The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) AFRICA WEST | Western Africa | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2016 | Seq No: 9 | ARCHIVED on 23-Dec-2020 | ISR44349 | Implementing Agencies: Republic of Sierra Leone, Republic of Senegal, Republic of Guinea, WAHO, ECOWAS Key Dates Key Project Dates Bank Approval Date: 28-Jun-2016 Effectiveness Date: 02-Dec-2016 Planned Mid Term Review Date: 01-Oct-2020 Actual Mid-Term Review Date: 30-Oct-2020 Original Closing Date: 31-Jan-2023 Revised Closing Date: 31-Jan-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The objectives of the Project are: (i) to strengthen national and regional cross-sectoral capacity for collaborative disease surveillance and epidemic preparedness in West Africa, thereby addressing systemic weaknesses within the animal and human health systems that hinder effective disease surveillance and response; and (ii) in the event of an Eligible Emergency, to provide immediate and effective response to said Eligible Emergency. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Surveillance and Information Systems:(Cost $36.98 M) Component 2: Strengthening of Laboratory Capacity:(Cost $17.03 M) Component 3: Preparedness and Emergency Response:(Cost $25.96 M) Component 4: Human Resource Management for Effective Disease Surveillance and Epidemic Preparedness.:(Cost $14.10 M) Component 5: Institutional Capacity Building, Project Management, Coordination, and Advocacy:(Cost $29.06 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions The REDISSE project has been under implementation since December 2016, during which time it has strengthened disease surveillance and response systems in Sierra Leone, Guinea, and Senegal (Participating Countries); and fostered regional level collaboration (information exchange), coordination (regional policies and technical strategies) and resource sharing (training institutions and reference laboratories) among ECOWAS member states and Mauritania. There is clear evidence of progress at both regional and country level. 12/23/2020 Page 1 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) REDISSE 1 was the first of the four projects under the REDISSE Program. Lessons learned from REDISSE 1 have contributed to improved design in subsequent projects in the series, particularly with respect to the results framework and selection of indicators. REDISSE 1 is currently conducting its mid-term review (MTR) with the objective of to (i) assess the project performance in relation to its development objective and results framework; (ii) identify preliminary achievements and challenges faced during implementation; (iii) document lessons learned; and (iv) propose recommendations to optimize project implementation. Virtual supporting missions were conducted between 19-30 October 2020 (Guinea 21-22, Senegal 19-20, Sierra Leone 26-27, and WAHO 29-30), and a validation meeting of the final MTR consolidated report is planned to take place on 16 December 2020, with country and WAHO authorities. REDISSE 1 has a regional agenda, led by the West African Health Organization (WAHO), and a focus on country-level capacity for health security as a regional public good. As the COVID-19 epidemic was declared a global pandemic, WAHO and all countries in the REDISSE Program (REDISSE 1-4) with effective projects quickly accessed project funds to mount a response to the pandemic. For REDISSE 1, more than US$25.00 million has been allocated to COVID-19 preparedness and response: US$1.28m for WAHO; US$12.50m for Guinea; US$7.00m for Senegal and US$6.05m for Sierra Leone. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Substantial Substantial Macroeconomic Substantial High High Sector Strategies and Policies Moderate High High Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and High High High Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Substantial Substantial Substantial Stakeholders Substantial Substantial Substantial Other -- -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes To strengthen national and regional cross-sectoral capacity for collaborative disease surveillance IN00919493 ►Progress towards establishing an active, functional regional One Health platform (Number based on 5 point Likert scale) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 12/23/2020 Page 2 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Value 1.00 3.00 3.00 4.00 Date 27-Jun-2016 15-Mar-2020 30-Nov-2020 31-Jan-2023 IN00919495 ►Laboratory testing capacity for detection of priority diseases: Number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2.00 2.00 2.00 Date 27-Jun-2016 15-Mar-2019 30-Nov-2020 31-Jan-2023 IN00919498 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 IN00919500 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 IN00919501 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 IN00919502 ►Progress in establishing indicator and event-based surveillance systems: Number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 2.00 Date 27-Jun-2016 15-Mar-2020 30-Nov-2020 31-Jan-2023 IN00919503 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 IN00919504 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 IN00919505 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target 12/23/2020 Page 3 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Value 4.00 4.00 4.00 4.00 IN00919506 ►Availability of human resources to implement IHR core capacity requirements: Number of countries that achieve a JEE score of 3 or more (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 3.00 Date 27-Jun-2016 15-Mar-2020 30-Nov-2020 31-Jan-2023 IN00919507 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 IN00919508 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 IN00919509 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 3.00 IN00919510 ►Progress on cross-border collaboration and exchange of information across countries: Number of countries that achieve a score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2.00 Date 27-Jun-2016 15-Mar-2020 30-Nov-2020 31-Jan-2023 IN00919511 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 3.00 4.00 IN00919512 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 IN00919513 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 3.00 3.00 4.00 12/23/2020 Page 4 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) In the event of an Eligible Emergency, to provide immediate and effective response to said Emergency IN00919494 ►Multi-hazard national public health emergency preparedness and response plan is developed and implemented: Number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 1.00 2.00 Date 27-Jun-2016 15-Mar-2020 30-Nov-2020 31-Jan-2023 IN00919496 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 3.00 3.00 4.00 IN00919497 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 3.00 3.00 4.00 IN00919499 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 4.00 4.00 4.00 Intermediate Results Indicators by Components Component 1: Surveillance and Information Systems IN00919515 ►Interoperable, interconnected, electronic real-time reporting system: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2.00 Date 27-Jun-2016 15-Mar-2020 30-Nov-2020 31-Jan-2023 IN00919522 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 3.00 4.00 IN00919526 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target 12/23/2020 Page 5 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Value 3.00 3.00 3.00 4.00 IN00919531 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 3.00 3.00 3.00 IN00919536 ►Surveillance Systems in place for priority zoonotic diseases/pathogens: number of countries that achieve a JEE score of 3 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2.00 2.00 3.00 Date 27-Jun-2016 15-Mar-2020 30-Nov-2020 31-Jan-2023 IN00919539 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 3.00 3.00 4.00 IN00919543 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 3.00 4.00 IN00919548 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 3.00 3.00 4.00 IN00919550 ►Systems for efficient reporting to WHO, OIE/FAO: number of countries that achieve a JEE score of 5 (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 3.00 Date 27-Jun-2016 15-Mar-2020 30-Nov-2020 31-Jan-2023 IN00919553 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 4.00 5.00 IN00919554 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 5.00 12/23/2020 Page 6 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) IN00919556 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 Component 2: Strengthening of Laboratory Capacity IN00919516 ►Laboratory systems quality: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2.00 Date 27-Jun-2016 15-Mar-2020 30-Nov-2020 31-Jan-2023 IN00919519 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 IN00919525 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 IN00919530 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 3.00 3.00 4.00 IN00919534 ►Specimen referral and transport system: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 1.00 2.00 Date 27-Jun-2016 15-Mar-2020 30-Nov-2020 31-Jan-2023 IN00919540 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 4.00 4.00 IN00919544 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target 12/23/2020 Page 7 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Value 3.00 3.00 3.00 4.00 IN00919547 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 Component 3: Preparedness and Emergency Response IN00919514 ►Mechanisms for responding to infectious zoonoses and potential zoonoses are established and functional: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2.00 Date 27-Jun-2016 15-Mar-2020 30-Nov-2020 31-Jan-2023 IN00919521 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 3.00 4.00 IN00919527 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 3.00 4.00 IN00919532 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 IN00919537 ►Regional surge capacity and stockpiling mechanisms established (capacity based on 5 point likert scale) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 Date 27-Jun-2016 15-Mar-2020 30-Nov-2020 31-Jan-2023 IN00919538 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 3.00 IN00919542 Senegal (Number, Custom Supplement) 12/23/2020 Page 8 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 3.00 IN00919549 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 3.00 Component 4: Human Resource Management for Effective Disease Surveillance and Epidemic Preparedness. IN00919517 ►Workforce Strategy: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2.00 Date 27-Jun-2016 15-Mar-2020 30-Nov-2020 31-Jan-2023 IN00919518 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 3.00 4.00 IN00919524 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 3.00 3.00 4.00 IN00919529 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 3.00 3.00 4.00 IN00919533 ►Applied epidemiology training program in place such as FETP: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 Date 27-Jun-2016 15-Mar-2020 30-Nov-2020 31-Jan-2023 IN00919541 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 5.00 IN00919545 Senegal (Number, Custom Supplement) 12/23/2020 Page 9 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Baseline Actual (Previous) Actual (Current) End Target Value 4.00 4.00 4.00 4.00 IN00919546 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 IN00919551 ►Veterinary human health workforce: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2.00 Date 27-Jun-2016 15-Mar-2020 30-Nov-2020 31-Jan-2023 IN00919552 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 3.00 2.00 4.00 IN00919555 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 IN00919557 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 IN00919558 ►Percentage female, of people trained in applied epidemiology (All categories) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 15.00 15.00 35.00 Date 28-Jun-2016 15-Mar-2020 30-Nov-2020 31-Jan-2023 IN00919559 ►Percentage female, of people trained in applied epidemiology (Basic) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 15.00 15.00 40.00 Date 28-Jun-2016 15-Mar-2020 30-Nov-2020 31-Jan-2023 IN00919560 12/23/2020 Page 10 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Guinea (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 15.00 15.00 40.00 IN00919561 Senegal (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 43.00 19.00 40.00 IN00919562 Sierra Leone (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 25.00 25.00 40.00 IN00919563 ►Percentage female, of people trained in applied epidemiology (Intermediate) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 15.00 15.00 35.00 Date 28-Jun-2016 15-Mar-2020 30-Nov-2020 31-Jan-2023 IN00919564 Guinea (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 15.00 15.00 35.00 IN00919565 Senegal (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 9.00 0.00 35.00 IN00919566 Sierra Leone (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 25.00 25.00 35.00 IN00919567 ►Percentage female, of people trained in applied epidemiology (Advanced) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 10.00 10.00 25.00 Date 28-Jun-2016 15-Mar-2020 30-Nov-2020 31-Jan-2023 IN00919568 Guinea (Percentage, Custom Supplement) 12/23/2020 Page 11 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 10.00 17.00 25.00 IN00919569 Senegal (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 10.00 0.00 25.00 IN00919570 Sierra Leone (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 15.00 15.00 25.00 Component 5: Institutional Capacity Building, Project Management, Coordination, and Advocacy IN00919520 ►Citizens and/or communities involved in planning/implementation/evaluation of development programs (Yes/No) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 27-Jun-2016 15-Mar-2020 30-Nov-2020 31-Jan-2023 IN00919523 Guinea (Yes/No, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes IN00919528 Senegal (Yes/No, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes IN00919535 Sierra Leone (Yes/No, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Performance-Based Conditions Data on Financial Performance Disbursements (by loan) 12/23/2020 Page 12 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P154807 IDA-58820 Effective USD 20.00 20.00 0.00 12.77 7.07 64% P154807 IDA-58830 Effective USD 20.00 20.00 0.00 11.81 7.99 60% P154807 IDA-58840 Effective USD 30.00 30.00 0.00 21.69 8.30 72% P154807 IDA-D1290 Effective USD 10.00 10.00 0.00 5.73 4.24 57% P154807 IDA-D1300 Effective USD 10.00 10.00 0.00 5.63 4.28 57% P154807 IDA-D1310 Effective USD 20.00 20.00 0.00 14.52 5.48 73% P154807 TF-A2534 Effective USD 4.06 4.06 0.00 3.84 0.23 94% P154807 TF-B1239 Effective USD 6.31 6.31 0.00 1.36 4.95 22% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P154807 IDA-58820 Effective 28-Jun-2016 04-Aug-2016 02-Dec-2016 31-Jan-2023 31-Jan-2023 P154807 IDA-58830 Effective 28-Jun-2016 23-Aug-2016 23-Jan-2017 31-Jan-2023 31-Jan-2023 P154807 IDA-58840 Effective 28-Jun-2016 31-Aug-2016 16-Dec-2016 31-Jan-2023 31-Jan-2023 P154807 IDA-D1290 Effective 28-Jun-2016 04-Aug-2016 02-Dec-2016 31-Jan-2023 31-Jan-2023 P154807 IDA-D1300 Effective 28-Jun-2016 23-Aug-2016 23-Jan-2017 31-Jan-2023 31-Jan-2023 P154807 IDA-D1310 Effective 28-Jun-2016 28-Oct-2016 27-Jan-2017 31-Jan-2023 31-Jan-2023 P154807 TF-A2534 Effective 28-Jun-2016 28-Oct-2016 27-Jan-2017 30-Jun-2020 31-Jan-2022 P154807 TF-B1239 Effective 01-Oct-2019 21-Jan-2020 17-Mar-2020 31-Jan-2022 31-Jan-2022 Cumulative Disbursements 12/23/2020 Page 13 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) 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) P170373-Additional Financing - Regional Disease Surveillance Systems Enhancement Project in West Africa, Phase 1 (REDISSE 1) ,P170788- Additional Financing - Regional Disease Surveillance Systems Enhancement Project in West Africa, Phase 1 (REDISSE 1) ,P175612-REGIONAL DISEASE SURVEILLANCE SYSTEMS ENHANCEMENT (REDISSE) - AF 12/23/2020 Page 14 of 14