Original disclosure @ WB website
Updated in EWS Jun 16, 2022
Disclosed by Bank Mar 28, 2022
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The Project Development Objective (PDO) is to support the Federal Republic of Somalia to acquire and deploy Project COVID-19 vaccines, strengthen national immunization capacity, and support the continuity of essential health services.
The proposed Additional Financing (AF) will bring much-needed support to the Federal Government of Somalia by helping increase the vaccination coverage, strengthening the health system against recurrent COVID surges, and supporting essential health services. The proposed AF will finance: (a) strengthening national immunization capacity and distribution; (b) strengthening service delivery to support the national immunization program and essential health services; (c) tracking vaccine use and recording adverse reactions to vaccinations; and (d) mobilizing social/community engagement to increase confidence and demand for the vaccine.
Component 1. Vaccine Deployment and Acquisition (parent project: US$31.0 million, AF: US$0.0 million IDA, US$3.0 million Health Emergency Preparedness and Response Trust Fund (HEPRTF)). This is an existing component in the parent project. HEPRTF resources will support deployment only, and will not be used to purchase COVID-19 vaccines. More specifically, support under this AF would further support the following subcomponents:
Sub-component 1.1: Transportation, supply chain, and logistics capacity strengthening (parent project: US$11.0 million IDA).
Sub-component 1.2: Communication, social mobilization and community engagement to enhance uptake of the COVID-19 vaccine (parent project US$5.0 million IDA).
Sub-component 1.3: Acquisition of Additional Project COVID-19 vaccines (parent project US$13.0 million IDA)
Sub-component 1.4: Health Care Waste Management (parent project US$2.0 million IDA)
Sub-component 1.5: Vaccine Deployment (parent project US$0.0 million, HEPRTF: US$3.0 million)
Component 2. Implementation Management (M&E) (parent project: US$14.0 million, AF: US$2.5 million IDA). This is an existing component in the Parent Project. The proposed AF will provide further support for supervision, coordination, and implementation support. Under implementation support, the proposed AF will complement parent project funding and provide further support to the follow sub-components:
Sub-component 2.1: Program Management Support (parent project US$7.0 million IDA)
Sub-component 2.2: Supervision, Coordination, Human Resources Management and Training (parent project: US$5.0 million IDA, AF: US$2.5 million IDA)
Sub-component 2.3: Implementation Support (parent project: US$2 million IDA)
Component 3. Continuity of Essential Health Services (parent project: US$0.0, AF: US$14.5 million IDA). This is a new component. COVID-19 has severely strained the health system, exposing severe gaps in public health infrastructure, placing enormous strain on the system itself as well as highlighting already existing inequities. Great emphasis has been placed on the emergency preparedness of the healthcare systems, yet very little has been done regarding the readiness of pre-curative services, patient management, and capacity for clinical surges both in terms of physical infrastructure, supply chain and human resource capacity. Furthermore, with Somalia facing the worst drought in over 30 years and COVID-19 restricting the movement of people, limited access to food and health services have resulted in prevalent chronic malnutrition and wasting. With this in mind, the activities in this component aim to contribute to the Somalia COVID-19 vaccination deployment and its emergency readiness, by supporting the upgrading of health infrastructure and emergency health response at the primary, secondary, and tertiary level.
Sub-component 3.1: Building Emergency Response Capacity at Hospitals (parent project: US$0 million, AF: US$12.5 million).
Sub-component 3.2: Improving the Stocking and Procurement of Essential Supplies and Commodities across the Somalia Health System (parent project: US$0 million, AF: US$2.0 million).
Component 4. Strengthening solar-powered cold chain (parent project: US$0.0, AF: US$3 million IDA). This is a new component that will support energy efficient and solar-powered technology for cold chain and facility electrification. The component will be informed by and complement electrification investments at primary and secondary health facilities to be made under the Somalia Electricity Access Project (P165497). A Terms of Reference for the national scale electrification of health facilities has been developed to guide investments and identify the appropriate financing sources among the available project financing. The Global Climate Fund (GCF) Cooling facility is planned to finance solar direct drive refrigerators and facility electrification, focusing on cooling facilities, in Damal Caafimaad project areas. This proposed AF will finance solar direct drive refrigerators and facility electrification in areas of the country not covered by the Damal Caafimaad Project.
Senior Health Specialist
Bernard O. Olayo
Senior Health Specialist
Federal Government of Somalia
H.E. Abdirahman Duale Beileh
Minister for Finance
FEDERAL MINISTRY OF HEALTH
DR FAWZIA NUR
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