women Union to provide training for 1,760 small poultry farmers. Each project province has established and maintained at least two rapid response teams; these teams received training and equipment to conduct simulation exercises. 29  Â