Kingdom of Tonga Health Enhancement and Resiliency in Tonga Project T AF DR NG KI OR W P180965 Draft ENVIRONMENTAL and SOCIAL COMMITMENT PLAN (ESCP) 3 September 2024 1|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN 1. The Kingdom of Tonga (the Recipient) will implement the Health Enhancement and Resiliency in Tonga Project (the Project), with the involvement of the Ministry of Health (MoH) and the Ministry of Finance (MoF) as set out in the Financing Agreement between the International Development Association (the Association) and the Recipient. The Association has agreed to provide financing 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 T AF DR agreement by the Association. NG KI OR W 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 Recipient’s Chief Executive Officer of the Ministry of Health. The Recipient shall promptly disclose the updated ESCP. 2|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – Health Enhancement and Resiliency in Tonga Project MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY MONITORING AND REPORTING A REGULAR REPORTING Submit six-monthly reports to the MoH Project Management Association throughout Project Unit (PMU) with technical Prepare and submit to the Association regular monitoring reports on the implementation, commencing after the and oversight support environmental, social, health and safety (ESHS) performance of the Effective Date. Submit each report to the from the Central Services Project, including but not limited to the implementation of the ESCP, Association not later than 30 days after Unit (CSU) Environmental status of preparation and implementation of E&S instruments required the end of each reporting period. & Social (E&S) team in under the ESCP, stakeholder engagement activities, and functioning of the MoF grievance mechanisms. B INCIDENTS AND ACCIDENTS Notify the Association no later than 48 PMU with technical and hours after learning of the incident or oversight support from Promptly notify the Association of any incident or accident related to the accident. Provide subsequent report to the CSU E&S team. Project which has, or is likely to have, a significant adverse effect on the the Association within a timeframe environment, the affected communities, the public or workers, including, acceptable to the Association. T AF DR NG KI OR W inter alia, cases of sexual exploitation and abuse (SEA), sexual harassment (SH), and accidents that result in death, serious or multiple injury. Provide sufficient detail regarding the scope, severity, and possible 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 PMU Association upon request and as annexes Require contractors and supervising firms to provide monthly monitoring reports on ESHS performance in accordance with the metrics specified in 3|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – Health Enhancement and Resiliency in Tonga Project MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY the respective bidding documents and contracts and submit such reports to the reports to be submitted under to the Association. action A above. ESS 1: ASSESSMENT AND MANAGEMENT OF ENVIRONMENTAL AND SOCIAL RISKS AND IMPACTS 1.1 ORGANIZATIONAL STRUCTURE 1. Engagement of PMU E&S Officer for the 1. MOH duration of the project, by no later than 3 1. Establish and maintain a PMU with qualified staff and resources to months after the Effective Date of the support management of ESHS risks and impacts of the Project including a Financing Agreement for the Project. full-time E&S Officer. 2. Maintain a CSU E&S staffing arrangement including a full-time locally- 2. CSU E&S staffing arrangement to be based E&S Specialist and a full-time locally-based E&S Officer with terms of maintained throughout Project 2. MoF reference, qualifications, and experience satisfactory to the Association, Implementation. and who have the necessary skills to provide capacity building on E&S risk management and provide implementation support to manage the E&S T AF DR NG KI OR W risks and impacts associated with the Tonga WB Portfolio. 1.2 ENVIRONMENTAL AND SOCIAL INSTRUMENTS 1.Submit Terms of Reference (ToR) for PMU with technical and ESIA and ESMP for the Association’s prior oversight support from 1. Update and finalize the Terms of Reference for an Environmental and the CSU E&S Team. review and no objection prior to initiating Social Assessment (ESIA) and corresponding Environmental and Social bidding for the E&S consultants. Management Plan (ESMP) for Component 2 of the Project, in accordance with the ESSs and Good International Industry Practice (GIIP). 2. Once the ESIA/ESMP is prepared, submit for Association review and No 2. Prepare, adopt, disclose and thereafter implement the ESIA and ESMP Objection. Once adopted, implement the for Component 2 of the Project consistent with the relevant ESSs. ESIA/ESMP throughout Project Implementation. 4|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – Health Enhancement and Resiliency in Tonga Project MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY 1.3 MANAGEMENT OF CONTRACTORS 1. PMU with technical and oversight support from 1.Incorporate the relevant aspects of the ESCP, including, inter alia, the 1.As part of the preparation of the CSU E&S team. relevant E&S instruments, the labor management procedures, and code of procurement documents and respective conduct, into the ESHS specifications of the procurement documents and contracts and implemented throughout contracts with contractors and supervising firms. Thereafter ensure that the Project implementation. the contractors and supervising firms comply and cause subcontractors to 2. PMU with technical comply with the ESHS specifications of their respective contracts. oversight and support from the CSU E&S team. 2. Require contractors to prepare, adopt and implement Contractor 2. CESMPs to be prepared prior to the commencement of works and Environmental and Social Management Plans (CESMP) including labor implemented throughout Project management plan, detailing the methods to comply with the Project E&S instruments and consistent with the ESMP. implementation. 1.4 TECHNICAL ASSISTANCE Throughout Project implementation. PMU with technical and oversight support from Ensure that the consultancies, studies (including feasibility studies if the CSU ESS. T AF DR NG KI OR W applicable), capacity building, training, and any other technical assistance activities under the Project, including, inter alia, preparation of the ESIA and corresponding ESMP, 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 FINANCING 1. The adoption of the CERC manual in MoF form and substance acceptable to the 1. Ensure that the CERC Manual includes a description of the ESHS Association is a withdrawal condition assessment and management arrangements for the implementation of the under the Financing Agreement for the CERC Component 4, in accordance with the ESSs. Project. 2. Prepare, disclose and adopt any environmental and social (E&S) 2. Adopt any required E&S instrument and instruments which may be required for activities under CERC, Component include it as part of the respective bidding 4 of the Project, in accordance with the CERC Manual to be prepared in process, if applicable, and in any case, accordance with the ESSs, and thereafter implement the measures and 5|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – Health Enhancement and Resiliency in Tonga Project MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY actions required under said E&S instruments, within the timeframes before the carrying out of the relevant 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 PMU with technical and oversight support from ESS2 applies to all project workers under the Project. Tongan public Contracts for direct workers to be in the CSU ESS. service legislation and regulations apply to direct workers ie PMU staff and compliance with Tongan law and ESS2, national consultants directly contracted by the PMU including the Public prior to workers commencing work. Service Act 2002 and the Tonga Public Service Policy Manual 2020. T AF DR NG KI OR W Prepare, consult, adopt, disclose and implement labor management LMP to be included in the ESMP and procedures (LMP) for the Project to set out the way in which contracted thereafter to be implemented throughout workers undertaking construction works under Component 2 will be project implementation. managed in accordance with Tongan Law and ESS2, addressing any significant gaps in labor and worker health safety risks including gaps in relation to occupational health and safety (including personal protective equipment, and emergency preparedness and response) to workers, code Adopt and implement measures in POM of conduct (including relating to SEA and SH), forced labor, child labor, no later than 1 month after the Effective grievance arrangements for Project workers, and applicable requirements Date and thereafter implement for contractors, subcontractors, and supervising firms. throughout project implementation. Measures to manage international contracted workers supporting technical assistance activities shall be provided in the POM. 6|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – Health Enhancement and Resiliency in Tonga Project MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY 2.2 GRIEVANCE MECHANISM FOR PROJECT WORKERS The LMP prepared for the Project contains PMU with oversight by the grievance mechanism for workers and the CIU E&S team. Establish and operate a grievance mechanism for Project workers, as is maintained throughout project described in the LMP and consistent with ESS2. implementation. ESS 3: RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT 3.1 WASTE MANAGEMENT PLAN 1. 1. Submit the ESIA/ESMP including 1. MOH, PMU with WMP for Association review and No technical and oversight 1. As part of the ESIA/ESMP, develop, adopt and implement a Waste Objection. Once adopted, implement support from the CSU ESS. Management Plan (WMP), to manage hazardous and non-hazardous ESIA/ESMP including WMP construction wastes, consistent with ESS3. throughout Project Implementation. 2. PMU 2. Document in the Project Operation Manual measures for end-of-life 2. Prepare and adopt waste 3. MoH management of e-waste and medical equipment to avoid pollution, management measures in the POM no consistent with ESS3, and implement such measures. later than 1 month of Effective Date, 4. PMU 3. Prepare, adopt and implement a Healthcare Waste Management and thereafter implement throughout T AF DR NG KI OR W (HCWM) Plan, in accordance with the relevant WBG EHSGs and other Project implementation. relevant GIIP including relevant WHO guidelines, including: 3. Prepare/update and adopt HCWM Plan, IPCP and training plan. Submit - Update and implement HCWM procedures. for Association review and No - Update and implement Infection Prevention and Control Plan Objection. Once adopted, implement (IPCP) plan/procedures throughout Project - Prepare and implement training plan on IPCP and HCWM implementation. procedures for health care staff involved in waste segregation, 4. Documents outlining planned management, and disposal. Incinerator model and siting and 4. Select appropriate incinerator model and site based on criteria which operations and maintenance are acceptable to the Association and in accordance with the ESSs and procedures to be submitted to the good international industry practice and prepare Operations and Association for no objection prior to maintenance procedures for the incinerator. commencement of operations for the 7|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – Health Enhancement and Resiliency in Tonga Project MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY incinerator. Thereafter implement throughout project implementation. 3.2 RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND TOR for design consultant to include PMU with technical MANAGEMENT resource efficiency requirements. support and oversight support from the CSU ESS. Incorporate resource efficiency and pollution prevention and management Adopt and implement measures in the measures during Design of Vava’u Hospital. POM no later than 1 month after the Effective Date, and thereafter implement As part of the POM and ESIA/ESMP, develop, adopt and implement the WMP and HCWMP and other measures for sustainable sourcing of construction material, resource measures specified in action 3.2 efficiency, energy efficiency, pollution prevention and management throughout Project implementation. measures. Update and implement WMP, HCWM procedures and Infection Prevention and Control Plan (IPCP). T AF DR NG KI OR W ESS 4: COMMUNITY HEALTH AND SAFETY 4.1 TRAFFIC AND ROAD SAFETY Developed and implemented as part of PMU with technical and ESIA/ESMP and same timeframe for oversight support from Incorporate and implement measures to manage traffic and road safety adoption and implementation of the the CSU ESS. risks as required in the ESIA/ESMP to be developed under action 1.2 above CSEMP and included in the CESMP. 4.2 COMMUNITY HEALTH AND SAFETY Developed and implemented as part of PMU with technical and ESIA/ESMP and same timeframe for oversight support from Prepare, adopt and implement measures and action to assess and manage adoption and implementation of the the CSU ESS. specific risks and impacts to the community arising from Project activities CSEMP including: code of conduct to manage the behavior of Project workers, risks of labor influx, response to emergency situations, and include mitigation measures in the ESMP to be prepared in accordance with ESS2 8|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – Health Enhancement and Resiliency in Tonga Project MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY and ESS4, and ensure they are subsequently included and implemented as part ofthe CESMP. 4.3 SEA AND SH RISKS PMU with technical oversight and support Implement SEA/SH actions as part of ESMP and LMP to assess and manage Throughout Project implementation from the CIU risks of SEA/SH. ESS 6: BIODIVERSITY CONSERVATION AND SUSTAINABLE MANAGEMENT OF LIVING NATURAL RESOURCES 6.1 BIODIVERSITY RISKS AND IMPACTS Adopted and implemented as part of PMU with technical and ESIA/ESMP and same timeframe for oversight support from Adopt and implement mitigation and management measures for potential adoption and implementation of the the CSU ESS. biodiversity risks and impacts of Project activities consistent with ESS6 and CSEMP include and implement such measures as requirements in ESIA/ESMP, and also in the CESMPs as required, including appropriate measures consistent with the ESIA/ESMP and with ESS6. T AF DR NG KI OR W ESS 8: CULTURAL HERITAGE 8.1 CHANCE FINDS Developed and implemented as part of PMU with technical and ESIA/ESMP and same timeframe for oversight support from Describe and implement the Chance Finds Procedures developed for the adoption and implementation of the the CSU ESS. Project, consistent with ESS8, as part of the ESMP and in CESMPs. CSEMP ESS 10: STAKEHOLDER ENGAGEMENT AND INFORMATION DISCLOSURE 10.1 STAKEHOLDER ENGAGEMENT PLAN PREPARATION AND Prepare draft SEP and disclose prior to PMU with technical and IMPLEMENTATION Appraisal. Finalize, adopt and disclose the oversight support from final SEP prior to the commencement of the CSU ESS. Prepare, adopt and implement a Stakeholder Engagement Plan (SEP) for project activities. Implement throughout the Project consistent with ESS10 which shall include measures to, inter Project implementation. alia, provide stakeholders with timely, relevant, understandable, and accessible information, and consult with them in a culturally appropriate 9|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – Health Enhancement and Resiliency in Tonga Project MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY manner, which is free of manipulation, interference, coercion, discrimination and intimidation. 10.2 PROJECT GRIEVANCE MECHANISM GRM to be established and operational PMU with technical and prior to the commencement of project oversight support from Establish, publicize, maintain, and operate an accessible grievance redress activities. Maintain throughout Project the CSU ESS. mechanism (GRM), to receive and facilitate resolution of concerns and Implementation. 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, at no cost and without retribution, 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 (GBV) T AF DR NG KI OR W providers, all in a safe, confidential, and survivor-centered manner. CAPACITY SUPPORT CS1 PMU staff to receive training on project E&S instruments and the roles, No later than 3 months after the Effective MOH, PMU to arrange and responsibilities of different key agencies in E&S risk management. Date, and as new staff join. training and keep records. CSU E&S Team to prepare and deliver training. CS2 All project workers to receive training on occupational health and safety, As required, prior to work commencing, PMU to arrange training GBV and SEA/SH prevention and awareness raising, community and and throughout Project Implementation and keep records. CSU to occupational health and safety, environmental incidents and emergency as new workers are engaged. prepare and deliver prevention and responses to emergency situations, and the grievance training. mechanisms. 10 | P a g e ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) – Health Enhancement and Resiliency in Tonga Project MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY CS3 Contractors to receive training on the relevant aspects of the Project E&S Prior to preparation of CESMP, prior to PMU to arrange training instruments and relevant ESHS requirements, including preparation and mobilization, and throughout duration of and keep records. implementation of CESMPs. their contract. CS4 Healthcare and Waste Management staff to receive training on IPCP and Prior to installation of the incinerator and MoH to arrange training HCWM procedures, particularly for those health care staff involved in every 12 months thereafter and keep records. waste segregation, management, and disposal. CS5 PMU E&S Specialists and other project workers as relevant to receive Throughout project implementation. PMU training, as offered by external training providers, on areas of environmental and social risk management to support their capacity building. T AF DR NG KI OR W 11 | P a g e