63557 QUARTERLY REPORT TO THE ADVISORY BOARD For the Period January 1st through March 31st, 2011 1. Summary 2. Donor Contributions 3. Grant Approvals and Pipeline 4. Grant Disbursements 5. Implementation a. Rating and Risk Changes b. Highlights: July to December 2010 c. Closed Projects 6. Challenges 7. Patterns of Achievement ANNEX 1 – Donor Contributions ANNEX 2 – Tables Related to Grant Approvals ANNEX 3 – Graph of Grant Disbursements ANNEX 4 – Regional Funding Requirements ANNEX 5 – Project Implementation Details Quarterly Report to the Advisory Board (AHIF) For the Period January 31st through March 31st, 2011 1. Summary During the quarter ending on March 31, 2011: No new grants were approved, but one regional grant for South Asia, approved in the previous quarter, still awaits signature; three grants were signed, for Colombia, regional work in the Middle East and North Africa, and a regional project in Europe and Central Asia; No new grants were submitted for approval pending donor approval of an extension of the completion in the Administration Agreement; Six grants are being prepared for submission, for follow-up work to existing projects in China, Mongolia, Myanmar, Sri Lanka, Vietnam, and Mecosur countries of southern South America; Two grants closed, for Bhutan and Sri Lanka, with total approved amounts of $2.6 million; and Total disbursements increased to $59 million (57 percent of total grant approvals), from $55 million at the end of December 2010. 2. Donor Contributions Donor pledges and contributions remained unchanged from the previous Report. Donor contributions received to date are $110.6 million. Table A-1, in Annex 1, shows the status of donor pledges and contributions. 3. Grant approvals, closures and pipeline The tables in Annex 2 present the status of all approved grants, as well as the reflows realized to date from closed or canceled grants. The cumulative value of approvals equals $102.1 million, while the cumulative reflows from closed and canceled grants total $9.3 million; no new reflows were recorded in the first quarter of 2011. In total, 27 of the 54 approved grants have closed. Two grants closed in the quarter. The second grant for Bhutan closed on January 31, 2011; the first Bhutan grant closed at the end of July 2010, and the two grants together disbursed $1.9 million out of $2.5 million approved. The grant for Sri Lanka closed on March 31, 2011, having disbursed $0.7 million out of an initial approved amount of $1.4 million. Three additional grants have closed since the January 2011 Quarterly Report, with a total approved value of $4.4 million. They are for: Turkmenistan (closed December 30, 2010, $2.0 million approved, $1.8 million disbursed); Cameroon (closed December 31, 2010, $1.3 million approved, $1.2 million disbursed); and Kyrgyz Republic (closed December 31, 2010, $1.2 million approved, $1.1 million disbursed). Twenty-one grants are currently scheduled to close in the second quarter of 2011, all but two at the end of June. The closure dates of six grants were extended, as adjustments to earlier unforeseen implementation delays. The extensions were for projects in: Bhutan (from 11/30/10 to 1/31/11); China (from 11/30/10 to 11/30/11); Mongolia (from 11/30/10 to 11/30/11); South Asia, regional (from 11/30/10 to 12/31/11); Turkmenistan (from 12/31/10 to 6/30/11); and Vietnam (from 12/31/10 to 6/30/11). No new grants were approved in the quarter. An amendment to extend the completion date in the Administration Agreement is being processed and is likely to be signed shortly. Three grants approved in the previous quarter and grant agreements were signed subsequently. These were the grant to Colombia, the second-phase regional grant for the Middle East & North Africa region, and the One Health project grant for Central Asian countries, which were signed on January 6, February 24, and March 9, 2011, respectively. One further regional grant approved in the fourth quarter of 2010, in the South Asia region, for epidemiological training, awaits signature. Four new grants in the East Asia/Pacific region, and one in the South Asia region, are being prepared for submission. The largest is a $13-million grant that will form part of a $25-million additional financing for Vietnam: Avian and Human Influenza Control and Preparedness (VAHIP) in Vietnam. The other three grants in East Asia/Pacific will be a third-phase grant of $3 million in China, additional financing of $0.3 million in Myanmar, and a second-phase grant of $2.5 million in Mongolia. The grant in South Asia will be a second-phase grant of $5 million in Sri Lanka. A small regional grant for the Mercosur countries of southern South America, of $0.25 million is still in preparation. The grant was originally scheduled for submission in November 2010, and it is unclear whether there would be time for approval and implementation before the expiration of the multidonor window of the grant facility. A detailed grant pipeline is presented in Annex 4. 4. Grant Disbursements The cumulative disbursement percentage reached 57 percent on March 31, 2011, $58.6 million out of grant approvals (net of 5% administration fee) of $102 million. At the end of December 2010, as reported in the January 2011 Report, the cumulative percentage was 54 percent, and disbursements were $55 million. Seven of the 33 signed grants still under implementation, for Colombia, Mexico, Morocco, and Nicaragua, and new sub-regional grants for projects in the Middle East & North Africa, Europe & Central Asia, and South Asia, have yet to commence disbursement. Table 2 shows net disbursements by region in each of the last four quarters, April 1, 2009 through March 31, 2011. Total net disbursements for the facility between January 1 and March 31, 2011, were $3.4 million. This is the sum of gross disbursements, $3.5 million, less the total of adjustments made to closed grant accounts, $0.1 million. (Adjustments are made when disbursements are returned unused at grant closure, as reflows, and, less commonly, when payments are determined to be ineligible.) In the previous quarter, gross disbursements totaled $7.6 million. The decline in quarterly gross disbursements was largely due to reductions in disbursements from the grant to Uganda (from $1.0 million to zero), and from a regional grant for South Asia (from $2.7 million to zero). Table 2 Quarterly Disbursements by Region ($000) Net Amount Disbursed During the Quarter 2010: 2nd Qtr. 2010: 3rd Qtr. 2010: 4th Qtr. 2011 1st Qtr. April 1 to July 1 to October 1 to January 1 to Region June 30 September 30 December 31 March 31 Africa 564 602 1,019 0 East Asia/ Pacific 2,291 2,457 3,700 2.,316 Europe/ Central Asia 168 296 94 76 Latin America/ Caribbean 227 76 86 196 Middle East/ North Africa 139 3 13 469 South Asia 518 372 2,553 313 TOTAL 3,908 3,806 7,465 3,369 (net disbursed) Adjustments 21 748 181 108 (see page 3 for explanation) TOTAL 3,929 4,554 7,645 3,477 (gross disbursed) Table 3 shows cumulative disbursements by region for the end of the first quarter of each year from 2008 through 2011. Annex 3 contains a graph of the same data, with intervening quarters added. Table 3 Cumulative Net Disbursements by Region (excluding global grants) ($000) As of March 31 of each year Region 2008 2009 2010 2011 Africa 1,138 2,089 2,947 5,131 East Asia/ Pacific 1,427 5,914 13,472 24,236 Europe/ Central Asia 1,219 4,981 11,188 11,822 Latin America/ Caribbean 50 240 603 1,188 Middle East/ North Africa 3,266 5,192 8,674 9,297 South Asia 650 2,295 3,132 6,889 TOTAL 7,750 20,712 40,016 58,562 Annex 2 gives a detailed disbursement record for approved grants. To ease analysis of current portfolio activity, Annex 2 has been split into two tables: one for currently active grants, and the second as a record of closed grants that no longer contribute to disbursement changes. 5. Implementation Out of fifty-two national and regional grants approved, nineteen closed before July 1, 2010. The remaining thirty-three grants were under implementation in twenty-six countries and three regions (three active grants were for projects in Lao PDR; two were for Bhutan). Disbursement levels are an initial indicator of implementation activity. This section begins with information about disbursements to fund projects in the first half of FY11, and then reports on the projects’ accomplishments. Nine countries, and one regional grant project, accounted for more than ninety-five percent of disbursements for project implementation from July through December 2010. The countries and disbursements are listed in Table 4 below, along with disbursements from January through March 2011. In addition, Table 4 shows each country’s (or region’s) cumulative disbursement over the life of the grant or grants awarded for work in the country, the original grant amount approved, the amount available for future disbursement, and the percentage of the approved amount that is still available. Table 4 Countries Receiving Largest Disbursements for Implementation July 2010 through December 2010 Disbursed Disbursed Cumulative Jun-Dec Jan-Mar Disbursed Originally Available Available/ 2010 2011 to Mar 2011 Approved Apr 2011 Approved ($000) ($000) ($000) ($000) ($000) (%) Vietnam 3,240 1,092 8,451 10,000 1,549 15 South Asia** 2,664 0 2,664 3,836 1,172 31 Uganda* 1,650 0 1,928 2,094 166 8 China* 1,181 647 4,829 6,150 1,321 21 Lao PDR* 994 201 3,397 4,520 1,123 25 Mongolia 676 282 3,608 4,656 1,048 23 Bhutan* 428 0 1,924 2,500 576 23 Cambodia 352 94 890 2,000 1,110 56 Myanmar 312 0 1,247 1,315 68 5 Turkmenistan 266 76 1,831 1,970 139 7 TOTAL 11,764 2,392 30,769 39,041 8,272 27 (10 countries) * Combination of two grants for China, Bhutan, Uganda; three grants for Lao PDR. ** South Asia is a regional grant. Rating and Risk Changes Seven projects changed the ratings of their implementation, or progress toward development objectives, or their estimate of project activity risk, from the ratings of the six months earlier: Bangladesh’s implementation progress improved from Moderately Unsatisfactory to Moderately Satisfactory, to reflect acceleration in implementation activity; China’s implementation progress improved from Satisfactory to Highly Satisfactory as implementation of the new grant project got underway, and the activity risk declined from Substantial to Negligible because the period of the grant was extended, relieving fears of insufficient time for implementation; Honduras’s implementation progress was reduced from Satisfactory to Moderately Unsatisfactory because of delays; Mongolia’s implementation progress improved from Moderately Satisfactory to Highly Satisfactory, and Modest to Negligible; Myanmar’s activity risk increased from Negligible to Modest, because of increased perceptions that it would be hard to recruit international expertise to work in the country; Uganda’s progress toward development objectives improved from Unsatisfactory to Moderately Unsatisfactory, and implementation progress improved from Moderately Unsatisfactory to Moderately Satisfactory, largely as a result of overcoming earlier difficulties with disbursement (Uganda’s activity risk remained Substantial); and Yemen’s implementation progress declined from Satisfactory to Moderately Satisfactory, and the activity risk increased from Negligible to Modest, largely because of security concerns in the country. Implementation Highlights in the Second Half of 2010 Several projects made strong implementation gains in the second half of 2010; Annex 4 gives accounts of recent progress for active projects individually. This section gives illustrations of achievements in four of the leading projects. China: Overall project implementation was highly satisfactory, and out of eighty-one planned activities, forty-seven have been completed. The project performed careful, thorough work on operational research studies of establishment of AI-free compartment, improvement of AI Surveillance strategies, and HPAI risk reduction and bio-security improvement of small scale poultry farms. In addition, all the project counties have been assessed with the improved influenza pandemic preparedness assessment tool, and remedial recommendations, for the issues identified in the assessments, have been provided to the counties. Risk communication plans have been developed and tested in two counties. Training courses on epidemiology have been completed in Anhui and Liaoning provinces; the provincial level field epidemiology training was the first of its kind in China. Mongolia: All activities planned under the human health component have been completed, as have most of those planned for animal health and emergency response. In the second half of 2010 the project continued to support surveillance of wild and domestic birds, and added to the project’s unique contribution to the enrichment of global knowledge of the influence of the migration of wild birds on the spread of avian influenza. The project equipped two provincial veterinary laboratories, trained the staffs for bacteriological, virological, serological, and parasitological testing, and set up and trained twenty-one multisectoral rapid response teams. Myanmar: The project completed a national database on poultry and pig farms, with data and geographical coordinates from 6,154 commercial poultry farms, and 1,859 commercial pig farms. In addition, the project confirmed the high attainment of quality standards by regional laboratories, and national and regional laboratories processed 7,934 duck serum samples, collected as part of the HPAI surveillance and outbreak investigation program. A request of $0.3 million for additional financing to the on-going grant is currently being prepared and is likely to be submitted in May 2011. Turkmenistan: The project has achieved all of its development objectives. It has established coordination among agencies responsible for zoonotic diseases. The project has raised public awareness of risks and mitigation measures, and has increased the surveillance, diagnostic, and containment capacity of the country’s veterinary and health services. The Sanitary Epidemiology Station and the Central Veterinary Laboratory have both been renovated and equipped, and their staffs have been fully trained. Vietnam: The project is on target to meet or exceed all its outcome targets by the closure date. In the second half of 2010 the project neared completion of construction works on a live bird market in Hanoi, and a poultry disposal site near the border with China. The project further reduced the turnaround time for laboratory confirmations, from 5.2 days to 3.0 days for animal health tests, and to 4.8 days for human health tests. Additional financing of the VAHIP, of about $25 million (including $13 million from an AHIF grant), will consolidate the achievements of the project in future years. Closed Projects Four grant projects have closed since the last report on closed projects (in the Quarterly Report for the first half of 2010). Selected accomplishments over the projects’ lifetimes appear below. Bhutan: The project made a major contribution to Bhutan’s response capacity, as evidenced by the successful containment of three outbreaks in March 2010. In addition, the project has established a robust influenza-like illness (ILI) surveillance network, created in-country capacity to confirm influenza in clinical samples, trained health workers, and developed guidelines and standard operating procedures for disease surveillance, investigation, case management, and outbreak response. As a result of the project, Bhutan can now diagnose and confirm influenza, and has passed all three tests of its response to outbreaks. Cameroon: The project strengthened Cameroon’s capacity to diagnose disease, to conduct surveillance, and to respond to outbreaks, primarily by upgrading laboratories and providing training for operational staff of the human health and veterinary departments. There is now an operating epidemiological surveillance network throughout the country, public awareness of avian influenza has been raised through effective campaigns, and coordination among departments and donors has been established. Kyrgyz Republic: The project completed nearly all its planned activities. It has improved laboratory capacity, raised the skill levels and rapid response capacity in both human health and veterinary systems, and reduced the assessed risk of an outbreak. A mobile group for rapid response for taking urgent actions on outbreak of dangerous infectious diseases was established. In addition, a mechanism of compensation payments was developed. The project conducted training workshops on awareness and information on avian influenza for 1,400 representatives from veterinary units, government, aiyl okmotu heads, health care workers, and private veterinarians from all regions. In addition, 45,000 posters and 120,000 booklets, dealing with topics such as zoonotic diseases, personal hygiene, and quarantine regulations, were produced for dissemination among farmers and health care facility visitors. Three virology labs have been reconstructed, equipped, and supplied for express detection of avian influenza virus in humans. The project completed hospital operational isolation rooms, provided laboratory reagents and equipment, and trained laboratory staff in preparation of standard operating procedures. Sri Lanka: The project has trained over 58,000 individuals in different aspects of preparedness, response, prevention and control of H5N1, including veterinarians, medical staff, technical staff, poultry farmers, school teachers and students, and selected communities near hot spots. In cooperation with the University of Peradeniya, a master’s-level training program in applied epidemiology has been created, and thirty students have already completed the program. Diagnostic capacity has been improved at the Virology Research Institute, which is now equipped with a BSL3 cabinet. Fifteen veterinary investigation centers have been upgraded and equipped. A draft compensation strategy has been prepared. 6. Challenges A number of projects have continued to experience implementation and disbursement delays for a variety of reasons. In Belize, for example, the grant was restructured in August 2010, in recognition of the low danger of an outbreak, to shift the project emphasis from response to monitoring. In Honduras, the implementing agency was changed, and the new agency proved unfamiliar with Bank procedures. The initial delays are beginning to raise questions about the ability of the projects to achieve their goals before grant closure. In some cases, such as in Bhutan, China, and Uganda, the projects have flexibly reduced their output targets, to avoid last-minute unplanned adjustments later. In other cases, such as in Belize, Honduras, Mexico, and Uganda, the projects remain hopeful that they can achieve their goals, but will require high levels of effort to succeed. Security concerns continue to hinder implementation in Yemen, but the project has made some implementation gains nonetheless. In Vietnam, despite considerable implementation achievement, there are continuing concerns about the sustainability of coordination between the Ministry of Health and the Ministry of Agriculture and Rural Development, which the project continues to work to mitigate. The Bangladesh project is rated as a high risk, because the frequency and intensity of outbreaks, though declining, is still high, and because expert consensus is that eradication of highly pathogenic avian influenza in animals in Bangladesh will take at least a decade longer. This increases the pressure on the government to pursue its comprehensive National Avian Influenza Plan aggressively. 7. Patterns of Achievement Across the program, the preponderant weight of accomplishments has centered on training, surveillance, laboratory upgrading, and public awareness. This section notes examples of country achievements in key areas. The examples are illustrative and are not a complete listing of activities undertaken thanks to AHI Facility support in these key areas. For instance nearly all projects support better cooperation between animal health and human health services and between the disciplines involved in the response to zoonotic disease threats. Training: Training, to increase both capacity and awareness, has continued to be a leading activity among the AHIF grant projects. Some training has been in the form of focused instruction for small numbers of technicians, such as: specialized training, to selected professionals, in hospital infection surveillance, intensive care, operation of ventilators, and virus genetic sequencing (Mongolia); training of seventeen people on basic epidemiology for one month in Canada (China); four distance training modules offered to and completed by sixty seven students, who are expected to complete master’s level training in veterinary medicine or public health (South Asia); and Master and cascade epidemiological training provided to Ministry of Health and Veterinary Union staff (Turkmenistan). Some of the training has been more widely aimed at (usually larger numbers of) veterinary and health workers, such as that given to 1,788 veterinary health workers in 194 districts (Cambodia), instruction for personnel in testing for avian flu and other diseases (Dominican Republic), and three days’ field training to each of 88 fourth-year veterinary students and six professors (Myanmar). Some of the training has not been for health professionals, such as the eighty demonstration sites on poultry bio-security farming have been established to provide training for 1,760 small poultry farmers in Vietnam. The China project has completed provincial-level field training courses on epidemiology in Anhui and Liaoning that were the first of their kind in China. Even in Yemen, where security concerns inhibited implementation activities, two technicians were trained for diagnostic services, nine other workers (including five women) were trained in diagnostic methods, and three additional technicians were trained in surveillance methods. Surveillance: Project surveillance work ranged from theory to preparation to data collection. The project in China improved the quality of a comprehensive study, Improvement of Surveillance Strategies in China. In Kyrgyz Republic, a report on monitoring of autumn migratory birds was prepared. The project in Yemen finalized an evaluation of the level of biosecurity in poultry farms with detailed surveillance maps, and completed a Stage 1 HPAI survey that showed that Yemen continues to be free of H5N1. The project in Myanmar completed a national database on poultry and pig farms, with data and geographical coordinates from 6,154 commercial poultry farms, and 1,859 commercial pig farms; also in Myanmar, national and regional labs processed 7,934 duck serum samples, collected as part of the HPAI surveillance and outbreak investigation program. The projects in Dominican Republic and Mongolia monitored wild birds in migration routes. In Bhutan, the Ministry of Health, thanks to improved surveillance, quickly identified several outbreaks of H5N1. Laboratory Upgrading: In Vietnam, all nine national and regional veterinary laboratories have received investment and training and are implementing a quality management system, moving toward ISO/10725 standards. In Lao PDR, construction has begun on the National Animal Health Center laboratory. The project in Mongolia equipped two provincial veterinary laboratories, and trained the staffs for conducting bacteriological, virological, serological, and parasitological testing. The project in Myanmar completed an activity assessment of lab functions, which confirms that domestic quality assurance schemes in regional labs have attained good standards. The Sanitary Epidemiological Station and the Central Veterinary Laboratory in Turkmenistan have both been renovated and equipped, and their staff have received training that enables them to perform all necessary diagnostic tests for HPAI. Rapid Response: Projects continue to establish, equip, and train rapid response teams, as in Mongolia, where the project set up and trained twenty-one multi-sectoral Rapid Response Teams in five priority aimags (provinces) and one city, and all six project aimags and cities have conducted at least one drill on integrated response to a suspected outbreak of AI among poultry. In Vietnam, each project province has established and maintained at least two rapid response teams (in two districts). They have received training and equipment to conduct simulation exercises. In Kyrgyz Republic, a mobile group for rapid response for taking urgent actions on outbreak of dangerous infectious diseases has been established. Communication and Public Awareness: In China, risk communication plans have been developed and tested in two counties. The Mongolia project developed and distributed early warning and reporting guidelines for human infectious diseases to all aimags. The Dominican Republic project trained two hundred staffers in communication, and the Yemen project provided nine high-risk governorates with communications equipment. The project in Kyrgyz Republic conducted training workshops on awareness and information on avian influenza for 1,400 representatives from veterinary units, government, aiyl okmotu (rural administration) heads, health care workers, and private veterinarians from all regions; the project also funded production of 45,000 posters and 120,000 booklets, dealing with topics such as zoonotic diseases, personal hygiene, and quarantine regulations, for dissemination among farmers and health care facility visitors. Biosecurity: In China, a study entitled HPAI Risk Reduction and Bio-security Improvement of Small-Scale Poultry Farms introduced new a methodology for analysis and generated new evidence on modes of poultry rearing and risk pathways for introducing HPAI. The project in Lao PDR has been continuously implementing biosecurity training for backyard poultry farmers in the target provinces, with good progress being made in the second half of 2010. The project in Vietnam piloted biosecurity Standards of Practice on 58 volunteer commercial farms. Compensation: In Uganda, a draft compensation policy has been prepared. The Myanmar project drafted guidelines for compensation, and worked with the Livestock Breeding and Veterinary Department on implementation of the guidelines. In the Kyrgyz Republic, the project helped develop a mechanism for compensation payments; the compensation fund was originally planned to be $1 million, but this was reduced to $650 thousand, in view of the lack of evidence of HPAI in the country. Although a compensation mechanism does not yet exist in Turkmenistan, the government has agreed to allocate funds for compensation payments in the event of an AI outbreak. Detection Capacity in Humans: The project in Mongolia conducted a valuable serological study of the presence in healthy populations of antibody to novel Influenza A (H1N1), an earlier circulating H1N1, seasonal influenza H3N2, and influenza B. In the Kyrgyz Republic, three virology labs have been reconstructed, equipped, and supplied for express detection of avian influenza virus in humans. Intersectoral Coordination: The Chinese project found that in the development of its risk communication plans, the model of partnership between health sector and university (communication and media) was very effective. The project in Turkmenistan has established intersectoral coordination mechanisms between ministries and agencies responsible for zoonotic diseases. Flexibility: Many projects have adjusted to the time pressures from imminent grant closures by modifying the number of their target activities, as in Bhutan, where several activities were dropped because of implementation delays, including the upgrading and equipping of isolation rooms in five hospitals (one was upgraded, but no equipment was procured), district-level pandemic planning, and two system-wide field simulations. Similarly, the project in Uganda cut number of isolation wards planned from six to two, and the project in China change the original plan, of training ten professionals to the attainment of Master’s degree in epidemiology, to training seventeen people on basic epidemiology for one month in Canada. However, projects also showed themselves adept at adjusting to changing circumstances and information. In Bhutan, regional rapid response teams were not formed, as originally planned, because the response was envisioned as a local or national, not a regional response. In the Kyrgyz Republic, failing the report any cases of HPAI in the country, and monitoring results that showed the absence of antibodies to avian influenza, the project objectives were expanded to include preparation for pandemic emergencies from other zoonotic or infectious diseases in humans. Finally, the project in Yemen, despite deteriorating security conditions, managed to maintain two technicians at work in entering and analyzing data for disease mapping. ---------------- ANNEX 1: DONOR CONTRIBUTIONS Donor contributions have remained unchanged for a year. Table A-1 shows amounts pledged and received as of March 31, 2011. Table 1 Donor Pledges and Contribution Receipts to Date (as of March 31, 2011) Country/ Amount Received to Percent Organization Pledged Date (US$)* Received** European Commission € 70,930,000 80,731,224 83.1 United Kingdom 7,000,000 13,491,450 100.0 Australia AUD 10,500,000 8,488,250 100.0 Russian Federation USD 3,000,000 3,000,000 100.0 China USD 2,000,000 2,000,000 100.0 India USD 1,670,000 1,668,157 99.9 Korea USD 1,000,000 1,000,000 100.0 Iceland USD 200,000 200,000 100.0 Slovenia € 30,000 38,373 100.0 Estonia € 21,344 27,645 100.0 Total Contributions Received 110,645,099 87.1 *After conversion to US Dollars and before deduction of administration fee. **As computed in the pledging currencies. ANNEX 2 – TABLES RELATED TO GRANT APPROVALS CHRONOLOGICAL LIST OF FACILITY GRANTS APPROVED In US$ Millions, As of March 31, 2011 European Com m ission East & East & Central Eastern Mediterranean Multi AHI Facility Envelope Approval TOTAL South Asia South Asia Asia Europe Littoral Donor Dates FACILITY (TF070533) (TF070934) (TF070540) (TF070541) (TF070542) (TF070515) Expected Funds Available* 35.7 31.4 5.9 6.3 13.0 28.4 120.7 Lao PDR - 1 8-Aug-06 (2.0) (2.0) Djibouti 7-Sep-06 (2.1) (2.1) Georgia 18-Sep-06 (1.6) (1.6) West Bank and Gaza 22-Sep-06 (3.0) (3.0) Zambia 26-Sep-06 (1.0) (1.0) China-1 18-Oct-06 (2.7) (2.7) Liberia 28-Nov-06 (0.1) (0.1) Sierra Leone 29-Nov-06 (0.1) (0.1) Vietnam 15-Dec-06 (10.0) (10.0) Indonesia 15-Dec-06 (10.0) (10.0) Regional - MNA 19-Dec-06 (1.0) (1.0) Afghanistan 22-Dec-06 (5.0) (5.0) Regional - LCR 22-Dec-06 (0.5) (0.5) Tajikistan 22-Dec-06 (1.5) (1.5) Yemen-1 5-Feb-07 (0.1) (0.1) Armenia 12-Feb-07 (2.0) (2.0) Mauritania 20-Feb-07 (0.0) (0.0) Uganda - 1 26-Feb-07 (0.1) (0.1) Cambodia 5-Mar-07 (2.0) (2.0) Moldova 26-Mar-07 (1.0) (1.0) Malaw i 16-Apr-07 (1.0) (1.0) Egypt 18-Apr-07 (7.1) (7.1) Uzbekistan 2-May-07 (3.0) (3.0) Myanmar 16-May-07 (1.3) (1.3) Mozambique 7-Jun-07 (0.1) (0.1) Bangladesh 16-Jul-07 (2.0) (2.0) Bhutan - 1 19-Jul-07 (1.3) (1.3) Lao PDR - 2 6-Aug-07 (2.4) (2.4) Sri Lanka 15-Oct-07 (1.4) (1.4) Cameroon 18-Oct-07 (1.3) (1.3) Turkmenistan 16-Nov-07 (1.1) (0.9) (2.0) Congo 27-Feb-08 (1.0) (1.0) Tunisia 9-Apr-08 (0.7) (0.7) Kyrgyz Republic 14-Apr-08 (0.4) (0.8) (1.2) Mongolia 21-Apr-08 (4.7) (4.7) Honduras 19-May-08 (0.3) (0.3) Yemen -2 11-Aug-08 (1.1) (1.1) Dominican Republic 12-Aug-08 (1.0) (1.0) Uganda - 2 10-Sep-08 (2.0) (2.0) Bhutan - 2 9-Dec-08 (1.2) (1.2) Lao PDR-3 18-Jan-09 (0.1) (0.1) Global - 1 2-Mar-09 (0.1) (0.1) Syria 23-Mar-09 (1.3) (1.3) Mexico 24-Aug-09 (1.7) (1.7) Belize 9-Nov-09 (0.5) (0.5) Morocco 10-Nov-09 (0.9) (0.9) China-2 22-Dec-09 (3.5) (3.5) Regional - SAR 11-Jan-10 (3.8) (3.8) Global - 2 2-Mar-10 (0.1) (0.1) Nicaragua 18-Apr-10 (0.3) (0.3) Subregional - Middle East 7-Oct-10 (0.3) (0.3) Regional - ECA 15-Nov-10 (3.0) (3.0) Colombia 2-Dec-10 (0.9) (0.9) Regional - SAR 9-Dec-10 (3.9) (3.9) Total Approved: (37.6) (13.4) (5.9) (4.6) (13.0) (27.6) (102.1) Confirm ed Closed Grant Reflow s 12.8 0.0 0.1 1.4 14.3 Percent of Expected Funds 69.5% 42.7% 99.6% 71.1% 100.0% 92.1% 72.7% Projected Balance Available** 10.9 18.0 0.0 1.8 (0.0) 2.2 33.0 * Funds contributed or pledged, net of 5% administration fee. **Includes reflow s received to date from closed grants. Implementation Status of Active Grants as of 3/31/2011 (Excluded: Cancelled grants, and grants with a Closing Date of March 31, 2010 or earlier) Signing Approved Disbursed Movement Disbursed Reflow at Project Names Dates Amounts Dec 31 2010 since Dec Mar 31 2011 Closure Armenia** 8-Jun-07 $2,000,000 $1,960,462 $0 $1,960,462 $39,538 Bangladesh** 8-Oct-07 $2,000,000 $887,094 $75,075 $962,170 Belize 22-Jan-10 $501,744 $100,000 $0 $100,000 Bhutan-1 2-Oct-07 $1,300,000 $1,300,000 $0 $1,300,000 $0 Bhutan-2 28-May-09 $1,200,000 $623,961 $0 $623,961 Cambodia** 8-May-08 $2,000,000 $796,189 $93,913 $890,102 Cameroon 26-Mar-08 $1,270,000 $1,183,781 $0 $1,183,781 China-1 16-Apr-07 $2,650,000 $2,650,000 $0 $2,650,000 $0 China-2 25-Feb-10 $3,500,000 $1,531,448 $647,110 $2,178,558 Colombia 6-Jan-11 $890,000 $0 $0 $0 Dominican Republic 8-Nov-08 $1,000,000 $342,100 $136,812 $478,912 Egypt 29-Oct-07 $7,141,842 $3,825,476 $12,425 $3,837,901 Global-2*** N/A $90,000 $44,985 $2,625 $47,610 Honduras 1-Aug-08 $300,000 $50,000 $0 $50,000 Kyrgyz Republic**a/ 11-Jul-08 $1,150,000 $1,057,118 $0 $1,057,118 Lao PDR - 1** 11-Dec-06 $2,000,000 $1,355,834 $0 $1,355,834 Lao PDR - 2** 7-Dec-07 $2,400,000 $1,808,859 $201,143 $2,010,002 Lao PDR - 3*** N/A $120,000 $31,207 $0 $31,207 Malawi 31-Jul-07 $1,000,000 $200,000 $0 $200,000 $800,000 Mexico 24-Feb-10 $1,700,000 $0 $0 $0 Mongolia 5-Jun-08 $4,656,463 $3,326,333 $281,760 $3,608,092 Morocco 6-Oct-10 $888,490 $0 $0 $0 Myanmar 7-Mar-08 $1,315,353 $1,247,054 $0 $1,247,054 Nicaragua 22-Jul-10 $300,000 $0 $59,113 $59,113 Regional LCR 22-Jun-07 $500,000 $500,000 $0 $500,000 $0 Regional SAR 11-May-10 $3,835,629 $2,664,195 $0 $2,664,195 Regional MNA 24-Feb-11 $310,900 $0 $0 $0 Sri Lanka 26-Mar-08 $1,433,000 $705,064 $237,699 $942,763 Syria 22-Oct-09 $1,316,070 $0 $100,000 $100,000 Turkmenistan a/ 28-Feb-08 $1,970,000 $1,754,625 $76,258 $1,830,883 Tunisia 14-Feb-09 $653,105 $100,000 $224,938 $324,938 Uganda-2** 10-Oct-08 $2,000,000 $1,835,000 $0 $1,835,000 Vietnam 12-Apr-07 $10,000,000 $7,359,559 $1,091,700 $8,451,258 West Bank & Gaza 3-Oct-06 $3,000,000 $2,571,420 $146,861 $2,718,281 Yemen-2 5-Nov-08 $1,080,100 $128,728 $92,336 $221,064 Total Financially Active $67,472,696 $41,940,493 $3,479,767 $45,420,260 $839,538 Total Financially Non-Active $27,716,472 $13,306,724 -$108,017 $13,198,707 $13,470,329 GRAND TOTAL $95,189,168 $55,247,216 $3,371,750 $58,618,966 $14,309,867 *Rapid Assessment Grants **Co-financing Grants ***Bank-Executed Grant a/ The sum of two separate child accounts reported as they refer to the same project Non-Active Grants as of 3/31/2011 (Cancelled grants, and grants with a Closing Date of March 31, 2010 or earlier) Signing Approved Disbursed Movement Disbursed Reflow at Project Names Dates Amounts Dec 31 2010 since Dec Mar 31 2011 Closure Afghanistan** 30-May-07 $5,000,000 $395,547 $0 $395,547 $4,604,453 Congo 2-Jul-08 $1,000,000 $678,795 $0 $678,795 $321,205 Djibouti 21-Oct-06 $2,111,236 $1,171,817 -$108,017 $1,063,800 $0 Georgia** 23-Jan-07 $1,600,000 $1,536,915 $0 $1,536,915 $63,085 Global-1*** N/A $100,000 $8,969 $0 $8,969 $91,031 Haiti 26-Mar-08 Cancelled $0 $0 $0 $0 Indonesia 13-Jun-07 $10,000,000 $1,813,685 $0 $1,813,685 $8,186,315 Liberia-1* 19-Dec-06 $94,300 $89,130 $0 $89,130 $5,170 Mauritania* 22-Mar-07 $29,500 $29,500 $0 $29,500 $0 Moldova** 20-Jun-07 $1,000,000 $1,000,000 $0 $1,000,000 $0 Mozambique* 10-Sep-07 $98,850 $95,341 $0 $95,341 $3,509 Regional MNA 1-Mar-07 $976,899 $976,899 $0 $976,899 $0 Sierra Leone* 20-Dec-06 $94,300 $84,772 $0 $84,772 $9,528 Tajikistan** 22-Feb-07 $1,500,000 $1,494,131 $0 $1,494,131 $5,869 Uganda-1* 21-May-07 $94,300 $93,321 $0 $93,321 $979 Uzbekistan 18-May-07 $2,960,275 $2,942,854 $0 $2,942,854 $17,421 Yemen-1* 10-Feb-07 $57,260 $53,881 $0 $53,881 $3,379 Zambia 22-Dec-06 $999,552 $841,168 $0 $841,168 $158,384 TOTALS $27,716,472 $13,306,724 -$108,017 $13,198,707 $13,470,329 *Rapid Assessment Grants **Co-financing Grants ***Bank-Executed Grants ANNEX 3 – GRAPH OF GRANT DISBURSEMENTS Cumulative Disbursements by Region AHI Facility 30 25 20 $ million 15 10 5 3/31/2008 3/31/2009 3/31/2010 3/31/2011 Africa Europe/Central Asia Middle East/North Africa East Asia/Pacific Latin America/Caribbean South Asia ANNEX 4 – REGIONAL FUNDING REQUIREMENTS Africa Region AHI Grant Proposal Funding Source (in US$ million) Bank Financing PHRD AHI Facility Staff Country Grant Name IDA Grant Grant Contacts Type IBRD IDA Credit Status Date Grant Amount Amount Strengthening Epidemiological Ayite Fily Benin Surveillance for an Effective Stand Alone Nil Withdrawn 30 Sep 10 D'Almeida Influenza Prevention and Control Avian and Human Influenza Cameroon Stand Alone 1.270 Approved 18 Oct 07 Manievel Sene Prevention and Control Project Republic of Avian Influenza Emergency Legally Mahamat Goadi Stand Alone 1.000 1 Nov 10 Congo Preparedness Response Closed Louani Legally Liberia 1 Rapid Assessment Stand Alone 0.094 31 Jul 08 Yves Jantzem Closed Liberia 2 Avian Influenza Preparedness Stand Alone Nil Withdrawn 28 Jun 10 Yi Kyoung Lee Avian Influenza Prevention & Legally Malawi Stand Alone 1.000 25 Mar 10 Sheila Dutta Control Closed Legally Mauritania Rapid Assessment Stand Alone 0.030 16 Jun 08 Cherif Diallo Closed Legally Mozambique Rapid Assessment Stand Alone 0.099 30 Nov 09 Daniel Sousa Closed Legally Sierra Leone Rapid Assessment Stand Alone 0.094 29 May 09 Yves Jantzem Closed Legally Wilson Onyang Uganda 1 Rapid Assessment Stand Alone 0.095 1 Dec 08 Closed Odwongo Avian and Human Influenza Wilson Onyang Uganda 2 Co financing 10.000 2.000 Approved 10 Sep 08 Preparedness & Response Project Odwongo Avian Influenza Prevention & Legally Alex Zambia Stand Alone 1.000 29 Sep 09 Control Closed Mwanakasale Totals by Source 10.000 6.682 Europe and Central Asia Region AHI Grant Proposal Funding Source (in US$ million) Bank Financing PHRD AHI Facility Staff Country Grant Name IDA IDA Grant Grant Contacts Type IBRD Status Date Credit Grant Amount Amount Legally Armenia Avian Influenza Preparedness Project Cofinance 6.250 0.804 2.000 20 Jan 11 Brian Bedard Closed Avian Influenza Control and Human Legally Georgia Cofinance 3.500 3.500 1.400 1.600 22 Feb 10 Doina Petrescu Pandemic Closed Avian Influenza Control and Human Kyrgyz Republic Cofinance 4.000 1.000 1.150 Approved 14 Apr 08 Brian Bedard Pandemic Preparedness & Control HPAI Preparedness and Response Legally Moldova Cofinance 4.000 4.000 0.500 1.000 8 Jan 10 Anatol Gobjila Project Closed Regional Training in Animal and Stand Brian Bedard & Regional ECA 3.000 Approved 15 Nov 10 Human Health Epidemiology Alone Nedim Jaganjac Avian Influenza Control and Human Legally Tajikistan Cofinance 5.000 1.500 16 Apr 10 Bobojon Yatimov Pandemic Preparedness & Response Closed Avian Influenza Control and Human Stand Legally Tamer Samah Turkmenistan 1 1.077 9 Nov 10 Preparedness & Response Project Alone Closed Rabie Avian Influenza Control and Human Stand Tamer Samah Turkmenistan 2 0.893 Approved 16 Nov 07 Preparedness & Response Project Alone Rabie Avian Influenza Control and Human Stand Legally Uzbekistan 2.960 1 Apr 10 Dilshod Khidirov Preparedness & Response Project Alone Closed Regional ECA Regional Epidemiology Training 1.830 Pipeline Brian Bedard East Asia and Pacific Region AHI Grant Proposal Funding Source (in US$ million) Bank Financing PHRD AHI Facility Staff Country Grant Name IDA IDA Grant Grant Contacts Type IBRD Status Date Credit Grant Amount Amount Avian and Human Influenza Control & Cambodia Cofinance 6.000 3.000 2.000 Approved 5 Mar 07 Mudita Chamroeun Preparedness Emergency Project Capacity Building for HPAI Prevention Stand Legally China 1 2.650 27 Dec 10 Shiyong Wang & HI Pandemic Preparedness Alone Closed Capacity Building for HPAI Prevention Stand China 2 3.500 Approved 22 Dec 09 Shiyong Wang & HI Pandemic Preparedness Alone Avian and Human Influenza Control & Stand Legally Indonesia 5.000 10.000 4 Aug 10 Shobha Shetty Preparedness Project Alone Closed 2.000 Approved 8 Aug 06 Avian and Human Influenza Control & Lao PDR Cofinance 4.000 2.000 2.400 Approved 6 Aug 07 Hope C. Phillips Preparedness Project 0.120 Approved 18 Jan 09 Avian Influenza Control and Human Stand Mongolia 4.656 Approved 21 Apr 08 Shiyong Wang Influena Preparedness & Response Alone Support for Control of Highly Stand Myanmar 1.315 Approved 16 May 07 Paavo Eliste Pathogenic Aian Influenza Alone Second Avian and Human Influenza Vietnam Cofinance 20.000 5.000 10.000 Approved 15 Dec 06 Binh Thang Cao Control & Prevention Project Avian and Human Influenza Control & Vietnam Cofinance 10.000 13.000 Pipeline Preparedness Project Avian and Human Influenza Control & Stand China 3.000 Pipeline Preparedness Project Alone Avian Influenza Control and Human Stand Mongolia 2.500 Pipeline Influena Preparedness & Response Alone Supplemental Grant Support for Myanmar 2 Control of Highly Pathogenic Aian 0.300 Pipeline Influenza Totals by Source 20.000 20.000 15.000 57.441 Latin America & Caribbean Region AHI Grant Proposal Funding Source (in US$ million) Bank Financing PHRD AHI Facility Staff Country Grant Name IDA IDA Grant Grant Contacts Type IBRD Status Date Credit Grant Amount Amount Stand Belize Influenza Detection and Response 0.502 Approved 9 Nov 09 Carmen Carpio Alone Avian Influenza Prevention and Stand Colombia 0.890 Approved 2 Dec 10 Diego Arias Carballo Control Project Alone Dominican Avian Influenza Pandemic Stand 1.000 Approved 12 Aug 08 Diego Arias Carballo Republic Preparedness Project Alone Avian Influenza Pandemic Haiti Cofinance 1.557 Nil Cancelled 23 Apr 09 Diego Arias Carballo Preparedness Project Highly Pathogenic Avian Influenza Stand Honduras 0.300 Approved 19 May 08 Marie Helene Collion Prevention and Control Project Alone México Influenza A/H1N1N Prevention Cofinance 25.000 1.700 Approved 24 Aug 09 Claudia Macias Strengthening Surveillance and Stand Nicaragua Evaluation for an Effective Response 0.300 Approved 18 Apr 10 Marcelo Bortman Alone to Epidemiological Emergencies Regional Strengtheing of CAS for Avian Flu Stand Legally 0.500 14 Sep 10 Michael G. Carroll LCR 1 Preparedness Alone Closed Strengthening Regional Surveillance Regional Stand and Response to Transboundary 0.200 Pipeline LCR 2 Alone Diseases Totals by Source 25.000 1.557 5.392 Middle East & North Africa Region AHI Grant Proposal Funding Source (in US$ million) Bank Financing PHRD AHI Facility Staff Country Grant Name IDA IDA Grant Grant Contacts Type IBRD Status Date Credit Grant Amount Amount Avian Influenza Prevention and Stand Djibouti 2.111 Approved 7 Sep 06 Jean Philippe Tré Control Project Alone Avian and Human Influenza Control & Stand Egypt 7.142 Approved 18 Apr 07 Maurice Saade Prevention Project Alone Stand Morocco Avian Influenza Preparedness Project 0.888 Approved 10 Nov 09 Pierre Rondot Alone Regional Sub regional Avian and Pandemic Stand Legally 0.977 1 Jun 10 Colin Scott MNA 1 Influenza Preparedness (MECIDS 1) Alone Closed Regional Sub regional Avian and Pandemic Stand Eileen Brainne 0.311 Approved 7 Oct 10 MNA 2 Influenza Preparedness (MECIDS 2) Alone Sullivan Stand Syria Avian Influenza Preparedness Project 1.316 Approved 23 Mar 09 Maurice Saade Alone Stand Tunisia Avian Influenza Preparedness Project 0.653 Approved 9 Apr 08 Maurice Saade Alone West Bank Avian Influenza Prevention & Control 10.000 Cofinance 3.000 Approved 22 Sep 06 Maurice Saade & Gaza Project (Cancelled) Strengthening the Integrated Stand Legally Yemen 1 National Action Plan for Svian and 0.057 31 Aug 09 Jean Philippe Tré Alone Closed Human Influenza Avian Influenza Prevention and Stand Yemen 2 1.080 Approved 11 Aug 08 Pierre Rondot Control Project Alone Totals by Source 17.535 South Asia Region AHI Grant Proposal Funding Source (in US$ million) Bank Financing PHRD AHI Facility Staff Country Grant Name IDA IDA Grant Grant Contacts Type IBRD Status Date Credit Grant Amount Amount Legally Afghanistan AHI Preparedness and Control Project Cofinance 4.000 5.000 29 Dec 10 Usman Qamar Closed Avian Influenza Preparedness and Bangladesh Cofinance 13.000 2.000 Approved 16 Jul 07 Ousmane Seck Response Project National Influenza Preparedness and Stand Legally Bhutan 1 1.300 16 Dec 10 Sandra Rosenhouse Response Project Phase I Alone Closed National Influenza Preparedness and Stand Bhutan 2 1.200 Approved 9 Dec 08 Sandra Rosenhouse Response Project Phase II Alone Regional Stand Epidemiological Training (Phase 1) 3.836 Approved 11 Jan 10 Norman Piccioni SAR 1 Alone Regional Stand Epidemiological Training (Phase 2) 3.866 Approved 9 Dec 10 Norman Piccioni SAR 2 Alone Avian Influenza Preparedness and Stand Vichitrani Sri Lanka 1 1.433 Approved 15 Oct 07 Response Project Alone Gunawardene Avian Influenza Preparedness and Stand Sri Lanka 2 5.000 Pipeline Response Project Alone Totals by Source 13.000 4.000 23.635 ANNEX 5: PROJECT IMPLEMENTATION DETAILS This section reports on activity among grants that disbursed positive amounts showed implementation gains in the second half of 2010. Five projects (in Egypt, Nicaragua, Syria, Tunisia, and West Bank & Gaza) had little activity in the second half of 2010, but disbursed funds in the first quarter of 2011. The Quarterly Report for the third quarter of 2011 will include implementation notes for these projects. In addition, the projects in Belize, Honduras, Mexico, and Nicaragua have not disbursed any funds for at least three quarters. Future reports will contain information about any revival of activity in these projects. Bangladesh $2.0 million original grant; $1.04 million available, April 2011; Grant closure date: June 30, 2011 After considerable delay, the government and FAO were able to resolve differences, and the FAO technical support team was mobilized in October 2010. In the second half of 2010, the project trained over 4,000 farmers, poultry traders, community leaders, representatives of non- governmental organizations, and staff of the Livestock Department, on preventive measures and biosecurity. This brings the total number of recipients of this training under the project to more than 22,000. In addition, the project assumed responsibility for surveillance using the short messaging services Gateway, initiated by USAID. Under the project, surveillance coverage will be expanded from 260 upazillas (sub districts) to over 300 upazillas. Bhutan $2.5 million original two grants (total); $0.58 million available, April 2011; Grant closure date (final grant): January 31, 2011 The closure date for the grant was extended, from November 30, 2010 at the time of the last Report, to allow completion of work under ongoing contracts. Ministry of Health, thanks to improved surveillance, quickly identified several outbreaks of H1N1. The major planned activity completed in the second half of 2010 was the Knowledge, Attitudes, and Practices (KAP) survey, fielded in October. Several activities were dropped because of implementation delays, including the upgrading and equipping of isolation rooms in five hospitals (one was upgraded, but no equipment was procured), district-level pandemic planning, and two system-wide field simulations. However, overall the project made a major contribution to Bhutan’s response capacity, as evidenced by the successful containment of three outbreaks in March 2010. In addition, the project has established a robust influenza-like illness (ILI) surveillance network, created in-country capacity to confirm influenza in clinical samples, trained health workers, and developed guidelines and standard operating procedures for disease surveillance, investigation, case management, and outbreak response. As a result of the project, Bhutan can now diagnose and confirm influenza, and has passed all three tests of its response to outbreaks. Cambodia $2.0 million original grant; $1.11 million available, April 2011; Grant closure date: June 30, 2011 Twelve provincial meeting sessions were conducted to disseminate knowledge about pandemic preparedness tools. 1,788 veterinary health workers were trained in 194 districts. China $6.2 million original two grants (total); $1.32 million available, April 2011; Grant closure date (second grant): November 30, 2011 The closure date for the grant has been extended, from November 30, 2010 at the time of the last Report. Despite the additional time this allows for implementation and the consequent downward revision of the activity risk rating from Substantial to Negligible, the project still feels time pressure. For example, because of concern over limited time, the original plan of training ten professionals to the attainment of Master’s degree in epidemiology has been changed to training seventeen people on basic epidemiology for one month in Canada. The training has been completed. However, overall project implementation was highly satisfactory, and out of eighty-one planned activities, forty-seven have been completed and the remaining activities are under implementation. Highlights of implementation in the second half of 2011 included careful and thorough work on operational research studies of establishment of AI-free compartment, improvement of AI surveillance strategies, and HPAI risk reduction and bio-security improvement of small scale poultry farms. In addition, all the project counties have been assessed with the improved influenza pandemic preparedness assessment tool, and remedial recommendations, for the issues identified in the assessments, have been provided to the counties. Risk communication plans have been developed and tested in two counties. Training courses on epidemiology have been completed in Anhui and Liaoning provinces; the provincial level field epidemiology training was the first of its kind in China. Dominican Republic $1.0 million original grant; $0.52 million available, April 2011; Grant closure date: May 30, 2011 In the second half of 2010 the project purchased laboratory equipment and trained personnel to test for avian flu and other diseases, monitored wild birds in migration routes, and supported a constant bilateral dialogue with Haiti on transborder issues with avian flu. In addition, the project trained two hundred staffers in communication, and forty-one other ministry staff in bird health. Kyrgyz Republic $1.2 million original grant; $0.09 million available, April 2011; Grant closure date: December 31, 2010 At the midterm evaluation, failing report of any cases of HPAI in the country, and monitoring results that showed the absence of antibodies to avian influenza, the project objectives were expanded to include preparation for pandemic emergencies from other zoonotic or infectious diseases in humans. A mechanism of compensation payments was developed. The compensation fund was originally planned to be $1 million, but this was reduced to $650 thousand, in view of the lack of evidence of HPAI in the country. In the second half of 2010, 45,000 posters and 120,000 booklets, dealing with topics such as zoonotic diseases, personal hygiene, and quarantine regulations, were produced for dissemination among farmers and health care facility visitors. In addition, a report on monitoring of autumn migratory birds was prepared. Lao PDR $4.5 million original three grants (total); $1.12 million available, April 2011; Grant closure date: June 30, 2011 The project closure date is expected to be extended by at least six months. In the second half of 2011, “the project has been, as recommended, utilizing the AHIF2 funds by charging all expenses under the IDA & AHIF1 and PHRD to AHIF2.” So, as with Uganda, the high disbursement levels in this period do not indicate high implementation levels for activities funded under the grant. Biosecurity training for backyard poultry farmers is being implemented continuously in the target provinces, with good progress being made in the second half of 2010. Construction has begun on the National Animal Health Center laboratory. In addition, the project financed secure transportation and operating costs for the vehicles for five hospitals, and studies on and provision of health care waste management equipment at seven hospitals. Mongolia $4.7 million original grant; $1.05 million available, April 2011; Grant closure date: November 30, 2011 The closure date for the grant has been extended, from November 30, 2010 at the time of the last Report. All activities planned under the human health component have been completed. All activities under the animal health component are near completion, and most of the activities planned under the emergency management component have been completed. The activities implemented under the project have contributed to national policy development, and have made a unique contribution to the enrichment of the global knowledge base concerning the influence of migration of wild birds on the spread of avian influenza, and the ecology of avian influenza among wild birds. In the second half of 2010, the project completed a pandemic risk modeling and vulnerability assessment, and all six project aimags (provinces) and cities have conducted at least one drill on integrated response to a suspected outbreak of AI among poultry. In addition, the project developed and distributed early warning and reporting guidelines for human infectious diseases to all aimags. The project conducted a valuable serological study of the presence in healthy populations of antibody to novel Influenza A (H1N1), an earlier circulating H1N1, seasonal influenza H3N2, and influenza B. The project continued to support surveillance among wild and domestic birds. The project gave specialized training, to selected professionals, in hospital infection surveillance, intensive care, operation of ventilators, and virus genetic sequencing. The project equipped two provincial veterinary laboratories, and trained the staffs for conducting bacteriological, virological, serological, and parasitological testing. Finally, the project set up and trained twenty-one multi-sectoral Rapid Response Teams in five priority aimags and one city. Myanmar $1.3 million original grant; $0.07 million available, April 2011; Grant closure date: December 31, 2011 In July, the project completed a national database on poultry and pig farms, with data and geographical coordinates from 6,154 commercial poultry farms, and 1,859 commercial pig farms. In addition, in the second half of 2010, the project completed an activity assessment of lab functions, which confirms that domestic quality assurance schemes in regional labs have attained good standards; national and regional labs processed 7,934 duck serum samples, collected as part of the HPAI surveillance and outbreak investigation program. The project drafted guidelines for compensation, and worked with the Livestock Breeding and Veterinary Department on implementation of the guidelines. In December, the project completed draft guidelines for outbreak containment in backyard situations. In addition, the project completed and delivered a risk assessment for Mandalay/Yangon, and for Irrewaddays/Inle Lake. Finally, the project provided three days’ field training to each of 88 fourth-year veterinary students and six professors. South Asia Regional I $3.8 million original grant; $1.17 million available, April 2011; Grant closure date: December 31, 2011 The closure date for the grant has been extended, from November 30, 2010 at the time of the last Report. The grant is for training experts, to increase capacity in epidemiology and biosecurity in seven countries in South Asia. In the second half of 2010, the project completed the first half of distance training for sixty-seven veterinarians and doctors, almost all of whom are expected to complete master’s degree programs before the project ends. Turkmenistan $2.0 million original grant; $0.14 million available, April 2011; Grant closure date: June 30, 2011 The closure date for the grant has been extended, from December 31, 2010 at the time of the last Report. The project has achieved all its development objectives. It has established intersectoral coordination mechanisms between ministries and agencies responsible for zoonotic diseases, increased public awareness of avian influenza risks and mitigation measures, and increased the surveillance, diagnostic, and containment capacity of the country’s veterinary and health sectors. Standard operating procedures related to HPAI were developed under the project, and staff have been trained in their use. Master and cascade epidemiological training has been provided to Ministry of Health and Veterinary Union staff. Finally, the Sanitary Epidemiological Station and the Central Veterinary Laboratory have both been renovated and equipped, and their staff have received training that enables them to perform all necessary diagnostic tests for HPAI. Although a compensation mechanism does not yet exist in Turkmenistan, the government has agreed to allocate funds for compensation payments in the event of an AI outbreak. Uganda $2.1 million original two grants (total); $0.17 million available, April 2011; Grant closure date: June 30, 2011 The grant disbursed over eighty percent of its original amount in the second half of 2010. The grant and the associated IDA credit have been slow to start, and, as the deadline approached for grant closure, the grant was restructured to finance the procurement of vehicles and office supplies for the combined project, and to hire experts. Implementation is expected to accelerate in the first half of 2011. There has been some modest progress towards implementation, in the resolution of the issue of separate accounts for the grant and the credit, in the initial provision of funds to all implementing agencies, and in the start of procurement for and staffing of the implementation support teams. However, there is apparent continued weakness of coordination within and between the implementing agencies, and because of slow implementation, and consequent slow disbursement, the project has been placed on the watch list of the current Bank portfolio. The progress to date includes: (i) cut number of isolation wards planned from six to two; (ii) three technicians underwent training in diagnostic techniques in Austria in Oct/Nov 2010; (iii) site for BSL-Level 3 lab selected; (iv) field visits conducted in a number of districts; and (v) draft compensation policy has been prepared. Vietnam $10.0 million original grant; $1.55 million available, April 2011; Grant closure date: June 30, 2011 The closure date for the grant has been extended, from December 31, 2010 at the time of the last Report. In the second half of 2010 the Vietnam Avian and Human Influenza Control and Prevention Project (VAHIP) neared completion of construction works to upgrade the largest wholesale live bird market in Hanoi and to build a poultry destruction and disposal site in the border province of Lang Son, to control smuggled poultry from China. To improve biosecurity on farms, the project implemented 80 demonstration sites to provide training for 1,760 small poultry farmers, and piloted biosecurity Standards of Practice on 58 volunteer commercial farms. In addition, the project is introducing an improved surveillance system to all project provinces, based on results of pilots implemented in Thai Binh and Long An in 2009. The project outcome measures, and intermediate outcome measures, confirm the successful progress of this project. In the past six months, the project has reduced the turnaround time for laboratory confirmation of reported outbreaks to affected communes, from 5.2 days to 3 days for animal health tests, and to 4.75 days for human health tests. In addition, the project has reduced the fatality rate of human H5N1 cases to 28 percent, below the target rated of 35 percent; the absolute number of cases and fatalities has also declined. The project is on target to meet or exceed all its outcome targets by the closure date. This date has been extended to June 30, 2011. Additional Financing for the VAHIP, of about $25 million (including $13 million from the AHI Grant), will consolidate the achievements of the project and scale up the successful operations between 2011 and 2014. Yemen $1.1 million original two grants (total); $0.86 million available, April 2011; Grant closure date: June 30, 2011 Despite difficulties with security, the project has made some modest gains. A Stage 1 HPAI survey showed that Yemen continues to be free of H5N1. Nine high-risk governorates have received communications equipment. The project has maintained two technicians’ work in entering and analyzing data for disease mapping. Three additional technicians were trained in surveillance methods. Evaluation for level of biosecurity in poultry farms in Yemen was finalized, complete with detailed surveillance maps. Two technicians were trained for diagnostic services, and nine other workers (including five women) were trained in diagnostic methods. Since its inception, the project has contributed to the production of a new vaccine to protect poultry, to the publication of a paper on livestock policy, to the training of 49 community animal health workers, and to the rehabilitation and equipment of the Central Veterinary Laboratory in Sana’a, as well as three regional laboratories.