The World Bank Implementation Status & Results Report Ebola Emergency Response Project (P152359) Ebola Emergency Response Project (P152359) AFRICA | Western Africa | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2015 | Seq No: 13 | ARCHIVED on 11-Dec-2019 | ISR38561 | Implementing Agencies: MINISTRY OF HEALTH, Ministry of Health, Ministry of Health and Sanitation, Republic of Liberia, Republic of Sierra Leone, Republic of Guinea Key Dates Key Project Dates Bank Approval Date: 16-Sep-2014 Effectiveness Date: 19-Sep-2014 Planned Mid Term Review Date: 23-Mar-2015 Actual Mid-Term Review Date: 23-Mar-2015 Original Closing Date: 30-Sep-2015 Revised Closing Date: 31-Mar-2021 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective is to contribute in the short term to the control of the Ebola Virus Disease (EVD) outbreak and the availability of selected essential health services, and mitigate the socio-economic impact of EVD in Guinea, Liberia, and Sierra Leone. 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) To contribute to the control of the Ebola Virus Disease (EVD) outbreaks and the recovery of selected essential health services in Guinea, Liberia, and Sierra Leone. Components Table Name Component 1: Support to the EVD Outbreak Response Plans and Strengthening Essential Health Services:(Cost $224.00 M) Component 2: Human Resources Scale up for Outbreak Response and Essential Health Services:(Cost $109.00 M) Component 3: Provision of Food and Basic Supplies to Quarantined Populations and EVD Affected Households:(Cost $29.00 M) Component 4: Provision of Essential Public Services:(Cost $25.00 M) Component 5: Pre-Investment Assessment of New Ebola Therapies, Diagnostics and Vaccines:(Cost $3.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Satisfactory Overall Risk Rating Moderate Moderate 12/11/2019 Page 1 of 7 The World Bank Implementation Status & Results Report Ebola Emergency Response Project (P152359) Implementation Status and Key Decisions Good implementation of the surveillance and response activities continues with the original EBV outbreak-related indicators having met or exceeding their targets. The progress on specific activities in each of the three countries is on track: Guinea: construction of the remaining 13 health facilities is ongoing, 12 have been delivered and the last one has been executed at 98% and it is expected to be delivered before end of November 2019. Measles immunization will be supported during a proposed extension of one year. Liberia: construction of the New Redemption Hospital is behind schedule and will be closely monitored. Sierra Leone: strengthening of the IHPAU has been completed, and implementation plan needs to be closely monitored for timely completion against depletion of Funds in the Loan. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance -- Substantial Substantial Macroeconomic -- Substantial Substantial Sector Strategies and Policies -- Low Low Technical Design of Project or Program -- Low Low Institutional Capacity for Implementation and Sustainability -- Low Low Fiduciary -- Substantial Substantial Environment and Social -- Moderate Moderate Stakeholders -- Low Low Other -- -- -- Overall -- Moderate Moderate Results PDO Indicators by Objectives / Outcomes Contribute to control of EVD outbreaks IN00744132 ►Availability (at any given time) of at least two weeks needs of PPEs and other required IPC supplies in the Ebola Treatment Centers (ETCs) and referral centers (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 80.00 Date 18-Sep-2014 31-Dec-2016 31-Dec-2016 31-Dec-2016 IN00744134 ►Registered contacts followed up (during the mandated period) to detect new EVD cases (Percentage, Custom) 12/11/2019 Page 2 of 7 The World Bank Implementation Status & Results Report Ebola Emergency Response Project (P152359) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 100.00 Date 16-Sep-2014 30-Jun-2016 30-Jun-2016 30-Jun-2016 No further reporting of this indicator since the Ebola outbreak. Comments: Contribute to recovery of selected essential health services IN00744133 ►Births (deliveries) attended by skilled health personnel (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,586,071.00 1,605,678.00 24,000.00 Date 16-Sep-2014 31-Dec-2017 31-Dec-2018 31-Mar-2021 Cumulative total till December 2018: 1,605,678 Guinea: 799,210. Liberia: 344,345. Sierra Leone: 462,123 Comments: This indicator has been moved to appear as a sub-CRI intermediate indicator. However, given that this indicator captures the second part of the PDO, this has been kept as a PDO indicator but also include in the tally of for the CRI HNP services which is an intermediate results indicator as per the project restructuring done in May of 2019. IN00744135 ►Number of health workers trained on IPC and Ebola (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 32,579.00 32,579.00 30,000.00 Date 16-Sep-2014 30-Nov-2018 30-Nov-2018 31-Mar-2021 No further IPC training reported since November 2018. Comments: IN00744186 ►Number of health centers rehabilitated according to national IPC standard (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 105.00 105.00 125.00 Date 16-Sep-2014 30-Nov-2018 30-Nov-2019 31-Mar-2021 Guinea: 53/54; Liberia: 45/48; Comments: Sierra Leone: 23/23 Intermediate Results Indicators by Components Component 1: Support to the EVD Outbreak Response Plans and Strengthening Essential Health Services IN00744187 12/11/2019 Page 3 of 7 The World Bank Implementation Status & Results Report Ebola Emergency Response Project (P152359) ►Total food distribution (Metric ton, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 11,164.73 18,987.50 22,900.00 Date 18-Sep-2014 30-Jun-2016 30-Jun-2016 30-Jun-2016 No further activity or reporting after the Ebola outbreak. Comments: IN00744189 ►Number of people in the quarantined areas and other Ebola-affected households who received food and other basic supplies (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,536,720.00 766,170.00 544,000.00 Date 16-Sep-2014 30-Jun-2016 30-Jun-2016 30-Jun-2016 No further activity or reporting since Ebola outbreak. Comments: IN00744192 ►Community health and social mobilization staff deployed for door-to-door communication and case identification in target chiefdoms/sub-districts/counties (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 55,136.00 55,136.00 7,800.00 Date 18-Sep-2014 30-Sep-2017 30-Sep-2017 30-Sep-2016 No active communication and case identification after the Ebola outbreak. Guinea: 12,538 Comments: Liberia: 10,434 Sierra Leone: 32,164 IN00744194 ►Proportion of beneficiary households who received cash transfers by 15th of every payment quarter (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 100.00 Date 16-Sep-2014 30-Jun-2016 30-Jun-2016 30-Jun-2016 No further activity or reporting since Ebola outbreak. Comments: Component 2: Human Resources Scale up for Outbreak Response and Essential Health Services IN00744188 ►Expatriate health workers deployed to provide medical care to EVD patients and for other essential health needs (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 479.00 740.00 725.00 12/11/2019 Page 4 of 7 The World Bank Implementation Status & Results Report Ebola Emergency Response Project (P152359) Date 16-Sep-2014 30-Jun-2016 30-Jun-2016 31-Dec-2016 No further activity or reporting after the Ebola outbreak. The numbers reported for each country are as below. It is unclear what the basis for reporting the previous data and end target was. Actual Current (31 June 2016): 479. Comments: Guinea: 124 Liberia: 214 Sierra Leone: 141 IN00744190 ►Redemption Hospital Phase 1 (Maternity and Pediatric hospital) constructed (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 16-Sep-2014 15-May-2018 30-Nov-2019 31-Mar-2021 IN00744191 ►Health facilities that received essential drugs (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 652.00 652.00 804.00 Date 16-Sep-2014 29-Dec-2017 29-Dec-2017 31-Mar-2021 This was a one-time supply financed by the EERP, however supplies not complete yet in all countries so end target of March 2021 retained. Guinea: 53 health facilities. One remaining. Liberia: 539 health facilities in 15 counties received essential drugs in five rounds. (691 facilities were Comments: planned for); Sierra Leone: supplied to 59 facilities through UNICEF. Total actual: 652; Total End Target: 804 IN00744193 ►Number of health workers who received financial incentives (hazard/indemnity pay and death benefits) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 37,097.00 42,762.00 18,000.00 Date 16-Sep-2014 30-Jun-2016 30-Jun-2016 30-Jun-2016 No further activity or reporting since Ebola outbreak. End target set in Nov 2014: Guinea 5,000, Liberia 8,000, Sierra Leone 5,000. Actual Total (30 June 2016) 37,097. Guinea: 7,785 Comments: Liberia: 6,958 Sierra Leone: 23,197 (23,040 Health workers were paid during the outbreak. The death benefits are still being paid (but no longer through EERP) once beneficiaries are verified by the legal firm. So far 157 death beneficiaries have been paid). IN00744195 ►Number of health personnel who have completed selected training programs (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 925.00 925.00 1,000.00 Date 16-Sep-2014 31-Dec-2018 31-Dec-2018 31-Mar-2021 12/11/2019 Page 5 of 7 The World Bank Implementation Status & Results Report Ebola Emergency Response Project (P152359) Actual (Current): 925 (Dec 31, 2018). No further reporting since then. Guinea: training programs not financed by EERP; Liberia: 306 (GMRP=28; CHSSs=24 and CHAs= 278); Comments: Sierra Leone: 619 paramedics; 10 physicians currently under-going post-graduate training; and 99 midwives and technicians will be graduating in early 2019. IN00744196 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 3,810,726.00 3,810,726.00 2,500,000.00 Date 16-Sep-2014 31-Dec-2018 31-Dec-2018 31-Mar-2021 The reporting for the CRI remains the same as in the previous ISR - January-December 2018. Comments: IN00744197 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,205,048.00 2,205,048.00 1,500,000.00 Date 16-Sep-2014 31-Dec-2018 31-Dec-2018 31-Mar-2021 IN00744198 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,605,678.00 1,605,678.00 24,000.00 Date 16-Sep-2014 31-Dec-2018 31-Dec-2018 31-Mar-2021 Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P152359 IDA-D0070 Effective USD 98.00 98.00 0.00 93.22 0.03 100% P152359 IDA-D0080 Effective USD 115.00 115.00 0.00 100.52 10.24 91% P152359 IDA-D0090 Effective USD 72.00 72.00 0.00 65.84 2.19 97% P152359 IDA-H9900 Effective USD 25.00 25.00 0.00 24.61 0.00 100% P152359 IDA-H9910 Effective USD 52.00 52.00 0.00 51.13 0.00 100% P152359 IDA-H9920 Effective USD 28.00 28.00 0.00 27.59 0.00 100% Key Dates (by loan) 12/11/2019 Page 6 of 7 The World Bank Implementation Status & Results Report Ebola Emergency Response Project (P152359) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P152359 IDA-D0070 Effective 18-Nov-2014 20-Nov-2014 03-Dec-2014 30-Sep-2015 31-Dec-2020 P152359 IDA-D0080 Effective 18-Nov-2014 24-Nov-2014 02-Dec-2014 30-Sep-2015 31-Mar-2021 P152359 IDA-D0090 Effective 18-Nov-2014 20-Nov-2014 26-Nov-2014 30-Sep-2015 31-Dec-2019 P152359 IDA-H9900 Effective 16-Sep-2014 17-Sep-2014 24-Sep-2014 30-Sep-2015 31-Dec-2019 P152359 IDA-H9910 Effective 16-Sep-2014 17-Sep-2014 19-Sep-2014 30-Sep-2015 31-Mar-2021 P152359 IDA-H9920 Effective 16-Sep-2014 17-Sep-2014 24-Sep-2014 30-Sep-2015 31-Dec-2020 Cumulative Disbursements Restructuring History Level 2 Approved on 10-Aug-2015 ,Level 2 Approved on 17-Mar-2016 ,Level 2 Approved on 28-Oct-2016 ,Level 1 Approved on 08-Dec-2016 ,Level 2 Approved on 30-Apr-2019 Related Project(s) P152980-Ebola Emergency Response Project - Additional Financing ,P161097-Ebola Emergency Response Project – 2nd Additional Financing (FY17) 12/11/2019 Page 7 of 7