Authors
- Disclosure Date
- 2024/10/17
- Disclosure Status
- Disclosed
- Doc Name
- Western and Central Africa - Disease Surveillance Response in WA
- Lending Instrument
- Investment Project Financing
- Pages
- 30
- Product Line
- IBRD/IDA
- Published in
- United States of America
- Rel Proj ID
- 3W-Regional Disease Surveillance Systems Enhancement (Redisse) -- P154807
- TF No/Name
- TF0A2534-Disease Surveillance and Response in West Africa,TF0A8484-TA to Support Implementation of Regional Disease Surveillance Systems E,TF0A3694-Development of Public Health Capacity in African Countries,TF0B1239-ADDITIONAL FINANCING REDISSE 1 - MDTF
- Unit Owning
- Health Nutrition&Population AFR3 (HAWH3)
- Version Type
- Final
Table of Contents
- Independent Evaluation Group IEG 1
- 1. Project Data 1
- Project ID Project Name 1
- Country Practice AreaLead 1
- LCTF Numbers Closing Date Original Total Project Cost USD 1
- Bank Approval Date Closing Date Actual 1
- IBRDIDA USD Grants USD 1
- Prepared by Reviewed by ICR Review Coordinator Group 1
- 2. Project Objectives and Components 1
- DEVOBJTBL a. Objectives 1
- Independent Evaluation Group IEG 2
- Explanatory note on the scope of the PDO statement and country selection 2
- Justification for not applying a split rating methodology 2
- Independent Evaluation Group IEG 3
- Did the Board approve the revised objectiveskey associated outcome targets 3
- I. Surveillance and Information Systems Original Cost US27.9 million Actual Cost US39 million. 3
- Support to coordinated community-level surveillance systems and processes across the animal and human health sectors. 3
- Develop capacity for interoperable surveillance and reporting systems. 3
- Establish an early-warning system for infectious disease trend tracking and reporting. 3
- II. Strengthening of Laboratory Capacity Original Cost US17 million Actual Cost US20.4 million. 3
- Independent Evaluation Group IEG 4
- Develop capacity for interoperable surveillance and reporting systems. 4
- Improve data management and specimen management systems 4
- Enhance regional reference laboratory networking functions. 4
- III. Preparedness and Emergency Response Original Cost US26 million Actual Cost US27.8 million. 4
- Enhance cross-sectoral coordination and collaboration for preparedness and response 4
- Strengthen capacity for emergency response 4
- Contingency Emergency Response CERC in the event an emergency 4
- Independent Evaluation Group IEG 5
- IV. Human Resource Management for Effective Disease Surveillance and Epidemic Preparedness Original Cost US14.1 million Actual Cost US14.5 million. 5
- Healthcare Workforce mapping planning and recruitment 5
- Enhance Health Workforce training motivation and retention 5
- V. Institutional Capacity Building Project Management Coordination and Advocacy Original Cost US29.1 million Actual Cost US33.4 million. 5
- Project coordination fiduciary management monitoring and evaluation data generation and knowledge management. 5
- Institutional support capacity building advocacy and communication including support to One Health coordination. 5
- Costs and financing 5
- Independent Evaluation Group IEG 6
- The actual cost was US119.6 million. 6
- Dates 6
- Restructurings 6
- The first restructuring of November 20 2019 6
- The second restructuring of December 6 2022 6
- The third fourth fifth and sixth restructurings during the last year of the project 6
- 3. Relevance of Objectives 6
- Rationale 6
- Independent Evaluation Group IEG 7
- Independent Evaluation Group IEG 8
- Rating 8
- 4. Achievement of Objectives Efficacy 8
- Objective 8
- Rationale 8
- The theory of change ICR p. 11 envisaged the following 8
- Independent Evaluation Group IEG 9
- Independent Evaluation Group IEG 10
- All of the above outputs and intermediate results would plausibly contribute to the following outcomes that would be reflective of the PDOs 10
- Independent Evaluation Group IEG 11
- Explanatory note on WHO Joint External Evaluation Tool JEE used by the project 11
- Main outputs and intermediate results 11
- Independent Evaluation Group IEG 12
- Independent Evaluation Group IEG 13
- Other region-specific outputs generated by WAHO 13
- Outcomes 13
- Independent Evaluation Group IEG 14
- Countries that achieve a JEE score of 4 or higher in enhanced laboratory testing capacity for detection of priority diseases 14
- Countries that achieve a JEE score of 4 or higher in terms of progress toward establishing an indicator and event-based surveillance systems 14
- Countries that achieve a JEE score of 3 or more in the availability of HR to implement IHR core capacity requirements 14
- Independent Evaluation Group IEG 15
- Countries that achieve a score of 4 or higher in cross-border collaboration and exchange of information 15
- Rating 15
- Objective 15
- Rationale 15
- The theory of change 15
- Main outputs and intermediate results 15
- Independent Evaluation Group IEG 16
- Regional and country-specific outputs and intermediate results 16
- WAHO 16
- At the country level 16
- In Sierra Leone 16
- Independent Evaluation Group IEG 17
- In Guinea 17
- In Senegal 17
- Outcomes 17
- Countries that achieve a JEE score of 4 or higher in the development and implementation of a plan for multi-hazard national public health emergency preparedness and response 17
- Independent Evaluation Group IEG 18
- Countries that achieve a score of 4 or higher in cross-border collaboration and exchange of information 18
- Actual response to eligible emergencies 18
- Rating 18
- Rationale 18
- Overall Efficacy Rating 18
- Independent Evaluation Group IEG 19
- 5. Efficiency 19
- The PADs economic analysis 19
- PADs modeling of potential disease outbreak impacts 19
- Independent Evaluation Group IEG 20
- The ICRs economic analysis 20
- Independent Evaluation Group IEG 21
- Efficiency Rating 21
- Rate Available Point value CoverageScope 21
- 6. Outcome 21
- Independent Evaluation Group IEG 22
- Outcome Rating 22
- 7. Risk to Development Outcome 22
- 8. Assessment of Bank Performance 22
- Independent Evaluation Group IEG 23
- Independent Evaluation Group IEG 24
- Quality-at-Entry Rating 24
- Quality of Supervision Rating 24
- Overall Bank Performance Rating 24
- Independent Evaluation Group IEG 25
- 9. ME Design Implementation Utilization 25
- Independent Evaluation Group IEG 26
- ME Quality Rating 26
- 10. Other Issues 26
- Independent Evaluation Group IEG 27
- Independent Evaluation Group IEG 28
- 11. Ratings 28
- Ratings ICR IEG Reason for DisagreementsComment 28
- 12. Lessons 28
- Health security is borderless and can be bolstered by regional and global approaches for capacity development in preparedness and response rather than unilateral actions. 28
- Independent Evaluation Group IEG 29
- The One Health approach encompassing human health animal health and environmental aspects requires time and an enabling environment. 29
- Health security requires investment tradeoffs between regional and national levels between sectors and between sub-national regions. 29
- 13. Assessment Recommended 29
- 14. Comments on Quality of ICR 29
- Independent Evaluation Group IEG 30
