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Support to COVID-19 Vaccine Purchase and Health System Strengthening

Abstract*

The development objective of the Support to Coronavirus Disease 2019 (COVID-19) Vaccine Purchase and Health System Strengthening Project for Comoros is to prevent, detect, and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness. The project comprises of three components. The first component, vaccines and related supplies provision and deployment consists of following sub-components: (i) acquisition...

* The project abstract is drawn from the PAD, SAR or PGD and may not accurately reflect the project's current nature

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Development Objective

This Project’s Development Objective is to support the Government of the Union of Comoros to acquire and deploy COVID-19 vaccines, to strengthen national systems for public health preparedness

Key Details

Project Details

  • P175840

  • Active

  • Cedric Ndizeye , Eliane Razafimandimby Ep Ramiandrison

  • Government of the Union of Comoros,Government of the Union of Comoros

  • Comoros

  • May 14, 2021

  • (as of board presentation)

    June 29, 2021

  • July 15, 2021

  • US$ 21.00 million

  • Ministry of Health,Ministry of Health

  • Eastern and Southern Africa

  • 2021

  • US$ 21.00 million

  • N/A

  • Substantial

  • December 31, 2025

  • Yes

  • BANK APPROVED

  • June 7, 2024

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
IDA Credit 10.00
IDA Credit 10.00
Energy Sector Management Assistance Program 1.00
Energy Sector Management Assistance Program 1.00
IDA Grant 10.00
IDA Grant 10.00

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment N/A
IDA Commitment 20.00
IBRD + IDA Commitment 20.00
Lending Instrument
Grant Amount 1.00
Total Project Cost** 21.00

Summary Status of World Bank Financing (US$ Millions) as of March 31, 2025

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No data available.
Financier Approval Date Closing Date Principal Disbursed Repayments Interest, Charges & Fees

Detailed Financial Activity as of March 31, 2025

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No data available.
Period Financier Transaction Type Amount (US$)
Jun 29, 2021 IDA-69760 Loan Commitment 10,000,000.00
Jun 29, 2021 IDA-D8970 Loan Commitment 10,000,000.00
Jun 23, 2022 IDA-71750 Loan Commitment 14,500,000.00
Jun 23, 2022 IDA-E0960 Loan Commitment 10,500,000.00
Aug 26, 2024 IDA-D8970 Loan Disb 3,406.17
Aug 26, 2024 IDA-E0960 Loan Disb 99,868.98
Jun 3, 2024 IDA-E0960 Loan Disb 37,938.08
Jun 21, 2023 IDA-D8970 Loan Disb 55,452.87
Sep 12, 2023 IDA-D8970 Loan Disb 51,246.97
Aug 10, 2023 IDA-E0960 Loan Disb 13,508.06
Mar 16, 2023 IDA-D8970 Loan Disb 598,223.30
Mar 16, 2023 IDA-D8970 Loan Disb -598,223.30
Aug 10, 2023 IDA-D8970 Loan Disb 85,233.33
Sep 12, 2023 IDA-E0960 Loan Disb 2,419.41
May 15, 2023 IDA-D8970 Loan Disb 94,859.57
Jun 29, 2023 IDA-E0960 Loan Disb 13,551.45
Jun 15, 2023 IDA-D8970 Loan Disb 508,012.12
Aug 30, 2023 IDA-E0960 Loan Disb 1,557.90
Aug 30, 2023 IDA-D8970 Loan Disb 87,543.22
Jun 26, 2023 IDA-E0960 Loan Disb 355.79
Dec 5, 2023 IDA-E0960 Loan Disb 45,146.11
Dec 5, 2023 IDA-D8970 Loan Disb 107,879.39
Jun 7, 2023 IDA-D8970 Loan Disb 103,168.73
Jun 26, 2023 IDA-D8970 Loan Disb 15,936.05
Jun 16, 2023 IDA-E0960 Loan Disb 22,498.43
Jun 29, 2023 IDA-D8970 Loan Disb 22,725.17
Jun 2, 2023 IDA-E0960 Loan Disb 21,317.80
Jan 2, 2024 IDA-D8970 Loan Disb 175,893.53
Jan 2, 2024 IDA-E0960 Loan Disb 29,133.09
May 31, 2024 IDA-E0960 Loan Cancel 3,675,881.00
Nov 27, 2023 IDA-D8970 Loan Disb 114,439.19
Nov 27, 2023 IDA-E0960 Loan Disb 19,634.93
Oct 13, 2023 IDA-E0960 Loan Disb 53,269.94
Oct 16, 2023 IDA-D8970 Loan Disb 99,506.49
Mar 20, 2024 IDA-D8970 Loan Disb 111,341.07
Mar 20, 2024 IDA-E0960 Loan Disb 38,823.60
Apr 5, 2024 IDA-D8970 Loan Disb 39,116.46
Feb 1, 2024 IDA-E0960 Loan Disb 67,275.64
Feb 1, 2024 IDA-D8970 Loan Disb 69,686.37
Jan 31, 2024 IDA-D8970 Loan Disb 248,321.73
Jun 25, 2024 IDA-E0960 Loan Disb 21,977.16
Jun 17, 2024 IDA-E0960 Loan Disb 367,191.44
Jun 17, 2022 IDA-D8970 Loan Disb 1,364,041.40
Jun 9, 2022 IDA-D8970 Loan Disb 43,726.64
May 4, 2022 IDA-D8970 Loan Disb 188,962.55
Sep 3, 2021 IDA-D8970 Loan Disb 1,206,430.00
Oct 7, 2022 IDA-D8970 Loan Disb 200,593.58
Sep 14, 2022 IDA-D8970 Loan Disb 549,970.60
Sep 19, 2022 IDA-D8970 Loan Disb 514,265.50
Dec 16, 2022 IDA-D8970 Loan Disb 33,583.67
Nov 10, 2022 IDA-D8970 Loan Disb 207,393.66
Oct 19, 2022 IDA-D8970 Loan Disb 113,173.58
Dec 27, 2022 IDA-D8970 Loan Disb 2,318.35
Dec 30, 2022 IDA-D8970 Loan Disb 49,355.83
Aug 9, 2022 IDA-D8970 Loan Disb 50,040.39
Jun 28, 2022 IDA-D8970 Loan Disb 216,594.78
Mar 10, 2022 IDA-D8970 Loan Disb 269,245.12
May 11, 2022 IDA-D8970 Loan Disb 2,000,000.00
Apr 21, 2023 IDA-E0960 Loan Disb 2,228,800.00
Apr 3, 2023 IDA-D8970 Loan Disb 108,176.95
Mar 2, 2023 IDA-D8970 Loan Disb 119,381.78
Feb 3, 2023 IDA-D8970 Loan Disb 148,694.67
May 31, 2024 IDA-69760 Loan Cancel 1,299,613.00
May 31, 2024 IDA-71750 Loan Cancel 5,112,182.50
Jul 2, 2024 IDA-69760 Loan Disb 72,065.50
Jun 18, 2024 IDA-69760 Loan Disb 93,031.47
Jun 25, 2024 IDA-69760 Loan Disb 165,710.55
May 20, 2024 IDA-69760 Loan Disb 147,235.77
Jun 6, 2024 IDA-69760 Loan Disb 290,181.16
Aug 26, 2024 IDA-69760 Loan Disb 35,231.59

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Procurement Moderately Satisfactory 2024-11-19
Project Management Moderately Satisfactory 2024-11-19
Progress towards achievement of PDO Satisfactory 2024-11-19
Monitoring and Evaluation Satisfactory 2024-11-19
Financial Management Moderately Satisfactory 2024-11-19
Overall Implementation Progress (IP) Satisfactory 2024-11-19
Procurement Moderately Satisfactory 2024-11-19
Project Management Moderately Satisfactory 2024-11-19
Progress towards achievement of PDO Satisfactory 2024-11-19
Monitoring and Evaluation Satisfactory 2024-11-19
Financial Management Moderately Satisfactory 2024-11-19
Overall Implementation Progress (IP) Satisfactory 2024-11-19

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

No data available.

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Percentage of the population fully vaccinated, based on prioritized populations as defined in national plan, by genderValue3.7053.0065.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Number of health facilities and national/regional stores rehabilitated with resilient infrastructure and solarizedValue0.0030.0024.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Percentage of females fully vaccinated, based on the prioritized population in the national planValue42.1049.0050.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Percentage of health agents fully vaccinated, based on the prioritized population in the national planValue85.0073.000.00
    Date
    Comment
  • Percentage of people aged over 60 fully vaccinated, based on the prioritized population in the national planValue44.0016.000.00
    Date
    Comment
  • Percentage of people with comorbidities and in risk groups fully vaccinated, based on the prioritized population in the national planValue4.00100.000.00
    Date
    Comment
  • Percentage of adolescents aged 12 to 17 fully vaccinated, based on the prioritized population in the national planValue0.0071.000.00
    Date
    Comment
  • Adoption of the El Maarouf hospital master planValueNoYesYes
    DateMay 13, 2022May 22, 2024December 31, 2025
    Comment
  • Percentage of the population fully vaccinated, based on prioritized populations as defined in national plan, by genderValue3.7053.0065.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Number of health facilities and national/regional stores rehabilitated with resilient infrastructure and solarizedValue0.0030.0024.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Percentage of females fully vaccinated, based on the prioritized population in the national planValue42.1049.0050.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Percentage of health agents fully vaccinated, based on the prioritized population in the national planValue85.0073.000.00
    Date
    Comment
  • Percentage of people aged over 60 fully vaccinated, based on the prioritized population in the national planValue44.0016.000.00
    Date
    Comment
  • Percentage of people with comorbidities and in risk groups fully vaccinated, based on the prioritized population in the national planValue4.00100.000.00
    Date
    Comment
  • Percentage of adolescents aged 12 to 17 fully vaccinated, based on the prioritized population in the national planValue0.0071.000.00
    Date
    Comment
  • Adoption of the El Maarouf hospital master planValueNoYesYes
    DateMay 13, 2022May 22, 2024December 31, 2025
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • Percentage of the population who received at least one dose of a COVID-19 vaccine, by genderValue5.0055.0069.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Number of health centers equipped with solar power to deliver health servicesValue0.0030.0022.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Number of coordination units that are functionalValue4.004.004.00
    DateOctober 17, 2022May 22, 2024December 31, 2025
    Comment
  • Percentage of females who received at least one dose of a COVID-19 vaccineValue42.1048.0050.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Number of eligible COVID-19 vaccine doses procured and available in countryValue0.00200000.00580000.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Percentage of frontline health care workers with the knowledge to recognize, medically manage, and refer GBV survivors to appropriate servicesValue0.004.0030.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Number of sites for which requested cold chain equipment have been installed and are functionalValue0.005.0024.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Percentage of female health workers with the knowledge to recognize, medically manage, and refer GBV survivors to appropriate servicesValue0.0060.0066.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • The e-vaccination tool is integrated in the DHIS2 for COVID-19 vaccination monitoringValueNoNoYes
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Number of public health facilities reporting data in the DHIS2Value0.0069.0021.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Proportion of adverse events following immunization (AEFI) reported and investigated based on national guidelinesValue15.0079.0080.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Percentage of grievances addressed within 2 weeks of initial complaint being recordedValue0.00100.0075.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Number of villages implementing citizen engagement initiatives on COVID-19 vaccination and prevention measuresValue197.00350.00350.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Functionality of the hospital management systemValueNoNoYes
    DateMay 13, 2022May 22, 2024December 31, 2025
    Comment
  • Completion rate of communication activities for demand generation and acceptance of the COVID-19 vaccineValue0.0050.0080.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Bed occupancy rate in El Maarouf hospitalValue40.0040.0080.00
    DateDecember 31, 2021May 22, 2024December 31, 2025
    Comment
  • Percentage of the population who received at least one dose of a COVID-19 vaccine, by genderValue5.0055.0069.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Number of health centers equipped with solar power to deliver health servicesValue0.0030.0022.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Number of coordination units that are functionalValue4.004.004.00
    DateOctober 17, 2022May 22, 2024December 31, 2025
    Comment
  • Percentage of females who received at least one dose of a COVID-19 vaccineValue42.1048.0050.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Number of eligible COVID-19 vaccine doses procured and available in countryValue0.00200000.00580000.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Percentage of frontline health care workers with the knowledge to recognize, medically manage, and refer GBV survivors to appropriate servicesValue0.004.0030.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Number of sites for which requested cold chain equipment have been installed and are functionalValue0.005.0024.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Percentage of female health workers with the knowledge to recognize, medically manage, and refer GBV survivors to appropriate servicesValue0.0060.0066.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • The e-vaccination tool is integrated in the DHIS2 for COVID-19 vaccination monitoringValueNoNoYes
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Number of public health facilities reporting data in the DHIS2Value0.0069.0021.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Proportion of adverse events following immunization (AEFI) reported and investigated based on national guidelinesValue15.0079.0080.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Percentage of grievances addressed within 2 weeks of initial complaint being recordedValue0.00100.0075.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Number of villages implementing citizen engagement initiatives on COVID-19 vaccination and prevention measuresValue197.00350.00350.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Functionality of the hospital management systemValueNoNoYes
    DateMay 13, 2022May 22, 2024December 31, 2025
    Comment
  • Completion rate of communication activities for demand generation and acceptance of the COVID-19 vaccineValue0.0050.0080.00
    DateMay 26, 2021May 22, 2024December 31, 2025
    Comment
  • Bed occupancy rate in El Maarouf hospitalValue40.0040.0080.00
    DateDecember 31, 2021May 22, 2024December 31, 2025
    Comment