The World Bank Implementation Status & Results Report OECS Regional Health Project (P168539) OECS Regional Health Project (P168539) LATIN AMERICA AND CARIBBEAN | Caribbean | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 3 | ARCHIVED on 24-Nov-2020 | ISR43524 | Implementing Agencies: Commonwealth of Dominica, Dominica - Ministry of Health, Wellness and New Health Investment, Grenada, Grenada - Ministry of Health, Social Security and International Business, Saint Lucia, Saint Vincent and the Grenadines, St. Lucia - Ministry of Health and Wellness, St Vincent and the Grenadines - Public Sector Investment Programme Management Unit (PSIPMU), Caribbean Public Health Agency (CARPHA), Organisation of Eastern Caribbean States (OECS) Key Dates Key Project Dates Bank Approval Date: 29-Aug-2019 Effectiveness Date: 13-Jan-2020 Planned Mid Term Review Date: -- Actual Mid-Term Review Date: Original Closing Date: 31-Jul-2024 Revised Closing Date: 31-Jul-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The objective of the Project is to improve preparedness capacities of health systems for public health emergencies in the OECS region. Has the Project Development Objective been changed since Board Approval of the Project Objective? Yes Board Approved Revised Project Development Objective (If project is formally restructured) The objective of the Project is to (i) improve preparedness capacities of health systems for public health emergencies in the OECS region, and (ii) provide a response in the event of eligible crises or emergencies. Components Table Name Improved Health Facilities and Laboratory Capacity:(Cost $17.42 M) Strengthening Public Health Surveillance and Emergency Management:(Cost $9.27 M) Institutional Capacity Building, Project Management and Coordination:(Cost $3.91 M) Contingency Emergency Response Component (CERC):(Cost $10.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions Following the October 2019 project launch with delegations from all four project participating countries (Dominica, Grenada, Saint Lucia and Saint Vincent and the Grenadines), as well as from the Caribbean Public Health Agency and the OECS Commission, the project was declared effective between January 13 – March 5, 2020. In March and April 2020, Dominica, Grenada and Saint Vincent and the Grenadines requested to trigger the 11/24/2020 Page 1 of 17 The World Bank Implementation Status & Results Report OECS Regional Health Project (P168539) Contingency Emergency Response Component (CERC) which allowed for the immediate reallocation of project funds for specific activities to support their national responses to the ongoing COVID-19 pandemic. On June 26, 2020 an additional financing of US$10 million was approved by the Bank’s Executive Board to replenish the financing gap left by the CERC activation and ensure that the original project activities would be financed. In addition, the project was restructured to modify the Project Development Objective and Results Framework to reflect the support to national COVID-19 related activities. A second Additional Financing is under processing for Grenada using grant funds from the Pandemic Emergency Financing Facility to cover a cost overrun of the CERC activities under implementation. Second year annual workplans for 2021 are under development. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate Moderate Moderate 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 Substantial Substantial Substantial Environment and Social Moderate Moderate Moderate Stakeholders Moderate Moderate Moderate Other -- -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Public health emergency preparedness IN00894461 ►Number of countries with health system capacity to withstand extreme weather events based on A-70 rating on Smart Health Facility standards (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 This indicator reflects a combined value of the Hospital Safety Index (HSI) and Green Score based on the Comments: Smart Hospital/Health Facilities Index developed by PAHO. HSI category A reflects a facility that is able to continue functioning following a disaster. A Green Score of 70 reflects achievement of 70 percent on the 11/24/2020 Page 2 of 17 The World Bank Implementation Status & Results Report OECS Regional Health Project (P168539) Green checklist. This reflects the total number of countries that have Smart Health Facilities supported by the OECS Regional Health Project. IN00894466 Dominica: Health system capacity to withstand extreme weather events based on SMART Health Facility standards (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 3.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894475 Grenada: Health system capacity to withstand extreme weather events based on SMART Health Facility standards (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 5.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894479 Saint Lucia: Health system capacity to withstand extreme weather events based on SMART Health Facility standards (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 14.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894482 Saint Vincent and the Grenadines: Health system capacity to withstand extreme weather events based on SMART Health Facility standards (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 3.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 Public health emergency preparedness IN00894462 ►Number of countries/regional entities with laboratory testing capacity for detection of priority diseases based on achievement/sustainment of a JEE score of 4.0 or higher (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 5.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 JEE Question D.1.1. Capacity graded on a scale of 1-5 where: 1 = no capacity (laboratory surveillance system is not capable of conducting any core tests) 2 = limited capacity (laboratory system is capable of conducting 1-2 out of 10 core tests) 3 = developed capacity (laboratory system is capable of conducting 3- Comments: 4 of 10 core tests) 4 = demonstrated capacity (laboratory system is capable of conducting 5 or more of 10 core tests) 5 = sustainable capacity (laboratory system is capable of conducting 5 or more of 10 core tests and quality assurance systems are in place and tested) IN00894470 11/24/2020 Page 3 of 17 The World Bank Implementation Status & Results Report OECS Regional Health Project (P168539) Dominica: Laboratory testing capacity for detection of priority diseases based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894474 Grenada: Laboratory testing capacity for detection of priority diseases based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894476 Saint Lucia: Laboratory testing capacity for detection of priority diseases based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894480 Saint Vincent and the Grenadines: Laboratory testing capacity for detection of priority diseases based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894484 CARPHA: Laboratory testing capacity for detection of priority diseases based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 4.00 4.00 4.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 Public health emergency preparedness IN00894464 ►Number of countries/regional entities with indicator and event-based surveillance established based on achievement/sustainment of JEE score of 4.0 or higher (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 5.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 JEE Question D.2.1. Capacity graded on a scale of 1-5 where: 1 = no capacity (no indicator or event- based surveillance system exists) 2 = limited capacity (indicator or event-based surveillance system Comments: established in next year) 3 = developed capacity (indicator or event-based surveillance system in place) 4 = demonstrated capacity (indicator and event-based surveillance system in place) 5 = sustainable 11/24/2020 Page 4 of 17 The World Bank Implementation Status & Results Report OECS Regional Health Project (P168539) capacity (indicator and event-based surveillance system in place and regularly evaluated and updated, and country/regional entity contributes to regional/international surveillance networks) IN00894468 Dominica: Indicator and event-based surveillance established based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894472 Grenada: Indicator and event-based surveillance established based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894478 Saint Lucia: Indicator and event-based surveillance established based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894483 Saint Vincent and the Grenadines: Indicator and event-based surveillance established based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894485 CARPHA: Indicator and event-based surveillance established based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 4.00 4.00 4.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 Public health emergency preparedness IN00894463 ►Number of countries with emergency operations centre (EOC) capacities, procedures, and plans in place based on achievement/sustainment of JEE score of 4.0 or higher (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 11/24/2020 Page 5 of 17 The World Bank Implementation Status & Results Report OECS Regional Health Project (P168539) JEE Question R.2.2. Capacity graded on a scale of 1-5 where: 1 = no capacity (no EOC structure or plans/procedures in place) 2 = limited capacity (EOC structure in place and responds to emergencies on ad hoc basis) 3 = developed capacity (EOC structures, plans, resources and trained staff in place. Not yet capable of responding to an alert within 120 minutes) 4 = demonstrated capacity (National EOC system in Comments: place and able to respond to emergency within 120 minutes, functions have been tested and updated in past 2 years. Structures and plans available at sub-national level.) 5 = sustainable capacity (All national and sub-national systems tested and updated regularly. EOC operations can be sustained for large-scale or concurrent emergencies.) IN00894469 Dominica: Emergency operations center (EOC) capacities, procedures, and plans in place based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894473 Grenada: Emergency operations center (EOC) capacities, procedures, and plans in place based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894477 Saint Lucia: Emergency operations center (EOC) capacities, procedures, and plans in place based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894481 Saint Vincent and the Grenadines: Emergency operations center (EOC) capacities, procedures, and plans in place based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 Response to eligible public health emergencies IN00894465 ►Designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 2.00 2.00 Date 18-May-2020 18-May-2020 23-Nov-2020 31-Dec-2021 IN00894467 11/24/2020 Page 6 of 17 The World Bank Implementation Status & Results Report OECS Regional Health Project (P168539) Grenada - Designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 1.00 1.00 Date 26-May-2020 26-May-2020 23-Nov-2020 31-Dec-2021 IN00894471 SVG - Designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 1.00 Date 05-Jun-2020 05-Jun-2020 05-Jun-2020 31-Dec-2021 Intermediate Results Indicators by Components Component 1: Improved Health Facilities and Laboratory Capacity IN00894486 ►Number of countries with 100% of proposed facility upgrades completed to withstand extreme weather events based on Smart Health Facility standards (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 Comments: Percentage of facilities completed according to program plans IN00894494 Dominica: Completed proposed facility upgrades to withstand extreme weather events based on Smart Health Facility standards (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894497 Grenada: Completed proposed facility upgrades to withstand extreme weather events based on Smart Health Facility standards (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894500 Saint Lucia: Completed proposed facility upgrades to withstand extreme weather events based on Smart Health Facility standards (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target 11/24/2020 Page 7 of 17 The World Bank Implementation Status & Results Report OECS Regional Health Project (P168539) Value 0.00 0.00 0.00 100.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894502 Saint Vincent and the Grenadines: Completed proposed facility upgrades to withstand extreme weather events based on Smart Health Facility standards (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894504 ►Number of countries/regional entities that complete 100 percent of proposed laboratory upgrades (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 5.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 Comments: Percentage of facilities completed according to program plans IN00894506 Dominica: Completed proposed laboratory upgrades (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894508 Grenada: Completed proposed laboratory upgrades (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894509 Saint Lucia: Completed proposed laboratory upgrades (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894512 Saint Vincent and the Grenadines: Completed proposed laboratory upgrades (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 11/24/2020 Page 8 of 17 The World Bank Implementation Status & Results Report OECS Regional Health Project (P168539) IN00894514 CARPHA: Completed proposed laboratory upgrades (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894516 ►Number of countries/regional entitites with specimen referral and transportation systems based on achievement/sustainment of JEE score of 4.0 or higher (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 5.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 JEE Question D.1.2. Capacity graded on a scale of 1-5 where: 1 = no capacity (no system in place to transport specimens from sub-national to national labs; transportation is ad hoc) 2 = limited capacity (system is in place to transport specimens to national labs from <50% of sub-national labs for advanced diagnostics) 3 = developed capacity (system is in place to transport specimens to national labs from 50- Comments: 80% of sub-national labs for advanced diagnostics) 4 = demonstrated capacity (system is in place to transport specimens to national labs from at least 80% of sub-national labs for advanced diagnostics) 5 = sustainable capacity (systems in place to transport specimens to/from other labs in the region and funded from host country budget) IN00894518 Dominica: Specimen referral and transportation systems based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894520 Grenada: Specimen referral and transportation systems based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894522 Saint Lucia: Specimen referral and transportation systems based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894523 Saint Vincent and the Grenadines: Specimen referral and transportation systems based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 11/24/2020 Page 9 of 17 The World Bank Implementation Status & Results Report OECS Regional Health Project (P168539) IN00894526 CARPHA/OECS: Specimen referral and transportation systems based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894528 ►Number of countries/regional entitites with quality laboratory systems based on achievement/sustainment of JEE score of 4.0 or higher (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 5.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 JEE Question D.1.4. Capacity graded on a scale of 1-5 where: 1 = no capacity (no national laboratory standards) 2 = limited capacity (quality standards developed but no system for verifying their implementation) 3 = developed capacity (system of licensing laboratories including conformity to national Comments: standards exists but is voluntary or is not a requirement for all laboratories) 4 = demonstrated capacity (mandatory licensing of all laboratories is in place and conformity to national standards is required) 5 = sustainable capacity (mandatory licensing of all laboratories is in place and conformity to an international standard is required) IN00894529 Dominica: Quality laboratory systems based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894530 Grenada: Quality laboratory systems based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894531 Saint Lucia: Quality laboratory systems based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894532 Saint Vincent and the Grenadines: Quality laboratory systems based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894533 11/24/2020 Page 10 of 17 The World Bank Implementation Status & Results Report OECS Regional Health Project (P168539) CARPHA: Quality laboratory systems based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 4.00 4.00 4.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894534 ►CARPHA/OECS: System in place for activating and coordinating medical countermeasures during a public health emergency (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 Date 15-May-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 JEE Question R.4.1. Capacity graded on a scale of 1-5 where: 1 = no capacity (no national countermeasure plans in place) 2 = limited capacity (plans have been drafted, but no exercises have been conducted) 3 = developed capacity (plans are in place, and tabletop exercises have been conducted to demonstrate sending or receiving of medical countermeasures during a public health emergency) 4 = demonstrated capacity (plans are in place, and at least one response/formal exercise/simulation within the Comments: previous year in which medical countermeasures were sent or received) 5 = sustainable capacity (Country participates in a regional/international partnership or has formal agreement with another country or international organization that outlines criteria and procedures for sending and receiving medical ountermeasures and has participated in an exercise or response within the past year to practice deployment or receipt of medical countermeasures) Component 2: Strengthening Public Health Surveillance and Emergency Management IN00894487 ►Number of countries/regional entities that use electronic tools for surveillance based on achievement/sustainment of JEE score of 4.0 or higher (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 5.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 JEE Question D.2.2. Capacity graded on a scale of 1-5 where: 1 = no capacity (no electronic tool to collect, report or analyze surveillance data) 2 = limited capacity (ad hoc electronic tools have been developed to collect, report or analyze surveillance data or the country is developing an integrated electronic real-time reporting system for public health surveillance) 3 = developed capacity (integrated electronic real-time reporting system for public health surveillance in place at all levels of health system, Comments: but system is not able to share data in real time) 4 = demonstrated capacity (integrated electronic real- time reporting system for public health surveillance in place at all levels of health system, and data can be shared in real time) 5 = sustainable capacity (integrated electronic real-time reporting system for public health surveillance in place at all levels of health system, and system is linked to with other regional and/or international systems to promote data sharing) IN00894491 Dominica: Use of electronic tools for surveillance based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894496 Grenada: Use of electronic tools for surveillance based on JEE score (Number, Custom Breakdown) 11/24/2020 Page 11 of 17 The World Bank Implementation Status & Results Report OECS Regional Health Project (P168539) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894499 Saint Lucia: Use of electronic tools for surveillance based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894501 Saint Vincent and the Grenadines: Use of electronic tools for surveillance based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894503 CARPHA: Use of electronic tools for surveillance based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 4.00 4.00 4.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894505 ►Number of countries/regional entitites receiving FETP or other applied epidemiology training based on achievement/sustainment of JEE score of 4.0 or higher (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 5.00 Date 11-Nov-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 JEE Question D.4.4. Capacity graded on a scale of 1-5 where: 1 = no capacity (no FETP or applied epidemiology training established at national level) 2 = limited capacity (no FETP or applied epidemiology training established at national level, but staff participate in training in other countries) 3 = developed capacity (one level of FETP – basic, intermediate or advanced - or applied epidemiology training in place Comments: at national level or in another country through an existing agreement) 4 = demonstrated capacity (two levels of FETP – basic, intermediate or advanced - or applied epidemiology training in place at national level or in another country through an existing agreement) 5 = sustainable capacity (three levels of FETP – basic, intermediate or advanced - or applied epidemiology training in place at national level or in another country through an existing agreement, and there is sustainable national funding) IN00894507 Dominica: Basic/frontline FETP training or other applied epidemiology training received based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894510 11/24/2020 Page 12 of 17 The World Bank Implementation Status & Results Report OECS Regional Health Project (P168539) Grenada: Basic/frontline FETP training or other applied epidemiology training received based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 4.00 4.00 4.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894511 Saint Lucia: Basic/frontline FETP training or other applied epidemiology training received based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894513 Saint Vincent and the Grenadines: Basic/frontline FETP training or other applied epidemiology training received based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894515 CARPHA: Regional (intermediate/advanced) FETP training or other applied epidemiology training provided based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894517 ►Number of countries/regional entities with multi-sectoral, multi-hazard emergency preparedness measures, incl emergency response plans based on achievement/sustainment of JEE score of 4.0 or higher (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 5.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 JEE Question R.1.2. Capacity graded on a scale of 1-5 where: 1 = no capacity (no national multi-sectoral, multi-hazard emergency preparedness plan in place) 2 = limited capacity (national multi-sectoral, multi- hazard emergency preparedness plan is in place. SOPs for core emergency response coordination functions have been developed in past two years) 3 = developed capacity (emergency preparedness measures are implemented at national level including points of entry and mass gathering events. Response plans have been exercised or used in actual response operations in past two years.) 4 = Comments: demonstrated capacity (preparedness measures are implemented at national, sub-national and local levels. Multi-sectoral, multi-hazard response plans in place at sub-national and local levels as well as points of entry. Response plans have been exercised or used in actual response operations in past two years) 5 = sustainable capacity (dedicated human resources and regular budget funding to support coordination and implementation of emergency preparedness measures. Dedicated resources in place form implementation of multi-sectoral, multi-hazard response plans, contingency plans and SOPs at national, sub-national and local levels. Systems are regularly tested, reviewed and updated.) IN00894519 11/24/2020 Page 13 of 17 The World Bank Implementation Status & Results Report OECS Regional Health Project (P168539) Dominica: Multi-sectoral, multi-hazard emergency preparedness measures, incl emergency response plans, based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894521 Grenada: Multi-sectoral, multi-hazard emergency preparedness measures, incl emergency response plans, based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894524 Saint Lucia: Multi-sectoral, multi-hazard emergency preparedness measures, incl emergency response plans, based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894525 Saint Vincent and the Grenadines: Multi-sectoral, multi-hazard emergency preparedness measures, incl emergency response plans, based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 IN00894527 CARPHA/OECS: Multi-sectoral, multi-hazard emergency preparedness measures, incl emergency response plans, based on JEE score (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 Gender IN00894489 ►CARPHA: Protocols developed for gender-specific surveillance of priority infectious diseases (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 28-May-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 11/24/2020 Page 14 of 17 The World Bank Implementation Status & Results Report OECS Regional Health Project (P168539) Comments: Inclusion of gender-specific considerations in surveillance protocols for priority infectious diseases. IN00894493 ►OECS: Number of countries with training in the Minimum Initial Service Package for sexual and reproductive health in emergencies and disasters (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 4.00 Date 16-May-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 A Minimum Initial Service Package for sexual and reproductive health in emergencies and disasters has Comments: been defined, but training has only been conducted in 1 country at this time. This indicator will ensure that training has been provided to all countries. Citizen Engagement IN00894488 ►Number of public health emergency plans that document incorporation of feedback from key populations (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4.00 Date 12-Apr-2019 11-Nov-2019 11-Nov-2019 31-Jul-2024 Number of national public health emergency plans that document incorporation of feedback obtained through public consultations with key populations. Key populations could include isolated communities, Comments: women of reproductive age, or other to be defined. A minimum of one public health emergency plan is expected per country, with all four project-participating countries expected to develop public health emergency plans by the end of the project. Component 4 - Contingency Emergency Response Component (CERC) IN00894490 ►Equipped health facilities with isolation capacity (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 3.00 5.00 Date 26-May-2020 26-May-2020 23-Nov-2020 31-Dec-2021 IN00894492 Dominica - Equipped health facilities with isolation capacity (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 1.00 Date 26-May-2020 26-May-2020 26-May-2020 31-Dec-2021 IN00894495 Grenada - Equipped health facilities with isolation capacity (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 1.00 1.00 11/24/2020 Page 15 of 17 The World Bank Implementation Status & Results Report OECS Regional Health Project (P168539) Date 26-May-2020 26-May-2020 23-Nov-2020 31-Dec-2021 IN00894498 SVG - Equipped health facilities with isolation capacity (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 3.00 Date 26-May-2020 26-May-2020 26-May-2020 31-Dec-2021 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P168539 IDA-64760 Effective USD 6.00 6.00 0.00 2.54 3.46 42% P168539 IDA-64770 Effective USD 6.00 6.00 0.00 1.01 4.99 17% P168539 IDA-64780 Effective USD 3.00 3.00 0.00 2.57 0.49 84% P168539 IDA-64810 Effective USD 6.00 6.00 0.00 2.30 3.70 38% P168539 IDA-67300 Effective USD 3.00 3.00 0.00 0.00 3.14 0% P168539 IDA-67310 Effective USD 2.50 2.50 0.00 0.00 2.50 0% P168539 IDA-67320 Effective USD 4.50 4.50 0.00 0.00 4.50 0% P168539 IDA-D5120 Effective USD 6.60 6.60 0.00 0.80 6.01 12% P168539 IDA-D5130 Effective USD 3.00 3.00 0.00 0.95 2.12 31% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P168539 IDA-64760 Effective 29-Aug-2019 19-Oct-2019 13-Jan-2020 31-Jul-2024 31-Jul-2024 P168539 IDA-64770 Effective 29-Aug-2019 06-Jan-2020 05-Mar-2020 31-Jul-2024 31-Jul-2024 P168539 IDA-64780 Effective 29-Aug-2019 18-Oct-2019 19-Feb-2020 31-Jul-2024 31-Jul-2024 P168539 IDA-64810 Effective 29-Aug-2019 24-Oct-2019 13-Jan-2020 31-Jul-2024 31-Jul-2024 P168539 IDA-67300 Effective 26-Jun-2020 31-Jul-2020 13-Nov-2020 31-Jul-2024 31-Jul-2024 P168539 IDA-67310 Effective 26-Jun-2020 31-Jul-2020 20-Oct-2020 31-Jul-2024 31-Jul-2024 11/24/2020 Page 16 of 17 The World Bank Implementation Status & Results Report OECS Regional Health Project (P168539) P168539 IDA-67320 Effective 26-Jun-2020 26-Aug-2020 13-Nov-2020 31-Jul-2024 31-Jul-2024 P168539 IDA-D5120 Effective 29-Aug-2019 22-Oct-2019 13-Jan-2020 31-Jul-2024 31-Jul-2024 P168539 IDA-D5130 Effective 29-Aug-2019 16-Oct-2019 13-Jan-2020 31-Jul-2024 31-Jul-2024 Cumulative Disbursements 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) P174096-Additional Financing for the OECS Regional Health Project ,P175385-Second Additional Financing to the OECS Regional Health Project 11/24/2020 Page 17 of 17