Document of The World Bank RESTRUCTURING PAPER ON A

Transcription

1 Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Document of The World Bank RESTRUCTURING PAPER ON A Report No: LA PROPOSED PROJECT RESTRUCTURING OF AVIAN AND HUMAN INFLUENZA CONTROL AND PREPAREDNESS PROJECT GRANTS IDA-H243-LA June 29, 2006 AHI FACILITY-TF September 12, 2006 PHRD-TF December 11, 2006 AHI FACILITY-TF December 7, 2007 TO THE LAO PEOPLE S DEMOCRATIC REPUBLIC June 24, 2011

2 ABBREVIATIONS AND ACRONYMS AHIF EC HPAI NAHICO NEIDCO PHRD Avian and Human Influenza Facility (Multi-Donor and European Union windows) European Commission Highly pathogenic avian influenza National Avian and Human Influenza Coordination Office National Emerging Infectious Diseases Coordination Office Policy and Human Resource Development Regional Vice President: Country Director: Sector Manager / Director: Task Team Leader: James W. Adams Annette Dixon Juan Pablo Uribe Hope C. Phillips Volker

3 LAO PEOPLE S DEMOCRATIC REPUBLIC AVIAN AND HUMAN INFLUENZA CONTROL AND PREPAREDNESS P CONTENTS Page A. SUMMARY... 1 B. PROJECT STATUS... 2 C. PROPOSED CHANGES... 3 ANNEX 1: RESULTS FRAMEWORK AND MONITORING... 6 ANNEX 2: REALLOCATION OF PROCEEDS... 14

4 LAO PEOPLE S DEMOCRATIC REPUBLIC AVIAN AND HUMAN INFLUENZA CONTROL AND PREPAREDNESS PROJECT RESTRUCTURING Restructuring Type: Level two Data Sheet 1. Basic Information Project ID & Name P100081: LA-Avian and Human Influenza Control Country Lao People s Democratic Republic Task Team Leader Hope C. Phillips Volker Sector Manager/Director Juan Pablo Uribe Country Director Annette Dixon Original Board Approval Date 06/29/2006 Original Closing Date: 09/30/2010 Current Closing Date 06/30/2011 Proposed Closing Date [if applicable] 06/30/2012 EA Category B-Partial Assessment Revised EA Category B-Partial Assessment-Partial Assessment EA Completion Date 05/31/2006 Revised EA Completion Date 2. Revised Financing Plan (US$m) Source Original Revised AHIF BORR IDAT JPN ZBIL ZMUL Total Borrower Organization Department Location Ministry of Finance Lao People s Democratic Republic 4. Implementing Agency Organization Department Location National Emerging Infectious Vientiane, Lao People s Diseases Coordination Office Democratic Republic

5 5. Disbursement Estimates (US$m) Actual amount disbursed as of 05/23/ Fiscal Year Annual Cumulative Total Policy Exceptions and Safeguard Policies Does the restructured project require any exceptions to Bank policies? N Does the restructured project trigger any new safeguard policies? If yes, please select from the checklist below and update ISDS accordingly before submitting the package. N 7a. Project Development Objectives/Outcomes Original/Current Project Development Objectives/Outcomes The overall development objective of the Project is to contribute to Government s National Plan which aims to minimize the threat posed to humans and the poultry sectors by highly pathogenic avian influenza (HPAI) infection and other zoonoses in Lao PDR, and to prepare for, control, and respond to influenza pandemics and other infectious disease emergencies in humans. 7b. Revised Project Development Objectives/Outcomes [if applicable]

6 AVIAN AND HUMAN INFLUENZA CONTROL AND PREPAREDNESS PROJECT SUMMARY RESTRUCTURING PAPER 1. The Development Objective of the Avian and Human Influenza Control and Preparedness Project in Lao People s Democratic Republic is to assist in implementing Government s National Plan, specifically to contribute to minimize the threat posed to humans and to the poultry sector by Highly Pathogenic Avian Influenza (HPAI) infection and other zoonoses in Laos, and to prepare for, control, and respond to influenza pandemics and other infectious disease emergencies in humans. This is being accomplished by assisting the Government in implementing its National Avian Influenza Control and Pandemic Preparedness Plan (National Plan). Financing has been made available from the following sources of funding through the World Bank: IDA Grant (H243-LA) of SDR2.7 million (US$4 million equivalent); Avian and Human Influenza Facility (AHIF) Grant (TF057185) of US$2 million from the European Commission (EC) window; Policy and Human Resource Development (PHRD) Grant (TF056737) of US$2 million; and AHIF Grant (TF090764) of US$2.4 million from the multi-donor window. 2. Prior amendments included reallocation of proceeds and extension of the closing date for the AHIF Grant (TF057185). The current changes proposed to the Agreements are the result of experiences gained during implementation and aim to enhance the capacity to respond to the prevailing situation; to reallocate proceeds of the Grants; and to extend the closing date of all but the multi-donor window trust fund (TF090764) to allow for completion of ongoing civil works and installation of goods. Given the emergency nature of the Project, the need for such adjustments were fully envisaged during the design phase. Following are the proposed changes: IDA Grant AHI Facility PHRD AHI Facility Changes to H243-LA TF TF TF Adding definition 1 X X X X Operating costs definition 2 X X X Indicators X X X X Reallocation 3 X X X Closing date 4 X X X 1 To include National Emerging Infectious Diseases Coordination Office (NEIDCO) which is the successor to the National Avian and Human Influenza Coordination Office. 2 To include translation. 3 Includes amending Schedule 1 to indicate revised financing percentages for H243-LA and TF Extending the closing date from June 30, 2011 to June 30, 2012 for H243-LA and TF056737, and from June 30, 2011 to September 30, 2011 for TF

7 3. On the basis of the foregoing a Level Two restructuring is proposed. PROJECT STATUS 4. The Project became effective on December 11, Progress towards attaining the development objective has been satisfactory, as evidenced by the attainment, in most cases, of the targets set for the National Plan. Ratings from the last three Implementation Status Reports are: Summary of Implementation Status Report Ratings 5 Sequence Number /2010 6/ /2010 Reason for rating below S Development Objective S S S Implementation Progress MS MS MS Slow progress on large tenders and training activities Financial Management MS MU MU Inappropriate application of per diem rates Project Management S S S Counterpart Funding S S S Procurement MS MS MS Improvements needed for filing Monitoring and Evaluation MS MS S Safeguards S S S 5. Implementation progress continues to be rated Moderately Satisfactory due to delays associated with three activities totaling an estimated US$3 million. An action plan to bring the project back to Satisfactory status is underway as follows: First, Government has been following up closely on the civil works aspect (two tenders estimated at approximately US$2.5 million) which have commenced for the National Animal Health Center, and the National Center for Laboratory and Epidemiology. Second, the equipment list for health care waste management equipment (estimated at US$0.8 million) supported by the Project has recently been approved by WHO, and the tender has been advertised. The extension of the closing date would allow for completion of these three activities which are expected to contribute substantially to sustainability of the support. 5 S=Satisfactory; MS=Moderately Satisfactory; MU=Moderately Unsatisfactory. 2

8 6. Financial Management was initially rated moderately satisfactory as a result of delays in clearing advances; an ongoing observation of the auditor. The downgrade in the rating in June 2010 was the result of findings that the Project had applied US$17, in per diems to TF that are ineligible for financing. The Project has provided evidence of a transfer request, dated June 17, 2011, from the Project to the World Bank in repayment of the ineligible expenditures. 7. Procurement. In the absence of a full-time Procurement Specialist on-site, the quality of the procurement was affected. Notwithstanding the current full-time presence of the Specialist, the moderately satisfactory rating has been given as a result of the delays in clearing backlogs in the proper filing of procurement documents at NEIDCO. This is expected to improve by the time of the next review. 8. Audits and Legal Covenants. There are no overdue audit reports, and the Project is in compliance with all the legal covenants. 9. Monitoring and Evaluation. Tracking of Government s progress in implementing its National Plan is achieved through the use of a set of agreed to indicators; 27 of these are presented in the Technical Annex. Although information on the indicators has always been available upon request, such information was not always made available prior to the reviews; this merited a rating of moderately satisfactory. Information on the indicators was made available to the team prior to the last review and a number of activities were carried out between the reviews with to the aim of meeting the targets set by the Government. As a consequence the rating was upgraded to satisfactory. Good progress has been made in most of the areas being tracked, and most targets have been surpassed. However, the requirement to update some baselines and to change some targets to reflect the current emphasis of the response more accurately, there is a need to amend some of the indicators Intensive supervision has been undertaken, including formal annual World Bankled Joint Implementation Reviews in which all involved Government agencies and the principal financiers of Government s Plan participate actively. Implementation, from the disbursement perspective, has been slower than anticipated (IDA Grant at 45%, AHIF- EC at 68%, PHRD at 85%, and AHIF-multidonor at 88%) as a result of (a) Government prioritizing time-bound financing from other partners; and (b) the delays in carrying out three tenders (estimated at US$3 million) as described above. PROPOSED CHANGES Results/indicators. Changes are proposed to: (a) the baselines and targets of some indicators; (b) reflect evolving Government policy; (c) reflect the realities on the ground; and (d) replace one indicator that, as currently formulated, could not be tracked (see Annex 1). 6 None of the four indicators listed in the Grant Agreements are being amended. 3

9 Financing o Disbursement arrangements. Inclusion in operating costs of translation services. o Reallocation. Previous changes have been made to the allocation of Grant proceeds, including an amendment to the percentages financed by IDA and the AHIF (TF057185), and the need for IDA to finance 100% if the AHIF-EC window were to close, as originally planned, on July 31, With an extension of the AHIF-EC closing date, the percentage to be financed by IDA should now revert to 41%, and TF should finance 59%; IDA financing will cover 100% upon full utilization of TF Reasons for the change by category are as follows: 3 Goods (H243-LA and TF057185). An increase in this category as a result of the (a) purchase of (i) surveillance equipment (including scanners, thermometers, and medical kits), (ii) transportation (vehicle and motorcycles), (iii) communications equipment (such as faxes); and (b) printing materials in response to the declaration of a pandemic by WHO and the need for increased/improved surveillance. 3 Civil Works (H243-LA and TF057185). Some of the financing originally anticipated to be paid from IDA and TF has been 3 financed from TF Consultants (TF056737). Increase required to cover financing of consultants to supervise the civil works, additional costs for health care waste management consultants, and financing consultants (both administrative and fiduciary) during proposed extension period. 3 Training and Workshops (TF056737). Reduction in required needs due to financing of activities by other development partners. 3 Training and Workshops (H243-LA and TF057185). Increased costs due to financing of participation in international fora on H5N1 and A/H1N1, as well as support for advocacy and lesson learning meetings held in-country to increase awareness. 3 Operating Costs (H243-LA and TF057185). Reduction from original allocation as a result of the timing of procurement. 3 Compensation Funds (H243-LA and TF057185). Reduction to reflect actual utilized. 3 Pilot Research Fund (H243-LA and TF057185). This source of funding is being reduced because no approved mechanism for implementation is in place. Government s request for reallocation was received in November 2009, and delays in processing the request were encountered pending satisfactory resolution of amounts indicated as ineligible expenditures. A revised table for reallocating all sources of funds has been used to derive the numbers presented here. This reallocation has been made based on Government's request, but modified to reflect current disbursement actuals, as well as the latest information available on anticipated usage of 4

10 funds. The proposed reallocations for each source of funding, including the foregoing explanation, are provided in Annex 2. o Project Costs. The reallocation of cost by Component is provided in Annex 2. Procurement. Government has requested that the threshold for shopping for goods be raised from US$20,000 to US$30,000 to bring this in line with the current thresholds being used in-country. This has been approved by the World Bank and has been reflected in a revision to the Procurement Plan. Closing Date. Government has written requesting a one year extension for all sources of funding. The closing date of the multi-donor window of AHIF is not being extended so no extension will be granted for TF097064, which is expected to be fully utilized by the current closing date. An extension of the closing dates for H243-LA and TF PHRD is being sought from June 30, 2011 to June 30, In the absence of an extension of the EC window of the AHIF an extension of the Closing Date for this source (TF AHIF) is being sought from June 30, 2011 to September 30, 2011; once the overall EC window is extended, a request to extend this source to June 30, 2012 will be made. The proposed extension is necessary to allow for the completion of civil works already underway, and delivery and installation of health care waste management equipment for hospitals (for which tendering is about to commence). The original closing date for the AHIF Grant (TF057185) was tied to the closing date of the parent trust fund, consequently the initial closing date was July 2009, or 14 months prior to the closing date of the other sources of financing. The current extension will result in a cumulative extension of two years for H243-LA and TF PHRD, and a 35 month extension for TF AHIF. Implementation schedule. Once the restructuring is approved, the disbursement estimates for all sources of funding will be revised to reflect the revised projections. Definitions. The National Avian and Human Influenza Coordination Office (NAHICO) was renamed National Emerging Infectious Diseases Coordination Office (NEIDCO) during the H1N1 pandemic, to reflect the fact that it was not solely concern with avian influenza. This will be reflected through the inclusion of NEIDCO in the definitions. 5

11 ANNEX 1: Results Framework and Monitoring LAO PEOPLE S DEMOCRATIC REPUBLIC: AVIAN AND HUMAN INFLUENZA CONTROL AND PREPAREDNESS PROJECT Project Development Objective (PDO): Contribute to minimize the threat posed to humans and to the poultry sector by Highly Pathogenic Avian Influenza (HPAI) infection and other zoonoses in Laos, and to prepare for, control, and respond to influenz pandemics and other infectious disease emergencies in humans. Revised Project Development Objective: Not applicable. PDO Level Results Indicators* Core D=Dropped C=Continue N= New R=Revised Unit of Measure Baseline Cumulative Target Values** YR 1 YR 2 YR 3 EOP Frequency Data Source/ Methodology Responsibility for Data Collection Indicator One: % of Provinces that send weekly surveillance report including ILI, AI, SARS on time Indicator Two: % of backyard poultry farmers who are currently doing at least 3 things to protect their poultry and/or family from AI C C Weekly 3 times during 4 years. Target value established in 2006 KAP and provided here Weekly surveillance report KAP Survey NCLE, MOH NCIEH, MOH 6

12 INTERMEDIATE RESULTS Intermediate Result (Component One): 1. % of backyard poultry producers in Vientiane, Savannakhet and Champasack Provinces trained about bio-security improvement 2. % of commercial poultry producers trained about biosecurity improvement 3. % of slaughtering house employees trained about biosecurity improvement 4. % of targeted laboratory staff trained for HPAI diagnosis and sub-typing for H5 5. % of provinces with an effective (staff trained and PPE provided) rapid response team 6. % of diagnostic tests (including sub-typing for H5) of suspected cases done within 48 hours 7. In case of outbreaks, % of outbreaks responded by the rapid response team within 24 hours 8. % of districts that maintain free of HPAI infection in the poultry sector Revised Intermediate Result (Component One): 1. % of backyard poultry producers in Vientiane, Savannakhet and Champasack Provinces trained about bio-security improvement 2. % of commercial poultry producers trained about biosecurity improvement (The addition of tracking for ducks) 3. % of slaughtering houses or points employees trained about biosecurity improvement (Adding or points and changing targets) 4. % of targeted laboratory staff trained for HPAI diagnosis and sub-typing for H5 5. % of provinces with an effective (staff trained and PPE provided) rapid response team 6. % of diagnostic tests (including sub-typing for H5) of suspected cases done within 48 hours (Changed baseline and year 1 target) 7. In case of outbreaks, % of outbreaks responded by the rapid response team within 24 hours 8. % of districts that maintain free of HPAI infection in the poultry sector (Changed baseline) PDO Level Results Indicators* Core D=Dropped C=Continue N= New R=Revised Unit of Measure Baseline Cumulative Target Values** YR 1 YR 2 YR 3 EOP Frequency Data Source/ Methodology Responsibility for Data Collection One: % of backyard poultry producers in Vientiane, Savannakhet and Champasack Provinces trained about biosecurity improvement Two: % of commercial poultry producers trained about biosecurity improvement Three: % of slaughtering houses or points employees trained about biosecurity C Quarterly Training completion report R 20 5 Ducks D D D D Quarterly Training completion report R Quarterly Training completion report NAHC/DLF, MOAF NAHC/DLF, MOAF NAHC/DLF, MOAF 7

13 improvement PDO Level Results Indicators* Core D=Dropped C=Continue N= New R=Revised Unit of Measure Baseline Cumulative Target Values** YR 1 YR 2 YR 3 EOP Frequency Data Source/ Methodology Responsibility for Data Collection Four: % of targeted laboratory staff trained for HPAI diagnosis and sub-typing for H5 Five: % of provinces with an effective (staff trained and PPE provided) rapid response team Six: % of diagnostic tests (including sub-typing for H5) of suspected cases done within 48 hours Seven: (In case of outbreaks) % of outbreaks responded by the rapid response team within 24 hours Eight: % of districts that maintain free of HPAI infection in the poultry sector : C Quarterly Training completion report NAHC/DLF, MOAF C Quarterly Program database NAHC/DLF, MOAF R Weekly Routine lab report NAHC/DLF, MOAF C Program database NAHC/DLF, MOAF R Weekly Routine surveillance report NAHC/DLF, MOAF 8

14 Intermediate Result (Component Two): 1. % of surveillance officers (central/provincial) and health staff (district level) trained for disease surveillance 2. % of districts with trained outbreak investigation team 3. % of suspected AI cases investigated within 24 hours Revised Intermediate Result (Component Two): 1. % of surveillance officers (central/provincial) and health staff (district level) trained for disease surveillance (Changed baseline) 2. % of provinces with trained and functional outbreak investigation team (added and functional and changed targets) 3. % of suspected AI cases investigated within 24 hours 4. Health personnel receiving training (adding relevant core indicator) PDO Level Results Indicators* Core D=Dropped C=Continue N= New R=Revised Unit of Measure Baseline Cumulative Target Values** YR 1 YR 2 YR 3 EOP Frequency Data Source/ Methodology Responsibility for Data Collection One: % of surveillance officers (central/provincial) and health staff (district level) trained for disease surveillance Two: % of provinces with trained outbreak investigation team Three: % of suspected AI cases investigated within 24 hours Four: Health personnel receiving training : R C10 P5 D5 HC 1 C70 P60 D80 HC 40 C80 P80 D90 HC 70 C90 P100 D100 HC 80 C100 P100 D100 HC 100 Quarterly Training completion report R Quarterly Training completion report NCLE and PHO, MOH PHO and DHO, MOH C Program database PHO and DHO, MOH X Program database NEIDCO 9

15 Intermediate Result (Component Three): 1. % of health facilities with targeted staff trained on infection control and case management 2. # of influenza surveillance sentinel hospitals with at least 5 staff trained on specimen collection 3. % of trained staff who have correct knowledge on infection control and case management 4. % of suspected patients treated according to the infection control and case management guideline 5. % of targeted influenza specimens tested 6. % of suspected AI specimen tested within 24 hours (in laboratory only) Revised Intermediate Result (Component Three): 1. % of health facilities with targeted staff trained on infection control and case management 2. # of influenza surveillance sentinel hospitals with at least 5 staff trained on specimen collection 3. % of trained staff who have correct knowledge on infection control and case management (adding target values; pass rate from 80% to 70%; EOP to be 75% instead of 80%) 4. % of trained staff who, by role-play, properly apply respiratory disease IC and case management procedures (replacement for original indicator, which was not monitorable) 5. % of targeted influenza specimens tested 6. % of suspected AI specimen tested within 24 hours (in laboratory only) PDO Level Results Indicators* Core D=Dropped C=Continue N= New R=Revised Unit of Measure Baseline Cumulative Target Values** YR 1 YR 2 YR 3 EOP Frequency Data Source/ Methodology Responsibility for Data Collection One: % of health facilities with targeted staff trained on infection control and case management Two: # of influenza surveillance sentinel hospitals with at least 5 staff trained on specimen collection Three: % of trained staff who have correct knowledge on infection control and case management Four: % of suspected patients treated according to the infection control and case management guideline C C50 P40 D<1 HC 0 C100 P80 D80 HC 60 C100 P90 D80 HC 70 C100 P100 D80 HC 70 C100 P100 D100 HC 70 Quarterly Training completion report C Quarterly Training completion report R Special post training testing D Medical record review Program database Training completion report DCM/DHC, Central Hospital (Infection Disease Unit) NCLE, MOH PHO and DHO, MOH DCM, MOH 10

16 PDO Level Results Indicators* Core D=Dropped C=Continue N= New R=Revised Unit of Measure Baseline Cumulative Target Values** YR 1 YR 2 YR 3 EOP Frequency Data Source/ Methodology Responsibility for Data Collection Four: % of trained staff who, by role-play, properly apply respiratory disease IC and case management procedures Five: % of targeted influenza specimens tested Six: % of AI specimens tested within 24 hours N 0 75 Annual Training completion report DHC, MOH C Quarterly Routine lab report NCLE, MOH C Quarterly Routine lab report NCLE, MOH Intermediate Result (Component Four): 1. AI communication strategy and action plan developed 2. % of backyard poultry farmers who know about AI 3. % of backyard poultry farmers who know at least 3 ways to protect themselves and their families from AI 4. % of backyard poultry farmers who know at least 3 ways to protect their poultry from getting AI Revised Intermediate Result (Component Four): 1. AI communication strategy and action plan developed 2. % of backyard poultry farmers who know about AI (adding targets) 3. % of backyard poultry farmers who know at least 3 ways to protect themselves and their families from AI (adding targets) 4. % of backyard poultry farmers who know at least 3 ways to protect their poultry from getting AI (adding targets) PDO Level Results Indicators* Core D=Dropped C=Continue N= New R=Revised Unit of Measure Baseline Cumulative Target Values** YR 1 YR 2 YR 3 EOP Frequency Data Source/ Methodology Responsibility for Data Collection One: AI communication strategy and action plan developed Two: % of backyard poultry farmers who know about AI C Strategy and action plan developed in Y1 R times during 4 years Strategy/action plan In 3 high risk provinces only NCIEH, MOH NCIEH, MOH 11

17 farmers who know about AI PDO Level Results Indicators* Core D=Dropped C=Continue N= New R=Revised Unit of Measure Baseline Cumulative Target Values** YR 1 YR 2 YR 3 EOP Frequency Data Source/ Methodology Responsibility for Data Collection Three: % of backyard poultry farmers who know at least 3 ways to protect themselves and their families from AI Four: % of backyard poultry farmers who know at least 3 ways to protect their poultry from getting AI R R times during 4 years 3 times during 4 years In 3 high risk provinces only In 3 high risk provinces only NCIEH, MOH NCIEH, MOH Intermediate Result (Component Five): 1. % of Provinces that have a multi-sectoral AI team 2. % of Provinces that have avian influenza and pandemic preparedness plan Revised Intermediate Result (Component Five): 1. % of Provinces that have a multi-sectoral AI team 2. % of Provinces that have avian influenza and pandemic preparedness plan PDO Level Results Indicators* Core D=Dropped C=Continue N= New R=Revised Unit of Measure Baseline Cumulative Target Values** YR 1 YR 2 YR 3 EOP Frequency Data Source/ Methodology Responsibility for Data Collection One: % of Provinces that have a multi-sectoral AI team C Quarterly Program database NAHICO/NEIDCO Two: % of Provinces that have avian influenza and pandemic preparedness plan C Quarterly Program database NAHICO/NEIDCO N.B.: Indicators in bold are outcome indicators; indicators in italics have activities funded by the World Bank in accordance with the Technical Annex. Based on realities on the ground, the World Bank may fund activities which are currently not indicated as being financed through the World Bank. *Please indicate whether the indicator is a Core Sector Indicator (see further 12

18 **Target values should be entered for the years data will be available, not necessarily annually. 13

19 ANNEX 2: Reallocation of Proceeds LAO PEOPLE S DEMOCRATIC REPUBLIC: AVIAN AND HUMAN INFLUENZA CONTROL AND PREPAREDNESS PROJECT This reallocation has been made based on Government s request, but modified to reflect current disbursement actuals, as well as the latest information available on anticipated usage of funds. IDA AHIF Category SDRs US$ Current Proposed Current Proposed 1 Goods 480, , , ,000 2 Civil Works 900, , , ,000 3 Consultants 75,000 78,000 70,000 58,000 4 Training & Workshop 80, , , ,000 5 Operating Costs 800, , , ,000 6 Compensation Funds 275, , , ,000 7 Eligible Imp Goods Pilot Research Funds 90, ,000 0 Total 2,700,000 2,700,000 2,000,000 2,000,000 PHRD AHIF (2) Category US$ Category US$ Current Proposed Unchanged 1 Consultants 1,000,000 1,425,000 1 Goods, Civil Works, Consultants, Training & Workshop, Operating Costs, and Compensation 2,400,000 Training & Workshops (incountry) 575, ,000,000 Total 2,000,000 2,000,000 Total 2,400,000 14

20 Disbursements as of May 23, 2011 Lao PDR Avian and Human Influenza Control and Preparedness Project Allocation Disbursed Funding Source Currency Amount to 5/23/2011 IDA H243-LA SDR 2,700,000 1,232,037 AHIF TF US$ 2,000,000 1,355,834 PHRD TF US$ 2,000,000 1,692,573 AHIF TF US$ 2,400,000 2,120,001 Project Cost by Component Project Costs (US$ million) IDA AHIF (TF057185) PHRD AHIF (TF090764) Component Current Proposed Current Proposed Current Proposed Current Proposed 1. Animal Health Human Health: Surveillance and Response Human Health: Curative Services Information, Education and Communication 5. Program Coordination and Regulatory Framework Total