Republic of Burundi Ministry of Health and the Fight against AIDS Burundi Health Emergency Preparedness, Response and Resilience Program Using Multiphase Programmatic Approach(P504531) Draft ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) March 10th, 2024 1 | Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN 1. The Republic of Burundi, (the Recipient), will implement the Burundi Health Emergency Preparedness, Response and Resilience Program Using the Multiphase Programmatic Approach(P504531) (the Project), with the involvement of the Ministry of Health and the Fight Against AIDS (MoHFAIDS/Project Technical Unit (PTU), as set out in the Financing Agreement. The International Development Association (the Association) has agreed to provide financing (P504531) for the Project as set out in the referred agreement. 2. The Recipient shall ensure that the Project is carried out in accordance with the Environmental and Social Standards (ESSs) and this Environmental and Social Commitment Plan (ESCP), in a manner acceptable to the Association. The ESCP is a part of the Financing Agreement. Unless otherwise defined in this ESCP, capitalized terms used in this ESCP have the meanings ascribed to them in the referred agreement. 3. Without limitation to the foregoing, this ESCP sets out material measures and actions that the Recipient shall carry out or cause to be carried out, including, as applicable, the timeframes of the actions and measures, institutional, staffing, training, monitoring and reporting arrangements, and grievance management. The ESCP also sets out the environmental and social (E&S) instruments that shall be adopted and implemented under the Project, all of which shall be subject to prior consultation and disclosure, consistent with the ESS, and in form and substance, and in a manner acceptable to the Association. Once adopted, said E&S instruments may be revised from time to time with prior written agreement by the Association. 4. As agreed by the Association and the Recipient, this ESCP will be revised from time to time if necessary, during Project implementation, to reflect adaptive management of Project changes and unforeseen circumstances or in response to Project performance. In such circumstances, the Recipient through the Ministry of Health and the Fight Against AIDS and the Association agree to update the ESCP to reflect these changes through an exchange of letters signed between the Association and the Minister of Health and the Fight Against AIDS. The Recipient shall promptly disclose the updated ESCP. 2 | Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS CALENDAR/TIMEFRAME RESPONSIBLE ENTITY MONITORING AND REPORTING A REGULAR REPORTING Ministry of Health and the Fight against AIDS Prepare and submit to the Association regular monitoring reports on the Submit quarterly reports to the (MoHFAIDS)/ [Project environmental, social, health and safety (ESHS) performance of the Project, Association throughout Project Technical Unit (PTU)] including but not limited to the implementation of the ESCP, status of the implementation, commencing preparation and implementation of E&S instruments required under the ESCP, three (3) months after the stakeholder engagement activities, and functioning of the grievance mechanism, Effective Date. including the provisions for SEA/SH grievances. Submit each report to the Association no later than 15 days after the end of each reporting period. B INCIDENTS AND ACCIDENTS MoHFAIDS/ [PTU] Promptly notify the Association of any incident or accident related to the Project Notify the Association no later that has, or is likely to have, a significant adverse effect on the environment, the than 48 hours after learning of the affected communities, the public or workers, including, among others, cases of incident or accident. sexual exploitation and abuse (SEA), sexual harassment (SH), and accidents that result in death, serious or multiple injury. Provide subsequent reports to the Association within a timeframe Provide sufficient detail regarding the scope, severity and possible causes of the acceptable to the Association. incident or accident, indicating the immediate measures taken or that are planned to be taken to address it, and any information provided by any contractor and/or supervising firm, as appropriate. Subsequently, at the Association’s request, prepare a report on the incident or accident and propose any measures to address it and prevent its recurrence. C CONTRACTORS’ MONTHLY REPORTS Submit the monthly reports to MoHFAIDS/ PTU the Association as annexes to the Require contractors and supervising firms to provide monthly monitoring reports reports to be submitted under on ESHS performance in accordance with the metrics specified in the respective Action A above. bidding documents and contracts and submit such reports to the Association. 3 | Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS CALENDAR/TIMEFRAME RESPONSIBLE ENTITY ESS 1 : ASSESSMENT AND MANAGEMENT OF ENVIRONMENTAL AND SOCIAL RISKS AND IMPACTS 1.1 ORGANIZATIONAL STRUCTURE MoHFAIDS/ [PTU] The organizational structure of Maintain the existing Project Technical Unit (PTU) with qualified staff and resources PTU, including the existing to support the management of ESHS risks and impacts of the Project, including the environmental specialist, social existing Environmental Specialist, Social Development Specialist and GBV/SEA/HS specialist and GBV specialist shall Specialist. be maintained throughout the implementation of the Project. 1.2 ENVIRONMENTAL AND SOCIAL ASSESSMENT MoHFAIDS/ [PTU] a) Adopt and implement a Project Operations Manual (POM) with an a) Adopt the POM by the Effective "Environmental and Social risk management� section, which shall describe in Date, and thereafter implement detail: the POM throughout Project o guidance on E&S screening and classification of subprojects including TA implementation. activities. a) b) adopt the ESMP before o the principles, rules, guidelines and procedures to assess, mitigate and launching the bidding process for monitor potential risks and impacts from project activities. the respective subprojects. Once o E&S roles and responsibilities including the role of the procurement adopted, implement the specialist in recruiting the contractor charged to renovate the PHEOC, the respective ESMP throughout national veterinary lab and gender-sensitive isolation areas in health Project implementation. facilities. o an SEA/SH prevention and response Action plan. c) adopt the C-ESMP prior to commencement works. Once o relevant ESS requirements: ESS3 – energy use for warehouses, particularly adopted, implement the where cold storage is needed ; ESS4 – traffic safety for the transportation respective C-ESMP throughout and distribution of nutritional products ; reagents; micronutrient powder subproject implementation and vaccines for routine immunization; ESS4 – fire and life safety for warehouse/storage facilities ; ESS4 – emergency response for warehouse/storage facilities (strategic stockpile of commodities); ESS4 – safety of services, including ensuring proper temperature control for storage of commodities and vaccines for routine immunization ; 4 | Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS CALENDAR/TIMEFRAME RESPONSIBLE ENTITY • the following management tools: Traffic Safety Plan; Fire and Life Safety Audit/Plan; Emergency Preparedness and Response Plan; Operational Procedures for maintaining, inspecting and monitoring safety of stocks; approach to assess relevance of ESS6 primary supplier requirement and if relevant for commodities, establish verification system. b) Adopt and implement an Environmental and Social Management Plan (ESMP) for renovation and rehabilitation works under subcomponent 1.2, subcomponent 1.3 and subcomponent 1.4 of the project, consistent with the relevant ESSs. c) cause contractors to adopt and implement Contractor’s ESMP (C-ESMP) for renovation and rehabilitation works under subcomponent 1.2, subcomponent 1.3 and subcomponent 1.4 of the project, consistent with the relevant ESSs. 1.3 MANAGEMENT OF CONTRACTORS MoHFAIDS/ [PTU] As part of the preparation of the Incorporate the relevant aspects of the ESCP, including, inter alia, the relevant E&S procurement documents and instruments, the Labor Management Procedures, and Code of Conduct, into the respective contracts. ESHS specifications of the procurement documents and contracts with contractors Supervise contractors throughout and supervising firms. Thereafter, ensure that the contractors and supervising firms Project implementation. comply and cause subcontractors to comply with the ESHS specifications of their respective contracts. 1.3 TECHNICAL ASSISTANCE MoHFAIDS/ [PTU] Ensure that the consultancies, studies (including feasibility studies, if applicable), Throughout the Project capacity building, training, and any other technical assistance activities under the implementation. Project including, inter alia, development of a climate resilient infrastructure construction and rehabilitation guidelines; development of a national multisectoral costed action plan for One Health with focused investments in veterinary and other animal health services ; development of a national climate and health adaptation plan; development of a national clinical case management guideline for priority health events with focus on gender gaps; developing multisectoral Risk Communication and Community Engagement (RCCE) plans, SOPs, guidelines, policies, and procedures for routine and emergency contexts at national and 5 | Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS CALENDAR/TIMEFRAME RESPONSIBLE ENTITY subnational level are carried out in accordance with terms of reference acceptable to the Association, that are consistent with the ESSs. Thereafter ensure that the outputs of such activities comply with the terms of reference. 1.5 CONTINGENT EMERGENCY RESPONSE FUNDING a) Adopt the CERC Manual and, if MoHFAIDS/ [PTU] a) Ensure that the CERC Manual as specified the legal agreement includes a applicable, other instruments, in description of the ESHS assessment and management arrangements for the a form and substance acceptable implementation of the CERC component, in accordance with the ESSs. to the Association, prior to disbursement under Category 2 b) Adopt any environmental and social (E&S) instruments which may be in accordance with Section required for activities under CERC component of the Project, in accordance [III.B.1.b] of Schedule 2 to the with the CERC Manual and, if applicable, the CERC Addendum and the ESSs, Financing Agreement. b) Adopt any required E&S and thereafter implement the measures and actions required under said E&S instrument and include it as part instruments, within the timeframes specified in said E&S instruments. of the respective bidding process, if applicable and in any case, before the carrying out of the relevant Project activities for which the E&S instruments in accordance with their terms, throughout the implementation of the Project. ESS2: LABOR AND WORKING CONDITIONS 2.1 LABOR MANAGEMENT PROCEDURES MoHFAIDS/ [PTU] Implement the existing Labor Management Procedures (LMP) for this Project, including, inter alia, provisions on working conditions, management of workers Adopt and update the existing relationships, occupational health and safety (including personal protective LMP no later than 30 days after equipment, and emergency preparedness and response), Code of Conduct the Effective Date and thereafter (including relating to SEA and SH), forced labor, including in relation to the solar implement the LMP throughout supply chain, child labor, grievance arrangements for Project workers, and this Project implementation. applicable requirements for contractors, subcontractors, and supervising firms . 6 | Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS CALENDAR/TIMEFRAME RESPONSIBLE ENTITY Prior to beginning of site activities, the Bidders will be required to provide two declarations: a Forced Labor Performance Declaration (which covers past performance), and a Forced Labor Declaration (which covers future commitments to prevent, monitor and report on any forced labor, cascading the requirements to their own sub- contractors and suppliers) 2.2 GRIEVANCE MECHANISM FOR PROJECT WORKERS MoHFAIDS/ [PTU] Facilitate the operationalization of the existing Grievance mechanism for these Maintain and operationalize the Project workers as described in the LMP consistent with ESS2. existing Grievance Mechanism (GM) prior engaging additional Project workers (if necessary) and thereafter maintain and operate it throughout Project implementation ESS3: RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT 3.1 WASTE MANAGEMENT PLAN MoHFAIDS/ [PTU] Adopt and implement as standalone instrument the existing Infection Control and Adopt the ICMWMP no later than Medical Waste Management Plan (ICMWMP) to manage hazardous and non-hazardous 30 days after the Effective Date wastes, infectious waste consistent with ESS3. and thereafter implement the Assess and manage hazardous and non-hazardous waste risks, consistent with ESS3, ICMWMP throughout the Project and include a waste management plan (WMP) in the ESMPs to be prepared and implementation. adopted under action 1.2. above. In the case of the renovation of buildings containing asbestos, the Recipient shall ensure that the removal of asbestos is carried out by specialized entities 7 | Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS CALENDAR/TIMEFRAME RESPONSIBLE ENTITY 3.2 RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT Same timeframe as for the MoHFAIDS/ [PTU] Incorporate resource efficiency and pollution prevention and management adoption and implementation of measures in the ESMPs and the POM to be prepared under action 1.2 the ESMP and POM as in action 1.2. ESS 4: COMMUNITYHEALTH AND SAFETY 4.1 TRAFFIC AND ROAD SAFETY MoHFAIDS/ [PTU] Incorporate measures to manage traffic and road safety risks as required in the Same timeframe as for the ESMPs and POM to be prepared under action 1.2 above adoption and implementation of the ESMP and POM as in action 1.2. 4.2 COMMUNITY HEALTH AND SAFETY Same timeframe as for the MoHFAIDS/ [PTU] Assess and manage specific risks and impacts to the community arising from adoption and implementation of Project activities and include mitigation measures in the ESMPs and POM to be the ESMPs and POM as in action prepared under action 1.2 above 1.2. 4.3 RISKS OF SEXUAL EXPLOITATION AND ABUSE AND SEXUAL HARASSMENT (EAS/HS) Adopt and update the SEA/SH MoHFAIDS/ [PTU] action plan no later than 90 days Adopt and implement a SEA/SH Action Plan, to assess and manage the risks of SEA after the Effective Date and and SH. The SEA/SH action plan shall include several measures, including but not thereafter implement the SEA/SH limited to continuous SEA/SH risk identification, awareness-raising activities, Action Plan throughout the community consultations, Project workers training, and signature of a code of Project implementation. conduct prohibiting and sanctioning SEA/SH acts by all Project actors (Project workers and other actors, including officials working on the Project but whose employment is not legally transferred to the project), recruitment of a GBV specialist. The SEA/HS risk mitigation and response action plan should be properly budgeted. 8 | Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS CALENDAR/TIMEFRAME RESPONSIBLE ENTITY 4.3 SECURITY MANAGEMENT MoHFAIDS/ [PTU] Before engaging security Assess and implement measures to manage the security risks of the Project, personnel and thereafter including the risks of engaging security personnel to Project workers, sites, assets, implemented throughout Project and Project activities, as it shall be set out in the prepared ESMP, guided by the implementation. principles of proportionality and GIIP, and by applicable law, with hiring, rules of conduct, training, equipping, and monitoring of such personnel. ESS 5 : LAND ACQUISITION, LAND USE RESTRICTIONS AND INVOLUNTARY RELOCATION ( Not currently relevant) ESS 6 : BIODIVERSITY CONSERVATION AND SUSTAINABLE MANAGEMENT OF LIVING NATURAL RESOURCES 6.1 BIODIVERSITY RISKS AND IMPACTS Same timeframe as for the MoHFAIDS/ [PTU] The POM to include measure for assessing relevance of ESS6 primary supplier adoption and implementation of (particularly any natural resource-based commodities) requirement and if relevant the POM under action 1.2 above. for commodities, establish verification system. ESS 7 : INDIGENOUS PEOPLES/SUB-SAHARAN AFRICAN HISTORICALLY UNDERSERVED TRADITIONAL LOCAL COMMUNITIES 7.1 INDIGENOUS PEOPLES PLANNING FRAMEWORK MoHFAIDS/ [PTU] The IPPF which is already adopted Adopt and continue to implement an existing Indigenous Peoples Planning previously in the parent project Framework (IPPF) for this Project, consistent with ESS7. shall be updated if necessary no later than 30 days after the effectiveness date. Implement it throughout the Project implementation. 7.2 INDIGENOUS PEOPLES PLAN (IPP) (MoHFAIDS/ [PTU] Adopt and implement an Indigenous Peoples Plan (IPP) for each activity under the Project for which the IPPF requires such IPP, as set out in the IPPF, and consistent with ESS7. 9 | Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS CALENDAR/TIMEFRAME RESPONSIBLE ENTITY Adopt and update the existing IPP before carrying out of any activity related to the IPs no later than 30 days after the effectiveness date. implement the IPP throughout Project implementation with realistic budget forecast. 7.3 GRIEVANCE MECHANISM MoHFAIDS/ [PTU] The grievance mechanism to address complaints submitted by Indigenous Peoples The Grievance Redress has been described in both the IPPF, IPPs and SEP. To foster inclusion and social Mechanism responsible for cohesion between the IP and other neighboring communities, the IP Grievance handling grievances from Redress Committee is composed of representatives from the IP and other indigenous populations shall be communities. The presence of IP representatives on the Grievance Redress established and implemented Committee will lend credibility to the Grievance Redress Mechanism for IP. before the implementation of the IPP. ESS 8: CULTURAL HERITAGE (Not currently relevant) 8.1 CHANCE FINDS Same timeframe as for the MoHFAIDS/ [PTU] If any, describe and implement the chance finds procedures, to be prepared as adoption and implementation of part of the ESMPs under action 1.2 above. the ESMPs under action 1.2 above ESS 9: FINANCIAL INTERMEDIARIES (Not currently relevant) ESS10 : STAKEHOLDER ENGAGEMENT AND INFORMATION DISCLOSURE 10.1 STAKEHOLDER ENGAGEMENT PLAN PREPARATION AND IMPLEMENTATION Adopt and update the existing MoHFAIDS/ [PTU] SEP instrument no later than 30 Adopt and implement a Stakeholder Engagement Plan (SEP) for the Project days after the Effective Date and consistent with ESS10, which shall include measures to, inter alia, provide thereafter implement the SEP stakeholders with timely, relevant, understandable and accessible information, and throughout the Project consult with them in a culturally appropriate manner, which is free of manipulation, implementation. interference, coercion, discrimination and intimidation. 10 | Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS CALENDAR/TIMEFRAME RESPONSIBLE ENTITY 10.2 PROJECT GRIEVANCE MECHANISM Maintain the existing grievance MoHFAIDS/ [PTU] Maintain and operationalize an accessible Grievance Redress Mechanism redress mechanism (in the SEP), immediately, to receive and facilitate the resolution of concerns and grievances in including SEA/HS procedures relation to the Project, promptly and effectively, in transparent manner that is within the same timeframe as culturally appropriate and readily accessible to all Project–affected parties, at no Action 10.1, and thereafter cost and without retribution, including concerns and grievances filed maintain and operate the anonymously, in a manner consistent with ESS10. mechanism throughout the Project lifecycle. In addition, this grievance redress mechanism shall be equipped to receive, register, and facilitate the resolution of SEA/SH complaints, including through referral of survivors to relevant gender-based violence service providers, all in a safe, confidential, and survivor-centered manner. CAPACITY SUPPORT Prepare a training plan before MoHFAIDS/ [PTU] CS1 The PTU Staff, stakeholders, affected communities as well as Project workers shall the beginning of all Project benefit from capacity building on the following topics: activities and implement it • Stakeholder mapping and engagement; throughout the Project • specific aspects of environmental and social assessment implementation. • emergency preparedness and response; • Occupational health and safety; • Community Health and Safety; • Train staff and cleaners on handling biomedical waste management. • Develop good practice guides and train staff on sequestration on biomedical wastes involved in the use of waste management (for selective sorting, use of bins, equipment, transport etc.); • Prevention and response to the risks of SEA/ SH and GBV associated with the Project; • GRM. Prepare a training plan within 90 MoHFAIDS/ [PTU] CS2 Training for Project workers on occupational health and safety including on days of the Effective Date and emergency prevention and preparedness and response arrangements to throughout the Project. emergencies. 11 | Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS CALENDAR/TIMEFRAME RESPONSIBLE ENTITY Health emergencies related to climate change; application of labor-management To increase efficiency, the procedures, including code of conduct, reporting on incidents, sexual exploitation members of the Grievance Redress and abuse as well as sexual harassment, mitigating the effects of epidemics. Committee shall be trained on the work site for 10 days after the start of the activities. 12 | Page