REPUBLIC OF MALI MINISTRY OF HEALTH AND SOCIAL DEVELOPMENT Advancing Resilience and Inclusive Heath Systems for Everyone in Mali -ARISE (P503776) Draft ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) April 2024 1|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN 1. The Government of Mali (the Borrower) will implement the Advancing Resilience and Inclusive Health Systems for Everyone in Mali-ARISE (P503776) Project (the Project), with the involvement of the Ministry in charge of Health and Social Development (MSDS) with the participation of the Ministry of Economy and Finance (MEF), as set out in the Financing Agreement and Grant Agreement. The International Development Association (the Association), acting as the administrator of the Global Financing Facility, has agreed to provide the original financing (P503776) for the Project, as set out in the referred agreements. This ESCP supersedes previous versions of the ESCP for the Project and shall apply both to the original and the additional financing for Project referred to above. 2. The Borrower 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 and Grant Agreement. Unless otherwise defined in this ESCP, capitalized terms used in this ESCP have the meanings ascribed to them in the referred agreements. 3. Without limitation to the foregoing, this ESCP sets out material measures and actions that the Borrower 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 Borrower, 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 Borrower through the Ministry of Health and Social Development and the Association agree to update the ESCP to reflect these changes through an exchange of letters signed between the Association and the Borrower (Minister of Economy and Finance). The Borrower shall promptly disclose the updated ESCP. 2|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – ARISE Project MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY MONITORING AND REPORTING A REGULAR REPORTING Submit quarterly reports to the Ministry of Health and Social Association throughout Project Development (MSDS) implementation, commencing after the through the Project Prepare and submit to the Association regular monitoring reports on the environmental, Effective Date. Submit each report to Implementation Unit (PIU) social, health and safety (ESHS) performance of the Project, including but not limited to the Association no later than 7 days the implementation of the ESCP, status of preparation and implementation of E&S after the end of each reporting period. instruments required under the ESCP, stakeholder engagement activities, and functioning of the grievance mechanism.. B INCIDENTS AND ACCIDENTS Notify the Association no later than 48 hours after learning of the incident or Ministry of Health and Social Promptly notify the Association of any incident or accident related to the Project which accident. Development (MSDS) has, or is likely to have, a significant adverse effect on the environment, the affected through the Project communities, the public or workers, including, inter alia, cases of sexual exploitation and Provide subsequent report to the Implementation Unit (PIU) abuse (SEA), sexual harassment (SH), and accidents that result in death, serious or Association within a timeframe multiple injury. Provide sufficient detail regarding the scope, severity, and possible acceptable to the Association causes of the incident or accident, indicating 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 the Contractors. Association as annexes to the reports to Require contractors and supervising firms to provide monthly monitoring reports on be submitted under action A above. Ministry of Health and Social ESHS performance in accordance with the metrics specified in the respective bidding Development (MSDS) documents and contracts, and submit such reports to the Association. through the Project Implementation Unit (PIU) ESS 1: ASSESSMENT AND MANAGEMENT OF ENVIRONMENTAL AND SOCIAL RISKS AND IMPACTS 1.1 ORGANIZATIONAL STRUCTURE Establish and maintain a PIU as set out Ministry of Health and Social in the legal agreement. Development (MSDS) 3|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – ARISE Project Hire the junior environmental and social through the Project Maintain the PIU with qualified staff and resources to support management of ESHS risks safeguards specialist no later than 60 Implementation Unit (PIU) and impacts of the Project including the existing senior environmental and social days after Project’s signing, and safeguard specialist, and a junior environmental and social safeguard specialist to be thereafter maintain these positions recruited and retained in this position throughout the implementation of project throughout Project implementation. activities. 1.2 ENVIRONMENTAL AND SOCIAL INSTRUMENTS Ministry of Health and Social Development (MSDS) 1. Adopt and implement an Environmental and Social Impact Assessment (ESIA), and 1. Adopt the ESIA and ESMP prior to through the Project corresponding Environmental and Social Management Plan (ESMP), consistent with the project approval, and thereafter Implementation Unit (PIU) relevant ESSs. implement the ESIA and ESMP throughout Project implementation. 2. Adopt and implement an Environmental and Social Management Framework (ESMF) for the Project, consistent with the relevant ESSs. 2. Adopt the ESMF prior to Board approval, and thereafter implement the The proposed activities described in the exclusion list set out in the ESMF shall be ESMF throughout Project ineligible to receive financing under the Project. implementation. 1.3 MANAGEMENT OF CONTRACTORS As part of the preparation of Ministry of Health and Social procurement documents and respective Development (MSDS) Incorporate the relevant aspects of the ESCP, including, inter alia, the relevant E&S contracts. through the Project instruments, the Labor Management Procedures, and code of conduct, into the ESHS Supervise contractors throughout Implementation Unit (PIU) specifications of the procurement documents and contracts with contractors and Project implementation]. supervising firms. Thereafter ensure that the contractors and supervising firms comply and cause subcontractors to comply with the ESHS specifications of their respective contracts. 1.4 TECHNICAL ASSISTANCE Throughout Project implementation. Ministry of Health and Social Ensure that the consultancies, studies (including feasibility studies, if applicable), Development (MSDS) capacity building, training, and any other technical assistance activities under the Project through the Project including, inter alia, the Environmental and Social Commitment Plan (ESCP), the Implementation Unit (PIU) Environmental and Social Management Framework (ESMF) with the Environmental and Social Management Plan (ESMP), the Infection Prevention and Control and Health Care Waste Management Plan; the Population Resettlement Policy Framework; the Labor Management Procedures; the Stakeholder Engagement Plan (SEP); the Security Risk Assessment (SRA) and the Security Management Plan (SMP); and the ESIA are carried out in accordance with terms of reference acceptable to the Association, that are 4|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – ARISE Project consistent with the ESSs. Thereafter ensure that the outputs of such activities comply with the terms of reference. ESS 2: LABOR AND WORKING CONDITIONS 2.1 LABOR MANAGEMENT PROCEDURES Adopt the LMP prior to the Bank's Ministry of Health and Social approval of the Project, and thereafter Development (MSDS) Adopt and implement the Labor Management Procedures (LMP) for the Project, implement the LMP throughout Project through the Project including, inter alia, provisions on working conditions, management of workers implementation. Implementation Unit (PIU) relationships, occupational health and safety (including personal protective equipment, and emergency preparedness and response), code of conduct (including relating to SEA and SH), forced labor, child labor, grievance arrangements for Project workers, and applicable requirements for contractors, subcontractors, and supervising firms. 2.2 GRIEVANCE MECHANISM FOR PROJECT WORKERS Establish GRM and integrate into the Ministry of Health and Social LMP prior to engaging Project workers Development (MSDS) Establish and operate a grievance mechanism for Project workers, as described in the and thereafter maintain and operate it through the Project LMP and consistent with ESS2. throughout Project implementation. Implementation Unit (PIU); Suppliers/service providers/subcontractors. 2.3 OCCUPATIONAL HEALTH AND SAFETY (OHS) MEASURES Establish OHS measures prior to Ministry of Health and Social engaging Project workers and Development (MSDS) The Beneficiary will ensure that suppliers/service providers develop and implement an thereafter maintain and operate them through the Project occupational health and safety plan. These occupational health and safety measures, throughout Project implementation. Implementation Unit (PIU); including risk mitigation measures in accordance with the requirements of both NES n°2 and the labour and social security codes in force in Mali, as well as the occupational health and safety (OHS) clauses specified in the project's Environmental and Social Management Suppliers/service Framework (ESMF) and any other OHS measures recommended by the sub-project- providers/subcontractors specific Environmental and Social Management Plan (ESMP), will be incorporated into the Project Implementation Manual (PIM) and any contracts signed under the project. 2.4 EMERGENCY PREPAREDNESS AND RESPONSE Establish the emergency preparedness Ministry of Health and Social plan before the start of project activities Development (MSDS) The Beneficiary shall ensure that suppliers and service providers whose activities so and thereafter maintain and operate it through the Project require develop and implement an emergency preparedness plan and ensure throughout Project implementation. Implementation Unit (PIU); coordination with the measures referred to in section 4.5 below. The Government will immediately report any major emergency situation. Suppliers/service providers/subcontractors 2.5 TRAINING OF PROJECT WORKERS Deliver trainings before the start of Ministry of Health and Social project activities and during the entire Development (MSDS) The Beneficiary will work with Project suppliers/providers, through the PIU, to organize project implementation period. through the Project training for workers to better control implementation risks on local populations, focusing 5|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – ARISE Project on the following themes: Gender-Based Violence (GBV), including Sexual Exploitation and Implementation Unit (PIU); Abuse and Sexual Harassment (SEA/HS), Violence Against Children (VAC), Complaint Suppliers/service Management Mechanism (CMM); pollution and damage during project-related work; providers/subcontractors hygiene, health, safety at work, respect for the code of conduct, terrorist threats, etc. Training on codes of conduct will aim to ensure that every employee fully understands the prohibited behaviors in terms of SEA/HS, and the sanctions incurred in the event of violation of these codes. ESS 3: RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT 3.1 WASTE MANAGEMENT PLAN Adopt and disclose the WMP prior to Ministry of Health and Social Adopt and implement a Waste Management Plan (WMP), to manage hazardous and the effectiveness of the Project, and Development (MSDS) non-hazardous wastes, consistent with ESS3. thereafter implement the WMP through the Project throughout Project implementation. Implementation Unit (PIU) ESS 4: COMMUNITY HEALTH AND SAFETY 4.1 TRAFFIC AND ROAD SAFETY [Establish provisions and measures Ministry of Health and Social before starting work, thereafter Development (MSDS) Incorporate measures to manage traffic and road safety risks as required in the ESMP to implement them throughout the through the Project be prepared under action 1.2 above. Project’s implementation. Implementation Unit (PIU) 4.2 COMMUNITY HEALTH AND SAFETY Ministry of Health and Social Assess and manage specific risks and impacts to the community arising from Project Include measures in the ESMP and Development (MSDS) activities, including, inter alia those related to the presence of Project workers and the update the SRA and SMP before starting through the Project influx of labor, the risks of communicable diseases and other health and hygiene work. Thereafter, implement and Implementation Unit (PIU) problems related to the influx of patients in health facilities, the behavior of Project update them periodically throughout workers, the response to emergency situations. The mitigation measures will be the Project’s implementation. prepared in accordance with the ESMF and will be included in the ESMP. 4.3 SEA AND SH RISKS Adopt the SEA/SH Action Plan before Ministry of Health and Social the Project’s effectiveness, and Development (MSDS) Adopt and implement a SEA/SH Action Plan as part of the project's social impact thereafter implement the SEA/SH through the Project evaluation, including a mapping of the structures working in this field and an assessment Action Plan throughout Project Implementation Unit (PIU) of their level of functioning to assess and manage the risks of SEA and SH. implementation. On this basis, the Beneficiary will prepare and implement an Action Plan for GBV/SEA/SH PIU staff and other project workers will and VAC that is appropriate and proportional to the level of moderate risk and sign codes of good conduct on acceptable to the Bank. The action plan will be developed in line with national GBV/SEA/SH provisions, conventions ratified by the Republic of Mali and the guidelines of the good practice note on GBV. These measures will aim to raise awareness, prevent and mitigate 6|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – ARISE Project the risks of GBV, including, but not limited to, the development of a code of conduct for workers and the organization of training to raise awareness among the various project stakeholders. The Beneficiary will ensure that all tender documents and service contracts require suppliers, contractors and consultants to adopt and sign codes of good conduct. It will ensure that the PIU has a specialist in GBV. The SEA/SH risk mitigation action plan will be accompanied by an estimated budget and a monitoring framework. Resources will be mobilized from the national budget and Project resources to ensure the efficient implementation of these measures. 4.4 SECURITY MANAGEMENT Before the start of activities and Ministry of Health and Social thereafter implemented throughout Development (MSDS) Assess and implement measures to manage the security risks of the Project, including Project implementation through the Project the risks of engaging security personnel to safeguard project workers, sites, assets, and Implementation Unit (PIU) activities, as set out in the ESMP and Security Management Plan, guided by the principles of proportionality and GIIP, and by applicable law, in relation to hiring, rules of conduct, training, equipping, and monitoring of such personnel. ESS 5: LAND ACQUISITION, RESTRICTIONS ON LAND USE AND INVOLUNTARY RESETTLEMENT 5.1 RESETTLEMENT POLICY FRAMEWORK Adopt the RPF no later than Project’s Ministry of Health and Social effectiveness, and the Resettlement Development (MSDS) Adopt and implement a Resettlement Policy Framework (RPF) for the Project, consistent Action Plan (RAP) before the start of the through the Project with ESS5. construction work and thereafter Implementation Unit (PIU) implement them throughout Project implementation. ESS 10: STAKEHOLDER ENGAGEMENT AND INFORMATION DISCLOSURE 10.1 STAKEHOLDER ENGAGEMENT PLAN PREPARATION AND IMPLEMENTATION Adopt the SEP prior to the Project’s Ministry of Health and Social effectiveness, and thereafter Development (MSDS) Adopt and implement a Stakeholder Engagement Plan (SEP) for the Project, consistent implement the SEP throughout Project through the Project with ESS10, which shall include measures to, inter alia, provide stakeholders with timely, implementation. Implementation Unit (PIU) relevant, understandable and accessible information, and consult with them in a culturally appropriate manner, which is free of manipulation, interference, coercion, discrimination and intimidation. 10.2 PROJECT GRIEVANCE MECHANISM Establish the grievance mechanism Establish, publicize, maintain, and operate an accessible grievance mechanism, to prior to start of activities, and receive and facilitate resolution of concerns and grievances in relation to the Project, thereafter maintain and operate the promptly and effectively, in a transparent manner that is culturally appropriate and mechanism throughout Project readily accessible to all Project-affected parties, at no cost and without retribution, implementation. 7|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – ARISE Project including concerns and grievances filed anonymously, in a manner consistent with ESS10. The grievance mechanism shall be equipped to receive, register, and facilitate the resolution of SEA/SH complaints, including through the referral of survivors to relevant gender-based violence service providers, all in a safe, confidential, and survivor-centered manner. CAPACITY SUPPORT CS1 Training to communities, to increase their awareness of the risks associated with Project Before the start of activities and Ministry of Health and Social implementation and facilitate their understanding of the Project. These training sessions thereafter implemented throughout Development (MSDS) will include preventive and response measures to combat GBV, including SEA/SH, such Project implementation through the Project as Codes of Conduct, the LMP, etc. Implementation Unit (PIU) CS2 Training for Project workers on occupational health and safety including on emergency Before the start of activities and Ministry of Health and Social prevention and preparedness and response arrangements to emergency situations. thereafter implemented throughout Development (MSDS) Project implementation through the Project Implementation Unit (PIU) 8|Page