The World Bank Implementation Status & Results Report North Macedonia Emergency COVID-19 Response Project (P173916) North Macedonia Emergency COVID-19 Response Project (P173916) EUROPE AND CENTRAL ASIA | North Macedonia | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 1 | ARCHIVED on 28-Aug-2020 | ISR43139 | Implementing Agencies: Ministry of Labor and Social Policy, Ministry of Health, Republic of North Macedonia Key Dates Key Project Dates Bank Approval Date: 30-Apr-2020 Effectiveness Date: -- Planned Mid Term Review Date: -- Actual Mid-Term Review Date: Original Closing Date: 30-Jun-2022 Revised Closing Date: 30-Jun-2022 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness in North Macedonia. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Emergency COVID-19 Response:(Cost $37.26 M) Household Support to Enable Social Distancing:(Cost $60.01 M) Project Implementation, Communications, Community Engagement, and Monitoring:(Cost $0.99 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO -- Satisfactory Overall Implementation Progress (IP) -- Satisfactory Overall Risk Rating -- Substantial Implementation Status and Key Decisions The project has not been declared effective and it is pending ratification by the parliament of North Macedonia. MPA Program Development Objective MPA PDO Table 8/28/2020 Page 1 of 7 The World Bank Implementation Status & Results Report North Macedonia Emergency COVID-19 Response Project (P173916) 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 Implementation is proceeding well, albeit with challenges aggravated by the lockdown. Seventy three percent (73%) of countries with MPA projects were reported still in lockdown at the end of May. As of June 17, 2020, 70 projects have been approved (including WBG funded under a TF - West Bank) with a total commitment of US$4.3 billion. The approved projects benefit a population of 3.25 billion people or 43% of the global population. Of the 70 projects approved: (i) 27 are in Africa; (ii) 9 in East Asia; (iii) 11 in Europe and Central Asia; (iv) 8 in Latin America and the Caribbean; (v) 7 in Middle East and North Africa; and (vi) 8 in South Asia. Fifty four (54) Financing Agreements have become effective or 87% of signed financing agreements (77% of approved projects). On average, it has taken only 13 days for projects to move from approval to effectiveness (a Bank record). Forty eight (48) projects are disbursing or 89% with financing agreements that are effective. Total disbursements as of June 17, 2020 under these projects amount to US$1,114.7 billion or 26 of overall commitment. In addition, US$234 million have been committed under signed contracts with UNICEF and Bank Facilitated Procurement (BFP), bringing to 32% actual disbursements and committed amounts. This level of disbursement attest to the rapid implementation of the Bank response. Bank capacity is being stretched to meet streamlined delivery demands and provide enhanced implementation to clients. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial -- Substantial Macroeconomic Substantial -- Substantial Sector Strategies and Policies Substantial -- Substantial Technical Design of Project or Program Moderate -- Moderate Institutional Capacity for Implementation and Moderate -- Moderate Sustainability Fiduciary Substantial -- Substantial Environment and Social Substantial -- Substantial Stakeholders Low -- Low Other -- -- -- Overall Substantial -- Substantial Results PDO Indicators by Objectives / Outcomes 8/28/2020 Page 2 of 7 The World Bank Implementation Status & Results Report North Macedonia Emergency COVID-19 Response Project (P173916) To prevent, detect and respond to the COVID-19 pandemic in North Macedonia IN00882226 ►Number of people tested for COVID-19 identification per MoH approved protocol (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 11,556.00 -- 0.00 50,000.00 Date 18-May-2020 -- 18-Aug-2020 30-Jun-2022 Cumulative number of people tested for COVID-19. The technical specifications of the tests will be based Comments: on the international/national norms and standards for COVID-19 response. IN00882227 ►Recovery rate from COVID-19 (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 77.00 -- 77.00 90.00 Date 18-May-2020 -- 18-Aug-2020 30-Apr-2024 Numerator: Cumulative number of confirmed cases who recovered from COVID-19. Denominator: Comments: Cumulative number of closed COVID-19 cases. IN00882228 ►Number of new beneficiaries receiving financial support to enable social distancing (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 100,000.00 Date 18-May-2020 -- 18-Aug-2020 30-Jun-2021 Refers to 100,000 new beneficiaries (individuals) of both GMI (15,500 households or approximately Comments: 55,000 individuals) and unemployment benefit (45,000 individuals) programs. Intermediate Results Indicators by Components Emergency COVID-19 Response IN00882230 ►Number of designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents per MoH guidelines (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 -- 0.00 10.00 Date 18-May-2020 -- 18-Aug-2020 30-Jun-2022 Number of designated laboratories supported under the project with COVID-19 diagnostic equipment, test Comments: kits, and reagents per MoH guidelines. The technical specifications of the tests will be based on the international/national norms and standards for COVID-19 response. IN00882232 ►Number of acute healthcare facilities with isolation capacity (Number, Custom) 8/28/2020 Page 3 of 7 The World Bank Implementation Status & Results Report North Macedonia Emergency COVID-19 Response Project (P173916) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 11.00 Date 18-May-2020 -- 18-Aug-2020 30-Jun-2022 Number of existing acute healthcare facilities with isolation capacity for COVID-19 patients, that have Comments: been remodeled and equipped to become fully operational through the project. IN00882234 ►Number of ventilators purchased (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 Date 18-May-2020 -- 18-Aug-2020 30-Jun-2022 Comments: Cumulative number of medical ventilators financed by the project. IN00882236 ►Number of personal protective equipment (PPE) purchased (Number (Thousand), Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 1,900.00 Date 18-May-2020 -- 18-Aug-2020 30-Jun-2022 Cumulative number of personal protective equipment purchased, including gloves, protective goggles, Comments: chirurgical masks/ear loop, face mask FF2, face mask N95, gown AAMI level 3, shoe covers, protection caps, scafanders. IN00882237 ►Number of additional fully equipped ICU beds for treatment of COVID-19 cases (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 Date 18-May-2020 -- 18-Aug-2020 30-Jun-2022 Number of additional ICU beds fully operational for treatment of COVID-19 patients, as defined based on Comments: international/national standards. IN00882238 ►Number of health care workers trained in infection prevention and control per MoH approved protocol. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 11,400.00 Date 18-May-2020 -- 18-Aug-2020 30-Jun-2022 Total number of health workers who participated in training on infection prevention and control according Comments: to MoH protocol. IN00882239 ►Number of doctors and nurses trained to treat patients with COVID-19 per approved MoH protocol (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 8/28/2020 Page 4 of 7 The World Bank Implementation Status & Results Report North Macedonia Emergency COVID-19 Response Project (P173916) Value 126.00 -- 0.00 600.00 Date 18-May-2020 -- 18-Aug-2020 30-Jun-2022 The total number of doctors and nurses who participated in training on identification and/or treatment of Comments: COVID-19 patients according to MoH protocol. Household Support to Enable Social Distancing IN00882229 ►Number of GMI beneficiaries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 27,000.00 -- 0.00 42,500.00 Date 18-May-2020 -- 18-Aug-2020 30-Jun-2021 Refers to old (27,000) and new (15,500) GMI beneficiaries (households). The number of beneficiaries may Comments: oscillate and eventually drop to its "regular" level once the old eligibility criteria are back in place and the project financing ceases. IN00882231 ►Number of unemployment insurance beneficiaries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 4,700.00 -- 0.00 45,000.00 Date 18-May-2020 -- 18-Aug-2020 30-Jun-2021 Refers to an expected caseload of unemployment insurance beneficiaries (individuals) that are to be supported for a period of four months. The four-month time limit/duration of support may change Comments: depending on the number of applications or due to the changes in elegibility criteria. Sex-disaggregated data will be monitored. IN00882233 ►Number of households (recipients of means-tested programs) provided with food and hygienic packages (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 40,000.00 Date 18-May-2020 -- 18-Aug-2020 30-Jun-2021 Packages will be delivered to the existing GMI beneficiaries and beneficiaries of other means-tested social Comments: assistance programs (child allowances, education allowances, and the elderly assistance). IN00882235 ►Implementation of new application procedures for COVID-19 pandemic related social protection measures (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target implemented and Value not implemented -- not implemented functioning Date 18-May-2020 -- 18-Aug-2020 30-Jun-2020 Refers to new application procedures (including an online and phone application) for social assistance Comments: and unemployment benefits. 8/28/2020 Page 5 of 7 The World Bank Implementation Status & Results Report North Macedonia Emergency COVID-19 Response Project (P173916) Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed Not P173916 IBRD-91090 USD 98.50 98.50 0.00 0.00 98.50 0% Effective Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date Not P173916 IBRD-91090 30-Apr-2020 -- -- 30-Jun-2022 30-Jun-2022 Effective Cumulative Disbursements PBC Disbursement Achievement Disbursed amount in Disbursement % PBC ID PBC Type Description Coc PBC Amount Status Coc for PBC 8/28/2020 Page 6 of 7 The World Bank Implementation Status & Results Report North Macedonia Emergency COVID-19 Response Project (P173916) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 8/28/2020 Page 7 of 7