The World Bank Report No: ISR2302 Implementation Status & Results Moldova Public Disclosure Copy Avian Influenza Control & Human Pandemic Preparedness & Response Project (P099841) Operation Name: Avian Influenza Control & Human Pandemic Preparedness & Project Stage: Implementation Seq.No: 8 Status: ARCHIVED Last Modified Date: 22-Dec-2010 Response Project (P099841) Country: Moldova Approval FY: 2006 Product Line: IBRD/IDA Region: EUROPE AND CENTRAL ASIA Lending Instrument: Emergency Recovery Loan Implementing Agency(ies): Ministry of Agriculture & Food Industry, Ministry of Health & Social Protection Key Dates Board Approval Date 09-Jun-2006 Original Closing Date 31-Dec-2009 Planned Mid Term Review Date 01-May-2008 Last Archived ISR Date 15-Jun-2010 Effectiveness Date 12-Sep-2006 Revised Closing Date 31-Mar-2011 Actual Mid Term Review Date 15-Sep-2008 Project Development Objectives Project Development Objective (from Project Appraisal Document) The overall objective of the Project is to minimize the threat posed to humans by Highly Pathogenic Avian Influenza (HPAI) and other infectious diseases that originate in animals. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost Animal Health 3.60 Human Health 3.70 Public Information & Awareness 1.30 Public Disclosure Copy Project management, monitoring & evaluation 0.55 Unallocated 1.45 Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating NA Implementation Status Overview The Project has made very good progress in all its components and its Development Objective is being achieved. The capacity to detect and respond to outbreaks of HPAI (and of Page 1 of 8 The World Bank Report No: ISR2302 other zoonotic and infectious diseases) has been greatly strengthened in both the animal and human health sectors. Surveillance, diagnostic, reporting, containment and patient treatment capacity are today all substantially improved over what they were four years ago, and in the field of computerized infectious disease reporting and monitoring the country is Public Disclosure Copy well ahead of most others in the region. The Moldovan response to the H1N1 pandemic of 2009/10 was also among the best in the region. The disease was effectively contained and human casualties were minimized. To a considerable extent this can be attributed to the investments in institutional and human capacity made under the Project. Results Project Development Objective Indicators Indicator Baseline Current End Target Indicator Name Value Value Value A Moldovan government laboratory identifies the presence of HPAI in Zero capacity for diagnosis. Capacity for diagnosis exists. Within 48 hours of sample case of an outbreak of HPAI among poultry. collection, with 95% confidence Date Date 05-Mar-2006 01-Dec-2010 Date Type Unit of Measure Comment Comment 31-Mar-2011 Custom Indicator Text Comment Indicator Baseline Current End Target Indicator Name Value Value Value The Government culls birds at the infection point and establishes a One national simulation exercise Three comprehensive simulation A real or simulated outbreak is fully protection zone, with participation of local governments and the has been completed revealing exercises were successfully contained within 72 hours. population in case of an outbreak of HPAI among poultry. partial readiness. carried out by the Moldova Date Date authorities to test preparedness Type Unit of Measure and responsecapacity. 31-Mar-2011 05-Mar-2006 Comment Custom Indicator Text Date Comment 01-Dec-2010 Comment Public Disclosure Copy Page 2 of 8 The World Bank Report No: ISR2302 Indicator Baseline Current End Target Public Disclosure Copy Indicator Name Value Value Value The Government compensates small farmers for culled birds in case of No compensation mechanism in The functionality of the Farmers are compensated within an outbreak of HPAI among poultry. place. compensation mechanism was 10 days after containment. Date successfully tested during all three Date simulation exercises and farmers Type Unit of Measure 05-Mar-2006 can be compensated withing 10 31-Mar-2011 Custom Indicator Text Comment days. Comment Date 01-Dec-2010 Comment Indicator Baseline Current End Target Indicator Name Value Value Value A Moldovan government laboratory identifies the presence of HPAI in Zero capacity Within 48 hours of sample Within 48 hours of sample case of pandemic of HPAI among people. collection, with 95% collection, with 95% confidence. Date 05-Mar-2006 Date Date Type Unit of Measure Comment 01-Dec-2010 31-Mar-2011 Custom Indicator Text Comment Comment Indicator Baseline Current End Target Indicator Name Value Value Value Patients are transported safely and hospitalized in protected rooms in Zero capacity. 100% of projected capacity for 100% of projected capacity for case of pandemic of HPAI among people. transportation and hospitalization transportation and hospitalization is Date is in place. in place. 05-Mar-2006 Date Date Type Unit of Measure Comment Public Disclosure Copy 01-Dec-2010 31-Dec-2009 Custom Indicator Text Comment Comment Page 3 of 8 The World Bank Report No: ISR2302 Indicator Baseline Current End Target Public Disclosure Copy Indicator Name Value Value Value Patients receive treatment appropriate to HPAI infection in case of Limited capacity. 100 % of projected capacity for 100 % of projected capacity for pandemic of HPAI among people. care and medicated treatment is in care and medicated treatment is in Date place. place. 05-Mar-2006 Date Date Type Unit of Measure Comment 01-Dec-2010 31-Mar-2011 Custom Indicator Text Comment Comment The events related to the H1N1 pandemic indicate that the projected contributed to enhanced preparedness for patient treatment. Intermediate Results Indicators Indicator Baseline Current End Target Indicator Name Value Value Value Health facilities constructed, renovated, and/or equipped 0.00 2.00 2.00 Date Date Date 01-Feb-2006 01-Dec-2010 31-Mar-2011 Type Unit of Measure Comment Comment Comment Core Indicator Number Construction and refurbishment of two facilities was fully completed. Both facilities are now operational. Indicator Baseline Current End Target Indicator Name Value Value Value Health personnel receiving training 500.00 500.00 Public Disclosure Copy Date Date Date 01-Dec-2010 31-Mar-2011 Type Unit of Measure Comment Comment Comment Core Indicator Number Page 4 of 8 The World Bank Report No: ISR2302 Indicator Baseline Current End Target Public Disclosure Copy Indicator Name Value Value Value Detailed and operational response plan delivered and simulation Zero plans; 1 simulation Three full simulation exercises on 3 simulation exercises. exercises conducted. the animal health response took Date Date place. Two full table-top exercises 05-Mar-2006 on the human health 31-Mar-2011 Type Unit of Measure Comment responsehave taken place. Comment Custom Indicator Text Date 01-Dec-2010 Comment Indicator Baseline Current End Target Indicator Name Value Value Value A compensation fund with total funding of at least US$ 1.5 million No fund exists. A fully functional and adequately A fully functional and adequately (coverage of 3.5% of the poultry on household farms) is established, funded compensation mechanism funded compensation mechanism Date has legal status, and is functional to pay legitimate claims. is in place. The compensation is in place. 05-Mar-2006 mechanism has been tested during Date Type Unit of Measure Comment the simulation exercises. 31-Mar-2011 Custom Indicator Text Date Comment 01-Dec-2010 Comment Indicator Baseline Current End Target Indicator Name Value Value Value National public awareness and information campaign is conducted. 15% of the activities under the A very effective awareness and Continuous. communications plan have been communication program was Date delivered. implemented for three years by Public Disclosure Copy UNICEF. Currently awareness and 31-Mar-2011 Date Type Unit of Measure communication activities are Comment 05-Mar-2006 implemented through component Custom Indicator Text Comment activities. Date 01-Dec-2010 Comment Page 5 of 8 The World Bank Report No: ISR2302 Indicator Baseline Current End Target Public Disclosure Copy Indicator Name Value Value Value Equipment for testing animals for HPAI delivered. None delivered or trained. Equipment was delivered and Surveillance and diagnosis Personnel are trained. Personnel have used laboratory equipment and installed in three laboratories. capacity fully in place. Date results have been validated by an independent laboratory. Laboratory personnel received 05-Mar-2006 Date training and the laboratories are Type Unit of Measure Comment now fully functional. 31-Dec-2009 Custom Indicator Text Date Comment 01-Dec-2010 Comment Capacity building and training for laboratory personnel continues. Indicator Baseline Current End Target Indicator Name Value Value Value Protective clothing, medicines, testing materials, etc., are delivered. Limited delivery and training. All containment systems are All containment systems are Personnel are trained in the use of protective clothing, etc. Simulation operational. Equipment and operational. Date exercises are successful. materials have been procured and 05-Mar-2006 Date training on their use delivered. Type Unit of Measure Comment Response capacity was tested 31-Dec-2009 Custom Indicator Text successfully in a series of Comment simulation exercises. Date 01-Dec-2010 Comment Indicator Baseline Current End Target Indicator Name Value Value Value Public Disclosure Copy Equipment for testing people for HPAI delivered. Personnel are None delivered, no one trained. Diagnosis capacity fully in place. Diagnosis capacity fully in place. trained. Personnel have used equipment and results have been Laboratory personnel received Date Date verified by an independent laboratory. training and the laboratories are 05-Mar-2006 now fully functional. 31-Dec-2009 Type Unit of Measure Comment Date Comment Custom Indicator Text 01-Dec-2010 Comment Capacity building and training for laboratory personnel continues. Page 6 of 8 The World Bank Report No: ISR2302 Indicator Baseline Current End Target Public Disclosure Copy Indicator Name Value Value Value Equipment for the isolation intensive care room is delivered to and No equipment delivered, no staff All systems for care and treatment All systems for care and treatment installed in Dr. Toma Ciorba Hospital. Personnel are trained. trained. are operational. The ICU was are operational. Date commissioned and is now Date functional. Training of staff was Type Unit of Measure 05-Mar-2006 delivered. 31-Dec-2009 Custom Indicator Text Comment Date Comment 01-Dec-2010 Comment Capacity building and training for hospital staff continues. Data on Financial Performance (as of 08-Dec-2010) Financial Agreement(s) Key Dates Project Loan No. Status Approval Date Signing Date Effectiveness Date Closing Date P099841 IDA-41880 Effective 09-Jun-2006 16-Jun-2006 12-Sep-2006 31-Mar-2011 P099841 IDA-H2330 Effective 09-Jun-2006 16-Jun-2006 12-Sep-2006 31-Mar-2011 P099841 TF-56630 Closed 16-Jun-2006 16-Jun-2006 16-Jun-2006 31-Dec-2009 P099841 TF-58241 Closed 20-Jun-2007 20-Jun-2007 20-Jun-2007 31-Aug-2009 Disbursements (in Millions) Project Loan No. Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P099841 IDA-41880 Effective XDR 2.80 2.80 0.00 2.33 0.47 83.00 P099841 IDA-H2330 Effective XDR 2.80 2.80 0.00 2.33 0.47 83.00 P099841 TF-56630 Closed XDR 0.50 0.49 0.01 0.49 0.00 100.00 Public Disclosure Copy P099841 TF-58241 Closed XDR 1.00 1.00 0.00 1.00 0.00 100.00 Disbursement Graph Page 7 of 8 The World Bank Report No: ISR2302 Public Disclosure Copy Key Decisions Regarding Implementation The Project will undergo a final restructuring before closing on March 31, 2011 to allow for the reallocation of proceeds from the Compensation Fund to other eligible categories for the completion of a few final activities. Restructuring History Level two Approved on 19-Apr-2010, Level two Approved on 20-Apr-2010 Related Projects There are no related projects. Public Disclosure Copy Page 8 of 8