State of Piaui State Secretariat of Planning (SEPLAN) Piauí Health and Social Protection Development Project (P178567) Negotiated ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN August 17, 2023 1|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN 1. The State of Piauí (the Borrower) will implement the Piauí Health and Social Protection Development Project (the Project), with the involvement of the Secretaria de Estado do Planejamento (SEPLAN), Secretaria de Estado da Saúde do Piauí (SESAPI), and Secretaria de Estado da Assistência Social, Trabalho e Direitos Humanos (SASC), as set out in the Loan Agreement. The International Bank for Reconstruction and Development (the Bank) has agreed to provide financing for the Project, as set out in the referred agreement. 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 Bank. The ESCP is a part of the Loan 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 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 in accordance with the ESSs, and in a form and substance, and in a manner acceptable to the Bank. Once adopted, such E&S instruments may be revised from time to time with prior written agreement of the Bank. 4. As agreed by the Bank 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 SEPLAN, and the Bank agree to update the ESCP to reflect these changes through an exchange of letters signed between the Bank and SEPLAN’s Secretary. The Borrower shall promptly disclose the updated ESCP. 2|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – PIAUÍ HEALTH AND SOCIAL PROTECTION DEVELOPMENT PROJECT (P178567) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY MONITORING AND REPORTING A REGULAR REPORTING Submit semi-annual reports to the Bank SEPLAN(PCU) Prepare and submit to the Bank regular monitoring reports on the environmental, social, throughout Project implementation health and safety (ESHS) performance of the Project, including but not limited to the starting from the Effective Date. Submit implementation of the ESCP, status of preparation and implementation of E&S each report to the Bank no later than 60 instruments required under the ESCP, stakeholder engagement activities, and days after the end of each reporting functioning of the grievance mechanism(s), and a summary of activities and main period. outcomes of the ESHS management of contractors (please see action C, below). B INCIDENTS AND ACCIDENTS Notify the Bank no later than 48 hours SEPLAN(PCU), with support Promptly notify the Bank of any incident or accident related to the Project which has, or after learning of the incident or of the SESAPI (PIU) and SASC is likely to have, a significant adverse effect on the environment, the affected accident. (PIU) communities, the public or workers, including, inter alia, cases of sexual exploitation and abuse (SEA), sexual harassment (SH), and accidents that result in death, serious or Send a subsequent report to the Bank multiple injury. Provide sufficient detail regarding the scope, severity, and possible within a timeframe acceptable to the causes of the incident or accident, indicating immediate measures taken or that are Bank. planned to be taken to address it, and any information provided by SESAPI, SASC, and any contractor and/or supervising firm, as appropriate. Subsequently, at the Bank’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 Bank SEPLAN(PCU) Require contractor firms (for civil works – renovations and refurbishments) to provide upon request or, ordinarily, in the form monthly monitoring reports on ESHS performance in accordance with the metrics of attachments to the reports to be specified in the respective bidding documents and contracts, and submit a summary of submitted under action A above. such reports to the Bank as part of the Semiannual Progress Reports. ESS 1: ASSESSMENT AND MANAGEMENT OF ENVIRONMENTAL AND SOCIAL RISKS AND IMPACTS 1.1 ORGANIZATIONAL STRUCTURE SEPLAN Issuing a Decree establishing the PCU as SEPLAN (PCU) Establish and maintain a Project Coordination Unit (PCU, or Unidade de Coordenação do one of the conditions of effectiveness. Projeto, UCP, in Portuguese) under SEPLAN, which is tasked with ESHS management, Having the technical staff for with qualified staff and resources to support the management of ESHS risks and impacts environmental and social risk of the Project, including the permanent support of an environmental specialist, a social management as set out in the Loan development specialist, and a communications & stakeholder engagement specialist. Agreement no later than 60 days after the Effective Date, and subsequently maintain these positions during Project implementation. 3|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – PIAUÍ HEALTH AND SOCIAL PROTECTION DEVELOPMENT PROJECT (P178567) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY 1.2 ORGANIZATIONAL STRUCTURE SESAPI AND SASC Assign focal points in the partner SEPLAN(PCU) Designate in each of the partner implementing agencies (SESAPI and SASC) a focal point implementing agencies no later than 60 SESAPI(PIU) to oversee the management of environmental and social risks and a focal point for the days after the Effective Date, and SASC(PIU) management of the grievance mechanism, under the coordination of the PCU subsequently hold these positions environmental and social risk management team. during Project implementation. 1.3 ENVIRONMENTAL AND SOCIAL MANAGEMENT FRAMEWORK Adopt and disclose the ESMF no later SEPLAN(PCU) with support Finalize, disclose, adopt, and implement the Project's Environmental and Social than 60 days after the Effective Date. of the SESAPI(PIU) and Management Framework (ESMF) - developed in a manner consistent with the relevant Thereafter implement the ESMF SASC(PIU) ESSs - to guide the management of environmental and social risks during Project throughout Project implementation, implementation. 1.4 ENVIRONMENTAL AND SOCIAL MANAGEMENT HANDBOOK ESMH shall be part of the ESMF. SEPLAN(PCU) Ensure that the entities/contractors responsible for implementing the civil works and Contractors shall adopt (making SESAPI(PIU) renovations supported by the Project, adopt and implement the Environmental and adjustments as necessary) the ESMH SASC(PIU) Social Management Handbook (ESMH), as well as other guidelines and procedures before starting and as a condition for comprised in the ESMF for the adequate management of risks and social and starting the implementation of the environmental impacts, during their activities, when applicable, and as established in the respective interventions related to ESMF. construction and renovation works. Once adopted, supervise and ensure the execution of the respective ESMH throughout the implementation of the Project. 1.5 MANAGEMENT OF CONTRACTORS As part of the preparation of the SEPLAN(PCU) Incorporate the relevant aspects of this ESCP, including, inter alia, the ESMF, the ESMH, procurement documents and related SESAPI(PIU) the Labor Management Procedures, and code of conduct, into the ESHS specifications of contracts. SASC(PIU) the procurement documents and contracts with contractors and supervising firms. Thereafter ensure that the contractors and supervising firms comply and cause Supervise the contracts throughout the subcontractors to comply with the ESHS specifications of their respective contracts. implementation of the Project. 1.6 TECHNICAL ASSISTANCE Throughout the implementation of the SEPLAN(PCU) Ensure that the consultancies, technical studies, capacity building, training, and any Project. SESAPI(PIU) other technical assistance activities supported under the Project are carried out in SASC(PIU) accordance with terms of reference acceptable to the Bank that are consistent with the ESSs. Thereafter ensure that the outputs of such activities comply with the terms of reference. 1.7 ACTIVITIES SUBJECT TO RETROACTIVE FINANCING a. Methodology to be incorporated SEPLAN(PCU) with support a. Agree with the Bank on the methodology for assessing and reporting on the E&S risk into the final version of the ESMF. of the SESAPI(PIU) and management adopted during the execution of the activities proposed for retroactive SASC(PIU) financing, as an eligibility criterion, that ensures the consistency of the procedures b. Submit a due diligence report adopted with the principles and requirements of the Environmental and Social whenever there is a request for 4|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – PIAUÍ HEALTH AND SOCIAL PROTECTION DEVELOPMENT PROJECT (P178567) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY Standards that are relevant given the environmental and social risks and impacts of reimbursement of expenses for the proposed activities. activities subject to retroactive financing. Any corrective action b. Carry out an ESHS due diligence of the activities subject to retroactive financing using plans or measures identified in the methodology described in a) above, reflect such due diligence in a report, which such report shall be implemented shall also include any corrective action plans or measures that are identified pursuant in a manner and timeframe to such due diligence, in accordance with the ESSs. Subsequently, implement any acceptable to the Bank. corrective action plans or measures, as applicable. ESS 2: LABOR AND WORKING CONDITIONS 2.1 LABOR MANAGEMENT PROCEDURES Adopt the LMP no later than 60 days SEPLAN(PCU) with support Prepare, adopt and implement Labor Management Procedures (LMP) for the Project, after the Effective Date and of the SESAPI(PIU) and including, but not limited to, provisions on working conditions, labor relations subsequently implement it throughout SASC(PIU) management, occupational health and safety (including personal protective equipment Project implementation. and emergency preparedness and response), code of conduct (including with respect to SEA and SH), forced labor, child labor, Project worker grievance mechanisms, and applicable requirements for contractors, subcontractors and supervising companies. The LMP shall also include specific measures to manage OHS risks, including those related to Life and Fire Safety (L&FS), in accordance with the Bank's sector-specific (health facilities) EHS guidelines, also considering COVID-19 prevention measures. 2.2 GRIEVANCE MECHANISM FOR PROJECT WORKERS Establish grievance mechanism before SEPLAN(PCU) with support Establish and operate a grievance mechanism for Project workers, as described in the hiring Project workers and subsequently of the SESAPI(PIU) and LMP and consistent with ESS2 maintain and operate it throughout SASC(PIU) Project implementation. ESS 3: RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT 3.1 E&S MANAGEMENT OF CIVIL WORKS AND RENOVATIONS Establish ESMH, as part of ESMF, and SEPLAN(PCU) Establish and implement an Environmental and Social Management Handbook (ESMH) request its adoption with contractors as SESAPI(PIU) for Project interventions associated with civil works and renovations that defines, in a a non-objection condition prior to the SASC(PIU) manner commensurate with the E&S risks and impacts of these activities, the start of each construction and preventive, mitigating and corrective measures to be adopted by the contractor(s) to renovation work, subsequently prevent and control the E&S impacts associated with the execution of the works (as implementing ESMH throughout the relevant), consistent with the Project's Environmental Management Framework (ESMF) implementation of the works. and ESS 3. The ESMF shall contain, at a minimum, adequate measures to address the following issues: hazardous and non-hazardous waste management, e-waste, dust and noise control, chemical handling, signage and communication, reporting, monitoring and supervision. 3.2 RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT Same timeframe than actions 1.3 and SEPLAN(PCU) 1.4. SESAPI(PIU) 5|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – PIAUÍ HEALTH AND SOCIAL PROTECTION DEVELOPMENT PROJECT (P178567) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY Incorporate resource efficiency and pollution prevention and management measures SASC(PIU) into the ESMH (where relevant, technically, and financially feasible), to be incorporated as E&S requirements of contracting and/or procurement, and adopted along with the other requirements defined in the ESMF, and consistent with ESS 3. ESS 4: COMMUNITY HEALTH AND SAFETY 4.1 EMERGENCY PREPAREDNESS AND RESPONSE MEASURES Same timeframe than action 1.3 and SEPLAN(PCU) Ensure the adoption and implementation of adequate measures for emergency 1.4. SESAPI(PIU) preparedness and response to emergency scenarios (accidents, incidents with direct SASC(PIU) workers, unit employees, beneficiaries and community members, fires, chemical leaks, among other relevant ones) as part of the ESMF and ESMH requirements for each construction and renovation project (as applicable), consistent with the Project's Environmental Management Framework (ESMF) and ESS 4. 4.2 TRAFFIC AND ROAD SAFETY Same timeframe than actions 1.3 and SEPLAN(PCU) Incorporate measures to manage traffic and road safety risks as required in the ESMH to 1.4. SESAPI(PIU) be adopted and implemented under action 1.4 above SASC(PIU) 4.3 VECTOR, PEST AND SYNANTHROPIC FAUNA CONTROL MEASURES Same timeframe than actions 1.3 and SEPLAN(PCU) Ensure adoption and implementation of a set of vector, pest and synanthropic fauna 1.4. SESAPI(PIU) control measures as part of each site's Environmental and Social Management SASC(PIU) Handbook (as relevant), consistent with the Project's ESMF and ESS 4. 4.4 SEA AND SH RISKS Same timeframe than action 1.2. SEPLAN(PCU) Establish in the Code of Conduct for Project workers (to be developed as part of the SESAPI(PIU) Labor Management Procedures provided for in #2.1, above) measures to prevent, SASC(PIU) control and penalize sexual harassment, exploitation and abuse. Disseminate, adopt and implement the Code of Conduct and Labor Management Procedures among all Project workers. ESS 5: LAND ACQUISITION, RESTRICTIONS ON LAND USE AND INVOLUNTARY RESETTLEMENT This standard is not relevant for the Project. Activities that require land acquisition, expropriation and involuntary resettlement will not be supported by the Project. ESS 6: BIODIVERSITY CONSERVATION AND SUSTAINABLE MANAGEMENT OF LIVING NATURAL RESOURCES This standard is not relevant for the Project. 6|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – PIAUÍ HEALTH AND SOCIAL PROTECTION DEVELOPMENT PROJECT (P178567) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY ESS 7: INDIGENOUS PEOPLES/SUB-SAHARAN AFRICAN HISTORICALLY UNDERSERVED TRADITIONAL LOCAL This standard is not relevant for the Project. ESS 8: CULTURAL HERITAGE 8.1 CULTURAL HERITAGE PROTECTION AND CHANCE FIND Same timeframe than actions 1.3 and SEPLAN(PCU) with support Ensure that cultural heritage protection measures (including those from chance find) are 1.4. of the SESAPI(PIU) and incorporated as part of the Environmental and Social Management Handbook (ESMH) of SASC(PIU) construction and renovation works, which may involve excavation and earthwork, in accordance with the principles and requirements set out in the ESMF and in a manner consistent with ESS 8. 8.2 CULTURAL HERITAGE PROTECTION AND CHANCE FIND SUPERVISION Same timeframe than actions 1.3 and SEPLAN(PCU) Supervise the implementation of ESMH, ensuring the implementation of cultural 1.4. SESAPI(PIU) heritage protection and chance find procedures (where necessary). SASC(PIU) ESS 9: FINANCIAL INTERMEDIARIES This standard is not relevant for the Project. ESS 10: STAKEHOLDER ENGAGEMENT AND INFORMATION DISCLOSURE 10.1 STAKEHOLDER ENGAGEMENT PLAN PREPARATION AND IMPLEMENTATION Disclose and adopt the final version of SEPLAN(PCU) with support Adopt and implement a Stakeholder Engagement Plan (SEP) for the Project, consistent the SEP no later than 60 days of the of the SESAPI(PIU), with ESS10, which shall include measures to, inter alia, provide stakeholders with timely, Effective Date, and subsequently SASC(PIU) and the General relevant, understandable and accessible information, and consult with them in a implement it throughout the Project State Ombudsman (GSO) culturally appropriate manner, which is free of manipulation, interference, coercion, implementation. discrimination and intimidation. 10.2 PROJECT GRIEVANCE MECHANISM Establish the grievance mechanism no GSO with the support of the Establish, publicize, maintain, and operate an accessible grievance mechanism, to later than 60 days after the Effective SEPLAN(PCU) with support receive and facilitate resolution of concerns and grievances in relation to the Project, Date, and subsequently maintain and of the SESAPI(PIU), promptly and effectively, in a transparent manner that is culturally appropriate and operate the mechanism throughout SASC(PIU) readily accessible to all Project-affected parties, at no cost and without retribution, Project implementation. 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. 7|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – PIAUÍ HEALTH AND SOCIAL PROTECTION DEVELOPMENT PROJECT (P178567) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY CAPACITY SUPPORT CS1 Provide training to the environmental and social staff of the PCU and the focal points in Periodically, throughout the SEPLAN(PCU) the partners implementing agencies on: i) aspects to be considered in the environmental implementation of the Project, holding SESAPI(PIU) and social assessment of construction and renovation works, and other Project activities the first session no later than 90 days of SASC(PIU) of relevant environmental and social risk; ii) environmental and social management and the Effective Date. supervision according to the Environmental and Social Management Handbook, iii) aspects to be considered in the implementation of the activities foreseen in the Stakeholders Engagement Plan referring to each of the Project's planned interventions. CS2 Provide Project Workers guidance on: Occupational Health and Safety; measures to Periodically, throughout the SEPLAN(PCU) prevent SEA/SH; and the proper code of conduct for relationships with the population of implementation of the Project, holding SESAPI(PIU) local communities in the area of intervention of the Project. the first session no later than 90 days of SASC(PIU) the Effective Date. 8|Page