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The World Bank Implementation Status & Results ReportRegional Disease Surveillance Systems Enhancement Project (REDISSE) Phase IV (P167817)

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Regional Disease Surveillance Systems Enhancement Project (REDISSE) Phase IV (P167817)

AFRICA | Africa | Health, Nutrition & Population Global Practice |IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 2 | ARCHIVED on 23-Jun-2020 | ISR41679 |

Implementing Agencies: Republic of Chad, Republic of Angola, Central African Republic, Democratic Republic of Congo, ECCAS Secretariat, ECCAS, Republic of Congo, Ministry of Health and Population - Republic of Congo, Ministry of Public Health - Chad, Ministry of Public Health and Population - Central African Republic, Ministry of Public Health - DRC, Ministry of Health - Angola

Key Dates

Key Project Dates

Bank Approval Date: 01-Oct-2019 Effectiveness Date: 13-Mar-2020

Planned Mid Term Review Date: 15-Sep-2022 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 project development objectives are: (i) to strengthen national and regional cross-sectoral capacity for collaborative disease surveillance and epidemic preparedness in the Participating Countries; and (ii) in the event of an Eligible Crisis or Emergency, to provide immediate and effective response to said Eligible Crisis or Emergency.

Has the Project Development Objective been changed since Board Approval of the Project Objective?

No

Components Table

Name

Component 1: Strengthening Surveillance and Laboratory Capacity to Rapidly detect Outbreaks:(Cost $126.45 M)Component 2: Strengthening Emergency Planning and Management Capacity to Rapidly respond to Outbreaks:(Cost $66.45 M)Component 3: Public Health Workforce Development:(Cost $47.60 M)Component 4: Institutional Capacity Building, Project Management, Coordination and Advocacy:(Cost $39.50 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

This second ISR reflects the findings of the implementation support missions conducted in some countries in February 2020 (Angola and ECCAS) and discussions with the client and task teams in others (Chad, CAR, ROC and DRC). The project in an amount of US$280 million, was approved

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by the World Bank’s Board of Executive Directors on October 1, 2019. The financial and loan agreements have been signed in all the countries and by the Economic Community for Central African States (ECCAS). The last to be signed on January 15, 2020 was the loan agreement for Angola.As for effectiveness, only in Chad and ECCAS were the Financial and Loan Agreements effective on March 13, 2020 and March 17, 2020 respectively. In Chad, the project is in the process of recruiting complementary staff and elaborating the environmental and social instruments. In ECCAS, the project is also in the process of recruiting staff for the Project Implementation Unit (PIU) and planning for the first regional steering committee meeting. There is an experienced World Bank consultant in ECCAS providing technical support to the authorities of ECCAS with respect to project implementation.. Angola has fulfilled all the conditions of effectiveness and will be effective before the end of June 2020.When the COVID-19 pandemic started, all activities related to achieving the conditions of effectiveness had to be suspended, since all attention was focused on controlling and preventing COVID-19. The other REDISSE IV countries are yet to fulfil all the conditions of effectiveness as indicated below:Central African Republic (CAR): The Financing Agreement (FA) is yet to be effective. The task team has been working with the Project Implementation Unit (PIU) to adopt the Project Implementation Manual (PIM) and recruit the person to be responsible for REDISSE IV. Because of the COVID-19 pandemic, it was not possible to review the manual earlier. The PIU is in the process of finalizing the manual before submitting it to the World Bank for a No-Objection. On the positive side, the Health System Support and Strengthening (SENI) project has recently recruited an international long-term consultant who is now with the project. In the meantime, while the recruitment process continues, the recruited consultant will oversee the coordination of both the SENI-REDISSE IV projects. The consultant is in the process of setting up a technical review of all the pending issues to revive the SENI-REIDSSE IV projects, and to ensure timely effectiveness of the REDISSE the REDISSE IV project.Democratic Republic of Congo (DRC): The FA is yet to be effective. The FA is not yet ratified by the Parliament but an Ordonnance Présidentielle has been signed by the President and its publication dans le journal officiel by Ministry of Finance (MOF). The task team is waiting for copies of the Ordonnance Présidentielle and is working on providing the No-objection for the Project Implementation Manual (PIM). The recruitment of the focal point responsible for REDISSE IV is ongoing and is expected to be finalized before the end of June 2020.Republic of Congo (ROC): The FA is yet to be effective. The project now has a Parliamentary ratification of the FA and a legal opinion from the Supreme Court signed on 27 January 2020. The Government is working on putting in place a PIU for the COVID-19 Emergency Response Project approved by the World Bank on April 20, 2020, which will eventually also serve REDISSE IV Project. The Government and the World Bank task team have discussed that the staff being recruited for the implementation of the COVID-19 Emergency Response Project will eventually be recruited for REDISSEIV Project. The World Bank task team is also working with the Government to receive the final PIM and provide its no-objection.The World Bank task team is working closely with all the countries to facilitate effectiveness and implementation of the REDISSE IV Project, including the procurement process.

Risks

Systematic Operations Risk-rating Tool

Risk Category Rating at Approval Previous Rating Current Rating

Political and Governance Substantial Substantial Substantial

Macroeconomic High High High

Sector Strategies and Policies Moderate Moderate Moderate

Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Sustainability High High High

Fiduciary High High High

Environment and Social Substantial Moderate Moderate

Stakeholders Substantial Substantial Substantial

Other Substantial Substantial Substantial

Overall Substantial Substantial Substantial


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Results

PDO Indicators by Objectives / Outcomes

strengthen national and regional cross-sectoral capacity for collaborative disease surveillance

IN00840457►Laboratory testing capacity for detection of priority diseases (national capacity scores) (Number of countries that achieve a JEE score of 4 or higher) (Number, Custom)

Baseline Actual (Previous) Actual (Current) End Target

Value 0.00 0.00 0.00 4.00

Date 05-Mar-2019 06-Dec-2019 06-Dec-2019 31-Jul-2024

Comments:

Capacity graded on a score of 1-5 where: 1 = no capacity (National laboratory system is not capable of conducting any core tests); 2 = limited capacity (national laboratory system is capable of conducting 1-2 (of 10) core tests); 3 = developed capacity (national laboratory system is capable of conducting 3-4 (of 10) core tests); 4 = demonstrated capacity (national laboratory system is capable of conducting 5 or more (of 10) core tests); and 5 = sustainable capacity (In addition to capability of conducting 5 or more core tests, country has national system(s) for procurement and quality assurance)

IN00840458ANGOLA: Laboratory testing capacity for detection of priority diseases (national capacity scores) (Number of countries that achieve a JEE score of 4 or higher) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840459CAR: Laboratory testing capacity for detection of priority diseases (national capacity scores) (Number of countries that achieve a JEE score of 4 or higher) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840460CHAD: Laboratory testing capacity for detection of priority diseases (national capacity scores) (Number of countries that achieve a JEE score of 4 or higher) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840461DRC: Laboratory testing capacity for detection of priority diseases (national capacity scores) (Number of countries that achieve a JEE score of 4 or higher) (Number) (Number, Custom Breakdown)


Value 3.00 0.00 0.00 4.00


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IN00840462RoC: Laboratory testing capacity for detection of priority diseases (national capacity scores) (Number of countries that achieve a JEE score of 4 or higher) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840463►Progress in establishing indicator and event-based surveillance systems (national capacity scores) (Number of countries that achieve a JEE score of 4 or higher) (Number, Custom)


Value 1.00 0.00 0.00 4.00


IN00840464ANGOLA: Progress in establishing indicator and event-based surveillance systems (national capacity scores) (Number of countries that achieve a JEE score of 4 or higher) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840465CAR: Progress in establishing indicator and event-based surveillance systems (national capacity scores) (Number of countries that achieve a JEE score of 4 or higher) (Number, Custom Breakdown)


Value 2.00 0.00 0.00 4.00


IN00840466CHAD: Progress in establishing indicator and event-based surveillance systems (national capacity scores) (Number of countries that achieve a JEE score of 4 or higher) (Number, Custom Breakdown)


Value 2.00 0.00 0.00 4.00


IN00840467DRC: Progress in establishing indicator and event-based surveillance systems (national capacity scores) (Number of countries that achieve a JEE score of 4 or higher) (Number) (Number, Custom Breakdown)


Value 3.00 0.00 0.00 4.00



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IN00840468RoC: Progress in establishing indicator and event-based surveillance systems (national capacity scores) (Number of countries that achieve a JEE score of 4 or higher) (Number, Custom Breakdown)


Value 2.00 0.00 0.00 4.00


IN00840469►Availability of human resources to implement IHR core capacity requirements (national capacity scores) (Number of countries that achieve a JEE score of 3 or higher) (Number, Custom)


Value 0.00 0.00 0.00 3.00


Comments:

Capacity graded on a score of 1-5 where: 1 = no capacity (country doesn’t have multidisciplinary HR capacity required for implementation of IHR core capacities); 2 = limited capacity (country has multidisciplinary HR capacity (epidemiologists, veterinarians, clinicians and laboratory specialists or technicians) at national level); 3 = developed capacity (multidisciplinary HR capacity is available at national and intermediate level); 4 = demonstrated capacity (multidisciplinary HR capacity is available as required at relevant levels of public health system (e.g. epidemiologist at national level and intermediate level and assistance epidemiologist (or short course trained epidemiologist) at local level available); 5 = sustainable capacity (country has capacity to send and receive multidisciplinary personnel within country (shifting resources) and internationally)

IN00840470ANGOLA: Availability of human resources to implement IHR core capacity requirements (national capacity scores) (Number of countries that achieve a JEE score of 3 or higher) (Number, Custom Breakdown)


Value 2.00 0.00 0.00 3.00


IN00840471CAR: Availability of human resources to implement IHR core capacity requirements (national capacity scores) (Number of countries that achieve a JEE score of 3 or higher) (Number, Custom Breakdown)


Value 2.00 0.00 0.00 3.00


IN00840472CHAD: Availability of human resources to implement IHR core capacity requirements (national capacity scores) (Number of countries that achieve a JEE score of 3 or higher) (Number, Custom Breakdown)


Value 2.00 0.00 0.00 3.00


IN00840473DRC: Availability of human resources to implement IHR core capacity requirements (national capacity scores) (Number of countries that achieve a JEE score of 3 or higher) (Number) (Number, Custom Breakdown)


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Value 2.00 0.00 0.00 3.00


IN00840474RoC: Availability of human resources to implement IHR core capacity requirements (national capacity scores) (Number of countries that achieve a JEE score of 3 or higher) (Number, Custom Breakdown)


Value 3.00 0.00 0.00 3.00


IN00840475►National multisectoral Multi-hazard emergency preparedness measures including emergency response plans are developed, implemented, and tested (nat capacity scores) (No of countries that achieve 4or hi (Number, Custom)


Value 0.00 0.00 0.00 4.00


IN00840476ANGOLA: Multi-hazard national public health emergency preparedness and response plan is developed and implemented (national capacity scores) (Number of countries that achieve a JEE score of 4 or highe (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840477CAR: Multi-hazard national public health emergency preparedness and response plan is developed and implemented (national capacity scores) (Number of countries that achieve a JEE score of 4 or higher) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840478CHAD: Multi-hazard national public health emergency preparedness and response plan is developed and implemented (national capacity scores) (Number of countries that achieve a JEE score of 4 or higher) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840479DRC: Multi-hazard national public health emergency preparedness and response plan is developed and implemented (national capacity scores) (Number of countries that achieve a JEE score of 4 or higher) (Number, Custom Breakdown)



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Value 1.00 0.00 0.00 4.00


IN00840480RoC: Multi-hazard national public health emergency preparedness and response plan is developed and implemented (national capacity scores) (Number of countries that achieve a JEE score of 4 or higher (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840481►Progress on cross-border collaboration and exchange of information across countries (Likert scale 1 - 5) (Number of countries that achieve a score of 4 or higher) (Number, Custom)


Value 0.00 0.00 0.00 3.00


Comments:

Progress graded on a score of 1-5 where: 1 = no capacity (no formal/informal agreements related to cross border collaboration/information exchange, and no standard operating procedures in place); 2 = limited capacity (informal agreements on cross-border collaboration/ information exchange and standard operating procedures drafted); 3 = developed capacity (formal agreements on cross-border collaboration/information exchange, and standard operating procedures adopted); 4 = demonstrated capacity (formal agreements on cross border collaboration/information exchange and standard operating procedures implemented and routinely monitored); 5 = sustainable capacity (normal agreements on cross-border collaboration/information exchange and standard operating procedures) implemented, routinely monitored and financed from domestic budget.

IN00840482ANGOLA: Progress on cross-border collaboration and exchange of information across countries (Likert scale 1 - 5) (Number of countries that achieve a score of 4 or higher) (Number, Custom Breakdown)


Value 0.00 0.00 0.00 3.00


IN00840483CAR: Progress on cross-border collaboration and exchange of information across countries (Likert scale 1 - 5) (Number of countries that achieve a score of 4 or higher) (Number, Custom Breakdown)


Value 0.00 0.00 0.00 3.00


IN00840484CHAD: Progress on cross-border collaboration and exchange of information across countries (Likert scale 1 - 5) (Number of countries that achieve a score of 4 or higher) (Number, Custom Breakdown)


Value 0.00 0.00 0.00 3.00


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IN00840485DRC: Progress on cross-border collaboration and exchange of information across countries (Likert scale 1 - 5) (Number of countries that achieve a score of 4 or higher) (Number, Custom Breakdown)


Value 0.00 0.00 0.00 3.00


IN00840486RoC: Progress on cross-border collaboration and exchange of information across countries (Likert scale 1 - 5) (Number of countries that achieve a score of 4 or higher) (Number, Custom Breakdown)


Value 0.00 0.00 0.00 3.00


IN00840487►Coordinated Surveillance Systems in place in animal and human health sectors for zoonotic diseases/pathogens identified as joint priorities: no of countries that achieve a JEE score of 3 or higher (Number, Custom)


Value 0.00 0.00 0.00 3.00


Comments:

1 = Some capacities for surveillance of Zoonoses exist but not organize between animal and human health; 2 = A list of five priority zoonoses / pathogens agreed between the sectors as the most threatening for national public health but has not put in place any specific system for their surveillance; 3= Zoonotic surveillance systems are in place for one to four of the most threatening zoonoses / pathogens for public health; 4 = Zoonotic surveillance systems are in place for at least five of the most threatening zoonoses / pathogens for national public health; 5 = Systematic sharing of information between sectors ensures a confirmed surveillance system for priority zoonoses and / or others.

IN00840488ANGOLA: Coordinated Surveillance Systems in place in animal and human health sectors for zoonotic diseases/pathogens identified as joint priorities: no of countries that achieve a JEE score of 3 or hi (Number, Custom Breakdown)


Value 1.00 0.00 0.00 3.00


IN00840489CAR: Coordinated Surveillance Systems in place in animal and human health sectors for zoonotic diseases/pathogens identified as joint priorities: no of countries that achieve a JEE score of 3 or highe (Number, Custom Breakdown)


Value 1.00 0.00 0.00 3.00


IN00840490CHAD: Coordinated Surveillance Systems in place in animal and human health sectors for zoonotic diseases/pathogens identified as joint priorities: no of countries that achieve a JEE score of 3 or high (Number, Custom Breakdown)


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Value 3.00 0.00 0.00 4.00


IN00840491DRC: Coordinated Surveillance Systems in place in animal and human health sectors for zoonotic diseases/pathogens identified as joint priorities: no of countries that achieve a JEE score of 3 or highe (Number, Custom Breakdown)


Value 3.00 0.00 0.00 4.00


IN00840492RoC: Coordinated Surveillance Systems in place in animal and human health sectors for zoonotic diseases/pathogens identified as joint priorities: no of countries that achieve a JEE score of 3 or hig (Number, Custom Breakdown)


Value 1.00 0.00 0.00 3.00


Intermediate Results Indicators by Components

Strengthening Surveillance and laboratory capacity to rapidly detect outbreak

IN00840493►Use of electronic tools: Interoperable, interconnected, electronic real-time reporting system: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom)


Value 0.00 0.00 0.00 4.00


Comments:

Capacity graded on a score of 1-5 where 1 = no capacity (no interoperable, interconnected, electronic real-time reporting system exists; 2 = limited capacity (country is developing an interoperable, interconnected, electronic real-time reporting system, for either public health or veterinary surveillance systems); 3 = developed capacity (country has in place an inter-operable, interconnected, electronic reporting system, for either public health or veterinary surveillance systems. The system is not yet able to share data in real-time); 4 = demonstrated capacity (country has in place and interoperable, interconnected, electronic real-time reporting system, for public health and/or veterinary surveillance systems. The system is not yet fully sustained by the host government); and 5 = sustainable capacity (country has in place an inter-operable, interconnected, electronic real-time reporting system, including both the public health and veterinary surveillance systems which is sustained by the government and capable of sharing data with relevant stakeholders according to country policies and international obligations).

IN00840498ANGOLA: Use of electronic tools: Interoperable, interconnected, electronic real-time reporting system: number of countries that achieve a JEE score of 4 or higher (Number) (Number) (Number, Custom Breakdown)



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Value 1.00 0.00 0.00 4.00


IN00840503CAR: Use of electronic tools: Interoperable, interconnected, electronic real-time reporting system: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 2.00 0.00 0.00 4.00


IN00840507CHAD: Use of electronic tools: Interoperable, interconnected, electronic real-time reporting system: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840510DRC: Use of electronic tools: Interoperable, interconnected, electronic real-time reporting system: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840514RoC: Use of electronic tools: Interoperable, interconnected, electronic real-time reporting system: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 2.00 0.00 0.00 4.00


IN00840519

►Laboratory systems quality: number of countries that achieve a JEE score of 4 or higher (Number (Number, Custom)


Value 0.00 0.00 0.00 4.00


Comments:

Capacity graded on a score of 1-5 where 1 = no capacity (there are no national laboratory standards); 2 = limited capacity (national quality standards have been developed but there is no system for verifying their implementation); 3 = developed capacity (a system of licensing of health laboratories that includes conformity to a national quality standard exists but it is voluntary or is not a requirement for all laboratories); 4 = demonstrated capacity (mandatory licensing of all health laboratories is in place and conformity to a national quality standard is required); and 5 = sustainable capacity (mandatory licensing of all health laboratories is in place and conformity to an international quality standard is required).

IN00840520


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ANGOLA: Laboratory systems quality: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840523CAR: Laboratory systems quality: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840525CHAD: Laboratory systems quality: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840527DRC: Laboratory systems quality: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840529RoC: Laboratory systems quality: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840531

►Specimen referral and transport system: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom)


Value 0.00 0.00 0.00 4.00


Comments: Capacity graded on a score of 1-5 where 1 = no capacity (i.e. aside from ad hoc transporting, no system is in place for transporting specimens from district to national level); 2 = limited capacity (system is in place to transport specimens to national laboratories from less than 50% of intermediate level/districts in country for advanced diagnostics); 3 = developed capacity (system is in place to transport specimens to national laboratories from 50- 80% of intermediate level/districts within the country for advanced diagnostics); 4 = demonstrated capacity (system is in place to transport specimens to national laboratories from at least 80% of intermediate level/districts within the country for advanced diagnostics; and 5 = sustainable capacity (system is in place to transport specimens to national laboratories from at least 80% of districts


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for advanced diagnostics; capability to transport specimens to/from other labs in the region; and specimen transport is funded from domestic budget).

IN00840532ANGOLA: Specimen referral and transport system: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840533CAR: Specimen referral and transport system: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840534CHAD: Specimen referral and transport system: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 2.00 0.00 0.00 4.00


IN00840535DRC: Specimen referral and transport system: number of countries that achieve a JEE score of 4 or higher (Number) (Number) (Number, Custom Breakdown)


Value 2.00 0.00 0.00 4.00


IN00840536RoC: Specimen referral and transport system: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840538

►Systems for efficient reporting to WHO, OIE/FAO: number of countries that achieve a JEE score of 4 (Number) (Number, Custom)


Value 0.00 0.00 0.00 4.00



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Comments:

Capacity graded on a score of 1-5 where 1 = no capacity (no national IHR focal point, OIE Delegate and/or WAHIS National Focal Point has been identified and/or identified focal point/delegate does not have access to learning package and best practices as provided by WHO, OIE and FAO); 2 = limited capacity (country has identified National IHR Focal Point, OIE delegates and WAHIS National Focal Points; focal point is linked to learning package and best practices as provided by WHO, OIE and FAO); 3 = developed capacity (country has demonstrated ability to identify a potential PHEIC and file a report to WHO based on an exercise or real event, and similarly to the OIE for relevant zoonotic diseases); 4 = (demonstrated capacity (country has demonstrated ability to identify a potential PHEIC and file a report to WHO within 24 hours and similarly to the OIE for relevant zoonotic disease, based on an exercise or real event); and 5 = sustainable capacity (country has demonstrated ability to identify a potential PHEIC and file a report within 24 hours, and similarly to the OIE for relevant zoonotic disease, and has a multisectoral process in place for assessing potential events for reporting).

IN00840539ANGOLA: Systems for efficient reporting to WHO, OIE/FAO: number of countries that achieve a JEE score of 4(Number) (Number, Custom Breakdown)


Value 2.00 0.00 0.00 4.00


IN00840542CAR: Systems for efficient reporting to WHO, OIE/FAO: number of countries that achieve a JEE score of 4 (Number) (Number, Custom Breakdown)


Value 2.00 0.00 0.00 4.00


IN00840544CHAD: Systems for efficient reporting to WHO, OIE/FAO: number of countries that achieve a JEE score of 4 (Number) (Number, Custom Breakdown)


Value 2.00 0.00 0.00 4.00


IN00840546DRC: Systems for efficient reporting to WHO, OIE/FAO: number of countries that achieve a JEE score of 4 (Number) (Number, Custom Breakdown)


Value 3.00 0.00 0.00 4.00


IN00840548RoC: Systems for efficient reporting to WHO, OIE/FAO: number of countries that achieve a JEE score of 4 (Number) (Number, Custom Breakdown)


Value 3.00 0.00 0.00 4.00


IN00840549


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►Progress towards establishing an active, functional regional One Health platform (Number based on 5-point Likert scale) of countries that achieve a score of 4 or higher (Number, Custom)


Value 1.00 0.00 0.00 3.00


Strengthening Emergency planning and management capacity to rapidly respond to outbreaks

IN00840494►Mechanisms for responding to infectious zoonoses and potential zoonoses are established and functional: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom)


Value 0.00 0.00 0.00 4.00


Comments:

Capacity graded on a score of 1-5 where 1 = no capacity (i.e. no mechanism in place); 2 = limited capacity (national policy, strategy or plan for the response to zoonotic events is in place); 3 = developed capacity (a mechanism for coordinated response to outbreaks of zoonotic diseases by human, animal and wildlife sectors is established); 4 = demonstrated capacity (timely* and systematic information exchange between animal/wildlife surveillance units, human health surveillance units and other relevant sectors in response to potential zoonotic risks and urgent zoonotic events); and 5 = sustainable capacity (timely** response to more than 80% of zoonotic events of potential national and international concern) *timeliness is judged and determined by country ** time between detection and response as defined by regional/national standards.

IN00840497ANGOLA: Mechanisms for responding to infectious zoonoses and potential zoonoses are established and functional: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840502CAR: Mechanisms for responding to infectious zoonoses and potential zoonoses are established and functional: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840506CHAD: Mechanisms for responding to infectious zoonoses and potential zoonoses are established and functional: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 2.00 0.00 0.00 4.00


IN00840511


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DRC: Mechanisms for responding to infectious zoonoses and potential zoonoses are established and functional: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840515RoC: Mechanisms for responding to infectious zoonoses and potential zoonoses are established and functional: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840518

►Regional surge capacity and stockpiling mechanisms established (capacity based on 5-point Likert scale) (Number, Custom)


Value 1.00 0.00 0.00 3.00


Comments:

Capacity graded on a score of 1 -5 where: 1 = no capacity (no regional surge capacity and stockpiling mechanisms exist); 2 = limited capacity (regional stockpiling mechanism is in place with limited surge capacity); 3 = developed capacity (regional surge capacity and stockpiling mechanism has been established); 4 = demonstrated capacity (regional surge capacity and stockpiling mechanism has been established and tested); 5 = sustainable capacity (effective regional surge capacity and stockpiling mechanism has been established with sustainable funding arrangements from country budget).

IN00840521►System in place for activating and coordinating regional medical countermeasures and health personnel during a public health emergency. ( target score of 5 for sustainable capaci (Number, Custom)


Value 0.00 0.00 0.00 4.00


Comments:

1 = No regional countermeasures or personnel plan has been drafted; 2= A regional countermeasures and personnel plan has been drafted; 3 = Tabletop exercises have been conducted to demonstrate decision making and protocols are in place for send or receiving countermeasures and personnel in the region. Training and equipment is in place for emergency responders; 4 = At least one response or formal exercise has been conducted in the previous year demonstrating countermeasures and personnel were sent or received in the region. Evidence of emergency management deployer capacity is in place; 5 = Regional/international partnerships or formal agreements are in place that outline criteria for sending and receiving countermeasures and equipment and at least one response or formal exercise has been conducted in the previous year demonstrating countermeasures and personnel were sent or received in the region. Emergency management staff that are classified as internationally deployable EMTs by WHO are in place

Public health workforce development

IN00840495►Workforce Strategy: An updated multisectoral staff strategy is in place (number of countries that achieve a JEE score of 4 or higher (Number)) (Number, Custom)


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Value 0.00 0.00 0.00 4.00


Comments:

Capacity graded on a score of 1-5 where 1 = no capacity (no health workforce strategy exists); 2 = limited capacity (a healthcare workforce strategy exists but does not include public health professions e.g. epidemiologists, veterinarians and laboratory technicians); 3 =developed capacity (a public health workforce strategy exists, but is not regularly reviewed, updated, or implemented consistently); 4 = demonstrated capacity (a public health workforce strategy has been drafted and implemented consistently; strategy is reviewed, tracked and reported on annually); and 5 = sustainable capacity (“demonstrated capacity” has been achieved, public health workforce retention is tracked and plans are in place to provide continuous education, retain and promote qualified workforce within the national system).

IN00840500ANGOLA: Workforce Strategy: An updated multisectoral staff strategy is in place (number of countries that achieve a JEE score of 4 or higher (Number)) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840501CAR: Workforce Strategy: An updated multisectoral staff strategy is in place (number of countries that achieve a JEE score of 4 or higher (Number)) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840505CHAD: Workforce Strategy: An updated multisectoral staff strategy is in place (number of countries that achieve a JEE score of 4 or higher (Number)) (Number, Custom Breakdown)


Value 2.00 0.00 0.00 4.00


IN00840512DRC: Workforce Strategy: An updated multisectoral staff strategy is in place (number of countries that achieve a JEE score of 4 or higher (Number)) (Number, Custom Breakdown)


Value 3.00 0.00 0.00 4.00


IN00840516RoC: Workforce Strategy: An updated multisectoral staff strategy is in place (number of countries that achieve a JEE score of 4 or higher (Number)) (Number, Custom Breakdown)


Value 2.00 0.00 0.00 4.00


6/23/2020 of 24


IN00840517►FETP or Applied epidemiology training program in place: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom)


Value 1.00 0.00 0.00 4.00


Comments:

Capacity graded on a score of 1-5 where 1 = no capacity (no FETP or applied epidemiology training program established or no access to such a program in another country); 2 = limited capacity (no FETP or applied epidemiology training program is established within the country, but staff participate in a program hosted in another country through an existing agreement (at Basic, Intermediate and/or Advanced level); 3= developed capacity (one level of FETP (Basic, Intermediate, or Advanced) FETP or comparable applied epidemiology training program in place in the country or in another country through an existing agreement); 4 = demonstrated capacity (two levels of FETP (Basic, Intermediate and/or Advanced) or comparable applied epidemiology training program(s) in place in the country or in another country through an existing agreement); and 5 = sustainable capacity (three levels of FETP (Basic, Intermediate and Advanced) or comparable applied epidemiology training program(s) in place in the country or in another country through an existing agreement, with sustainable national funding).

IN00840522ANGOLA: FETP or Applied epidemiology training program in place: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 2.00 0.00 0.00 4.00


IN00840524CAR: FETP or Applied epidemiology training program in place: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 2.00 0.00 0.00 4.00


IN00840526CHAD:FETP or Applied epidemiology training program in place: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 2.00 0.00 0.00 4.00


IN00840528DRC: FETP or Applied epidemiology training program in place: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 4.00 0.00 0.00 4.00



6/23/2020 of 24

IN00840530RoC: FETP or Applied epidemiology training program in place: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom Breakdown)


Value 1.00 0.00 0.00 4.00


IN00840537

►Percentage of people trained in applied epidemiology who are female (all categories) (Percentage, Custom)


Value 0.00 0.00 0.00 0.00


Comments:For percentage calculation, Numerator (number of women trained in applied epidemiology in the country in all categories); Denominator (Total number of people trained in applied epidemiology in the country for all categories

IN00840540ANGOLA: Percentage of people trained in applied epidemiology who are female (all categories) (Percentage, Custom Breakdown)


Value 0.00 0.00 0.00 0.00


IN00840541CAR: Percentage of people trained in applied epidemiology who are female (all categories) (Percentage, Custom Breakdown)


Value 0.00 0.00 0.00 0.00


IN00840543CHAD: Percentage of people trained in applied epidemiology who are female (all categories) (Percentage, Custom Breakdown)


Value 0.00 0.00 0.00 0.00


IN00840545DRC: Percentage of people trained in applied epidemiology who are female (all categories) (Percentage) (Percentage, Custom Breakdown)


Value 0.00 0.00 0.00 0.00


IN00840547RoC: Percentage of people trained in applied epidemiology who are female (all categories) (Percentage, Custom Breakdown)


6/23/2020 of 24


Value 0.00 0.00 0.00 0.00


IN00840550

►Percentage of people trained in basic/short-term (3 months) applied epidemiology who are female (Percentage, Custom)


Value 0.00 0.00 0.00 0.00


Comments:For percentage calculation, Numerator (number of women trained in basic/short-term (3 months) applied epidemiology in the country ; Denominator (Total number of people trained in basic/short-term (3 months) applied epidemiology in the country.

IN00840551ANGOLA: Percentage of people trained in basic/short-term (3 months) applied epidemiology who are female (Percentage, Custom Breakdown)


Value 0.00 0.00 0.00 0.00


IN00840552CAR: Percentage of people trained in basic/short-term (3 months) applied epidemiology who are female (Percentage, Custom Breakdown)


Value 0.00 0.00 0.00 0.00


IN00840553CHAD: Percentage of people trained in basic/short-term (3 months) applied epidemiology who are female (Percentage, Custom Breakdown)


Value 0.00 0.00 0.00 0.00


IN00840554DRC: Percentage of people trained in basic/short-term (3 months) applied epidemiology who are female (Percentage) (Percentage, Custom Breakdown)


Value 0.00 0.00 0.00 0.00


IN00840555RoC: Percentage of people trained in basic/short-term (3 months) applied epidemiology who are female (Percentage, Custom Breakdown)


6/23/2020 of 24


Value 0.00 0.00 0.00 0.00


IN00840556

►Percentage of people trained in advance (2 years) applied epidemiology who are female (Percentage, Custom)


Value 0.00 0.00 0.00 0.00


Comments:For percentage calculation, Numerator (number of women trained in advanced (2 years) applied epidemiology in the country); Denominator (Total number of people trained in advanced (2 years) applied epidemiology in the country

IN00840557ANGOLA: Percentage of people trained in advanced (2 years) applied epidemiology who are females (Percentage, Custom Breakdown)


Value 0.00 0.00 0.00 0.00


IN00840558CAR: Percentage of people trained in advanced (2 years) applied epidemiology who are females (Percentage, Custom Breakdown)


Value 0.00 0.00 0.00 0.00


IN00840559CHAD: Percentage of people trained in advanced (2 years) applied epidemiology who are females (Percentage, Custom Breakdown)


Value 0.00 0.00 0.00 0.00


IN00840560DRC: Percentage of people trained in advanced (2 years) applied epidemiology who are females (Percentage) (Percentage, Custom Breakdown)


Value 0.00 0.00 0.00 0.00


IN00840561RoC: Percentage of people trained in advanced (2 years) applied epidemiology who are females (Percentage, Custom Breakdown)



6/23/2020 of 24

Value 0.00 0.00 0.00 0.00


IN00840562

►Percentage of people trained in intermediate (9 months) applied epidemiology in the country who are females (Percentage, Custom)


Value 0.00 0.00 0.00 0.00


Comments:percentage calculation, Numerator (number of women trained in intermediate (9months) applied epidemiology in the country); Denominator (Total number of people trained in intermediate (9months) applied epidemiology in the country)

IN00840563ANGOLA: Percentage of people trained in intermediate (9 months) applied epidemiology in the country who are females (Percentage, Custom Breakdown)


Value 0.00 0.00 0.00 0.00


IN00840564CAR: Percentage of people trained in intermediate (9 months) applied epidemiology in the country who are females (Percentage, Custom Breakdown)


Value 0.00 0.00 0.00 0.00


IN00840565CHAD: Percentage of people trained in intermediate (9 months) applied epidemiology in the country who are females (Percentage, Custom Breakdown)


Value 0.00 0.00 0.00 0.00


IN00840566DRC: Percentage of people trained in intermediate (9 months) applied epidemiology in the country who are females (Percentage) (Percentage, Custom Breakdown)


Value 0.00 0.00 0.00 0.00


IN00840567RoC: Percentage of people trained in intermediate (9 months) applied epidemiology in the country who are females (Percentage, Custom Breakdown)



6/23/2020 of 24

Value 0.00 0.00 0.00 0.00


Institutional Capacity Building, Project Management, Coordination and Advocacy

IN00840496

►Citizens and/or communities involved in planning/implementation/evaluation of development programs (Yes/No) (Yes/No, Custom)


Value No Yes Yes Yes


Comments: The existence/inexistence of citizens and grassroots organizations trained, engaged and incentivized to contribute to the achievement of the project’s objectives.

IN00840499►ANGOLA: Citizens and/or communities involved in planning/implementation/evaluation of development programs (Yes/No) (Yes/No, Custom)


Value No No No Yes


IN00840504

►CAR: Citizens and/or communities involved in planning/implementation/evaluation of development programs (Yes/No) (Yes/No, Custom)


Value No No No Yes


IN00840508

►CHAD: Citizens and/or communities involved in planning/implementation/evaluation of development programs (Yes/No) (Yes/No, Custom)


Value No No No Yes


IN00840509►DRC: Citizens and/or communities involved in planning/implementation/evaluation of development programs (Yes/No) (Yes/No) (Yes/No, Custom)


Value No No No Yes


IN00840513

►RoC: Citizens and/or communities involved in planning/implementation/evaluation of development programs (Yes/No) (Yes/No, Custom)


6/23/2020 of 24


Value No No No Yes


Performance-Based Conditions

Data on Financial Performance

Disbursements (by loan)

Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed

P167817 IBRD-90040 Not Effective USD 60.00 60.00 0.00 0.00 60.00 0%

P167817 IDA-64980 Not Effective USD 75.00 75.00 0.00 0.00 75.00 0%

P167817 IDA-64990 Not Effective USD 15.00 15.00 0.00 0.00 15.00 0%

P167817 IDA-D5080 Not Effective USD 15.00 15.00 0.00 0.00 15.00 0%

P167817 IDA-D5160 Not Effective USD 75.00 75.00 0.00 0.00 75.13 0%

P167817 IDA-D5170 Effective USD 30.00 30.00 0.00 2.53 27.35 8.5%

P167817 IDA-D5220 Effective USD 10.00 10.00 0.00 0.00 9.84 0%

Key Dates (by loan)

Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date

P167817 IBRD-90040 Not Effective 01-Oct-2019 15-Jan-2020 -- 31-Jul-2024 31-Jul-2024

P167817 IDA-64980 Not Effective 01-Oct-2019 18-Oct-2019 -- 31-Jul-2024 31-Jul-2024

P167817 IDA-64990 Not Effective 01-Oct-2019 19-Oct-2019 -- 31-Jul-2024 31-Jul-2024

P167817 IDA-D5080 Not Effective 01-Oct-2019 19-Oct-2019 -- 31-Jul-2024 31-Jul-2024

P167817 IDA-D5160 Not Effective 01-Oct-2019 18-Oct-2019 -- 31-Jul-2024 31-Jul-2024

P167817 IDA-D5170 Effective 01-Oct-2019 08-Nov-2019 13-Mar-2020 31-Jul-2024 31-Jul-2024

P167817 IDA-D5220 Effective 01-Oct-2019 11-Nov-2019 17-Mar-2020 31-Jul-2024 31-Jul-2024

Cumulative Disbursements


6/23/2020 of 24

PBC Disbursement

PBC ID PBC Type Description Coc PBC Amount Achievement Status

Disbursed amount in Coc

Disbursement % for PBC

Restructuring History

There has been no restructuring to date.

Related Project(s)

There are no related projects.

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