Additional Financing to Support to COVID-19 vaccine purchase and health system strengthening

closed

Closed

The Project objectives are aligned to the results chain of the COVID-19 Strategic Preparedness and Response Program (SPRP). Project DO statement: The PDO of the parent project and this AF is to support the Government of Madagascar to acquire and deploy COVID-19 vaccines, and to strengthen its immunization services.PDO level indicator: Percentage of the population fully vaccinated, based on prioritized populations as defined in national plan, by gender; Project ComponentsThe changes proposed for the AF entail scaling up of activities in the parent project Madagascar Support to COVID-19 Vaccine Purchase and Health System Strengthening The PDO will remain unchanged. The costs of the existing components 1 and 2, will be revised . The content of the components and the Results Framework of the parent project are adjusted to reflect the new activities proposed under the AF. The Closing Date remains June 2024. Component 1: Acquisition of vaccines and medical supplies [originally US$71 million; with proposed AF, US$80 million]The implementation of the activities under the parent project will continue without any changes. The project will continue to finance: (i) acquisition of vaccines for priority groups defined in NVDP; (ii) acquisition of vaccination supplies needed for activities outlined in the VDDM including diluents, syringes, and medical supplies associated with the vaccination response.Changes: Under this component, the parent project will be able to procure more doses with the allocated budget than initially planned in the PAD as the country opted for single dose J&J which costs less. That will represent 8 million vaccines to cover 27% of the population. The AF will finance: (i) acquisition of COVID-19 vaccine doses to cover an additional 3 percent of the population and so the total of 9 million doses purchased by the Project will contribute to the government’s plan to reach 50.5 percent COVID-19 vaccination coverage by June 2023; and (ii) acquisition of vaccination supplies needed to vaccinate the additional proportion of the population such as diluents, syringes, and all medical supplies associated with vaccination. The country is considering vaccine purchase via COVAX, as the Janssen vaccine is now available through the cost-sharing mechanism. The cost-sharing framework agreement was signed on November 26, 2021. WBG procurement arrangements for vaccines through COVAX are still being finalized.Component 2: Strengthening health system for the effective deployment of vaccines [originally US$29 million; with proposed AF, US$61 million]The implementation of the activities under the parent project will continue without any changes. The project will continue to finance: (i) strengthening of vaccine logistics system, cold chain and vaccination sites (storage and transportation); (ii) strengthening surveillance and information systems including vaccine safety and AEFI monitoring; (iii) strengthening planning and coordination capacity including training of health workers/vaccinators and waste management; (iv) communication campaign to address vaccine hesitancy and (v) operating costs.Changes: Under this component, the AF will finance activities to scale up (i) deployment of health professionals to deliver the additional doses procured through this AF; (ii) purchase of additional equipment for vaccines distribution (cold chain equipment, vehicles and motorbikes) and data reporting (tablets and computers); (iv) additional technical assistance for the deployment of vaccines, including for communication and demand creation based on a geographic mapping of pockets of hesitancy and for utilization of drones for vaccines transportation in remote areas (this will be contracted with private operators specialized in drones utilization)and (v) incentives for community health workers and mobilizators (incentives to be received by community health workers would be linked to number of people referred to vaccination sites. An independent organization will be contracted for the payment and payments will be based on properly validated statements). Component 3: Contingent Emergency Response

FY17 - Health

World Bank Group

Project

Warehouse, Waste Processing and Treatment, Hospital, Government, Automotive