REPUBLIC OF CHAD Chad Health Emergency Preparedness and Response Additional Financing P180680 Draft ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) April 2023 1|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN 1. The Republic of Chad (hereinafter the Recipient) will implement Additional Financing for the Chad Health Emergency Preparedness and Response Additional Financing (the Project) through the Ministry of Public Health and National Solidarity with the participation of the Ministry of Economic Prospective and International Partnerships; the Ministry of Finance and Budget; and the Ministry of Environment, Fisheries and Sustainable Development. The International Development Association (hereinafter the Association) has agreed to provide financing for the Project. 2. The Recipient shall carry out the Project in accordance with the Environmental and Social Standards (ESSs). To this end, this Environmental and Social Commitment Plan (ESCP) sets out material measures and actions to be carried out or caused to be carried out by the Recipient, including the timeframes of the actions and measures, institutional, staffing, training, monitoring and reporting arrangements, grievance management and the environmental and social assessments and instruments to be prepared or updated, disclosed, consulted, adopted and implemented under the ESCP and the ESSs, all in a manner acceptable to the Association. 3. Implementation of the material measures and actions set out in this ESCP shall be monitored and reported to the Association by the Recipient as required by the ESCP and the provisions of the Financing Agreement. 4. As agreed by the Association and the Recipient, this ESCP may be revised from time to time during Project implementation, to reflect adaptive management of Project changes and unforeseen circumstances or in response to assessment of Project performance conducted under the ESCP itself. In such circumstances, the Recipient shall update the ESCP to reflect the agreed-upon changes. Agreement on changes to the ESCP shall be documented through an exchange of letters signed between the Association and the Recipient. The Recipient shall promptly disclose the updated ESCP. 2|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – Chad Health Emergency Preparedness and Response Additional Financing Project (P180660) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY MONITORING AND REPORTING A REGULAR REPORTING Each quarter, starting from the Project Coordination Unit Prepare and submit to the Association regular monitoring reports on the Effective Date of the Project and (PCU). Environmental, Social, Health and Safety (ESHS) performance of the Project, throughout the implementation including but not limited to, stakeholder engagement activities and grievances period of the Project log and National Communication Strategy for COVID-19 Vaccine Introduction. B INCIDENTS AND ACCIDENTS Notify the Association within 48 PCU Promptly notify the Association of any incident or accident related to the Project hours after learning of the incident which has, or is likely to have, a significant adverse effect on the environment, the or accident. affected communities, the public or workers, including, inter alia, situations of fatalities or serious bodily harm and incidents such as, physical violence, Sexual A report shall be provided within a Exploitation and Abuse and Sexual Harassment (SEA/SH), construction accident, timeframe acceptable to the any COVID outbreak in the Project area. Provide sufficient detail regarding the Association, as requested. 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 Notification/reporting system shall supervising entity, as appropriate. Subsequently, as per the Association’s request, be in place throughout the Project prepare a report on the incident or accident and propose any measures to prevent implementation. its recurrence. ESS 1: ASSESSMENT AND MANAGEMENT OF ENVIRONMENTAL AND SOCIAL RISKS AND IMPACTS 1.1 ORGANIZATIONAL STRUCTURE MHP, PCU Maintain the existing Project Coordination Unit (PCU) which was established under the World Bank-funded COVID Strategic Preparedness and Response Project (P173894) and Regional Disease Surveillance Systems Enhancement Project (REDISSE IV, P167817). The PCU has already a qualified social specialist. Recruit an environmental specialist, responsible for environmental, hygiene and Not later than two months after the health management, and a GBV consultant is also advanced. Project effectiveness date and this organizational structure shall be maintained throughout Project implementation. 3|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – Chad Health Emergency Preparedness and Response Additional Financing Project (P180660) 1.2 ENVIRONMENTAL AND SOCIAL INSTRUMENTS a. The updated ESMF of the parent PCU project was updated and a. Assess the environmental and social risks and impacts of proposed consulted, adopted, and Additional financing project activities, in accordance with the disclosed). Assessment shall be Environmental and Social Management Framework (ESMF) which was conducted prior to the prepared, disclosed, consulted and adopted for the parent project; the implementation of the relevant ESSs; the Environmental, Health and Safety Guidelines (EHSGs); and other Project activities. relevant Good International Industry Practice (GIIP), including relevant WHO guidelines. a. The MWMP of the parent has b. Prepare, disclose, consult, adopt and implement any environmental and been updated, consulted upon, social management plans (e.g. health-care waste management plans, adopted, and disclosed in electronic waste (e-waste)), instruments or other measures required for country. It shall be implemented the respective Project activities based on the assessment process, in throughout the implementation accordance with the ESSs, the ESMF, the EHSGs, and other relevant Good of the Project. International Industry Practice (GIIP), including relevant WHO guidelines to, inter alia, ensure access to and allocation of Project benefits in a fair, b. Prior to the implementation of equitable and inclusive manner, taking into account the needs of the relevant Project activities and individuals or groups who, because of their particular circumstances, may throughout the implementation be disadvantaged or vulnerable including, as relevant, with regards to of the Project. vaccines. c. Prior to the start of the Update all instruments to manage potential environmental and social risks and procurement process for relevant impacts of the project. These instruments include, but are not limited to: Project activities and throughout - the Environmental and Social Management Framework (ESMF), the implementation of the - the Stakeholder Engagement Plan (SEP), Project. - Labor Management Procedures (LMP) - Medical Waste Management Plan (MWMP) - Drone Operation and Safety Manual Codes of Conduct (attached to the LMP) and the Action Plan for the Implementation of ESHS, and Responses to Risks of Gender-Based Violence (GBV), Sexual Exploitation and Abuse (SE&A), Sexual Harassment (SH), and Violence against Children (VAC) and a Security Management Plan (SMP) (attached to ESMF). 4|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – Chad Health Emergency Preparedness and Response Additional Financing Project (P180660) c. Adopt and implement the subproject Environmental and Social Impact Assessment (ESIA) and Environmental and Social Management Plan (ESMP), as set out in the ESMF. 1.3 CONTINGENT [EMERGENCY] [EARLY] RESPONSE FINANCING a) The adoption of the CERC manual PCU in form and substance acceptable to a) Ensure that the CERC Manual as specified the legal agreement includes a the Association is a withdrawal description of the ESHS assessment and management arrangements including, if condition under Section [XX] of applicable, insert name of any CERC-ESMF that will be included or referred to in Schedule 2 of the name of legal the CERC Manual for the implementation of the CERC Part, in accordance with agreement for the Project. the ESSs. b) Adopt any required E&S b) Adopt any environmental and social (E&S) instruments which may be required instrument and include it as part of for activities under the CERC Part of the Project, in accordance with the CERC the respective bidding process, if Manual and, if applicable, CERC-ESMF and the ESSs, and thereafter implement applicable, and in any case, before the measures and actions required under said E&S instruments, within the the carrying out of the relevant timeframes specified in said E&S instruments. Project activities for which the E&S instrument is required. Implement the E&S instruments in accordance with their terms, throughout Project implementation. ESS 2: LABOR AND WORKING CONDITIONS 2.1 LABOR MANAGEMENT PROCEDURES The Labor Management Procedures PCU (LMP) of the parent project have Adopt and implement the Labor Management Plan (LMP) for the Project, been updated, consulted upon, including, inter alia, provisions on working conditions, management of workers adopted, and disclosed in country on 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 LMP and other measures listed here arrangements for Project workers, and applicable requirements for contractors, shall be implemented throughout subcontractors, and supervising firms. the implementation of the Project 2.2 GRIEVANCE MECHANISM FOR PROJECT WORKERS Grievance mechanism for project PCU 5|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – Chad Health Emergency Preparedness and Response Additional Financing Project (P180660) Establish, maintain, and operate a grievance mechanism for Project workers, as workers shall be operational prior to described in the LMP and consistent with ESS2. engaging Project workers and maintained throughout Project implementation. ESS 3: RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT 3.1 WASTE MANAGEMENT PLAN Throughout Project implementation. PCU Adopt and implement the Medical Waste Management Plan (MWMP) as per Contractors Section 1.2.b above. 3.2 RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT Same timeframe as for the adoption Incorporate resource efficiency and pollution prevention and management and implementation of the ESMP. measures in the ESMP to be prepared under action 1.2 above. ESS 4: COMMUNITY HEALTH AND SAFETY 4.1 COMMUNITY HEALTH AND SAFETY Throughout Project implementation. Relevant aspects of this standard shall be considered, as needed, under action PCU 1.2 above including, inter alia, measures to: minimize the potential for All SEA/SH risk mitigation measures community exposure to communicable diseases; establish and implement are included in the ESMF and shall be appropriate quality management systems to manage the risks and the impacts adopted before the commencement that services provided and activities carried out under the Project may have on of any Project activities and shall community health and safety; manage the risks of the use of security personnel; remain operational throughout manage the risks of labor influx; and prevent and respond to sexual exploitation Project implementation. and abuse, and sexual harassment; prepare and respond to fire emergencies in health care facilities, alternate COVID-19 health care facilities, and/o refurbished buildings, if applicable. The Project’s risks and potential impacts related to GBV/SEA/SH have been assessed as part of the ESMF. These shall be reflected in the E&S instruments, procurements documents and contracts with contractors. 4.2 LIFE AND FIRE SAFETY (L&FS) Incorporate the relevant L&FS and other provisions (including EHSG), as a. Carry out the design, and rehabilitation of existing health care facilities relevant, in the ESMPs, and the ESHS under the Project in accordance with the relevant provisions on life and fire specifications of the procurement documents and respective contracts, in safety (L&FS) as set out in the specific ESMP, the General EHSGs, and the the timeframes specified in action 1.2. ESSs, including, through engaging a qualified L&FS professional with terms 6|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – Chad Health Emergency Preparedness and Response Additional Financing Project (P180660) of reference and experience acceptable to the Association, who shall, inter above. Engage or appoint the L&FS alia: professional before launching any bidding for the design of construction i. Prepare a L&FS Master Plan before the design for the construction or and/or rehabilitation of a facility and rehabilitation of a facility and/or building; maintain this professional to carry out all the tasks assigned in accordance with the terms of reference. ii. Certify that the design for the construction or rehabilitation of the respective facility and/or building meets the requirements of the said L&FS Master Plan; and iii. Conduct a review of the L&FS systems as part of the testing and commissioning of such systems and certify that the construction of such systems has been carried out in accordance with the accepted design. 4.3 SECURITY MANAGEMENT Prior to engaging security personnel PCU Assess and implement measures to manage the security risks of the Project, and thereafter implemented including the risks of engaging security personnel to safeguard project workers, throughout Project implementation. sites, assets, and activities, in the Security Management Plan as needed, and in the ESMP, 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 Not Currently Relevant ESS 6: BIODIVERSITY CONSERVATION AND SUSTAINABLE MANAGEMENT OF LIVING NATURAL RESOURCES Not currently relevant ESS 7: INDIGENOUS PEOPLES/SUB-SAHARAN AFRICAN HISTORICALLY UNDERSERVED TRADITIONAL LOCAL COMMUNITIES Relevant aspects of this standard shall be considered, where appropriate, under Action 1.2 above. ESS 8: CULTURAL HERITAGE 7|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – Chad Health Emergency Preparedness and Response Additional Financing Project (P180660) This standard is not currently relevant. If cultural heritage becomes relevant during rehabilitation works, the ESMF includes measures Chance Finds Procedures of archaeological or other cultural heritage. Relevant aspects of this standard shall be considered, where appropriate, under Action 1.2 above, in accordance with the ESMF. ESS 9: FINANCIAL INTERMEDIARIES [This standard is only relevant for Projects involving Financial Intermediaries (FIs).] Not applicable ESS 10: STAKEHOLDER ENGAGEMENT AND INFORMATION DISCLOSURE 10.1 STAKEHOLDER ENGAGEMENT PLAN PREPARATION AND IMPLEMENTATION The SEP of the parent project was PCU Prepare, disclose, consult, adopt, and implement the Stakeholder Engagement updated for the Project, and Plan (SEP) consistent with ESS10, which shall include measures to, inter alia, redisclosed in-country on …. provide stakeholders with timely, 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 The Project's updated GM shall be PCU An accessible grievance mechanism shall be established, publicized, maintained operational not later than 30 days and operated to receive and facilitate resolution of concerns and grievances in after the Project's Effective Date. It relation to the Project, promptly and effectively, in a transparent manner that is shall be maintained and adequately culturally appropriate and readily accessible to all Project-affected parties, at no resourced throughout the cost and without retribution, including concerns and grievances filed implementation of the Project. anonymously, in a manner consistent with ESS10. The grievance mechanism shall be equipped to receive, register and address concerns and grievances related to the sexual exploitation and abuse, sexual harassment in a safe and confidential manner, including through the referral of survivors to gender-based violence service providers, all in a safe, confidential, and survivor-centered manner. CAPACITY SUPPORT CS1 Training topics for staff involved in the implementation of the Project shall Throughout Project implementation PCU include: ▪ Biomedical waste management in health care facilities; ▪ Risk communication and community engagement; 8|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – Chad Health Emergency Preparedness and Response Additional Financing Project (P180660) ▪ Occupational Health and Safety (OHS). It is planned to carry out IEC (Information, Education and Communication) actions for workers and service providers throughout the life of the Project. Also, it is important to be associated with the national security system set up to manage security risks; ▪ Action plan on SEA/SH; ▪ Content and sanctions provided for in the Code of Conduct of the REDISSE IV/COVID 19 SPRP dealing with SEA/SH; ▪ GRM procedures established to deal with SEA/SH complaints for the project (Importance, objectives, content, how to prepare it, who implements it and how to ensure a GRM sensitive to risks and complaints of SEA/SH) ▪ Consideration of security risk. 9|Page