The World Bank Implementation Status & Results Report Bangladesh: COVID-19 Emergency Response and Pandemic Preparedness Project (P173757) Bangladesh: COVID-19 Emergency Response and Pandemic Preparedness Project (P173757) SOUTH ASIA | Bangladesh | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 2 | ARCHIVED on 29-Jan-2021 | ISR45268 | Implementing Agencies: Ministry of Health and Family Welfare, People's Republic of Bangladesh Key Dates Key Project Dates Bank Approval Date: 03-Apr-2020 Effectiveness Date: 10-Apr-2020 Planned Mid Term Review Date: 15-Feb-2022 Actual Mid-Term Review Date: Original Closing Date: 31-Dec-2023 Revised Closing Date: 31-Dec-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To support the Government of Bangladesh to prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Emergency COVID-19 Response:(Cost $85.00 M) Component 2: Supporting National and Sub-national, Prevention and Preparedness:(Cost $12.00 M) Component 3: Implementation Management and Monitoring and Evaluation:(Cost $3.00 M) Component 4: Contingent Emergency Response Component Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions The first case of COVID-19 in Bangladesh was confirmed on March 8, 2020. Within three weeks, on April 3, 2020, the World Bank approved the project for US$100 million to mobilize emergency support to the Government of Bangladesh (GoB) to support its efforts to manage this crisis. Subsequently, the legal agreement was signed, and the project became effective on April 10, 2020. The development project proposal (DPP) has been approved by the Executive Committee of the National Economic Council (ECNEC) in an expedited manner. The project is supporting implementation of the priorities identified in the Ministry of Health and Family Welfare (MOHFW)'s National Preparedness and Response Plan for COVID-19. A Project Implementation Unit (PIU) with required staffing has been set-up at the Directorate General of Health Services (DGHS). The GoB has established a Project Steering Committee led by Secretary of the Health Services Division of the MOHFW, and a Project Implementation Committee led by Director General of DGHS. These committees which met for the first time in early June 2020 are convening regularly. Procurement of critical 1/29/2021 Page 1 of 5 The World Bank Implementation Status & Results Report Bangladesh: COVID-19 Emergency Response and Pandemic Preparedness Project (P173757) items completed under the project include items such as ventilators, personal protective equipment, masks, gloves, infrared thermometers, pulse oximeters, oxygen concentrators, and COVID-19 testing kits. In addition, awareness campaign regarding COVID-19 has been implemented through mobile based messaging and television. Disbursements from the World Bank financing currently totals US$37 million. The World Health Organization (WHO) is leading technical dialogue with the GoB in support of COVID-19 preparedness and response activities. Three thematic groups have been formed, comprising representatives of the MOHFW, development partners and technical agencies. These groups are on: i) case management and infection prevention and control; ii) laboratory services and surveillance; and iii) logistics and procurement. The project activities are being closely coordinated with the support being mobilized by other partners through these platforms. MPA Program Development Objective MPA PDO Table The Program Development Objective is to prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness MPA Table Multiphase Programmatic Approach (MPA) Status MPA Table Body Sustained efforts continue to be made to advance the implementation of the MPA-funded projects. As of December 14, 2020, 83 MPA-projects have been approved providing a total commitment of US$4.14 billion. In addition, 12 projects funded by the Pandemic Emergency Facility (PEF) have been approved to complement the MPA COVID-19 response. Disbursements have continued to increase at a rapid pace. Twenty four (24) country projects or 29% of projects approved have reached 70-100% disbursements. The projects benefit around 3.7 billion people or 50% of the global population. Of the 83 approved projects: (i) 32 are in Africa – 11 in Eastern African and 21 in Western Africa; (ii) 11 in East Asia; (iii) 12 in Europe and Central Asia; (iv) 12 in Latin America and the Caribbean; (v) 7 in Middle East and North Africa; and (vi) 9 in South Asia. Seventy (70) projects are disbursing. Total disbursements as of December 14, 2020 under these projects amount to US$1.76 billion or 43% of overall commitments (a 7% increase in the past month). In addition, US$465 million have been committed under signed contracts with UNICEF and Bank Facilitated Procurement (BFP), bringing to 53% actual disbursements and committed amounts. Streamlined procedures, delegated approval coupled with flexible project design and intensified efforts across the Bank have contributed to the progress. Implementation faces significant challenges as some countries are still under different levels of lockdown or mobility restrictions and counterparts and Bank teams are operating from home. This creates connectivity challenges. Notwithstanding challenges, the MPA is on track to achieving its PDO – to prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness. The significant level of disbursements in just nine months attest to the strong implementation of the Bank response thanks to the commitment of counterparts supported by country teams. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate Moderate Moderate Macroeconomic Substantial Substantial Substantial Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Substantial Substantial Substantial Sustainability 1/29/2021 Page 2 of 5 The World Bank Implementation Status & Results Report Bangladesh: COVID-19 Emergency Response and Pandemic Preparedness Project (P173757) Fiduciary High High High Environment and Social Substantial Substantial Substantial Stakeholders Substantial Moderate Moderate Other Moderate Moderate Moderate Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Prevent, detect and respond to the threat posed by COVID-19 IN00946792 ►Suspected cases of COVID-19 reported and investigated based on national guidelines (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 21-Jun-2020 21-Jun-2020 20-Jan-2021 31-Dec-2023 Strengthen national systems for public health preparedness IN00946793 ►Designated hospitals with isolation capacity (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 79.00 100.00 Date 31-Mar-2020 21-Jun-2020 20-Jan-2021 31-Dec-2023 Intermediate Results Indicators by Components Component 1: Emergency COVID-19 response IN00946795 ►Designated laboratories with COVID-19 diagnostic equipment, test kits, reagents, and trained staff per MoHFW guidelines (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 3.00 Date 31-Mar-2020 21-Jun-2020 20-Jan-2021 31-Dec-2023 IN00946917 ►Districts in which COVID-19 risk communication materials have been rolled out to at least 50% of Upazilas (Percentage, Custom) 1/29/2021 Page 3 of 5 The World Bank Implementation Status & Results Report Bangladesh: COVID-19 Emergency Response and Pandemic Preparedness Project (P173757) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-Mar-2020 21-Jun-2020 20-Jan-2021 31-Dec-2023 Component 2: Supporting National and Sub-national, Prevention and Preparedness IN00946916 ►Doctors and nurses at district-level facilities trained in IPC per MoHFW guidelines (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-Mar-2020 21-Jun-2020 20-Jan-2021 31-Dec-2023 Component 3: Implementation Management and Monitoring and Evaluation IN00946794 ►Establishment of epidemiology units in selected district-level facilities (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 8.00 Date 31-Mar-2020 21-Jun-2020 20-Jan-2021 31-Dec-2023 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173757 IDA-66050 Effective USD 100.00 100.00 0.00 37.47 65.07 37% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173757 IDA-66050 Effective 03-Apr-2020 10-Apr-2020 10-Apr-2020 31-Dec-2023 31-Dec-2023 Cumulative Disbursements 1/29/2021 Page 4 of 5 The World Bank Implementation Status & Results Report Bangladesh: COVID-19 Emergency Response and Pandemic Preparedness Project (P173757) 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) P175837-Additional Financing for and Restructuring of the COVID-19 Emergency Response and Pandemic Preparedness Project 1/29/2021 Page 5 of 5