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Iv. Project Appraisal Summary ...19 FOR OFFICIAL USE ONLY Report No: PAD3148 Public Disclosure Authorized INTERNATIONAL DEVELOPMENT ASSOCIATION PROJECT APPRAISAL DOCUMENT ON PROPOSED CREDITS TO THE COMMONWEALTH OF DOMINICA IN THE AMOUNT OF SDR 2.2 MILLION (US$3 MILLION EQUIVALENT) GRENADA IN THE AMOUNT OF US$6 MILLION Public Disclosure Authorized SAINT LUCIA IN THE AMOUNT OF US$6 MILLION SAINT VINCENT AND THE GRENADINES IN THE AMOUNT OF US$6 MILLION AND PROPOSED GRANTS TO THE CARIBBEAN PUBLIC HEALTH AGENCY (CARPHA) IN THE AMOUNT OF SDR 4.8 MILLION (US$6.6 MILLION EQUIVALENT) Public Disclosure Authorized ORGANISATION OF EASTERN CARIBBEAN STATES (OECS) IN THE AMOUNT OF SDR 2.2 MILLION (US$3 MILLION EQUIVALENT) FOR AN OECS REGIONAL HEALTH PROJECT August 8, 2019 Health, Nutrition & Population Global Practice Latin America And Caribbean Region Public Disclosure Authorized This document has a restricted distribution and may be used by recipients only in the performance of their official duties. Its contents may not otherwise be disclosed without World Bank authorization. CURRENCY EQUIVALENTS Exchange Rate Effective May 31, 2019 Currency Unit = Eastern Caribbean Dollar (EC$) EC$2.70 = US$1.00 US$1.00 = SDR 0.72 FISCAL YEAR July 1 – June 30 Commonwealth of Dominica January 1 – December 31 Grenada April 1 - March 31 Saint Lucia January 1 – December 31 Saint Vincent and the Grenadines Regional Vice President: Axel van Trotsenburg Country Director: Tahseen Sayed Khan Senior Global Practice Director: Muhammad Ali Pate Practice Manager: Michele Gragnolati Task Team Leader(s): Carolyn J. Shelton, Neesha Harnam ABBREVIATIONS AND ACRONYMS CARICOM Caribbean Community CARPHA Caribbean Public Health Agency CDC Centers for Disease Control and Prevention CDEMA Caribbean Disaster Emergency Management Agency CERC Contingent Emergency Response Component CPF Country Partnership Framework CPU Central Procurement Unit EOC Emergency Operations Center ESMF Environmental and Social Management Framework ESMP Environmental and Social Management Plan EU European Union FETP Field Epidemiology Training program FM Financial Management GDP Gross Domestic Product GIS Geographic information systems GNI Gross National Income GRS Grievance Redress Service HCWM Health Care Waste Management HIS Health Information Systems HIV Human Immunodeficiency Virus HNP Health, Nutrition & Population HPU Head of Procurement Unit HSI Hospital Safety Index HSSP Health System Strengthening Project IBRD International Bank for Reconstruction and Development ICT Information and communication technology IDA International Development Association IEG Independent Evaluation Group IHR International Health Regulations IPF Investment Project Financing JEE Joint External Evaluation MISP Minimal Initial Service Package MOF Ministry of Finance MOH Ministry of Health MOHW Ministry of Health and Wellness MTR Mid-term review OECS Organisation of Eastern Caribbean States OP/BP Operations Policy/Bank Procedures PAHO Pan-American Health Organization PBA Projected Budgetary Allocation PDO Project Development Objective PEF Pandemic Emergency Facility PHC Primary Health Care PIU Project Implementation Unit PPS Pharmaceutical Procurement Service PPSD Project Procurement Strategy for Development PSM Procurement and Supply Management RPAC Regional Project Advisory Committee RPS Regional Partnership Strategy SCD Systematic Country Diagnostic SDR Special Drawing Rights SOP Standard Operating Procedure SRH Sexual and Reproductive Health STEP Systematic Tracking and Exchanges in Procurement system SVG Saint Vincent and the Grenadines TA Technical Assistance TOR Terms of Reference UHC Universal Health Coverage WB World Bank WHO World Health Organization The World Bank OECS Regional Health Project (P168539) TABLE OF CONTENTS DATASHEET ................................................................................. Error! Bookmark not defined. I. STRATEGIC CONTEXT ...................................................................................................... 1 A. Regional and Country Context .......................................................................................................... 1 B. Sectoral and Institutional Context .................................................................................................... 2 C. Relevance to Higher Level Objectives ............................................................................................... 5 II. PROJECT DESCRIPTION .................................................................................................... 6 A. Project Development Objective ....................................................................................................... 6 B. Project Components ......................................................................................................................... 7 C. Project Beneficiaries ....................................................................................................................... 12 D. Results Chain .................................................................................................................................. 12 E. Rationale for Bank Involvement and Role of Partners ................................................................... 13 F. Lessons Learned and Reflected in the Project Design .................................................................... 14 III. IMPLEMENTATION ARRANGEMENTS ............................................................................ 15 A. Institutional and Implementation Arrangements .......................................................................... 15 B. Results Monitoring and Evaluation Arrangements......................................................................... 18 C. Sustainability ................................................................................................................................... 19 IV. PROJECT APPRAISAL SUMMARY ................................................................................... 19 A. Technical, Economic and Financial Analysis ................................................................................... 19 B. Fiduciary .......................................................................................................................................... 21 C. Safeguards ...................................................................................................................................... 22 V. KEY RISKS ..................................................................................................................... 24 VI. RESULTS FRAMEWORK AND MONITORING ................................................................... 26 ANNEX 1: Implementation Arrangements and Support Plan .......................................... 54 ANNEX 2. Project Preparation Team .............................................................................. 64 ANNEX 3. Map .............................................................................................................. 65 The World Bank OECS Regional Health Project (P168539) DATASHEET BASIC INFORMATION BASIC_INFO_TABLE Country(ies) Project Name Caribbean, Dominica, Grenada, St. Lucia, St. OECS Regional Health Project Vincent and the Grenadines Project ID Financing Instrument Environmental Assessment Category Investment Project P168539 B-Partial Assessment Financing Financing & Implementation Modalities [ ] Multiphase Programmatic Approach (MPA) [✓] Contingent Emergency Response Component (CERC) [ ] Series of Projects (SOP) [ ] Fragile State(s) [ ] Disbursement-linked Indicators (DLIs) [✓] Small State(s) [ ] Financial Intermediaries (FI) [ ] Fragile within a non-fragile Country [ ] Project-Based Guarantee [ ] Conflict [ ] Deferred Drawdown [ ] Responding to Natural or Man-made Disaster [ ] Alternate Procurement Arrangements (APA) Expected Approval Date Expected Closing Date 29-Aug-2019 31-Jul-2024 Bank/IFC Collaboration No Proposed Development Objective(s) The objective of the Project is to improve preparedness capacities of health systems for public health emergencies in the OECS region. i The World Bank OECS Regional Health Project (P168539) Components Component Name Cost (US$, millions) Improved Health Facilities and Laboratory Capacity 17.42 Strengthening Public Health Surveillance and Emergency Management 9.27 Institutional Capacity Building, Project Management and Coordination 3.91 Contingency Emergency Response Component (CERC) 0.00 Organizations Borrower: Commonwealth of Dominica Grenada Saint Lucia Saint Vincent and the Grenadines Caribbean Public Health Agency (CARPHA) Organisation of Eastern Caribbean States (OECS) Implementing Agency: Dominica - Ministry of Health and Social Services Grenada - Ministry of Health, Social Security and International Business St. Lucia - Ministry of Health and Wellness St. Vincent and the Grenadines - Public Sector Investment Programme Management Unit (PSIPMU) PROJECT FINANCING DATA (US$, Millions) SUMMARY-NewFin1 Total Project Cost 30.60 Total Financing 30.60 of which IBRD/IDA 30.60 Financing Gap 0.00 DETAILS-NewFinEnh1 World Bank Group Financing International Development Association (IDA) 30.60 IDA Credit 21.00 ii The World Bank OECS Regional Health Project (P168539) IDA Grant 9.60 IDA Resources (in US$, Millions) Credit Amount Grant Amount Guarantee Amount Total Amount Dominica 3.00 0.00 0.00 3.00 National PBA 1.00 0.00 0.00 1.00 Regional 2.00 0.00 0.00 2.00 Grenada 6.00 0.00 0.00 6.00 National PBA 2.00 0.00 0.00 2.00 Regional 4.00 0.00 0.00 4.00 St. Lucia 6.00 0.00
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