The World Bank Implementation Status & Results Report Afghanistan COVID-19 Emergency Response and Health Systems Preparedness Project (P173775) Afghanistan COVID-19 Emergency Response and Health Systems Preparedness Project (P173775) SOUTH ASIA | Afghanistan | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 2 | ARCHIVED on 23-Nov-2020 | ISR44342 | Implementing Agencies: Ministry of Public Health, The Islamic Republic of Afghanistan Key Dates Key Project Dates Bank Approval Date: 02-Apr-2020 Effectiveness Date: 12-Apr-2020 Planned Mid Term Review Date: 02-May-2022 Actual Mid-Term Review Date: Original Closing Date: 31-Mar-2024 Revised Closing Date: 31-Mar-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The project development objective is to respond to, and mitigate the threat posed by COVID-19 and strengthen national systems for public health preparedness in Afghanistan. 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 $34000000.00 M) Component 2: Health Care Strengthening:(Cost $46000000.00 M) Component 3: Mitigation of Social Impacts:(Cost $5400000.00 M) Component 4: Implementation Management and Monitoring and Evaluation:(Cost $5000000.00 M) Component 5: Contingent Emergency Response Component (CERC) Unallocated:(Cost $10000000.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating High High Implementation Status and Key Decisions Overall implementation of the project is on track. All contracts with Service Providers including the Afghan-Japan Hospital in Kabul have been signed. In addition, contracts with UNICEF and WHO for providing of supply, enhancing diagnostic capacity, risk communication campaign and technical assistance have been signed. MPA Program Development Objective 11/23/2020 Page 1 of 7 The World Bank Implementation Status & Results Report Afghanistan COVID-19 Emergency Response and Health Systems Preparedness Project (P173775) MPA PDO Table MPA Table Multiphase Programmatic Approach (MPA) Status MPA Table Body Impressive efforts continue to be made to advance the implementation of the MPA-funded projects. As of October 14, 2020, 83 projects have been approved providing a total commitment of US$3.98 billion. The projects benefit around 3.7 billion people or 49% of the global population. Of the 83 approved projects: (i) 30 are in Africa – 10 in AFE and 20 in AFW; (ii) 14 in East Asia; (iii) 13 in Europe and Central Asia; (iv) 10 in Latin America and the Caribbean; (v) 7 in Middle East and North Africa; and (vi) 9 in South Asia. Sixty six (66) projects are disbursing. Total disbursements as of October 14, 2020 under these projects amount to US$1.32 billion or 33% of overall commitment. In addition, $364 million have been committed under signed contracts with UNICEF and Bank Facilitated Procurement (BFP), bringing to 42% actual disbursements and committed amounts. Streamlined procedures and 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. 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 disbursement in just over six months attest to the strong implementation of the Bank response thanks to the commitment of counterparts supported by country teams. However, the capacity of teams is being stretched to meet delivery demands and provide enhanced implementation support to clients, this may not be sustainable in the long-term. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High High High Macroeconomic Moderate Moderate Moderate 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 Fiduciary High High High Environment and Social High High High Stakeholders Moderate Moderate Moderate Other -- -- -- Overall High High High Results PDO Indicators by Objectives / Outcomes 11/23/2020 Page 2 of 7 The World Bank Implementation Status & Results Report Afghanistan COVID-19 Emergency Response and Health Systems Preparedness Project (P173775) To respond to, and mitigate the threat posed by COVID-19 and strengthen national systems for public IN00919320 ►Proportion of laboratory-confirmed cases of COVID-19 responded to within 48 hours (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 31-Mar-2020 04-May-2020 04-May-2020 31-Mar-2024 Denominator: Number of laboratory-confirmed cases of COVID-19. Numerator: Number of laboratory- confirmed cases of COVID-19 where there was deployment of a rapid response team, contract tracing Comments: was initiated, and public messaging was disseminated within 48 hours. IN00919321 ►Proportion of specimens submitted for SARS-COV-2 laboratory testing confirmed within WHO stipulated standard time (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 31-Mar-2020 04-May-2020 04-May-2020 31-Mar-2024 Denominator: Number of specimens submitted for SARS-COV-2 laboratory testing Numerator: Number of specimens submitted for SARS-COV-2 laboratory testing confirmed within WHO Comments: stipulated standard time IN00919322 ►Proportion of population able to identify three key symptoms of COVID-19 and/or seasonal influenza and three personal prevention measures (as assessed by a representative population survey) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 50.00 Date 31-Mar-2020 04-May-2020 04-May-2020 31-Mar-2024 Denominator: Number of respondents to representative population survey. Numerator: Number of respondents to representative population survey who can accurately identify three Comments: key symptoms of COVID-19 and /or seasonal influenza and three personal prevention measures. Overall Comments PDO The data is expected at end of December 2020 and will be updated after the implementation support mission planned for January 2021, when we will file a full ISR. Intermediate Results Indicators by Components Component 1: Emergency COVID-19 Response IN00919324 11/23/2020 Page 3 of 7 The World Bank Implementation Status & Results Report Afghanistan COVID-19 Emergency Response and Health Systems Preparedness Project (P173775) ►Proportion of identified contacts who are successfully traced (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 31-Mar-2020 04-May-2020 04-May-2020 31-Mar-2024 Denominator: Number of contacts of COVID-19 cases identified. Comments: Numerator: Number of contacts of COVID-19 cases successfully traced. IN00919327 ►Proportion of suspected cases who are tested within 2 days of being identified (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 31-Mar-2020 04-May-2020 04-May-2020 31-Mar-2024 Denominator: Number of suspected cases of COVID-19. Numerator: Number of suspected cases of COVID-19 who are tested within 2 days of being identified. Comments: Component 2:Health Care Strengthening IN00919325 ►Proportion of provincial hospital doctors and nurses who are trained on WHO standards of clinical treatment for COVID-19 (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-Mar-2020 04-May-2020 04-May-2020 31-Mar-2024 Denominator: Number of doctors and nurses working at provincial hospitals. Numerator: Number of doctors and nurses working at provincial hospitals who are trained on WHO Comments: standards of clinical treatment for COVID-19 IN00919328 ►Proportion of provincial hospitals with adequate personal protective equipment within a given month (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-Mar-2020 04-May-2020 04-May-2020 31-Mar-2024 Denominator: Number of provincial hospitals Comments: Numerator: Number of provincial hospitals with adequate personal protective equipment IN00919329 ►Proportion of provincial hospitals with isolation treatment available within a given month (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 11/23/2020 Page 4 of 7 The World Bank Implementation Status & Results Report Afghanistan COVID-19 Emergency Response and Health Systems Preparedness Project (P173775) Date 31-Mar-2020 04-May-2020 04-May-2020 31-Mar-2024 Denominator: Number of provincial hospitals Comments: Numerator: Number of provincial hospitals with isolation treatment available IN00919330 ►Presence of a Biosafety Level 2 facility in each of 5 regions and a Biosafety Level 3 facility at the national level (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 31-Mar-2020 04-May-2020 04-May-2020 31-Mar-2024 Denominator: 6 (5 regional and 1 national) Comments: Numerator: The number of regions with a Biosafety Level 2 laboratory Component 3: Mitigation of Social Impacts IN00919326 ►Number of radio, television, and print messages disseminated on COVID-19 symptoms and prevention between April-August 2020 (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 10,000.00 Date 31-Mar-2020 04-May-2020 04-May-2020 31-Mar-2024 Component 4: Implementation Management and Monitoring and Evaluation IN00919323 ►Proportion of district hospitals who have submitted complete monthly reports on the number of suspected cases identified, number of cases tested, number of contacts traced, the presence of personal pr (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 31-Mar-2020 04-May-2020 04-May-2020 31-Mar-2024 Denominator: Number of provincial hospitals Numerator: Number of provincial hospitals who have submitted complete monthly reports on the number Comments: of suspected cases identified, number of cases tested, number of contacts traced, the presence of personal protective equipment, and the presence of an isolation unit Overall Comments IR The data is expected at end of December 2020 and will be updated after the implementation support mission planned for January 2021, when we will file a full ISR. Performance-Based Conditions 11/23/2020 Page 5 of 7 The World Bank Implementation Status & Results Report Afghanistan COVID-19 Emergency Response and Health Systems Preparedness Project (P173775) Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173775 IDA-D5930 Effective USD 100.40 100.40 0.00 46.74 55.36 46% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173775 IDA-D5930 Effective 02-Apr-2020 08-Apr-2020 12-Apr-2020 31-Mar-2024 31-Mar-2024 Cumulative Disbursements PBC Disbursement Achievement Disbursed amount in Disbursement % PBC ID PBC Type Description Coc PBC Amount Status Coc for PBC 11/23/2020 Page 6 of 7 The World Bank Implementation Status & Results Report Afghanistan COVID-19 Emergency Response and Health Systems Preparedness Project (P173775) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 11/23/2020 Page 7 of 7