According to bank documents, the project objective is to prevent, detect and respond to the threat posed by COVID-19 in Malawi and strengthen national systems for public health preparedness.
The additional activities will be incorporated into the existing components of the parent project as described below.
Component 1: Emergency COVID-19 Response (parent project US$5.3 million equivalent; AF1 US$28.8 million; proposed AF2 US$44.5 million equivalent, IDA and US$10.0 million equivalent, GFF)
Subcomponent 1.1: Case Detection, Confirmation, Contact Tracing, Recording, Reporting (parent project US$4.1 million equivalent; AF1 US$1.0 million equivalent, proposed AF2 US$3.38 million equivalent, IDA). This sub-component would be scaled-up.
Subcomponent 1.2: Health System Strengthening (parent project US$1.2 million equivalent; AF1 US$1.8 million; proposed AF2 US$23.62 million equivalent, IDA). This sub-component would be scaled up to strengthen the health system’s ability to detect and manage COVID-19 cases and include new activities.
Subcomponent 1.3: Vaccine Procurement and Deployment (parent project US$0; AF1 US$26.0 million equivalent; proposed AF2 US$17.5 million equivalent, IDA). This subcomponent would bescaled up, and finance procurement of additional eligible COVID-19 vaccines.
Subcomponent 1.4: Monitoring and Maintaining Essential Health and Nutrition Services (parent project US$0; AF1 US$0; proposed AF2 US$10.0 million equivalent, GFF). This is a new sub-component.
Component 2: Supporting National and Sub-national Prevention and Preparedness (parent project US$0.95 million equivalent; AF1 US$0 million equivalent; proposed AF2 US$2.5 million equivalent, IDA). This sub-component would be scaled up to support strengthening of rapid response teams at the district level by enhancing their disease surveillance capacity and their mobility to respond to public health emergencies.
Component 3: Implementation Management and Monitoring and Evaluation (parent project US$0.75 million equivalent; AF1 US$1.2 million equivalent; proposed AF2 US$3.0 million equivalent, IDA). This component would be scaled up.
Component 4: Contingent Emergency Response Component (US$0.0 million). The CERC is included to allow for rapid reallocation of project proceeds in the event of a future natural or man-made disaster or crisis that has caused or is likely to imminently cause a major adverse economic and/or social impact during the life of the project. This component will have no funding allocation initially. In the event of a future emergency, this component would allow the Government to request the World Bank to recategorize and reallocate financing from other project components to cover emergency response and recovery costs, if approved by the World Bank.
Senior Health Specialist
John Bosco Makumba
Senior Operations Officer
Republic of Malawi
McDonald Mafuta Mwale
Secretary to the Treasury
Ministry of Health
Secretary for Health
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