78092   QUARTERLY REPORT TO THE DONORS  For the Period January 1st through March 31st, 2012    1. Summary  2. Donor Contributions  3. Grant Approvals and Pipeline  4. Grant Disbursements  5. Implementation  a. Implementation Highlights since October 2011   b. Rating and Risk Changes  c. Closed Projects  6. Challenges  7. Patterns of Achievement      ANNEX 1 – Donor Contributions  ANNEX 2 – Grant Approvals   ANNEX 3 – Grant Disbursements (Active and Closed Grants)  ANNEX 4 – Regional Grant Disbursements Charts  ANNEX 5 – Regional Funding Requirements  ANNEX 6 – Implementation Details for Active Projects      Quarterly Report to the Donors of the Avian and Human Influenza Facility (AHIF) For the Period January 1st through March 31st, 2012 I. Summary During the quarter ending on March 31, 2012: ï‚· AHIF multidonor window was closed as of December 31, 2011 in line with the Administration Agreement. ï‚· No grants were closed or extended in the quarter from January to March 2012. ï‚· Two grants were submitted for approval and currently waiting for advice from the European Commission (EC); Nepal ($10 million) and China 3 ($2.6 million). ï‚· Two grants are in the pipeline; Mongolia ($2.9 million), and Regional – Europe and Central Asia (ECA) ($1.8 million). ï‚· Total disbursements reached $71.8 million (62 percent of signed grants), from $70 million at the end of December 2011. In addition, seven grants were closed between October 1 and December 31, 2011; Belize, China 1, Honduras, Mongolia, Nicaragua, Regional South Asia Region (SAR) 1, and Vietnam 1. Results for these grants are captured in this report as well as the implementation progress on nine currently active grants (see Annex 3 for a list of active grants). II. Donor Contributions 1. Donor pledges and contributions remained unchanged compared to previous quarter. Donor contributions received to date are $123.2 million out of about US$ 127 million total commitments. Annex 1, shows the status of donor pledges and contributions. III. Grant approvals, reflows, and pipeline 2. The tables in Annex 2 present the status of all approved grants, as well as the reflows realized to date from closed grants. Amount of funding available under the AHIF was $120.7 million (net of 5% administration fee from total commitments of $127 million), of which $117.1 million has been received. The cumulative value of approvals to date equals $115.4 million, while the cumulative reflows from closed grants total $20.7 million. 1    3. As of March 31, 2012, $19.2 million is available for new grants under three EC windows (East and South Asia windows I and II and Eastern European window). Four grants in the pipeline (Nepal, China, Mongolia, and Regional ECA) already account for a total of $17.3 million of this remaining amount. 4. In total, 46 out of 55 signed grants have closed. Of these, seven have closed from October 1 to December 31, 2011. These seven closed grants are: Belize, China 1, Honduras, Mongolia, Nicaragua, Regional SAR 1, and Vietnam 1. The total approved amount for these grants was $23.1 million, of which $22.9 million was disbursed. The results of these grants are covered in this report; results of closed grants before October 1, 2011 were covered in previous quarterly reports (see Table 5 below). 5. As of March 31, 2012, there were nine active grants under implementation. Out of these, four grants are now scheduled to close in the next quarter: ï‚· Cambodia (scheduled to close on June 30, 2013) ï‚· Global 2 (scheduled to close on December 31, 2012) ï‚· Lao PDR 1 (scheduled to close on June 30, 2012) ï‚· Lao PDR 3 (scheduled to close on June 30, 2012) ï‚· Morocco (scheduled to close on June 30, 2012) ï‚· Regional - MNA (scheduled to close on June 30, 2012) ï‚· Regional SAR 2 (scheduled to close on December 31, 2013) ï‚· Tunisia (scheduled to close on December 31, 2012) ï‚· Vietnam 2 (scheduled to close on December 31, 2013) 6. A new grant for Nepal ($10 million) was approved in April 2012. Two new grants are in the process of approval, and one is currently awaiting advice from the EC. The first one, for China, requested $2.6 million is currently under review by the EC; the second one, for Mongolia, requested $2.9 million is currently under review by the Bank. 7. Two new grants are in the pipeline and being prepared for submission. The first one, for Mongolia expected to request $2.9 million, the second one, for Regional ECA, expected to request $1.8 million. 8. A detailed breakdown of grant pipeline by region is presented in Annex 5. 2    IV. Grant Disbursements 9. Percentage of disbursements to signed grants stood at 62 percent as of March 31, 2012, in monetary terms $71.8 million out of $115.4 million. At the end of December 31, 2011, according to the last quarterly report, percentage of disbursements to signed grants was 61 percent, and amount was $70.4 million. 10. The portfolio in the Middle East and North Africa (MNA) region continues to experience challenges; majority of the portfolio has been closed with partial disbursements. Morocco, Tunisia, and Regional MNA grants remain active. Extensions have been provided to all three grants. Morocco grant have not yet started disbursement as of March 31, 2012 due to government’s cumbersome disbursement procedures. The procedures for disbursements have been approved by the Government, which requested and received approval, on a no objection basis, from the European Union delegation in Rabat of exemption of local taxes and duties. In the absence of agreed procedures, the expenditures incurred against the commitments were being paid from the Government budget. Although the grant has yet to make its first disbursement, the commitments under the project currently stand at over US$600,000. It is expected that about 75% of total grant will be disbursed against current commitments by the closing date of June 30, 2012. 11. Seven grants had additional disbursement in the quarter: Cambodia, Kyrgyz Republic, Lao PDR, Regional MNA, Regional SAR 1, and Tunisia. Details are provided in Annex 3. 12. Five grants had negative disbursements due to adjustments during legal closure: Bangladesh, Egypt, Honduras, Uganda 2, and West Bank & Gaza. Details are provided in Annex 3. 13. In line with the special permission obtained from donors, grant for Yemen 2 disbursed additional $512,763 after the lapse of disbursement deadline and total disbursement has been realized as $733,827. 14. A total of $1.4 million has been disbursed in the quarter. Table 2 below shows net disbursements by region in the last four quarters. 3    Table 2 - Quarterly Disbursements over the Last Year by Region (excluding global grants) and Reflows from Closed Grants (US$000) Net Amount Disbursed During the Quarter 2011: 2nd Qtr. 2011 3rd Qtr. 2011 4th Qtr. 2012 1st Qtr. April 1 to July 1 to October 1 to January 1 to Region June 30 September 30 December 31 March 31 Africa 0 0 165 â€?15 East Asia/ Pacific 1,899 1,315 2,088 296 Europe/ Central Asia 821 1,403 837 0 Latin America/ Caribbean 766 124 779 -2 Middle East/ North Africa 357 0 513 56 South Asia 572 104 0 1,094 TOTAL Disbursed 4,423 2,946 4,382 1,428 Reflows (702) (1,188) (2,334) (2,116) 15. Table 3 below shows cumulative disbursements by region as of March 31of each year from 2008 through 2012. 4    Table 3 - Cumulative Disbursements over Five Years by Region (excluding global grants) ($000) As of March 31 of each year Region 2008 2009 2010 2011 2012 Africa 1,138 2,089 2,947 5,131 5,281 East Asia/ Pacific 1,427 5,914 13,472 24,236 29,834 Europe/ Central Asia 1,219 4,981 11,188 11,822 14,883 Latin America/ Caribbean 50 240 603 1,188 2,856 Middle East/ North Africa 3,266 5,192 8,674 9,297 10,222 South Asia 650 2,295 3,132 6,889 8,658 TOTAL 7,750 20,712 40,016 58,562 71,734 16. Annex 3 provides a detailed list of disbursements. To ease the analysis of portfolio activity, Annex 3 has been split into two tables: Table 1 on active grants and Table 2 on closed grants. It should be noted that closure in Table 2 represents the completion of activities chargeable to trust fund; disbursements could still be ongoing for recently closed grants until the grace period expires. 5. Implementation Out of the fifty-five country and regional grants that have been signed, forty six were closed as of March 31, 2012. The remaining nine grants are under implementation in five countries and two regions. 5    Four grants accounted for 51% percent of total disbursements from October 2011 through March 2012. Implementations for these grants have been moving faster than others during this period. These grants are listed in Table 4 together with their respective disbursements in this quarter and in previous quarter. In addition, Table 4 shows cumulative disbursements over the life of the grant, the original grant amount approved, the amount remaining to be disbursed, and the percentage of the remaining amount. Table 4 – Grants with Largest Disbursements and Ongoing Implementation October 2011 through March 2012 Disbursed Disbursed Cumulative Remaining Oct - Dec Jan - Mar Disbursement Originall Disbursement Remaining 2011 2012 to Mar 2012 y Mar 2012 / ($000) ($000) ($000) Approved ($000) Approved ($000) percent Regional 0 1,094 3,758 3,836 78 2 SAR 1 China 2 736 11 3,500 3,500 0 0 Mongolia 536 0 4,538 4,656 118 3 Lao PDR 1 485 87 1,928 2,000 72 4 TOTAL 1,757 1,192 13,724 13,992 268 3 Implementation Highlights since October 2011 Several projects made strong implementation gains since October 2011; Annex 6 gives accounts of recent progress for active projects individually. This section provides illustrations of achievements in three projects with highest disbursements in the last two quarters. Regional SAR 1 (Closed as of December 31, 2011): The grant delivered a Masters-level degree program in epidemiology and biosecurity to selected animal health and human public health experts from beneficiary countries (Afghanistan, Bangladesh, Bhutan, India, Nepal, Pakistan and Sri Lanka) through web-based and face-to-face training modules. The purpose of the training was to improve the capacities of mid-level managers, field-based officials and educators, who are actively involved in disease control and implementation of health improvement programs, to better manage current and emerging diseases. The degree programs required approximately 16 months of part-time study in order to complete a series of eight academic papers. The papers were specifically structured to build One Health professional networks both within and between 6    countries in South Asia. Students with backgrounds in human health obtained a Master of Public Health (Biosecurity), while those with a background in animal health obtained a Master of Veterinary Medicine (Biosecurity). Fifty-nine of the 70 students entering the MVM/MPH (Biosecurity) program successfully completed it. Seven students were dropped from the Master program at various stages due to poor academic performance but awarded Postgraduate Certificate of Science indicating that they have completed at least four of the eight required papers successfully. Four students did not complete the training with any certificate or degree. China 2 (Closed as of November 30, 2011): During Phase II the grant successfully shifted its focus from response to preparedness and delivered the following results: (i) the grant has systematically put “One Healthâ€? into practice, influenza pandemic preparedness has gone beyond the health sector and covered water, electricity and food industries at the targeted provinces; (ii) the national strategy for Highly Pathogenic Avian Influenza surveillance has been improved; (iii) a number of working tools have been developed and put into practice, these include Influenza Pandemic Preparedness Assessment (IPPA) tools, rapid response kits, standard operating procedures, manuals for drill and exercise, risk communication plans, business continuity plans for food, water, and electricity supply. Anhui and Liaoning provinces have benefited from improved capacity in their respective responses to other diseases such as cholera and anthrax. Mongolia (Closed as of November 30, 2011): The grant featured a number of innovations such as: (i) putting the principle of “One World, One Healthâ€? into practice for the first time in Mongolia; and (ii) a systematic approach was adopted to enhance overall capacity in the country for preparing and responding to infectious diseases such as HPAI, human pandemic influenza as well as other emerging infectious diseases. The grant set up, trained and equipped 22 rapid response teams and conducted 16 drills. Legal framework, command and control structure has been reviewed. National Pandemic Influenza Preparedness Plan has been revised and National Animal Health and Zoonoses Strategy drafted. Animal influenza surveillance among wild birds and poultry has been improved (Early Warning Systems - EWARS). Emergency response management system (Incident Response Information System –IRIS) has been set up. Time needed from start of disease investigation to completion of file in national information system for animal influenza has been significantly reduced: from 1 month before the project to 4 days at the end of the project. For human influenza, this delay was also substantially reduced, from 1 month to 4-4.5 days. Lao PDR 1 (Active as of March 31, 2012): All three grants to Lao PDR from AHIF cover different aspects of the same umbrella project which has been supporting the national plan for avian and human influenza control through the following five components; i) Animal Health, ii) Human Health: Surveillance and Response, iii) Human Health: Curative Services, iv) Information, Education and Communication, v) Project Coordination, Project management, and Regulatory Framework. 7    Majority of the implementation progress indicators have been either met or exceeded for the Lao PDR 1 grant. Some highlights on results include; i) improvements in coordinated response to outbreak investigation; ii) improvements in knowledge of staff in hospitals regarding infection control; and iii) development of AHI Pandemic Preparedness Plan for all provinces, which served the country well during Lao PDR’s response to the 2009 H1N1 pandemic. Progress during the most recent quarter included the following; i) under animal health component construction activities continued for National Animal Health Center, ii) under human health: curative services component construction activities continued for National Center for Laboratory and Epidemiology. Rating and Risk Changes Three active grants changed ratings of implementation progress or estimation of activity risk compared to the ratings of six months earlier. One grant reported these ratings for the first time: ï‚· Cambodia’s rating on implementation progress has improved from Moderately Satisfactory to Satisfactory, while the activity risk rating worsened from Modest to Substantial. Continuous efforts in capacity building and initiation of technical service contracts with FAO and WHO resulted in significant acceleration of overall progress during 2011. Increase in activity risk was due to ongoing lack of salary supplements for Ministry of Agriculture Forestry and Fisheries (MAFF) and National Committee for Disaster Management (NCDM) staff which affects staff morale and smooth functioning of the project. ï‚· Lao PDR 1’s rating on implementation progress has been changed from Not Applicable to Satisfactory due to the approval of project restructuring after which financing of activities under this grant have resumed. ï‚· Tunisia’s activity risk has been improved from Modest to Negligible or Low. Even though the recipient had limited experience with Bank procurement rules, regular consultations with Bank procurement staff have been set up which clarified outstanding issues and resolved bottle-necks. ï‚· Regional South Asia 2 grant reported first time ratings as follows: Satisfactory for Implementation Progress and Modest for Activity Risk. Closed Grants A list of quarterly reports and their coverage of the results of closed grants is provided in Table 5. This report builds on earlier reporting by covering the results of those closed grants that had not been reported in previously. Namely these grants are: Belize, China 2, Honduras, Mongolia, Nicaragua, Regional SAR 1, and Vietnam 1. 8    Table 5 – Results of Closed Grants Included in Quarterly Reports From Inception through March 2012 Results of Closed Grants Covered in Quarterly Quarterly Report Period Report January through March 2012 Belize, China 2, Honduras, Mongolia, Nicaragua, Regional SAR 1, Vietnam 1 July through September 2011 Bangladesh, Colombia, Dominican Republic, Egypt, Lao PDR 2, Mexico, Myanmar, Regional ECA, Syria, Uganda, West Bank Gaza, and Yemen January through March 2011 Bhutan, Cameroon, Kyrgyz Republic, Sri Lanka, Turkmenistan July through September 2010 Afghanistan, Armenia, Malawi, Mercosur, China 1 January through March 2010 Congo, Djibouti, Georgia, Indonesia, Moldova, Tajikistan, Uzbekistan, Regional MNA July through September 2009 Global January through March 2009 Zambia, Yemen 1, Sierra Leone, Mozambique July through September 2008 Liberia, Mauritania, Uganda 1 Out of the seven grants that have been closed between October 1, 2011 and March 31, 2012, three (China 2, Mongolia, Regional SAR 1) have already been covered under “Implementation Highlights since October 2011â€? section above. Selected accomplishments over the lifetime of the remaining four closed grants (Belize, Honduras, Nicaragua, and Vietnam 1) are reported below. Belize: The grant was particularly successful in building overall surveillance capacity of the country’s health system. More than 45 targeted health workers were trained in point-of-entry surveillance, outbreak investigation, rumor surveillance, rapid response surveillance, local response surveillance, and laboratory/clinical identification of influenza virus. The capacity to quickly mobilize surveillance stations at different points of entry has also been established. The necessary equipment, vehicles, manuals, and protection supplies were made available to properly operate these stations. The country’s ability to detect and respond to potential epidemics has been improved. Central medical laboratory has been equipped with needed equipment and 9    supplies to better detect possible threats. Four national campaigns were launched to educate the public on personal measures against infectious diseases. Honduras: Overall the grant has been moderately satisfactory in achieving its objectives. National Plant and Animal Health Service (SENASA) implemented all planned activities except the construction of a farm to produce virus free eggs and the cost-benefit analysis of mitigation measures against Avian Flu. However, it has been determined that the construction of the farm was not essential to achieve the objectives. Instead of the farm, SENASA opted to purchase much needed laboratory equipment for its regional lab, and additional training for laboratory staff. The following specific results have been achieved under the grant; (i) a geographical information system has been established, covering three zones of the country, (ii) equipment has been acquired to build a new laboratory in San Pedro Sula with enhanced level of biosafety; (iii) Early Warning and Alert System has been established through preparation and organization of community leaders; (iv) regulations have been defined and manual has been designed to establish compensation mechanism. Nicaragua: The grant strengthened Ministry of Health’s capability in responding to epidemics and created alternative surveillance centers in schools to ensure timely reporting of epidemic cases. Beyond H1N1, the grant supported strengthening of national surveillance system. Necessary equipment and training has been provided to all targeted alternative health centers. Ministry of Health’s communications and prevention strategy have been improved through implementation of communication plan by all departments. Epidemiological surveillance system has been reinforced through establishment of alternative surveillance points. Educational messages have been transmitted through radio. In addition, the grant generated positive externalities through identification of gaps in surveillance capacity at the local level and improved mapping of surveillance needs. Vietnam 1: The grant increased the effectiveness of government services in reducing heath risks to poultry and humans from avian influenza in eleven high priority provinces. It also contributed to addressing HPAI at the national level by controlling the disease at source in domestic poultry through early detection and response to poultry and human cases. The following specific results have been achieved under the grant: I) Agricultural Sector: 3 national laboratories have been financed for accreditation; one of them has been awarded ISO certificates. 5 provincial laboratories have been provided essential equipment. 5,278 district animal health officials have been trained as trainers. The construction of Ha Vy market has been completed and operations started since August 2011, all traders from the old market moved to the new one. 30 markets in 8 provinces have been upgraded. 31 slaughterhouses have been upgraded and started operations. 52 out of 58 biosecurity farms met disease-free requirements. The poultry holding and culling site in Lang Son has been constructed. A number of communication activities such as school- based communication, rapid outbreak containment competitions have been organized at national level and widely disseminated on mass media. II) Health Sector: infectious disease surveillance system training has been provided to 3,300 trainees in 8 provinces. 3 training courses on 10    infection control in hospitals have been delivered for 155 provincial and district health workers. Equipment for provincial and district hospitals were delivered and installed. Awareness raising workshops for teachers were organized, communication campaign was held in 8 provinces. Investment and training activities for 28 pilot district preventive medicine centers were implemented. 6. Challenges A number of grants have continued to experience implementation and disbursement delays for a variety of reasons. In Honduras, the implementation of the grant was hindered by various political problems, and once these were resolved, by various administrative problems. In Morocco, the grant suffered significant start-up delays due to frequent changes of task team leaders, poor design and implementation arrangements, and cumbersome government procedures to make disbursements against commitments due to ineligibility of local taxes and duties under AHIF. In Tunisia, despite initial implementation delays, the grant was able to make modest progress, lack of coordination with other partners, setbacks due to political unrest and procurement delays were the main issues. In some cases, such as in Belize, the grants have been able to adjust their priorities and output targets through timely restructuring and were able to avoid interruption of implementation. As a growing number of AHIF grants close, most recipient countries are increasingly facing the challenge of sustaining the capacity that has been built during the past 5 years. Moreover, significant gaps in countries’ capacity to prepare for and respond to outbreaks of avian influenza and other zoonotic diseases remain because the needs at the outset of the AHIF-supported programs were so large. Financing for medium- and long- term-programs to build capacity in veterinary and human public health is scarce, especially in the poorest countries. 7. Patterns of Achievement Across the AHIF program portfolio, majority of accomplishments were obtained through training, strengthening surveillance, upgrading laboratories, and increasing public awareness. This section provides illustrations of country achievements in the context of common themes. Training: Training, to increase both capacity and awareness has been the leading activity among the AHIF funded projects. Some training has been provided for small number of technicians and health professionals such as; specialized training provided to 22 rapid response teams in provinces of Mongolia, surveillance training of 45 health professionals at ports of entry in Belize, and Master's degree in epidemiology for 59 veterinarians and medical doctors in South Asia Region (and an additional 11 trainees benefitted from parts of this advanced program). Some training has been delivered more widely to various other stakeholders such as training provided to 5,278 district animal health officials to prepare them as trainers in Vietnam. 11    Surveillance: Surveillance work ranged from development of protocols and systems, to actual establishment of surveillance mechanisms in remote areas. A new Information management system has been developed in Mongolia (Early Warning Systems – EWARS) to facilitate surveillance of wild birds and poultry. In Belize, protocols have been developed to strengthen the country's surveillance system particularly in border areas, more than 45 health workers were trained in ports of entry surveillance, outbreak investigation, rumor surveillance, rapid response surveillance, local response surveillance, and laboratory/clinical identification of influenza virus. In Nicaragua, alternative surveillance centers were created in schools to ensure timely reporting of epidemic cases, necessary equipment and training has been provided to all targeted alternative health centers. Laboratory Upgrading: Constructing or upgrading animal health or human health laboratories has been a significant element in many grants. In Lao PDR construction is underway for National Animal Health Center and National Center for Laboratory and Epidemiology. In Belize, central medical laboratory has been equipped with needed equipment and supplies to better detect possible threats. In Honduras, much needed laboratory equipment has been purchased for regional lab, and additional training has been conducted for laboratory staff. In Vietnam, all nine national and regional veterinary laboratories have received investment and training and are implementing a quality management system, moving toward internationally accepted ISO/10725 standards. In Cambodia, national laboratory strategy has been developed and 5 functional microbiology laboratories have been established at provincial hospitals. In Tunisia, procurement is underway for laboratory equipment. Rapid Response: AHIF grants continue to establish, equip, and train rapid response teams, as in Mongolia, where 22 rapid response teams have been set up and trained and 16 drills have been conducted. In Vietnam, each targeted province has established and maintained at least two rapid response teams, these teams received training and equipment to conduct simulation exercises. In China, rapid response toolkits have been distributed to targeted provinces. In Cambodia, all provincial and district rapid response teams received training on basic surveillance, outbreak investigation, and response. Communication and Public Awareness: Mass communication and public awareness raising campaigns have been frequently utilized by AHIF-funded projects. In Nicaragua, educational messages have been transmitted through radio to the whole country. In Belize, four national campaigns were launched to educate the public on personal measures against infectious diseases. In Vietnam, a number of communication activities such as school-based communication, rapid outbreak containment competitions have been organized at national level and widely disseminated on mass media. Awareness raising workshops for teachers were organized and communication campaign was held in 8 provinces. 12    Biosecurity: Several AHIF funded projects incorporated biosecurity training or implementation through preventive measures aimed at reducing the risk of infectious disease transmission. In South Asia, masters level degree program in epidemiology and biosecurity have been delivered to experts from beneficiary countries. In Vietnam, the biosecurity of 58 farms was analyzed and 52 of them met disease-free biosecurity requirements. In Tunisia, biosecurity equipment were delivered to veterinary research institutes and regional veterinary laboratories in 24 regions. Coordination: Many projects reported that inter-sectoral coordination and cooperation between animal health (Ministries of Agriculture) and human health (Ministries of Health) sectors is critical for success. In Vietnam, coordination between the animal and human health sectors at both the central and local levels has been substantially improved through joint simulation exercises and several other operational mechanisms. In Middle East Consortium on Infectious Disease Surveillance (MECIDS) project, coordination within and among partner countries have been improved through closely coordinated surveillance systems and joint epidemiologic and diagnostic training and activities. Flexibility: Many projects have proved to be flexible in response to the changing needs of governments and were adjusted accordingly. Adjustments to projects have also been made in response to time pressures and chronic implementation delays. In Belize, the project has been restructured in response to government’s request to reallocate funds to focus most of its resources on surveillance efforts as the country's needs and existing challenges had changed from when the original proposal was developed. In Honduras, it has been determined that construction of a farm to produce virus free eggs was not essential to achieve the objectives. Instead of the farm implementing entity decided to purchase needed laboratory equipment for regional lab and additional training for laboratory staff. In Morocco, some of the activities resulted in savings; a revised procurement plan is underway to determine utilization of these saved funds. 13    ANNEX 1: DONOR CONTRIBUTIONS Donor Pledges and Contributions to Date (as of March 31, 2012) Country/ Amount Received to Percent Organization Pledged Date (US$)* Received** European Commission € 70,930,000 93,334,744 95.9 United Kingdom ₤ 7,000,000 13,491,450 100.0 Australia AUD 10,500,000 8,488,250 100.0 Russian Federation USD 3,000,000 3,000,000 100.0 China USD 2,000,000 2,000,000 100.0 India USD 1,670,000 1,668,157 99.9 Korea USD 1,000,000 1,000,000 100.0 Iceland USD 200,000 200,000 100.0 Slovenia € 30,000 38,373 100.0 Estonia € 21,344 27,645 100.0 Total Contributions Received 123,248,619 96.9 *After conversion to US Dollars and before deduction of administration fee. **As computed in the commitment currencies. 14    ANNEX 2 – GRANT APPROVALS CHRONOLOGICAL LIST OF FACILITY GRANTS APPROVED In US$ Millions , As of Mar 31, 2012 Europe an Com m is s ion Eas t & Eas t & Ce ntral Eas te rn M e dite rrane an Multi AHI Facility Enve lope Approval TOTAL South As ia South As ia As ia Europe Littoral Donor Date s FACILITY (TF070533) (TF070934) (TF070540) (TF070541) (TF070542) (TF070515) Expe cte d Funds Available * 35.7 31.4 5.9 6.3 13.0 28.4 120.7 Lao PDR - 1 8-Aug-06 (2.0) (2.0) Djibouti 7-Sep-06 (2.1) (2.1) Georgia 18-Sep-06 (1.6) (1.6) West Bank and Gaza 22-Sep-06 (3.0) (3.0) Zambia 26-Sep-06 (1.0) (1.0) China-1 18-Oct-06 (2.7) (2.7) Liberia 28-Nov-06 (0.1) (0.1) Sierra Leone 29-Nov-06 (0.1) (0.1) Vietnam 15-Dec-06 (10.0) (10.0) Indonesia 15-Dec-06 (10.0) (10.0) Regional - MNA 19-Dec-06 (1.0) (1.0) Af ghanistan 22-Dec-06 (5.0) (5.0) Regional - LCR 22-Dec-06 (0.5) (0.5) Tajikistan 22-Dec-06 (1.5) (1.5) Yemen-1 5-Feb-07 (0.1) (0.1) Armenia 12-Feb-07 (2.0) (2.0) Mauritania 20-Feb-07 (0.0) (0.0) Uganda - 1 26-Feb-07 (0.1) (0.1) Cambodia 5-Mar-07 (2.0) (2.0) Moldova 26-Mar-07 (1.0) (1.0) Malaw i 16-Apr-07 (1.0) (1.0) Egypt 18-Apr-07 (7.1) (7.1) Uzbekistan 2-May-07 (3.0) (3.0) Myanmar 16-May-07 (1.3) (1.3) Mozambique 7-Jun-07 (0.1) (0.1) Bangladesh 16-Jul-07 (2.0) (2.0) Bhutan - 1 19-Jul-07 (1.3) (1.3) Lao PDR - 2 6-Aug-07 (2.4) (2.4) Sri Lanka 15-Oct-07 (1.4) (1.4) Cameroon 18-Oct-07 (1.3) (1.3) Turkmenistan 16-Nov-07 (1.1) (0.9) (2.0) Congo 27-Feb-08 (1.0) (1.0) Tunisia 9-Apr-08 (0.7) (0.7) Kyrgyz Republic 14-Apr-08 (0.4) (0.8) (1.2) Mongolia 21-Apr-08 (4.7) (4.7) Honduras 19-May-08 (0.3) (0.3) Yemen -2 11-Aug-08 (1.1) (1.1) Dominican Republic 12-Aug-08 (1.0) (1.0) Uganda - 2 10-Sep-08 (2.0) (2.0) Bhutan - 2 9-Dec-08 (1.2) (1.2) Lao PDR-3 18-Jan-09 (0.1) (0.1) Global - 1 2-Mar-09 (0.1) (0.1) Syria 23-Mar-09 (1.3) (1.3) Mexico 24-Aug-09 (1.7) (1.7) Belize 9-Nov-09 (0.5) (0.5) Morocco 10-Nov-09 (0.9) (0.9) China-2 22-Dec-09 (3.5) (3.5) Regional - SAR 11-Jan-10 (3.8) (3.8) Global - 2 2-Mar-10 (0.1) (0.1) Nicaragua 18-Apr-10 (0.3) (0.3) Subregional - Middle East 7-Oct-10 (0.3) (0.3) Regional - ECA 15-Nov-10 (3.0) (3.0) Colombia 2-Dec-10 (0.9) (0.9) Regional - SAR 9-Dec-10 (3.9) (3.9) Myanmar (supplemental) 20-May-11 (0.4) (0.4) Vietnam 31-May-11 (13.0) (13.0) Total Approve d: (37.6) (26.4) (5.9) (4.6) (13.0) (28.0) (115.4) Confirm e d Clos e d Grant Re flow s 13.7 0.5 0.0 0.1 0.1 6.2 20.7 Pe rce nt of Expe cte d Funds 67% 82% 99% 71% 100% 76% 79% Proje cte d Balance Available ** 11.8 5.5 0.0 1.8 0.1 6.7 25.9 * Funds contributed or pledged, net of 5% administration f ee. **Includes ref low s received to date f rom closed grants. 15    ANNEX 3 – GRANT DISBURSEMENTS – TABLE 1 – ACTIVE GRANTS   Active AHIF Grants (as of 3/31/2012) Signing Approved Closing Disbursed Movem ent Disbursed Project Nam es TTL Dates Am ounts Dates Dec 31 2011 since Dec. Mar 31 2012 Cambodia** 8-May-08 $2,000,000 30-Jun-13 Mudita Cham roeun $1,275,264 $22,791 $1,298,055 Global-2*** N/A $90,000 31-Dec-12 Om ar Hayat $55,485 $0 $55,485 Lao PDR - 1** 11-Dec-06 $2,000,000 30-Jun-12 Hope C. Phillips Volker $1,841,116 $86,586 $1,927,703 Lao PDR - 3*** N/A $120,000 30-Jun-12 Hope C. Phillips Volker $38,097 $0 $38,097 Morocco 6-Oct-10 $888,490 30-Jun-12 Pierre Rondot $0 $0 $0 Regional MNA 24-Feb-11 $310,900 30-Jun-12 Eileen Brainne Sullivan $100,000 $59,000 $159,000 Regional SAR 2 28-Nov-11 $3,865,910 31-Dec-13 Norm an Bentley Piccioni $0 $0 $0 Tunisia 14-Feb-09 $653,105 31-Dec-12 Maurice Saade $352,777 $62,654 $415,431 Vietnam 2 21-Oct-11 $13,000,000 31-Dec-13 Lingzhi Xu $0 $0 $0 Total Active $22,928,405 $3,662,740 $231,031 $3,893,771 GRAND TOTAL $22,928,405 $3,662,740 $231,031 $3,893,771 *Rapid Assessm ent Grants **Co-financing Grants ***Bank-Executed 16    ANNEX 3 – GRANT DISBURSEMENTS – TABLE 2 – CLOSED GRANTS Closed AHIF Grants (as of 3/31/2012) Signing Approved Closing Disbursed Movem ent Disbursed Reflow at Cl. Project Nam es TTL Dates Am ounts Dates Dec 31 2011 since Dec Mar 31 2012 Mar 31 2012 Afghanistan** 30-May-07 $5,000,000 31-Mar-10 Usm an Qam ar $395,547 $0 $395,547 $4,604,453 Armenia** 8-Jun-07 $2,000,000 31-Jul-10 Brian G. Bedard $1,960,462 $0 $1,960,462 $39,538 Bangladesh** 8-Oct-07 $2,000,000 30-Jun-11 Ousm ane Seck $1,173,154 -$571 $1,172,583 $827,417 Belize 22-Jan-10 $501,744 31-Oct-11 Carm en Carpio $489,399 $0 $489,399 $12,345 Bhutan-1 2-Oct-07 $1,300,000 30-Jul-10 Sandra Rosenhouse $1,300,000 $0 $1,300,000 $0 Bhutan-2 28-May-09 $1,200,000 31-Jan-11 Sandra Rosenhouse $668,802 $0 $668,802 $531,198 Cameroon 26-Mar-08 $1,270,000 31-Dec-10 Ousm ane Seck $1,183,781 $0 $1,183,781 China-1 16-Apr-07 $2,650,000 30-Jun-10 Shiyong Wang $2,650,000 $0 $2,650,000 $0 China-2 25-Feb-10 $3,500,000 30-Nov-11 Shiyong Wang $3,488,585 $11,415 $3,500,000 Colombia (CANCELLED) 6-Jan-11 $890,000 30-Jun-11 Diego Arias Carballo $0 $0 $0 $890,000 Congo 2-Jul-08 $1,000,000 31-Dec-09 Maham at Goadi Lougni $678,795 $0 $678,795 $321,205 Djibouti 21-Oct-06 $2,111,236 31-Aug-09 Jean-Philippe Tre $1,010,994 $0 $1,010,994 $1,100,242 Dominican Republic 8-Nov-08 $1,000,000 30-Jun-11 Diego Arias Carballo $720,670 $0 $720,670 $279,330 Egypt 29-Oct-07 $7,141,842 30-Jun-11 Maurice Saade $3,837,901 -$7,552 $3,830,349 Georgia** 23-Jan-07 $1,600,000 31-Aug-09 Diona Petrescu $1,536,915 $0 $1,536,915 $63,085 Global-1*** N/A $100,000 31-Dec-09 Om ar Hayat $8,969 $0 $8,969 $91,031 Honduras 1-Aug-08 $300,000 30-Oct-11 Marie-Helene Collion $300,000 -$1,822 $298,178 Indonesia 13-Jun-07 $10,000,000 31-Dec-09 Shobha Shetty $1,813,685 $0 $1,813,685 $8,186,315 Kyrgyz Republic**a/ 11-Jul-08 $1,150,000 31-Dec-10 Brian G. Bedard $1,057,118 $0 $1,057,118 $92,882 Lao PDR - 2** 7-Dec-07 $2,400,000 30-Jun-11 Hope C. Phillips Volker $2,207,515 $174,761 $2,382,276 $17,724 Liberia-1* 19-Dec-06 $94,300 30-Jun-08 Yves Jantzem $89,130 $0 $89,130 $5,170 Malaw i 31-Jul-07 $1,000,000 10-Feb-10 Sheila Dutta $200,000 $0 $200,000 $800,000 Mauritania* 22-Mar-07 $29,500 30-Jun-08 Cherif Diallo $29,500 $0 $29,500 $0 Mexico 24-Feb-10 $1,700,000 30-Sep-11 Claudia Macias $547,289 $0 $547,289 $1,152,711 Moldova** 20-Jun-07 $1,000,000 31-Aug-09 Anatol Gobjila $1,000,000 $0 $1,000,000 $0 Mongolia 5-Jun-08 $4,656,463 30-Nov-11 Shiyong Wang $4,538,389 $0 $4,538,389 Mozambique* 10-Sep-07 $98,850 30-Jun-09 Daniel Liborio Da Cruz Sousa $95,341 $0 $95,341 $3,509 Myanmar 7-Mar-08 $1,685,353 30-Sep-11 Paavo Eliste $1,685,353 $0 $1,685,353 $0 Nicaragua 22-Jul-10 $300,000 31-Oct-11 Am paro Elena Gordillo-Tobar $300,000 $0 $300,000 $0 Regional ECA 9-Mar-11 $3,000,000 30-Sep-11 Nedim Jaganjac $2,999,999 $0 $2,999,999 $1 Regional LCR 22-Jun-07 $500,000 31-Mar-20 Michael G. Carroll $500,000 $0 $500,000 $0 Regional MNA 1-Mar-07 $976,899 31-Dec-09 Colin S. Scott $976,899 $0 $976,899 $0 Regional SAR 11-May-10 $3,835,629 31-Dec-11 Norm an Bentley Piccioni $2,664,195 $1,094,196 $3,758,391 Sierra Leone* 20-Dec-06 $94,300 31-Dec-08 Yves Jantzem $84,772 $0 $84,772 $9,528 Sri Lanka 26-Mar-08 $1,433,000 31-Mar-11 Norm an Bentley Piccioni $1,362,689 $0 $1,362,689 $70,311 Syria 22-Oct-09 $1,316,070 30-Aug-11 Maurice Saade $100,000 $0 $100,000 $1,216,070 Tajikistan** 22-Feb-07 $1,500,000 1-Dec-09 Bobojon Yatim ov $1,494,131 $0 $1,494,131 $5,869 Turkmenistan a/ 28-Feb-08 $1,970,000 31-Dec-10 Tam er Sam ah Rabie $1,891,843 $0 $1,891,843 $78,157 Uganda-1* 21-May-07 $94,300 30-Jun-08 Wilson Onyang Odw ongo $93,321 $0 $93,321 $979 Uganda-2** 10-Oct-08 $2,000,000 30-Jun-11 Wilson Onyang Odw ongo $2,000,000 -$14,802 $1,985,198 $14,802 Uzbekistan 18-May-07 $2,960,275 30-Sep-09 Dilshod Khidirov $2,942,854 $0 $2,942,854 $17,421 Vietnam 1 12-Apr-07 $10,000,000 31-Dec-11 Binh Cao $10,000,000 $0 $10,000,000 $0 West Bank & Gaza 3-Oct-06 $3,000,000 30-Jun-11 Maurice Saade $3,000,000 -$58,191 $2,941,809 $58,191 Yemen-1* 10-Feb-07 $57,260 31-Mar-09 Pierre Rondot $53,881 $0 $53,881 $3,379 Yemen-2 5-Nov-08 $1,080,100 30-Jun-11 Pierre Rondot $733,827 $66 $733,894 Zambia 22-Dec-06 $999,552 31-Dec-08 Alex Mw anakasale $841,168 $0 $841,168 $158,384 TOTALS $92,496,673 $66,706,872 $1,197,500 $67,904,372 $20,651,250 *Rapid Assessm ent Grants **Co-financing Grants ***Bank-Executed Grants a/ The sum of tw o separate child accounts reported as they refer to the sam e project, the latest closing date is indicated     17    ANNEX 4 – REGIONAL GRANT DISBURSEMENT CHARTS   Chart 1 â€? Cumulative Approval & Disbursements â€? as of Mar 31, 2012 $60 $52 $50 USD Millions $40 $30 $30 $18 $19 $20 $15 $15 $10 $9 $7 $5 $5 $10 $3 $0 AFR EAP ECA LCR MNA SAR Cumulative Approval Cumulative Disbursement     Chart 2 â€? Disbursements This Quarter â€? as of Mar 31, 2012 EAP 20% MNA 4% SAR 77%     18    ANNEX 5 – REGIONAL FUNDING REQUIREMENTS Africa Region AHI  Grant Proposal Funding Source (in US$ million) Bank Financing PHRD AHI Facility Staff  Country Grant Name IDA  Grant  Grant  Contacts Type IBRD IDA Credit Status Date Grant Amount Amount Avian and Human Influenza  Cameroon Stand Alone 1.270 Closed  31â€?Decâ€?10 Manievel Sene Prevention and Control Project Republic of  Avian Influenza Emergency  Legally  Mahamat Goadi  Stand Alone 1.000 1 â€?Novâ€?10 Congo Preparedness Response Closed Louani Legally  Liberiaâ€?1 Rapid Assessment Stand Alone 0.094 31 â€?Julâ€?08 Yves Jantzem Closed Avian Influenza Prevention &  Legally  Malawi Stand Alone 1.000 25â€?Mar â€?10 Sheila Dutta Control Closed Legally  Mauritania Rapid Assessment Stand Alone 0.030 16â€?Junâ€?08 Cherif Diallo Closed Legally  Mozambique Rapid Assessment Stand Alone 0.099 30â€?Novâ€?09 Daniel Sousa Closed Legally  Sierra Leone Rapid Assessment Stand Alone 0.094 29â€?Mayâ€?09 Yves Jantzem Closed Legally  Wilson Onyang  Ugandaâ€?1 Rapid Assessment Stand Alone 0.095 1 â€?Decâ€?08 Closed Odwongo Avian and Human Influenza  Legally  Wilson Onyang  Ugandaâ€?2 Coâ€?financing 10.000 2.000 15â€?Febâ€?12 Preparedness & Response  Project Closed Odwongo Avian Influenza Prevention &  Legally  Alex   Zambia Stand Alone 1.000 29â€?Sepâ€?09 Control Closed Mwanakasale Totals by Source â€?                10.000        â€? â€?         6.682 Note: "Closed" means all services / activities chargeable to Trust Fund are  completed, disbursement may be ongoing at this point until the  grace period is expired.              "Legally Closed" means all services / activities are completed plus all financial activities are finalized including disbursements and reflows.                   19    East Asia and Pacific Region AHI Grant Proposal Funding Source (in US$ million) Bank  Financing PHRD AHI Facility Staff  Country Grant Name IDA  IDA  Grant  Grant  Contacts Type IBRD Status Date Credit Grant Amount Amount Avian and Human Influenza Control &  Cambodia Cofinance 6.000 3.000 2.000 Approved 5â€?Mar â€?07 Mudita Chamroeun Preparedness Emergency Project Capacity Building for  HPAI  Prevention  Stand  Legally  Chinaâ€?1 2.650 27â€?Decâ€?10 Shiyong Wang & HI  Pandemic Preparedness Alone Closed Capacity Building for  HPAI  Prevention  Stand  Chinaâ€?2 3.500 Closed 30â€?Novâ€?11 Shiyong Wang & HI  Pandemic Preparedness Alone Avian and Human Influenza Control &  Stand  Legally  Indonesia 5.000 10.000 4â€?Augâ€?10 Shobha Shetty Preparedness Project Alone Closed 2.000 Approved 8â€?Augâ€?06 Avian and Human Influenza Control &  Legally  Lao PDR Cofinance 4.000 2.000 2.400 11 â€?Janâ€?12 Hope C. Phillips Preparedness Project Closed 0.120 Approved 18â€?Janâ€?09 Avian Influenza Control and Human  Stand  Mongolia 4.656 Closed 30â€?Novâ€?11 Shiyong Wang Influena Preparedness & Response Alone Support for Control of Highly  Stand  Myanmar 1.685 Closed 30â€?Sepâ€?11 Paavo Eliste Pathogenic Aian Influenza Alone Second Avian and Human Influenza  Vietnam Cofinance 20.000 5.000 10.000 Closed 31 â€?Decâ€?11 Binh Thang Cao Control & Prevention Project Avian and Human Influenza Control &  Norman Bentley  Vietnam â€?2 Cofinance 10.000 13.000 Approved 31 â€?Mayâ€?11 Preparedness Project Piccioni Avian and Human Influenza Control &  Stand  China â€? 3 2.600 Pipeline Preparedness Project Alone Avian Influenza Control and Human  Stand  Mongolia 2.900 Pipeline Influena Preparedness & Response Alone Totals by Source         â€?   20.000 20.000   15.000    57.511 Note: "Closed" means all services / activities chargeable to Trust  Fund are completed, disbursement may be ongoing at this point until the grace period is expired.              "Legally Closed" means all services / activities are  completed plus all financial activities are finalized including disbursements and reflows.     20    Europe and Central Asia Region AHI  Grant Proposal Funding Source (in US$ million) Bank Financing PHRD AHI  Facility Staff  Country Grant Name IDA  IDA  Grant  Grant  Contacts Type IBRD Status Date Credit Grant Amount Amount Legally  Armenia Avian Influenza Preparedness Project Cofinance 6.250 0.804 2.000 20â€?Janâ€?11 Brian Bedard Closed Avian Influenza Control and Human  Legally  Georgia Cofinance 3.500 3.500 1.400 1.600 22â€?Febâ€?10 Doina Petrescu Pandemic Closed Avian Influenza Control and Human  Legally  Kyrgyz Republic Cofinance 4.000 1.000 1.150 13â€?Junâ€?11 Brian Bedard Pandemic Preparedness & Control Closed HPAI Preparedness and Response  Legally  Moldova Cofinance 4.000 4.000 0.500 1.000 8â€?Janâ€?10 Anatol Gobjila Project Closed Regional Training in Animal and  Stand  Legally  Brian Bedard &  Regional ECA 3.000 1 â€?Marâ€?12 Human Health Epidemiology Alone Closed Nedim  Jaganjac Avian Influenza Control and Human  Legally  Tajikistan Cofinance 5.000 1.500 16â€?Apr â€?10 Bobojon Yatimov Pandemic Preparedness & Response Closed Avian Influenza Control and Human  Stand  Legally  Tamer  Samah  Turkmenistanâ€?1 1.077 9â€?Novâ€?10 Preparedness & Response Project Alone Closed Rabie Avian Influenza Control and Human  Stand  Legally  Tamer  Samah  Turkmenistanâ€?2 0.893 23â€?Mayâ€?11 Preparedness & Response Project Alone Closed Rabie Avian Influenza Control and Human  Stand  Legally  Uzbekistan 2.960 1 â€?Apr â€?10 Dilshod Khidirov Preparedness & Response Project Alone Closed Regional ECA Regional Epidemiology Training 1.830 Pipeline Brian Bedard Totals by Source         â€?   13.750 16.500    3.704      17.010 Note: "Closed" means all services / activities chargeable to Trust Fund are completed, disbursement may be ongoing at this point until the grace period is expired.              "Legally Closed" means all services / activities are completed plus all financial activities are finalized including disbursements and reflows. 21    Latin America & Caribbean Region AHI  Grant Proposal Funding Source (in US$ million) Bank Financing PHRD AHI  Facility Staff  Country Grant Name IDA  IDA  Grant  Grant  Contacts Type IBRD Status Date Credit Grant Amount Amount Stand  Legally  Belize Influenza Detection and Response 0.502 9â€?Decâ€?11 Carmen Carpio Alone Closed Avian Influenza Prevention and  Stand  Colombia 0.890 CANCELLED 21 â€?Octâ€?11 Diego Arias Carballo Control Project Alone Avian Influenza Pandemic  Stand  Legally  Dominican Re 1.000 30â€?Decâ€?11 Diego Arias Carballo Preparedness Project Alone Closed Highly Pathogenic Avian Influenza  Stand  Legally  Honduras 0.300 1 â€?Decâ€?11 Marieâ€?Helene Collion Prevention and Control Project Alone Closed Legally  México Influenza A/H1N1N Prevention Cofinance 25.000 1.700 22â€?Decâ€?11 Claudia Macias Closed Strengthening Surveillance  and  Stand  Legally  Nicaragua Evaluation for  an Effective Response  0.300 20â€?Decâ€?11 Marcelo Bortman Alone Closed to Epidemiological Emergencies Regional  Strengtheing of CAS for  Avian Flu  Stand  Legally  0.500 14â€?Sepâ€?10 Michael G. Carroll LCRâ€?1 Preparedness Alone Closed Totals by Source   25.000         â€?         â€? â€?          5.192 Note: "Closed" means all services / activities chargeable to Trust Fund are completed, disbursement may be ongoing at this point until the  grace  period is expired.              "Legally Closed" means all services / activities are completed plus all financial activities are finalized including disbursements and reflows.   22    Middle East & North Africa Region AHI Grant Proposal Funding Source (in US$ million) Bank Financing PHRD AHI  Facility Staff  Country Grant Name IDA  IDA  Grant  Grant  Contacts Type IBRD Status Date Credit Grant Amount Amount Avian Influenza Prevention and  Stand  Legally  Djibouti 2.111 1 â€?Augâ€?11 Jeanâ€?Philippe Tré Control Project Alone Closed Avian and Human Influenza Control &  Stand  Egypt 7.142 Closed 30â€?Junâ€?11 Maurice Saade Prevention Project Alone Stand  Morocco Avian Influenza Preparedness Project 0.888 Approved 10â€?Novâ€?09 Pierre Rondot Alone Regional  Subâ€?regional Avian and Pandemic  Stand  Legally  0.977 1 â€?Junâ€?10 Colin Scott MNA â€? 1 Influenza Preparedness (MECIDSâ€?1) Alone Closed Regional  Subâ€?regional Avian and Pandemic  Stand  Eileen Brainne  0.311 Approved 7â€?Octâ€?10 MNA â€? 2 Influenza Preparedness (MECIDSâ€?2) Alone Sullivan Stand  Legally  Syria Avian Influenza Preparedness Project 1.316 14â€?Mar â€?12 Maurice Saade Alone Closed Stand  Tunisia Avian Influenza Preparedness Project 0.653 Approved 9â€?Apr â€?08 Maurice Saade Alone West Bank  Avian Influenza Prevention & Control  10.000 Legally  Cofinance 3.000 14â€?Decâ€?11 Maurice Saade & Gaza Project (Cancelled) Closed Strengthening the Integrated  Stand  Legally  Yemen â€? 1 National Action Plan for  Svian and  0.057 31 â€?Augâ€?09 Jeanâ€?Philippe Tré Alone Closed Human Influenza Avian Influenza Prevention and  Stand  Yemen â€?2 1.080 Closed 30â€?Junâ€?11 Pierre Rondot Control Project Alone Totals by Source         â€?         â€? â€?          17.535 Note: "Closed" means all services / activities chargeable to Trust Fund are completed, disbursement may be ongoing at this point until the grace period is expired.              "Legally Closed" means all services / activities are completed plus all financial activities are finalized including disbursements and reflows.     23    South Asia Region AHI Grant Proposal Funding Source (in US$ million) Bank Financing PHRD AHI Facility Staff  Country Grant Name IDA  IDA  Grant  Grant  Contacts Type IBRD Status Date Credit Grant Amount Amount Legally  Afghanistan AHI Preparedness and Control Project Cofinance 4.000 5.000 29â€?Decâ€?10 Usman Qamar Closed Avian Influenza Preparedness and  Legally  Bangladesh Cofinance 13.000 2.000 6â€?Mar â€?12 Ousmane Seck Response  Project Closed National Influenza Preparedness and  Stand  Legally  Bhutan â€? 1 1.300 16â€?Decâ€?10 Sandra Rosenhouse Response  Project Phase I Alone Closed National Influenza Preparedness and  Stand  Legally  Bhutan â€? 2 1.200 24â€?Mayâ€?11 Sandra Rosenhouse Response  Project Phase II Alone Closed Regional Stand  Epidemiological Training (Phase 1) 3.836 Closed 31 â€?Decâ€?11 Norman Piccioni SAR â€? 1 Alone Regional Stand  Epidemiological Training (Phase 2) 3.866 Approved 9â€?Decâ€?10 Norman Piccioni SAR â€? 2 Alone Avian Influenza Preparedness and  Stand  Legally  Vichitrani  Sri Lankaâ€?1 1.433 17â€?Augâ€?11 Response  Project Alone Closed Gunawardene Avian Influenza Preparedness and  Stand  Nepal 10.000 Pipeline Response  Project Alone Totals by Source         â€? 13.000        4.000 â€?          28.635 Note: "Closed" means all services / activities chargeable to Trust  Fund are  completed, disbursement may be ongoing at this point until the  grace period is expired.              "Legally Closed" means all services / activities are completed plus all financial activities are finalized including disbursements and reflows. 24    ANNEX 6: IMPLEMENTATION DETAILS FOR ACTIVE GRANTS This section reports on progress made by currently active AHIF grants. Out of the nine active grants as of March 31, 2012, one (Lao PDR 1) has already been covered under “Implementation Highlights since October 2011â€? section, another one (Global 2) is not covered because it is Bank-executed and supports AHIF dissemination activities. Implementation progress and selected achievements of the remaining seven active grants (Cambodia, Lao PDR 3, Morocco, Regional MNA, Regional SAR 2, Tunisia, and Vietnam 2) are reported below. Cambodia $2.0 million original grant; $1.3 million disbursed as of March 31, 2012; Grant closure date: June 30, 2013 Continuous efforts in capacity building, institutional organization, and establishment of procedures (i.e., pandemic preparedness procedures) have taken hold, and overall progress and effectiveness has accelerated significantly during 2011. The initiation of the technical service contracts with Food and Agriculture Organization and World Health Organization has also helped boost the pace and quality of project implementation. The key achievements to date include: training of 1700 new village animal health workers, training of 86 trainers, development of improved manuals for training, preparation of a market chain study, education of farmers on the risks of avian influenza and distribution of educational material to rural households. All provincial and district rapid response teams received training on basic surveillance, outbreak investigation, and response. Laboratory strategy has been developed and 5 functional microbiology laboratories have been established at provincial hospitals. National Infection Control Policy has been developed with technical assistance from WHO and training on the policy has been provided to half of provincial and referral hospital staff. The National Pandemic Preparedness Plan and Rapid Containment Plan have been developed; both plans are being implemented at different levels. 1045 village health volunteers were trained on Avian Influenza and 500 Health Professionals were trained on Case Management and Infection Control. The first cohort of medical students is completing their six month applied epidemiology training under the newly developed training curricula developed by WHO. Disaster management law has been drafted, is now under final review, and may be enacted by end 2012. The Pandemic Preparedness, Response and Recovery Program have been prepared and its effectiveness tested in three provinces. 25    Lao PDR 3 $0.12 million original two grants; $0.04 disbursed as of March 31, 2012; Grant closure date: June 30, 2012 All three grants to Lao PDR from AHIF supports different aspects of the same umbrella project that supports the National Plan for avian and human influenza control through the following five components; i) Animal Health, ii) Human Health: Surveillance and Response, iii) Human Health: Curative Services, iv) Information, Education and Communication, v) Project Coordination, Project management, and Regulatory Framework. The objective of the Lao PDR 3 grant was to strengthen fiduciary and technical oversight for completion of an animal health laboratory and renovation of a human health laboratory. No progress reported during this period, progress on this grant is dependent on activities in-country which had been slower than originally anticipated. Results achieved so far under this grant include; i) review of tender documents; ii) review of bid evaluation reports; and iii) review of on- the-ground implementation contributed to capacity building of government. Morocco $0.9 million original grant; no disbursement as of March 31, 2012; Grant closure date: June 30, 2012 Although no disbursements have been made since the signing of the grant agreement on October 2010, all planned activities are committed (over 80%), payments started to be made but still progressing slowly. While implementation is on track, the implementing agency - Office National de Securite des Produits Alimentaires (ONSSA) under the auspices of the Ministry of Agriculture (MoA) - continues to face significant delay in payments due to complicated administrative procedures and restrictions on the payment of taxes. The procedures for disbursements have been approved by the government and no objection has been received from EU delegation in Rabat for exemption of local taxes and duties. In the absence of agreed procedures, the expenditures incurred against the commitments were being paid from the government budget. Although the project has yet to make its first disbursement, the commitments under the project currently stand at over USD$600,000. It is expected that about 75% of total grant will be disbursed against current commitments by the closing date of June 30, 2012. ONSSA has decided to drop the awareness campaign component and to fund it from its own resources. ONSSA plans to use the saving from this component to complement existing activities. There has been some savings in the past activities; the project team will present the Bank with a revised procurement plan detailing how saved funds will be reused. 26    Specific grant results to date include; i) vehicles have been delivered in early 2012, ii) communications workshop with major stakeholders has been held in November 2011, iii) all terms of reference have been drafted and all bidding documents have been finalized, iv) majority of training has taken place. Middle East and North Africa Regional $0.3 million original grant; $0.2 million disbursed as of March 31, 2012; Grant closure date: June 30, 2012 The main objective is to support the Middle East Consortium on Infectious Disease Surveillance (MECIDS), a sub-regional initiative including Jordan, Israel and the Palestine, to detect and respond to transboundary infectious diseases and outbreaks in the region, including Avian and Human Influenza (AHI) and other zoonoses, by means of closely coordinated surveillance systems and joint epidemiologic and diagnostic trainings and activities. Nuclear Threat Initiative, Inc. (NTI) provides programmatic and financial oversight for the grant, primarily through its sub-grant agreements with the MECIDS partner organizations. The main outcome during the reporting period is that MECIDS partners have been able to effectively continue coordination across boundaries and increase their technical capacity through training activities supported by the grant. Specific grant results to date include; i) MECIDS convened an Executive Board meeting in November 2011 in East Jerusalem. Next Executive Board meeting has been planned for March 2012, MECIDS members continue to communicate electronically and coordinate via telephone in the meantime. Informal meetings have also been held, ii) NTI submitted to the World Bank an updated procurement plan in November 2011; included in the plan is a schedule of training activities by MECIDS partners., iii) a workshop for 15 doctors and laboratory technicians to review feedback from the sentinel laboratory sites and set activities for the coming year took place in Palestine. Regional SAR 2 $3.9 million original grant; no disbursement as of March 31, 2012; Grant closure date: December 31, 2013 The development objective of Phase 2 of the program is to strengthen the national institutional capacity and sustainability in epidemiology and biosecurity by introducing and operationalizing the "One Health" concept at national institutions in 7 countries in South Asia, which are directly or indirectly responsible for diagnosis, preparedness, response, prevention and control of Highly Pathogenic Avian Influenza (HPAI) and other zoonoses in domestic poultry and other animals. The seven countries are: Afghanistan, Bangladesh, Bhutan, India, Nepal, Pakistan and Sri Lanka. Grant agreement has been signed as of November 28, 2011. 27    Phase 1 of this program involved delivery of Masters Degree training in epidemiology and biosecurity to 70 human and animal health practitioners and disease program managers in the participating countries which is now complete. Phase 2 aims to further develop One Health (OH) concept through regional workshops and by strengthening national institutions for animal and human health as Centers of Excellence or One Health Hubs. Phase 1 and Phase 2 are integrated to create a seamless transition from the degree training program into broader operational work involving a wider spectrum of participants that will reliably establish sustainable OH activities and build momentum for the OH agenda in the region. Tunisia $0.7 million original grant; $0.4 million disbursed as of March 31, 2012; Grant closure date: December 31, 2012 Despite initial implementation delays and a slow start, progress has been made overall. Implementation of activities has accelerated; disbursement level has reached 54%. Of particular importance have been the extension of technical assistance contract with FAO, and the acquisition of equipment and biosecurity products that were made available to veterinary research institutes and regional veterinary laboratories in 24 regions. Specific grant results to date include: i) Environmental Management Manual and Project Operation Manual have been finalized, ii) procurement has begun on laboratory equipment, two vehicles are being procured for veterinary services staff, iii) contract with FAO has been extended and implementation of FAO activities started as of December 2011 regarding development of emergency response plan. Vietnam 2 (Additional Financing) $13.0 million original grant; no disbursement as of March 31, 2012; Grant closure date: December 31, 2013 First AHIF grant to Vietnam achieved its development objectives by increasing effectiveness of government services in reducing heath risks to poultry and humans from avian influenza in eleven high priority provinces and thus contributed to addressing HPAI at the national level by controlling the disease at source. This objective is still highly relevant and consistent with the government’s newly launched Integrated National Operational Program on Avian Influenza. The M&E reports show that phase 1 grant has helped build capacity at all levels of the veterinary network and the human health sector to prevent, detect, and respond to AHI outbreaks. Coordination between animal and human health sectors at both central and local levels has been substantially improved through joint simulation exercises and several other operational mechanisms. 28    The Vietnam Avian and Human Influenza Protection Project – Additional Financing (VAHIP AF) or Phase 2 will be implemented by Ministry of Health (MOH) and Ministry of Agriculture and Rural Development (MARD) with the shift to MOH as coordinating agency. The development objectives of the VAHIP AF remain unchanged from VAHIP with some minor revisions to performance indicators to reflect the new development of human and avian influenza in the country. Phase 2 (VAHIP AF) covers the same 3 components as Phase 1 (VAHIP) namely; a) HPAI Control and Eradication in the Agricultural Sector, b) Influenza Prevention and Pandemic Preparedness in the Health Sector, and c) Integration and OPI Coordination, Results Monitoring and Evaluation (M&E), and Project Management. Total project budget is $25 million broken down as follows; AHIF Phase 2 grant ($13 million), World Bank co-financing through IDA ($10 million), and government’s contribution ($2 million). Grant agreement has been signed as of October 21, 2011; first progress report for the grant has not been due as of the preparation date of this report. 29  Â