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Kyrgyz-Republic-Emergency-COVID FOR OFFICIAL USE ONLY Public Disclosure Authorized Report No: PAD3815 INTERNATIONAL DEVELOPMENT ASSOCIATION PROJECT APPRAISAL DOCUMENT ON A PROPOSED INTERNATIONAL DEVELOPMENT ASSOCIATION GRANT IN THE AMOUNT OF US$6.075 MILLION AND A Public Disclosure Authorized PROPOSED INTERNATIONAL DEVELOPMENT ASSOCIATION CREDIT IN THE AMOUNT OF US$6.075 MILLION IN CRISIS RESPONSE WINDOW RESOURCES TO THE KYRGYZ REPUBLIC FOR AN EMERGENCY COVID‐19 PROJECT APRIL 2, 2020 Public Disclosure Authorized UNDER THE COVID‐19 STRATEGIC PREPAREDNESS AND RESPONSE PROGRAM (SPRP) USING THE MULTIPHASE PROGRAMMATIC APPROACH (MPA) WITH A FINANCING ENVELOPE OF US$1.3 BILLION IDA AND $2.3 BILLION IBRD EQUIVALENT APPROVED BY THE BOARD ON APRIL 2, 2020 Health, Nutrition & Population Global Practice Europe And Central Asia 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 March 25, 2020) Currency Unit = Kyrgyz Som 79.74 Kyrgyz Som = US$1 US$ 0.72848362= SDR 1 FISCAL YEAR January 1 ‐ December 31 Regional Vice President: Cyril E Muller Country Director: Lilia Burunciuc Regional Director: Fadia M. Saadah Practice Manager: Tania Dmytraczenko Task Team Leader(s): Christel M. J. Vermeersch, Iryna Postolovska The World Bank Kyrgyz Republic - Emergency COVID-19 Project (P173766) ABBREVIATIONS AND ACRONYMS CERC Contingent Emergency Response Component COVID Corona Virus Disease CPF Country Partnership Framework DA Designated Account DO Development Objective DPF Development Policy Financing DSSEC Department of State Sanitary and Epidemiology Control ERIK Enhancing Resilience in Kyrgyzstan ESF Environmental and Social Framework ESRS Environmental and Social Review Summary FM Financial Management FTCF Fast‐track COVID Fund GDP Gross Domestic Product GIZ Deutsche Gesellschaft für Internationale Zusammenarbeit GoKR Government of the Kyrgyz Republic GRS Grievance Redress System IBRD International Bank for Reconstruction and Development IDA International Development Association ICU Intensive Care Unit IFR Interim Unaudited Financial Report IPF Investment Policy Financing M&E Monitoring and Evaluation MICS Multiple Indicator Cluster Survey MHIF Mandatory Health Insurance Fund MoES Ministry of Emergency Situations MoF Ministry of Finance MoH Ministry of Health MPA Multiphase Programmatic Approach NCP National Contingency Plan PAD Project Appraisal Document PBA Performance‐based Allocation PDO Project Development Objective PforR Program for Results PIU Project Implementation Unit PoE Points of Entry POM Project Operational Manual PPE Personal Protection Equipment RfQ Request for Quotations RHPC Republican Health Promotion Center The World Bank Kyrgyz Republic - Emergency COVID-19 Project (P173766) SARS Severe Acute Respiratory Syndrome SOE Statement of Expenditures SORT Systematic Operations Risk‐rating Tool SPRP Strategic Preparedness and Response Plan UNICEF United Nations Children’s Fund USAID United States Agency for International Development WHO World Health Organization The World Bank Kyrgyz Republic - Emergency COVID-19 Project (P173766) TABLE OF CONTENTS DATASHEET ............................................................................................................................. 1 I. PROGRAM CONTEXT ......................................................................................................... 7 A. Multiphase Programmatic Approach (MPA) Program Context .................................................... 7 B. Updated MPA Program Framework .............................................................................................. 8 II. CONTEXT AND RELEVANCE ............................................................................................... 8 A. Country Context ............................................................................................................................ 8 B. Sectoral and Institutional Context ................................................................................................ 9 C. Relevance to Higher Level Objectives ......................................................................................... 12 III. PROJECT DESCRIPTION ................................................................................................... 13 A. Development Objectives (DO) .................................................................................................... 13 B. Project Components ................................................................................................................... 13 C. Project Costs and Expenditure Categories .................................................................................. 15 D. Project Beneficiaries ................................................................................................................... 17 IV. IMPLEMENTATION ARRANGEMENTS .............................................................................. 17 A. Institutional and Implementation Arrangements ....................................................................... 17 B. Results Monitoring and Evaluation Arrangements ..................................................................... 18 C. Sustainability ............................................................................................................................... 18 V. PROJECT APPRAISAL SUMMARY ..................................................................................... 18 A. Technical, Economic and Financial Analysis ................................................................................ 18 B. Fiduciary ...................................................................................................................................... 19 C. Legal Operational Policies ........................................................................................................... 23 D. Environmental and Social Standards .......................................................................................... 23 VI. GRIEVANCE REDRESS SERVICES ....................................................................................... 24 VII. KEY RISKS ....................................................................................................................... 24 VIII. RESULTS FRAMEWORK AND MONITORING ..................................................................... 27 ANNEX 1: Project Costs ............................................................................................................... 33 ANNEX 2: National COVID‐19 Response Approach ...................................................................... 34 ANNEX 3: Preliminary List of ICU Equipment ............................................................................... 37 ANNEX 4: Preliminary List of Designated Hospitals for COVID‐19 ................................................ 38 . The World Bank Kyrgyz Republic - Emergency COVID-19 Project (P173766) DATASHEET BASIC INFORMATION BASIC INFO TABLE Country(ies) Project Name Kyrgyz Republic Kyrgyz Republic ‐ Emergency COVID‐19 Project Project ID Financing Instrument Environmental and Social Risk Classification Investment Project P173766 Substantial Financing Financing & Implementation Modalities [✓] Multiphase Programmatic Approach (MPA) [ ] Contingent Emergency Response Component (CERC) [ ] Series of Projects (SOP) [ ] Fragile State(s) [ ] Performance‐Based Conditions (PBCs) [ ] 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) [ ] Hands‐on Enhanced Implementation Support (HEIS) Expected Project Approval Expected Project Closing Expected Program Closing Date Date Date 31‐Mar‐2020 31‐Mar‐2022 31‐Mar‐2025 Bank/IFC Collaboration No MPA Program Development Objective The Program Development Objective is to prevent, detect and respond to the threat posed by COVID‐19 and strengthen national systems for public health preparedness MPA Financing Data (US$, Millions) Financing Page 1 of 38 The World Bank Kyrgyz Republic - Emergency COVID-19 Project (P173766) MPA Program Financing Envelope Proposed Project Development Objective(s) To prepare and respond to the COVID‐19 pandemic in the Kyrgyz Republic. Components Component Name Cost (US$, millions) Emergency COVID‐19 Response 11.98 Implementation Management and Monitoring and Evaluation 0.17 Organizations Borrower: Ministry of Finance Implementing Agency: Ministry of Health MPA FINANCING DETAILS (US$, Millions) MPA FINANCING DETAILS (US$, Millions) Approved Board Approved MPA Financing Envelope: MPA Program Financing Envelope: of which Bank Financing (IBRD): of which Bank Financing (IDA): of which other financing sources: PROJECT FINANCING DATA (US$, Millions) FIN_SUMM_NEW SUMMARY‐NewFin1 Total Project Cost 12.15 Total Financing 12.15 Page 2 of 38 The World Bank Kyrgyz Republic - Emergency COVID-19 Project (P173766) of which IBRD/IDA 12.16 Financing Gap 0.00 DETAILS‐NewFinEnh1 World Bank Group Financing International Development Association (IDA) 12.15 IDA Credit 6.08 IDA Grant 6.08 IDA Resources (in US$, Millions) Credit Amount Grant Amount Guarantee Amount Total Amount Kyrgyz Republic 6.08 6.08 0.00 12.15 Crisis Response Window (CRW) 6.08 6.08 0.00 12.15 Total 6.08 6.08 0.00 12.15 Expected
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