Document of The World Bank Public Disclosure Authorized Report No: ICR2177 IMPLEMENTATION COMPLETION AND RESULTS REPORT (IDA-43400 TF-90662) ON A CREDIT IN THE AMOUNT OF SDR 10.5 MILLION Public Disclosure Authorized (US$16.0 MILLION EQUIVALENT) TO THE PEOPLE’S REPUBLIC OF BANGLADESH FOR AN AVIAN INFLUENZE PREPAREDNESS AND RESPONSE PROJECT UNDER THE Public Disclosure Authorized GLOBAL PROGRAM FOR AVIAN INFLUENZE AND HUMAN PANDEMIC PREPAREDNESS AND RESPONSE June 27, 2013 Sustainable Development Sector Unit Agriculture and Rural Development Unit Public Disclosure Authorized Bangladesh Country Management Unit South Asia Region CURRENCY EQUIVALENTS (Exchange Rate Effective: March 4, 2013) Currency Unit = Bangladeshi Taka (BDT) BDT 1.00 = US$ 0.01268 US$ 1.00 = BDT 79.281 FISCAL YEAR (July 1 – June 30) ABBREVIATIONS AND ACRONYMS ADB Asian Development Bank AHITF Avian and Human Influenza Trust Fund AI Avian Influenza AIPRP Avian Influenza Preparedness and Response Project AIV Avian Influenza Virus AIW Avian Influenza Worker AusAID Australian Agency for International Development AVS Additional Veterinary Surgeon BAU Bangladesh Agricultural University BCR Benefit-Cost Ratio BLRI Bangladesh Livestock Research Institute BPMC Biosecure Poultry Market Chain BSL Biosafety Level CVASU Chittagong Veterinary and Animal Science University CVO Chief Veterinary Officer DANIDA Danish International Development Agency DGHS Directorate General of Health Services DFID Department for International Development DGHS Directorate General of Health Services DLO District Livestock Officer DLS Department of Livestock Services DOC Day Old Chick DPP Development Project Performa DMC Department of Mass Communication ECTAD Emergency Center for Transboundary Animal Diseases EM Environmental Management EMP Environmental Management Plan EoP End of Project EpiU Epidemiology Unit ERL Emergency Recovery Loan FAO/TAS Food and Agriculture Organization of the United Nations/Technical Assistance FDIL Field Disease Investigation Laboratory FM Financial Management GAR Gross Attack Rate GDP Gross Domestic Product GoB Government of Bangladesh GPAI Global Program for Avian Influenza and Human Pandemic Preparedness and Response GPS Global Positioning System HIV Human Immunodeficiency Virus HNPSP Health, Nutrition and Population Sector Program HPAI Highly Pathogenic Avian Influenza ICDDR, B International Centre for Diarrhoeal Disease Research, Bangladesh ICRR Implementation Completion and Results Report IEDCR Institute for Epidemiology and Disease Control Research ILRI International Livestock Research Institute ISM Implementation Support Mission ISR Implementation Support Report IT Information Technology IDA International Development Agency JICA Japan International Cooperation Agency KAP Knowledge, Attitude and Practice LBM Live Bird Market LDIS Livestock Disease Information System M&E Monitoring and Evaluation MCQ Movement Control and Quarantine MIS Management Information System MOFL Ministry of Fisheries and Livestock MOHFW Ministry of Health and Family Welfare MTR Mid-term Review MOI Ministry of Information MOU Memorandum of Understanding NAIP National Avian Influenza Policy NGO Non-Governmental Organization OIE World Organization for Animal Health PAI Public Information and Awareness PCU Project Coordinating Unit PDO Project Development Objective PPE Personal Protective Equipment PPP Public-Private Partnership QER Quality Enhancement Review SI Susceptible Infection SMS Short Message Service TAD Transboundary Animal Disease TAS Technical Assistance TOT Trainer of Trainers UNICEF United Nations Children’s Fund USAID United States International Development Agency UVO Upazila Veterinary Officer VO Veterinary Officer WHO World Health Organization Vice President: Isabel M. Guerrero Country Director: Johannes C.M. Zutt Sector Manager: Simeon Kacou Ehui Project Team Leader: Ousmane Seck ICRR Team Leader: Iheanacho Okike, ILRI BANGLADESH Avian Influenza Preparedness and Response Project Implementation Completion and Results Report TABLE OF CONTENTS DATA SHEET ................................................................................................................. i-xi 1. Project Context, Development Objectives and Design ................................................... 1 2. Key Factors Affecting Implementation and Outcomes .................................................. 5 3. Assessment of Outcomes .............................................................................................. 15 4. Assessment of Risk to Development Outcome ............................................................. 19 5. Assessment of Bank and Borrower Performance ......................................................... 19 6. Lessons Learned............................................................................................................ 22 7. Comments on Issues Raised by Borrower/Implementing Agencies/Partners ............... 23 Annex 1. Project Costs and Financing .............................................................................. 24 Annex 2. Outputs by Component...................................................................................... 25 Annex 3. Economic and Financial Analysis ..................................................................... 38 Annex 4. Bank Lending and Implementation Support/Supervision Processes ................. 43 Annex 5. Beneficiary Survey Results ............................................................................... 45 Annex 6. Summary of Borrower’s ICR and/or Comments on Draft ICR ........................ 47 Annex 7. Comments of Co-Financiers and Other Partners/Stakeholders ......................... 54 Annex 8. List of Supporting Documents .......................................................................... 55 MAPS: IBRD 35246 and 35247 A. Basic Information Avian Influenza Country: Bangladesh Project Name: Preparedness and Response Project Project ID: P102305 L/C/TF Number(s): IDA-43400, TF-90662 ICR Date: 06/27/2013 ICR Type: Core ICR PEOPLE’S REPUBLIC Lending Instrument: ERL Borrower: OF BANGLADESH Original Total XDR 10.50M Disbursed Amount: XDR 6.51M Commitment: Revised Amount: XDR 8.05M Environmental Category: B Implementing Agencies: Ministry of Information, Press Information Department Ministry of Fisheries and Livestock (MOFL) Department of Livestock Services (DLS) Co-Financiers and Other External Partners: B. Key Dates Revised / Actual Process Date Process Original Date Date(s) Concept Review: 12/29/2005 Effectiveness: 10/16/2007 10/16/2007 Appraisal: 12/04/2006 Restructuring(s): 01/25/2010 01/25/2010 Approval: 06/28/2007 Mid-term Review: 03/01/2010 07/26/2009 Closing: 12/31/2012 12/31/2012 C. Ratings Summary C.1 Performance Rating by ICR Outcomes: Moderately Satisfactory Risk to Development Outcome: High Bank Performance: Moderately Satisfactory Borrower Performance: Moderately Satisfactory C.2 Detailed Ratings of Bank and Borrower Performance (by ICR) Bank Ratings Borrower Ratings Moderately Quality at Entry: Government: Moderately Satisfactory Unsatisfactory Implementing Quality of Supervision: Moderately Satisfactory Moderately Satisfactory Agency/Agencies: Overall Bank Overall Borrower Moderately Satisfactory Moderately Satisfactory Performance: Performance: i C.3 Quality at Entry and Implementation Performance Indicators Implementation QAG Assessments (if Indicators Rating Performance any) Potential Problem Moderately Project at any time Yes Quality at Entry (QEA): Unsatisfactory (Yes/No): Problem Project at any Quality of Supervision Yes Moderately Satisfactory time (Yes/No): (QSA): DO rating before Moderately Satisfactory Closing/Inactive status: D. Sector and Theme Codes Original Actual Sector Code (as % of total Bank financing) General agriculture, fishing and forestry sector 50 17 General public administration sector 48 Health 31 31 Other social services 3 Solid waste management 1 Theme Code (as % of total Bank financing) Health system performance 13 13 Natural disaster management 25 25 Other communicable diseases 25 25 Pollution management and environmental health 13 13 Rural services and infrastructure 24 24 E. Bank Staff Positions At ICR At Approval Vice President: Isabel Guerrero Praful C. Patel Country Director: Johannes C. M. Zutt Xian Zhu Sector Manager: Simeon Kacou Ehui Gajanand Pathmanathan Project Team Leader: Ousmane Seck Mohinder S. Mudahar ICR Team Leader: Iheanacho Okike ICR Primary Author: Iheanacho Okike ii F. Results Framework Analysis Project Development Objectives (from Project Appraisal Document) The overall objective of the project is to minimize the threat posed by highly pathogenic avian influenza (HPAI) to humans in Bangladesh by controlling such infections in domestic poultry, and preparing for, controlling, and responding to possible human infections, especially an influenza epidemic and related emergencies. Though the objective is specific to HPAI, the interventions are expected to contribute to the control of other zoonotic diseases and other types of infectious diseases, in terms of building overall response capacity in the country. Revised Project Development Objectives (as approved by original approving authority) (a) PDO Indicator(s) Original Target Formally Actual Value Values (from Revised Achieved at Indicator Baseline Value approval Target Completion or documents) Values Target Years To minimize the threat posed by HPAI infection and other zoonoses in Project Development domestic poultry and to prepare for, control, and respond to an influenza