MONITORING AND REPORTING

A

REGULAR REPORTING: Prepare and submit to the Bank regular monitoring reports on the environmental, social, health and safety (ESHS) performance of the Project, including but not limited to the implementation of the ESCP, status of preparation and implementation of E&S documents required under the ESCP, stakeholder engagement activities, functioning of the grievance mechanism(s).

Quarterly throughout Project implementation starting from the Effective Date

MoH and MLSP through its PMU 

ESS 1: ASSESSMENT AND MANAGEMENT OF ENVIRONMENTAL AND SOCIAL RISKS AND IMPACTS

1.1

ORGANIZATIONAL STRUCTURE: The Project will be implemented by an existing MLSP PMU (PMU). The PMU shall continue to retain qualified staff and maintain resources sufficient to support management of ESHS risks and impacts of the Project, and will add one additional

 environment and one social standards specialists .

Environment and social standards specialists shall be hired within one month following the Effective Date of the Loan Agreement and retained throughout Project implementation.

MoH and MLSP

1.2

ENVIRONMENTAL AND SOCIAL ASSESSMENT/MANAGEMENT PLANS AND INSTRUMENTS/ CONTRACTORS

1. Prepare, disclose and adopt an Environmental and Social Management Framework (ESMF), and assess the environmental and social risks and impacts of proposed Project activities in accordance with ESSs and the ESMF, including to ensure that individuals or groups who, because of their particular circumstances, may be disadvantaged or vulnerable, have access to the development benefits resulting from the Project.
2. Prepare, disclose, adopt, and implement any Environmental and Social Management Plans (ESMPs) or other instruments required for the respective Project activities based on the assessment process, in accordance with the ESSs, the ESMF, including Infection Prevention Control and Waste Management Plans (IPC & WMPs), and relevant Good International Industry Practice (GIIP) including the WHO Country & Technical Guidance - Coronavirus disease (COVID-19) and the WHO Guidelines on Safe Management of Wastes from Health-Care Activities, in a manner consistent with the ESSs and acceptable to the Bank.
3. Incorporate the relevant aspects of this ESCP, including, inter alia, any ESMPs, ICWMPs and/or other instruments, ESS2 requirements, and any other required ESHS measures, into the ESHS specifications of the procurement documents and contracts with contractors and supervising firms. Thereafter ensure that the contractors and supervising firms comply with the ESHS specifications of their respective contracts.

1. The ESMF will be finalized, disclosed and adopted not later than 1 month after the Effective Date. Until the ESMF is approved, the Project will apply the WHO standards on COVID-19 response in a manner consistent with ESS1. Assessment to be conducted before the carrying out of the relevant Project activities.

1.  Before the carrying out of the relevant Project activities, and thereafter throughout the carrying out of such activities.
2. Before launching the procurement process for the relevant Project activities, and thereafter throughout the carrying out of such activities.

MoH and MLSP through its PMU 

1.3

EXCLUSIONS: The following types of activities shall not be eligible for financing under the Project:

• Activities that may have significant adverse social impacts and may give rise to significant social conflict
• Activities that may cause long term, permanent and/or irreversible (e.g. loss of major natural habitat) adverse impacts on the environment
• All the other excluded activities set out in the ESMF of the Project.

During the assessment process conducted under action 1.2.a. above.

MoH and MLSP through its PMU

ESS 2: LABOR AND WORKING CONDITIONS 

2.1

LABOR MANAGEMENT: The Project shall be carried out in accordance with the applicable requirements of ESS2, in a manner acceptable to the Bank, including through, inter alia, implementing adequate occupational health and safety measures (including emergency preparedness and response measures), setting out grievance arrangements for Project workers, and incorporating labor requirements into the ESHS specifications of the procurement documents and contracts with contractors and supervising firms. The Borrower will adopt and implement Labor Management Procedures, incorporating the relevant requirements of ESS2. 

The LMP as part of the ESMF will be finalized not later than 1 month after the Effective Date and will be adopted prior to commencement of the relevant Project activities in case there are any. All measures under action 2.1 shall be implemented throughout the Project implementation period.

MoH and MLSP through its PMU

ESS 3: RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT

Relevant aspects of this standard shall be considered, as needed, under action 1.2 above, including, inter alia, measures to: manage health care wastes, and other types of hazardous and non-hazardous wastes.

ESS 4: COMMUNITY HEALTH AND SAFETY

Relevant aspects of this standard shall be considered, as needed, under action 1.2 above including, inter alia, measures to: minimize the potential for community exposure to communicable diseases; ensure that individuals or groups who, because of their particular circumstances, may be disadvantaged or vulnerable have access to the development benefits resulting from the Project; manage the risks of the use of security personnel; manage the risks of labor influx; and prevent and respond to sexual exploitation and abuse, and sexual harassment.

ESS 5: LAND ACQUISITION, RESTRICTIONS ON LAND USE AND INVOLUNTARY RESETTLEMENT

Not relevant

ESS 6: BIODIVERSITY CONSERVATION AND SUSTAINABLE MANAGEMENT OF LIVING NATURAL RESOURCES

Not relevant

ESS 7:INDIGENOUS PEOPLES/SUB-SAHARAN AFRICAN HISTORICALLY UNDERSERVED TRADITIONAL LOCAL COMMUNITIES

Not relevant

ESS 8: CULTURAL HERITAGE

Not relevant

ESS 9: FINANCIAL INTERMEDIARIES

Not relevant

ESS 10: STAKEHOLDER ENGAGEMENT AND INFORMATION DISCLOSURE

10.1

STAKEHOLDER ENGAGEMENT PLAN: Update, disclose, adopt, and implement a Stakeholder Engagement Plan (SEP) consistent with ESS10, in a manner acceptable to the Bank. 

The existing preliminary SEP will be updated and re-disclosed not later than 1 month after the Effective Date. The SEP will then be continuously updated and implemented during the Project implementation period.

MoH and MLSP through its PMU 

10.2

GRIEVANCE MECHANISM: Accessible grievance arrangements shall be made publicly available to receive and facilitate resolution of concerns and grievances in relation to the Project, consistent with ESS10, in a manner acceptable to the Association

The GRM will be updated as part of the SEP and hotline established not later than 1 month after the Effective Date.

MoH and MLSP through its PMU

CAPACITY SUPPORT (TRAINING)

Training topics for personnel involved in Project implementation will among others include:

• Training topics as per the WHO Country & Technical Guidance - Coronavirus disease (COVID-19) https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance including but not limited to:
  • COVID-19 Infection Prevention and Control Recommendations
  • Laboratory biosafety guidance related to the COVID-19
  • Specimen collection and shipment
  • Standard precautions for COVID-19 patients
  • Risk communication and community engagement
  • Establishment of quarantine
• Training topics as per the WHO Guidelines on Safe Management of Wastes from Health-Care Activities 
  https://apps.who.int/iris/bitstream/handle/10665/85349/9789241548564_eng.pdf;jsessionid=EE45FF4B510A5297A7DFF6030A3BED25?sequence=1

• State Sanitary Regulations and Norms

Throughout Project implementation.

MoH and MLSP through its PMU