ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) FOR WB&G HEALTH SYSTEM EFFICIENCY AND RESILIENCE PROJECT The Palestine Liberation Organization (for the benefit of The Palestinian Authority) West Bank and Gaza Health System Efficiency and Resiliency Project (P180263) and the Additional Financing (P181529) ENVIRONMENTAL and SOCIAL COMMITMENT PLAN (ESCP) Amendment for AF Project Appraisal April 2024 1|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) FOR WB&G HEALTH SYSTEM EFFICIENCY AND RESILIENCE PROJECT ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN 1. The Palestine Liberation Organization (for the benefit of the Palestinian Authority) (the Recipient) will implement the West Bank and Gaza Health System Efficiency and Resiliency Project P180263 (The Project) and the Additional Financing (AF) to the Project (P181529,) with the involvement of Ministry of Health (PMOH), the executing agency. The International Development Association has agreed to provide financing for the Project. 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 Grant Agreement and the Project Agreement. Unless otherwise defined in this ESCP, capitalized terms used in this ESCP have the meanings ascribed to them in the referred agreement(s). 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 Association agree to update the ESCP to reflect these changes through an exchange of letters signed between the Association and the Ministry of Health. The recipient shall promptly disclose the updated ESCP. 2|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) FOR WB&G HEALTH SYSTEM EFFICIENCY AND RESILIENCE PROJECT MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORI TY MONITORING AND REPORTING A REGULAR REPORTING: Prepare and submit to the World Bank regular monitoring reports on the First progress report after three months PMOH environmental, social, health and safety (ESHS) performance of the Project, of AF Project effectivness date and including Contingency Emergency Response Component (CERC) activities, but not thereafter bi-annual throughout Project limited to the implementation of the ESCP, and the status of preparation and implementation. Submit each report no implementation of E&S instruments required under the ESCP, Environmental and later than 15 days after the end of each Social Management Framework (ESMF), Labor Management Procedures (LMP) reporting period. and stakeholder engagement activities, and functioning of the grievance mechanism(s) in accordance with the Stakeholder Engagement Plan (SEP) as relevant. 3|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) FOR WB&G HEALTH SYSTEM EFFICIENCY AND RESILIENCE PROJECT MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORI TY B Incidents and Accidents Promptly notify the World Bank of any incident or accident related to the Project Notify the World Bank no later than 48 PMOH which has, or is likely to have, a significant adverse effect on the environment, the hours after learning of the incident or affected communities, the public or workers, including, inter alia, cases of sexual accident. exploitation and abuse (SEA), sexual harassment (SH), and accidents that result in death, serious or multiple injury (e.g. cases of COVID-19 and other communicable Fatalities will be reported within 24 diseases) during the installation and operation of equipment and other relevant hours after occurrence. project activities. The anticipated risk of such incidents and accidents is low to moderate and requisite mitigation measures, proportionate to the level of risk, Provide subsequent reports to the will be included in E&S instruments, as required, and implemented during the World Bank within a timeframe project. acceptable to the World Bank Subsequently, at the World Bank’s request, prepare a report on the incident or accident and propose any measures to address it and prevent its recurrence. 4|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) FOR WB&G HEALTH SYSTEM EFFICIENCY AND RESILIENCE PROJECT MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORI TY C CONTRACTORS’ REPORTS Require the Project CERC and AF activities Contractors and Suppliers to provide Submit the monitoring and completion PMOH progress monitoring and completion reports including on ESHS performance in reports to the PMOH and upon request accordance with the metrics specified in the respective bidding documents and submit such reports the Bank as services contracts, and upon request submit such reports to the Bank. annexes to the reports to be submitted under action A above. For all incident and accident reporting in accordance with Section B, the Project Contractors including (UN Agencies, NGOs, Suppliers, Service Providers) shall The contractor shall notify the Recipient notify The Recipient (MoH) within 48 hours after learning of the incident or (MoH) within 48 hours after learning of accident. the incident or accident. Fatalities will be reported within 24 hours after occurrence. Contractors to provide subsequent reports to the MoH and the World Bank within a timeframe acceptable to the MoH and the World Bank ESS 1: ASSESSMENT AND MANAGEMENT OF ENVIRONMENTAL AND SOCIAL RISKS AND IMPACTS 1.1 ORGANIZATIONAL STRUCTURE: PMOH The PMOH shall maintain the existing Project Management Unit (PMU), and the Existing PMU and EHSO shall be existing Environmental, Health, and Social Officer (EHSO), and resources to maintained throughout the support management of ESHS risks and impacts of the Project adequately. The implementation of the Project. EHSO will also be responsible for implementing the Sexual Exploitation and An environmental and social focal point Abuse/Sexual Harassment Action Plan (SEA/SH Action Plan) under 4.3 below. An in Gaza was appointed by March 1, Environmental and Social Focal Point shall be maintained in Gaza as part of the 2023 and maintained throughout the PMU and maintained for the project. Project. 5|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) FOR WB&G HEALTH SYSTEM EFFICIENCY AND RESILIENCE PROJECT MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORI TY 1.2 ENVIRONMENTAL AND SOCIAL ASSESSMENT/MANAGEMENT PLANS/ CONTRACTORS a. Update, consult upon, disclose and adopt the parent project Environmental a. The ESMF will be adopted until the PMOH and Social Management Framework (ESMF) for Additional Financing ESMF update, disclosed and adopted for the AF within two b. Adopt and implement an Environmental and Social Impact Assessment (ESIA), months of the AF Project effective and corresponding Environmental and Social Management Plan (ESMP) or date, and implemented throughout Environmental and Social Management Checklist (ESM) for relevant civil and Project implementation. rehabilitation works of the Project for which the ESIA/ESMP or ESM checklist is required, consistent with the relevant ESSs. b. ESIA/ESMP or ESM checklists will be adopted before the carrying out of c. Prepare as relevant sub-project specific E&S mitigation the relevant Project activities. measures/instruments, in accordance with the project ESMF and LMP, and consult on, disclose, adopt and implement such E&S measures/instruments. c. Subproject-specific E&S mitigation measures/instruments, as required, shall be prepared, consulted on, disclosed, prior to the commencement of the bidding process. Thereafter implemented throughout Project implementation. 6|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) FOR WB&G HEALTH SYSTEM EFFICIENCY AND RESILIENCE PROJECT MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORI TY 1.3 MANAGEMENT OF CONTRACTORS • Incorporate the relevant aspects of this ESCP, including, inter alia, any As part of the preparation of PMOH environmental and social management plans or other instruments, the procurement documents and LMP, and code of conduct (CoC), into the ESHS specifications of the respective contracts. procurement documents and contracts with Supervise the contractors/suppliers contractors/suppliers/service providers including the UN Agencies and throughout Project implementation. NGOs. Thereafter ensure that the contractors/suppliers comply with the ESHS specifications of their respective contracts. • Contractors, suppliers, and service providers including the UN Agencies Prior Commencement of Contracts and and NGOs) that will be contracted by the MoH to deliver the Project maintained throughout the Project (including CERC) and the AF activities, shall hire or assign and maintain Implementation an Environmental and Social (ES) focal point in the country and ensure their access to Gaza Strip once the situation allows 1.4 EXCLUSIONS: Exclude all the activities listed in the updated exclusion list in the During the assessment process PMOH updated ESMF and the CERC Manual of the Project as ineligible for financing under conducted under action 1.2.a. above. the Project. 1.5 TECHNICAL ASSISTANCE Ensure that the technical assistance, and capacity building for the scaling up of During the identification of the PMOH Public Health Care (PHC) services in PMOH facilities are carried out in technical assistance and capacity accordance with ESF Guidelines for Technical Assistance (TA) including for building activities and prior to example (but not limited to): implementation of the technical - for capacity building, training etc.: terms of reference acceptable to the World assistance. Will be done throughout Bank that are consistent with the ESSs and thereby ensure that the outputs of Project implementation. such activities comply with the terms of reference. - for detailed technical designs: relevant ESF instruments, as required for the relevant ESSs, to be prepared and reviewed and cleared by the Bank. 7|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) FOR WB&G HEALTH SYSTEM EFFICIENCY AND RESILIENCE PROJECT MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORI TY 1.6 CONTINGENT EMERGENCY RESPONSE FINANCING a. Prepare and ensure that the Contingency Emergency Response Component a. The CERC Manual cleared by the Bank PMOH (CERC) Manual as specified in the legal agreement includes a description of the on December 5th, 2023 and adopted in ESHS assessment and management arrangements including, for the addition to the existing project ESMF, implementation of Component 4: Contingent Emergency Response Component, LMP and the updated SEP. in accordance with the ESSs. b. Prepare and adopt any environmental and social (E&S) instruments which may b. Adopt any required E&S mitigation be required for activities under the CERC component of the Project, in accordance measures/instrument and include it as with the CERC Manual and the ESSs, and thereafter implement the measures and part of the respective bidding process, if actions required under said E&S instruments, within the timeframes specified in applicable, and in any case, before the said E&S instruments. carrying out of the relevant Project activities for which the E&S instrument is required. Implement the E&S mitigation measures/instruments in accordance with their terms, throughout Project implementation. ESS 2: LABOR AND WORKING CONDITIONS 2.1 LABOR MANAGEMENTPROCEDURES: Adopt and implement the Labor Management Procedures (LMP) for the Project Adopt the LMP cleared and disclosed on PMOH and the AF, including, inter alia, provisions on working conditions, management 14 February 2023l for the AF, and of workers relationships, occupational health and safety (including personal thereafter implemented throughout protective equipment, and emergency preparedness and response), code of Project implementation. conduct (including relating to SEA and SH), forced labor, child labor, grievance arrangements for Project workers, and applicable requirements for contractors/suppliers. 8|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) FOR WB&G HEALTH SYSTEM EFFICIENCY AND RESILIENCE PROJECT MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORI TY GRIEVANCE MECHANISM FOR PROJECT WORKERS Maintain throughout the Project 2.2 Workers’ GM established under the parent project will be applicable for the AF implementation. PMOH and will be maintained throughout the implementation of the project. ESS 3: RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT 3.1 WASTE MANAGEMENT PLAN Relevant aspects of this standard shall be considered, as needed, under action 1.2 Same timeframe as for the preparation PMOH above and reflected in the ESMF of the Project, including, guidance for e-waste of the environmental and social and medical waste and Infection Control and Waste Management Plan (ICWMP) assessment under actions 1.2a and to be developed as needed in addition to climate friendly energy efficiency maintained throughout the Project measures. implementation. 3.2 RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT Same timeframe as for the preparation Incorporate resource efficiency and pollution prevention and management of the environmental and social PMOH measures in the ESMF and environmental and social assessment to be prepared assessment under actions 1.2b and 1.2c under action [1.2] above. above and thereafter implemented throughout Project implementation. ESS 4: COMMUNITY HEALTH AND SAFETY 4.2 COMMUNITY HEALTH AND SAFETY Same timeframe as for the preparation PMOH Assess and manage specific risks and impacts to the community arising from of the environmental and social Project activities including, inter alia, risk of exposing communities to assessment under actions 1.2b and transmissible diseases, response to emergency situations, traffic safety, security 1.2c above and thereafter management and include mitigation measures, proportionate to the level of risk, implemented throughout Project in the environmental and social assessment and subproject specific mitigation implementation. measures/instruments to be prepared in accordance with the updated ESMF. 9|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) FOR WB&G HEALTH SYSTEM EFFICIENCY AND RESILIENCE PROJECT MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORI TY 4.3 SEA AND SH RISKS a. Prepare, adopt, disclose and implement a SEA/SH Action Plan for the Project a. A draft SEA/SH Action Plan will be PMOH and AF in a manner acceptable to the World Bank. prepared, reviewed, and cleared by the Bank and disclosed by June 30 2024 and implemented throughout Project implementation. b. Assess and manage the risks of SEA and SH arising from Project and AF activities b. Same timeframe as for the and include SEA/SH mitigation measures, proportionate to the level of risk, in the preparation of the environmental and site-specific subproject environmental and social assessment and E&S mitigation social assessment and E&S mitigation measures/instruments and Grievance Mechanisms. measures/instruments under 1.2b and 1.2c above, and thereafter implemented throughout Project implementation. ESS 5: LAND ACQUISITION, RESTRICTIONS ON LAND USE AND INVOLUNTARY RESETTLEMENT This standard is not relevant N/A 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 10 | P a g e ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) FOR WB&G HEALTH SYSTEM EFFICIENCY AND RESILIENCE PROJECT MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORI TY Not relevant ESS 10: STAKEHOLDER ENGAGEMENT AND INFORMATION DISCLOSURE 10.1 STAKEHOLDER ENGAGEMENT PLAN PREPARATION AND IMPLEMENTATION: PMOH Update, consult, and adopt, and implement the Stakeholder Engagement Plan The updated SEP will be disclosed by (SEP) for the Project and the AF, consistent with ESS10, which shall include appraisal and shall be implemented measures to, inter alia, provide stakeholders with timely, relevant, throughout Project implementation and understandable, and accessible information, and consult with them in a updated as necessary. Consultations in culturally appropriate manner, which is free of manipulation, interference, Gaza will be held once the situation on coercion, discrimination, and intimidation. the ground allows. 10.2 GRIEVANCE MECHANISM: The parent project GM will also be applicable for the GM shall be maintained throughout the PMOH AF including the AF (as described in the updated SEP). This GM will be implementation of the Project. strengthened during project implementation (if and as required) and maintained throughout the Project implementation. The GM shall remain accessible and functional to receive and facilitate the resolution of concerns and grievances in relation to the Project, promptly and effectively, in a transparent manner that is culturally appropriate and readily accessible to all Project-Affected Parties (PAP), at no cost and without retribution, including concerns and grievances filed anonymously, in a manner consistent with ESS10. The GM shall also receive, register and address concerns and grievances related to GBV/SEA/SH in a safe and confidential manner, including through the referral of survivors to gender-based violence support service providers. CAPACITY SUPPORT (TRAINING) 11 | P a g e ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) FOR WB&G HEALTH SYSTEM EFFICIENCY AND RESILIENCE PROJECT MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORI TY CS1 Qualified environmental and social consultants, PMOH staff etc. will provide Training activities shall be conducted PMOH and the training for the PCU; suppliers, etc. as detailed in the project capacity once the situation allows and thereafter World Bank development plan including (but not limited to): throughout Project implementation • Specific aspects of environmental and social assessment • Occupational Health and Safety management • Integrating Environmental and Social Requirements in the procurement documents and compliance of the same • Emergency Preparedness and Response • Environmental and social mitigation measures/instruments implementation, monitoring, and reporting • Works relevant ESHS • Grievance Mechanism, including Workers’ Grievance Mechanism • Stakeholder Identification and Engagement • Gender and Inclusion Issues (e.g. regarding vulnerable groups such as persons with disabilities, women-headed households, elderly, etc.) • Assessment of and Mitigation against SEA/SH • Labor Management • Code of Conduct for Workers CS2 Training for EHSO on SEA/SH prevention and response and to support Training will conducted once the PMOH and the implementation of the project SEA/SH Action Plan situation allows and thereafter World Bank throughout Project implementation CS3 Training for Project workers on (not limited to): Throughout Project implementation PMOH · Occupational Health and Safety · Emergency prevention and preparedness and response arrangements to emergency situations · Health Care Waste Management · Infection Prevention and Control Measures · Grievance Mechanism for Workers · SEA/SH issues · Code of Conduct for Workers 12 | P a g e