Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) Economic Community of West African States (ECOWAS) Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179078) Negotiated version ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) 30 October 2023 1|Page Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN 1. The Economic Community of West African States (ECOWAS) (the Recipient) shall implement the “Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach,” (the Project) with the involvement of the West African Health Organization (WAHO), as set out in the Financing Agreement. The International Development Association (the Association) has agreed to provide the original financing (P179078) 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 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 ECOWAS 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 designated official, the Director General of WAHO. The Recipient shall promptly disclose the updated ESCP. 2|Page Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY MONITORING AND REPORTING A REGULAR REPORTING Submit six-monthly reports to the WAHO Prepare and submit to the Association regular monitoring reports on the environmental, Association throughout Project social, health and safety (ESHS) performance of the Project, including but not limited to implementation, starting within one the implementation of the ESCP, status of preparation and implementation of E&S month after the end of each calendar instruments required under the ESCP, stakeholder engagement activities, and semester after the Effective Date. functioning of the grievance mechanism(s). Submit each report to the Association no later than 30 days after the end of each reporting period. B INCIDENTS AND ACCIDENTS Notify the Association no later than 48 WAHO Promptly notify the Association of any incident or accident related to the Project which hours after learning of the incident or has, or is likely to have, a significant adverse effect on the environment, the affected accident. 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 Provide subsequent report to the multiple injury [specify other examples of incidents and accidents, as appropriate for the Association within a timeframe type of operation]. Provide sufficient detail regarding the scope, severity, and possible acceptable to 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. ESS 1: ASSESSMENT AND MANAGEMENT OF ENVIRONMENTAL AND SOCIAL RISKS AND IMPACTS 1.1 ORGANIZATIONAL STRUCTURE Hire the environmental and social WAHO Maintain the Project Implementation Unit (PIU) with qualified staff and resources to Specialist within five months of the support management of ESHS risks and impacts of the Project, including an Effective Date, and thereafter maintain environmental and social Specialist, responsible to supervise the Project’s compliance this position throughout Project with the ESS and the implementation of the ESF instruments, including the ESCP, LMP implementation. and SEP. 1.2 ENVIRONMENTAL AND SOCIAL INSTRUMENTS Not applicable to the activities implemented by WAHO N/A 1.4 TECHNICAL ASSISTANCE From Project Effective Date and WAHO throughout Project implementation. 3|Page Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY Ensure that the consultancies, studies, capacity building, training, and any other technical assistance activities under the Project, including, inter alia, capacity-building and technical assistance activities, 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. ESS 2: LABOR AND WORKING CONDITIONS 2.1 LABOR MANAGEMENT PROCEDURES The LMP was disclosed on 09/10/20231 WAHO Prepare, disclose, consult upon, adopt and implement the Labor Management and thereafter implement the LMP Procedures (LMP) for the Project, including, inter alia, provisions on working conditions, throughout Project implementation. management of workers 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 Prior to the recruitment of Project WAHO Establish and operate a grievance mechanism for Project workers, as described in the workers and thereafter maintain and LMP and consistent with ESS2. operate it throughout Project implementation ESS 3: RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT 3.1 WASTE MANAGEMENT PLAN Prior to the start of procurement WAHO Adopt and implement hazardous waste management measures to manage the activities of medical equipment hazardous waste stemming from medical equipment consistent with ESS3 as part of the bidding and contractual documents. ESS 4: COMMUNITY HEALTH AND SAFETY 4.2 SEA AND SH RISKS Same timeframe as the adoption and WAHO Adopt and implement the SEA/SH mitigation and response measures as part of the LMP implementation of the LMP in 2.1 outlined in point 2.1 above. above. ESS 5: LAND ACQUISITION, RESTRICTIONS ON LAND USE AND INVOLUNTARY RESETTLEMENT ESS 6: BIODIVERSITY CONSERVATION AND SUSTAINABLE MANAGEMENT OF LIVING NATURAL RESOURCES ESS 7: INDIGENOUS PEOPLES/SUB-SAHARAN AFRICAN HISTORICALLY UNDERSERVED TRADITIONAL LOCAL COMMUNITIES 1 https://www.wahooas.org/web-ooas/sites/default/files/publications/2378/clean-corrected-pgmo-ooaswith-qa05102023.pdf 4|Page Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY ESS 8: CULTURAL HERITAGE ESS 9: FINANCIAL INTERMEDIARIES ESS 10: STAKEHOLDER ENGAGEMENT AND INFORMATION DISCLOSURE 10.1 STAKEHOLDER ENGAGEMENT PLAN PREPARATION AND IMPLEMENTATION The SEP has been disclosed on WAHO Prepare, disclose, consult upon, adopt and implement a Stakeholder Engagement Plan 09/10/2023 prior to appraisal, and (SEP) for the Project, consistent with ESS10, which shall include measures to, inter alia, thereafter implement the SEP provide stakeholders with timely, relevant, understandable and accessible information, throughout Project implementation. 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 WAHO Establish, publicize, maintain, and operate an accessible grievance mechanism, to within six months from the Effective receive and facilitate resolution of concerns and grievances in relation to the Project, Date, and thereafter maintain and promptly and effectively, in a transparent manner that is culturally appropriate and operate the mechanism throughout 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. CAPACITY SUPPORT CS1 The Recipient shall develop and implement a training plan for target groups associated Trainings shall be conducted after the WAHO with the Project to improve their capacity to manage E&S risks associated to the health Effective Date and throughout Project sector. The PEES offers an initial training plan presented below. The plan shall be implementation adapted as needed during Project implementation. 1) Training for PMU staff, based on identified needs to support the management of ESHS risks and impacts of the Project 2) Training on World Bank environmental and social standards - ESS N°1: Assessment and management of environmental and social risks and effects; - ESS No. 2: Working and employment conditions; - Content of the Environmental and Social Commitment Plan (PEES) - Content of the Stakeholder Engagement Plan (PMPP) - NES No3 Management of phytosanitary products and data. 5|Page Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY 2) Environmental and social management module: the design and implementation include at least the following aspects: - Good knowledge of the organization and management procedures conducted for ESIAs, - Policies, procedures and legislation on social issues at the level of the countries concerned; - Knowledge of the process for monitoring the implementation of ESIAs - Risk assessment, effective management of risks and negative impacts, monitoring and surveillance of environmental and social aspects and reporting. 3) Environmental and social screening process and provisions for the application of measures for the effective management of environmental and social risks and impacts recommended during the implementation of sub-projects 4) Occupational Health and Safety Module: - Individual protection equipment - Management of risks at work, prevention of accidents at work - Hygiene and safety rules - Solid and liquid waste management - Emergency Preparedness and Response - Content of the Pests and Hazardous Waste Management Plan (PGPDD) 5) SEA/SH risk module - SEA/SH Awareness, Prevention and Risk Mitigation Measures - Mapping to GBV/SEA/SH services - Support for survivors - Complaint management 6|Page Health Security Program in Western and Central Africa Using the Multi-Phase Programmatic Approach (P179708) Republic of Cabo Verde Health Security Program in Western and Central Africa Using the Multi-Phase Programmatic Approach (P179078) Negotiated Version ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) November 3, 2023 7|Page Health Security Program in Western and Central Africa Using the Multi-Phase Programmatic Approach (P179708) ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN 5. The Republic of Cabo Verde (the Recipient) shall implement the “Health Security Program in Western and Central Africa Using the Multi-Phase Programmatic Approach (MPA) (the Project) , with the involvement of the Special Project Management Unit (Unidade de Gestão de Projetos Especiais -UGPE) under the Ministry of Finance and Business Promotion (MFFE), as set out in the Financing Agreement and the Grant Agreement. The International Development Association (the Association) under the Financing Agreement and the International bank for Reconstruction and Development, acting as administrator of the Pandemic, Preparedness and Response Trust Fund under the Grant Agreement have agreed to provide financing (P179078) for the Project, as set out in the referred agreements. 6. 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 and the Grant Agreement. Unless otherwise defined in this ESCP, capitalized terms used in this ESCP have the meanings ascribed to them in the referred agreements. 7. 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. 8. 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 UGPE 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 designated official, the Minister of Finance and Business Promotion (MFFE). The Recipient shall promptly disclose the updated ESCP. 8|Page Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY MONITORING AND REPORTING A REGULAR REPORTING Submit semiannual reports to the UGPE Prepare and submit to the Association regular monitoring reports on the Association throughout Project environmental, social, health and safety (ESHS) performance of the Project, implementation, commencing including but not limited to the implementation of the ESCP, status of within six months after the Effective preparation and implementation of E&S instruments required under the ESCP, Date. Submit each report to the stakeholder engagement activities, and functioning of the grievance Association no later than 15 days mechanism. after the end of each reporting period. B INCIDENTS AND ACCIDENTS Notify the Association no later than UGPE Promptly notify the Association of any incident or accident related to the 48 hours after learning of the Project which has, or is likely to have, a significant adverse effect on the incident or accident. environment, the affected communities, the public or workers, including, inter alia, cases of sexual exploitation and abuse (SEA), sexual harassment (SH), and Provide subsequent report to the accidents that result in death, serious or multiple injury. Provide sufficient detail Association within a timeframe regarding the scope, severity, and possible causes of the incident or accident, acceptable to the Association. 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 UGPE Require contractors and supervising firms to provide monthly monitoring Association upon request. reports on ESHS performance in accordance with the metrics specified in the respective bidding documents and contracts, and submit such reports to the Association. ESS 1: ASSESSMENT AND MANAGEMENT OF ENVIRONMENTAL AND SOCIAL RISKS AND IMPACTS 1.1 ORGANIZATIONAL STRUCTURE Maintain the UGPE structure as set UGPE Maintain the UGPE within the entity implementing the Project that is tasked out in the Financing Agreement and with ESHS management, with qualified staff and resources to support the Grant Agreement. Maintain the management of ESHS risks and impacts of the Project, including the two two environmental and social environmental and social specialists and the Cape-Verdean Institute for Gender specialists and the GBV/SEA/SH Equity and Equality (ICIEG) as GBV/SEA/SH services provider. services provider throughout Project implementation. Page 9 of 35 Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY 1.2 ENVIRONMENTAL AND SOCIAL INSTRUMENTS 1. The ESMF has been disclosed2 on UGPE 1. Prepare, disclose, consult upon, adopt and implement an Environmental and 16/10/2023 prior to negotiation Social Management Framework (ESMF) for the Project, consistent with the and thereafter the ESMF shall be relevant ESSs. implemented throughout Project life cycle. 2. Prepare, disclose, consult upon, 2. Prepare, disclose, consult upon, adopt and implement site-specific and adopt the ESIA/ESMP prior to Environmental and Social Impact Assessments (ESIA), and Environmental and the launch of the bidding process Social Management Plans (ESMPs) for any activity requiring civil works for any Project activities involving (“subproject”), consistent with the relevant ESSs. civil works and thereafter implement the ESIA/ESMP throughout subproject implementation. 3. Cause contractors to adopt/update/prepare the ESMP-Contractor, as set out in the ESMF. 3. Prior to the carrying out of civil works. Once adopted, implement the respective ESMP throughout Project implementation. 1.3 MANAGEMENT OF CONTRACTORS As part of the preparation of UGPE Incorporate the relevant aspects of the ESCP, including, inter alia, the relevant procurement documents and E&S instruments, the Labor Management Procedures, and code of conduct, into respective contracts. Supervise the ESHS specifications of the procurement documents and contracts with contractors throughout Project contractors and supervising firms. Thereafter ensure that the contractors and implementation. supervising firms comply and cause subcontractors to comply with the ESHS specifications of their respective contracts. 1.4 TECHNICAL ASSISTANCE Throughout Project UGPE Ensure that the consultancies, studies, capacity building, training, and any other implementation. technical assistance activities under the Project are carried out in accordance 2https://backend-ugpe.gov.cv/wp-content/uploads/2023/09/QGAS_PSSAOC_CABO-VERDE.pdf Page 10 of 35 Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY 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 a) The adoption of the CERC manual UGPE and CERC-ESMF Addendum in form a) Ensure that the CERC Manual as specified the legal agreement includes a and substance acceptable to the description of the ESHS assessment and management arrangements including Association is a withdrawal the ESMF Addendum that will be included or referred to in the CERC Manual for condition under Section III.B.1.b of the implementation of the CERC component, in accordance with the ESSs. Schedule 2 of the Financing Agreement b) Adopt any environmental and social (E&S) instruments which may be required for activities under the CERC component of the Project, in accordance b) Adopt any required E&S with the CERC Manual and CERC-ESMF Addendum and the ESSs, and thereafter instrument and include it as part of implement the measures and actions required under said E&S instruments, the respective bidding process, if within the timeframes specified in said E&S instruments. applicable, and in any case, before the carrying out of the relevant 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 annex of the ESMF with the LMP UGPE has been disclosed3 on 16/10/2023 and will be implemented throughout the Project life cycle. 3 https://backend-ugpe.gov.cv/wp-content/uploads/2023/09/ANEXOS-QGAS-PSSAOC.pdf Page 11 of 35 Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY Adopt and implement the Labor Management Procedures (LMP) for the Project, which is an Annex to the ESMF outlined in point 1.2. The LMP includes, inter alia, provisions on working conditions, management of workers 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 grievance mechanism UGPE Establish and operate a grievance mechanism for Project workers, as described prior engaging Project workers and in the LMP and consistent with ESS2. thereafter maintain and operate it throughout Project implementation. ESS 3: RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT 3.1 WASTE MANAGEMENT PLAN Same timeframe as the adoption of UGPE Adopt and implement a Waste Management Plan (WMP), to manage hazardous E&S instruments in 1.2 above and non-hazardous wastes, as part of the ESMF and ESIA/ESMP outlined in point 1.2 and consistent with ESS3. 3.2 RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT Same timeframe as for the adoption UGPE Incorporate resource efficiency and pollution prevention and management of E&S instruments in 1.2 above measures in the ESMP to be prepared under action 1.2 above. 3.3 MEDICAL WASTE MANAGEMENT PLAN 1. Before the start of any activity UGPE and Ministry of 1.Continue implementing the Hospital Waste Management Plans for the with the benefitting existing health Health existing Health Structures supported by the Project structure. 2. Each new Health Center sub-projects will prepare, adopt and implement a 2.Before the operation phase of the Medical Waste Management Plan new Health Centers ESS 4: COMMUNITY HEALTH AND SAFETY 4.1 TRAFFIC AND ROAD SAFETY Same timeframe as for the adoption UGPE Incorporate measures to manage traffic and road safety risks as required in the of E&S instruments in 1.2 above ESMP to be prepared under action 1.2 above. 4.2 COMMUNITY HEALTH AND SAFETY Same timeframe as for the adoption UGPE Assess and manage specific risks and impacts to the community arising from of E&S instruments in 1.2 above Project activities and include mitigation measures in the ESMPs to be prepared in accordance with the ESMF outlined in 1.2. Page 12 of 35 Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY 4.3 SEA AND SH RISKS Same timeframe as for the adoption UGPE Adopt and implement a SEA/SH mitigation measures as part of the ESMF and of E&S instruments in 1.2 above ESMP outlined in point 1.2. ESS 5: LAND ACQUISITION, RESTRICTIONS ON LAND USE AND INVOLUNTARY RESETTLEMENT ESS 6: BIODIVERSITY CONSERVATION AND SUSTAINABLE MANAGEMENT OF LIVING NATURAL RESOURCES 6.1 BIODIVERSITY RISKS AND IMPACTS UGPE The Borrower shall ensure the sustainable management of biological natural Same timeframe as for the adoption resources through good management practices and the use of available of E&S instruments in 1.2 above technological tools at sub-project level consistent with ESS6. These good practices and management measures shall be included in the site-specific ESMPs and implemented consistent with ESS6 throughout Project implementation. ESS 7: INDIGENOUS PEOPLES/SUB-SAHARAN AFRICAN HISTORICALLY UNDERSERVED TRADITIONAL LOCAL COMMUNITIES ESS 8: CULTURAL HERITAGE 8.2 CHANCE FINDS Same timeframe as for the adoption UGPE and the Institute of Describe and implement the chance finds procedures as part of the ESMF and of the ESMF in 1.2 above Cultural Heritage ESMP of the Project. (Instituto do Patrimonio Cultural) ESS 9: FINANCIAL INTERMEDIARIES [This standard is only relevant for Projects involving Financial Intermediaries (FIs).] ESS 10: STAKEHOLDER ENGAGEMENT AND INFORMATION DISCLOSURE Page 13 of 35 Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY 10.1 STAKEHOLDER ENGAGEMENT PLAN PREPARATION AND IMPLEMENTATION The SEP was disclosed4 on UGPE Prepare, disclose, consult upon, adopt and implement a Stakeholder 28/09/2023 prior to the appraisal of Engagement Plan (SEP) for the Project, consistent with ESS10, which shall the Project, and will be include measures to, inter alia, provide stakeholders with timely, relevant, implemented throughout Project understandable and accessible information, and consult with them in a the Project life cycle. culturally appropriate manner, which is free of manipulation, interference, coercion, discrimination and intimidation. 10.2 PROJECT GRIEVANCE MECHANISM Establish the grievance mechanism UGPE Establish, publicize, maintain, and operate an accessible grievance mechanism, within three months after the to receive and facilitate resolution of concerns and grievances in relation to the Effective Date of the Project, and Project, promptly and effectively, in a transparent manner that is culturally thereafter maintain and operate appropriate and readily accessible to all Project-affected parties, at no cost and the mechanism throughout Project without retribution, including concerns and grievances filed anonymously, in a implementation. 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 Module - Environmental and Social instruments design and During the 1st year of UGPE and consultants implementation: implementation, and under the - World Bank’s Environmental and Social Policies and Standards responsibility of UGPE through - Screening instrument for sub-projects selection process ESS (environmental and social checklist); - National environmental and social policies and legislation; 4https://backend-ugpe.gov.cv/wp-content/uploads/2023/09/PEPI_SEP_PROJETO-DE-SEGURANCA-SANITARIA-NA-AFRICA-OCIDENTAL-E- CENTRAL-FINAL.pdf Page 14 of 35 Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY - Knowledge of the process for monitoring the implementation of the ESMPs. Audience: Committee, Project Staff based in MH, MEA, Municipalities, Non-Governmental Organizations (NGOs), Community-based Associations CS2 Training Module – Grievance Redress Mechanism covering the Start the 1st year of UGPE and consultants following aspects: implementation, and continue - Classification of complaints and procedures for grievances as relevant treatment; - Registration and grievance redress procedures; - Recording, documentation and handling of grievances; - Allocation of rules and responsibilities of the GRM organizational structures; - Level of processing, types of authorities and affiliation. Audience: GRM Focal Points under UGPE, MH, MEA, Municipalities, NGOs, Community-based Associations, Contractor HSE CS3 GBV/SEA/SH risk module: Start the 1st year of UGPE and consultants Awareness raising and measures to prevent and mitigate GBV/SEA/SH implementation, and before the and Contractors risks civil works. - Prevention and response to GBV/SEA/SH; - GBV/SEA/SH Services provider following survivor-centered approach; - GBV/SEA/SH complaint management - Referral techniques for survivors of GBV/SEA/SH Audience: Project staff based in UGPE, MH, MEA, Contractors’ employees. CS2 Training Module - Occupational Health and Safety: Beginning of the civil works, and UGPE and consultants - Individual and collective protective equipment; under the responsibility of and Contractors - Risk management in the workplace; Contractors. - Prevention of work-related accidents; - Health and safety rules; - Solid and liquid waste management; Page 15 of 35 Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY Emergency preparedness and response Training Module – Working conditions: - Work conditions in accordance with the national laws and regulations in force; - Codes of conduct for Project staff; Grievance mechanism for workers – grievance submission and procedures. Audience: Project staff based in UGPE, MH, MEA, Contractors’ employees. Page 16 of 35 Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) The Republic of Guinea Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179078) Negotiated Version ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) November 2, 2023 Page 17 of 35 Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN 1. The Republic of Guinea (hereafter the Recipient) shall implement the Health Security Program in Western Africa and Central Africa using the Multiphase Programmatic Approach Phase 1 (the Project), with the involvement of the Ministry of Health as set out in the Financing Agreement and the Grant Agreement. The International Development Association (the Association), on its behalf and jointly with the International Bank for Reconstruction and Development acting as administrator of the Global Financing Facility for Women, Children and Adolescents (GFF) Multi-Donor Trust Fund, has agreed to provide the financing (P179078), as set out in the referred agreements. 2. The Recipient shall ensure that the Project is carried out in accordance with the World Bank’s 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 the 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 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 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. In such circumstances, the Recipient through the Ministry of Health and Public Hygiene and the Association agree to update the ESCP to reflect these through an exchange of letters signed between the Association and the Recipient’s designated official, the Minister of Health. The Recipient shall promptly disclose the updated ESCP. Page 18 of 35 Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) MATERIALS MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY Monitoring and Reporting A REGULAR REPORTING: Starting from the Effective Date, quarterly Project Coordination Unit (PCU) Prepare and submit to the Association regular monitoring reports on E&S Compliance Monitoring reports shall the environmental, social, health and safety (ESHS) performance of continue to be submitted no later than the Project, including but not limited to the implementation of the fifteen (15) days after the end of each ESCP, status of preparation and implementation of E&S instruments reporting period, throughout Project required under the ESCP, stakeholder engagement activities and Implementation. functioning of the grievance mechanisms. B INCIDENTS AND ACCIDENTS: Notify the Association within 48 hours after PCU Promptly notify the Association of any incident or accident related to learning of the incident or accident. the Project which has, or is likely to have, a significant adverse effect on the environment, the affected communities, the public or Provide subsequent report to the workers, including, inter alia, cases of sexual exploitation and abuse Association within a timeframe acceptable (SEA), sexual harassment (SH), and accidents that result in death, to the Association. serious or multiple injury. Provide sufficient detail regarding 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 supervising entity, as appropriate. For SEA/SH incidents, the following information should be provided: date of incident, date of report to GRM/project, age/sex of survivor, nature of incident, age/sex/employer of alleged perpetrator, whether the incident is related to the project (according to the survivor), services to which the survivor accepted/referred. Subsequently, as per the Bank’s request, prepare a report on the incident or accident and propose any measures to prevent its recurrence. C CONTRACTORS’ MONTHLY REPORTS Require contractors and supervising firms to provide monthly Submit the monthly reports to the PCU monitoring reports on ESHS performance in accordance with the Association upon request. metrics specified in the respective bidding documents and contracts and submit such reports to the Association. ESS 1: ASSESSMENT AND MANAGEMENT OF ENVIRONMENTAL AND SOCIAL RISKS AND IMPACTS 1.1 ORGANIZATIONAL STRUCTURE: The PCU shall be maintained throughout PCU Project implementation. The PCU shall Page 19 of 35 Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) Maintain a Project Coordination Unit (PCU) with qualified staff and maintain or hire an Environmental resources to support management of ESHS risks and impacts of the Specialist, the Social Specialist and the GBV Project, including one Environmental Specialist, one Social Specialist, Specialist (part-time) a Healthcare Waste one GBV Specialist (part-time) and one Healthcare Waste Specialist Management Specialist (part-time) and four (part-time). Moreover, four Environmental and Social Assistants will Environmental and Social Assistants within be recruited to work in the regional offices. six months of Project Effective Date and maintain these positions throughout Project implementation. 1.2 ENVIRONMENTAL AND SOCIAL INSTRUMENTS 1. Prepare, disclose, consult upon, adopt and implement an 1The ESMF has been disclosed5 on PCU Environmental and Social Management Framework (ESMF) for the 12/10/2023 prior to negotiations, and Project, consistent with the relevant ESSs. thereafter implement the ESMF throughout Project implementation. 2. Prepare, disclose, consult upon, adopt and implement site-specific 2. Prepare, disclose, consult upon, and Environmental and Social Impact Assessment (ESIA), and adopt the ESIA/ESMP prior to the launch of Environmental and Social Management Plan (ESMP) for the the bidding process for the subprojects and infrastructure/works (subprojects) for which the ESIA/ESMP are thereafter implement the ESIA/ESMP required, consistent with the relevant ESSs. throughout subproject implementation. 3. Cause contractors to prepare and implement the ESMP- 3. Prior to the start of civil works and Contractor, as set out in the ESMF. throughout civil works implementation. 1.3 MANAGEMENT OF CONTRACTORS Incorporate the relevant aspects of the ESCP, including, inter alia, the As part of the preparation of procurement relevant E&S instruments, the Labor Management Procedures, and documents and respective contracts. PCU code of conduct, into the ESHS specifications of the procurement Supervise contractors throughout Project documents and contracts with contractors and supervising firms. implementation. Thereafter ensure that the contractors and supervising firms comply 5https://www.ugp-passp-ms.org.gn/2023/10/12/projet-de-renforcement-de-la-securite-sanitaire-et-de-la-resilience-en-afrique-de-louest-et-du-centre- p179078/ Page 20 of 35 Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) and cause subcontractors to comply with the ESHS specifications of their respective contracts. 1.4 TECHNICAL ASSISTANCE Ensure that the consultancies, studies, capacity building, training, and any other technical assistance activities under the Project are Throughout Project implementation. PCU 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] [EARLY] RESPONSE FINANCING a) The adoption of the CERC manual and a) Ensure that the CERC Manual as specified the legal agreement CERC-ESMF Addendum in form and includes a description of the ESHS assessment and management substance acceptable to the Association is a arrangements including the ESMF Addendum that will be included withdrawal condition under Section III.B of or referred to in the CERC Manual for the implementation of the Schedule 2 of the Financing Agreement for CERC component, in accordance with the ESSs. the Project. Ministry of Economy and Finance and PCU b) Adopt any environmental and social (E&S) instruments which b) Adopt any required E&S instrument and may be required for activities under the CERC component of the include it as part of the respective bidding Project, in accordance with the CERC Manual and CERC-ESMF process, if applicable, and in any case, Addendum and the ESSs, and thereafter implement the measures before the carrying out of the relevant and actions required under said E&S instruments, within the Project activities for which the E&S timeframes specified in said E&S instruments. 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 Prepare, disclose, consult upon, adopt and implement the Labor PCU Management Procedures (LMP) for the Project that includes, inter alia, provisions on working conditions, management of workers 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. Page 21 of 35 Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) The LMP has been disclosed on 19/10/20236, prior to the end of the appraisal phase of the Project, and will be implemented throughout the Project life cycle. 2.2 GRIEVANCE MECHANISM FOR PROJECT WORKERS Establish grievance mechanism prior to Establish and operate a grievance mechanism for Project workers, as engaging Project workers and thereafter described in the LMP and consistent with ESS2. maintain and operate it throughout Project PCU implementation. ESS 3: RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT 3.1 WASTE MANAGEMENT PLAN 1. Prepare, disclose, consult upon, adopt and implement a Waste 1. Same timeframe as for the adoption of PCU Management Plan (WMP), to manage hazardous and non-hazardous ESIA/ESMP in 1.2 above wastes, consistent with ESS3 as part of the ESIA/ESMP to be developed under point 1.2. 3.2 RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND Same timeframe as for the adoption of PCU MANAGEMENT ESIA/ESMP in 1.2 above Adopt and implement resource efficiency and pollution prevention measures as part of the ESIA/ESMP to be developed under point 1.2. 3.3 VETERINARY WASTE MANAGEMENT PLAN Before the operation phase of the Ministry of Agriculture and Adopt and implement a veterinary waste management plan in the concerned beneficiary structure Animal Husbandry and PCU relevant beneficiary structures. 3.4 MEDICAL WASTE MANAGEMENT PLAN 1. Ensure that existing beneficiary health structure are 1. Before the start of any activity with the implementing their Medical Waste Management Plans and request health structures benefitting from the the implementation of corrective actions if required by the Bank. project. 6 https://www.ugp-passp-ms.org.gn/2023/10/19/procedures-de-gestion-de-la-main-doeuvre-pgmo-du-projet-de-renforcement-de-la-securite-sanitaire-et-de-resilience-en- afrique-de-louest-et-du-centre-p179078/ Page 22 of 35 Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) 2. Each new health infrastructure will prepare, adopt and 2. Before the operation phase of the health implement a Medical Waste Management Plan consistent with infrastructure ESS3. 3. Conduct audits of the implementation of the Medical Waste 3. First audit submitted to the Association Management Plans of health structures benefitting from the within one year of Project Effective Date, project, at the start of the project, prior to the Mid-Term Review second audit one month prior to the Mid- and Project Completion. Term Review. Third audit submitted to the Bank 3 months prior to Project Completion. ESS 4: COMMUNITY HEALTH AND SAFETY 4.1 TRAFFIC AND ROAD SAFETY PCU Incorporate measures to manage traffic and road safety risks as Same timeframe as for the adoption of required in the ESMP to be prepared under action 1.2 above. ESMP in 1.2 above 4.2 COMMUNITY HEALTH AND SAFETY PCU Assess and manage specific risks and impacts to the community Same timeframe as for the adoption of arising from Project activities and include mitigation measures in ESMP in 1.2 above the ESMPs to be prepared in accordance with the ESMF outlined in 1.2. 4.3 SEA/ SH RISKS management PCU The Beneficiary will Prepare, disclose, consult upon, adopt and Within three months of Project Effective implement an SEA/SH Prevention and Response Plan to include Date and to be implemented throughout activities of the project, consistent with ESS4. the Project life cycle. The SEA/SH mitigation action plan will include a number of measures, including, but not limited to, ongoing identification of SEA/SH risks, awareness-raising activities, community consultations, training of project workers, the signing of a code of conduct prohibiting and sanctioning acts SEA/SH by all project actors (project workers and other actors, including civil servants working within the framework of the project but whose employment is not legally transferred to the project), the recruitment of a GBV specialist . The SEA/SH risk mitigation and response action plan should be duly budgeted. ESS 5: LAND ACQUISITION, RESTRICTIONS ON LAND USE AND INVOLUNTARY RESETTLEMENT Page 23 of 35 Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) 5.1 RESETTLEMENT POLICY FRAMEWORK The RPF has been disclosed on 20/10/20237, PCU Prepare, disclose, consult upon, adopt and implement a prior to negotiation and will be Resettlement Policy Framework (RPF) for the Project, consistent implemented throughout the Project life with ESS5. cycle. 5.2 RESETTLEMENT PLAN Prepare, disclose, consult upon, adopt and PCU Prepare, disclose, consult upon, adopt and implement a implement the RP prior to start of civil works that have ESS5 impacts, including Resettlement Plan (RP) for the Project, consistent with ESS5. ensuring that before taking possession of the land and related assets, full compensation has been provided, displaced people have been resettled, and moving allowances have been provided. ESS 6: BIODIVERSITY CONSERVATION AND SUSTAINABLE MANAGEMENT OF LIVING NATURAL RESOURCES ESS 7: INDIGENOUS PEOPLES/SUB-SAHARAN AFRICAN HISTORICALLY UNDERSERVED TRADITIONAL LOCAL COMMUNITIES ESS 8: CULTURAL HERITAGE 8.1 CHANCE FINDS Same timeframe as for the adoption of E&S PCU Describe and implement the chance finds procedures as part of the instruments in 1.2 above ESMF and ESMP of the Project as outlined in point 1.2 above. ESS 9: FINANCIAL INTERMEDIARIES ESS 10: STAKEHOLDER ENGAGEMENT AND INFORMATION DISCLOSURE 10.1 STAKEHOLDER ENGAGEMENT PLAN The SEP was disclosed8 on 03/10/2023, prior PCU Prepare, disclose, consult upon, adopt and implement a Stakeholder to the appraisal of the project, and Engagement Plan (SEP) for the Project, consistent with ESS10, which 7 https://www.ugp-passp-ms.org.gn/2023/10/19/cadre-de-reinstallation-du-projet-de-renforcement-de-la-securite-sanitaire-et-de-resilience-en- afrique-de-louest-et-du-centre-prssr-aoc-p179078/ 8 https://www.ugp-passp-ms.org.gn/2023/10/03/projet-de-renforcement-de-la-securite-sanitaire-et-de-resilience-en-afrique-de-louest-et-du-centre-p179078/ Page 24 of 35 Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) shall include measures to, inter alia, provide stakeholders with thereafter implement the SEP throughout timely, relevant, understandable and accessible information, and Project implementation. consult with them in a culturally appropriate manner, which is free of manipulation, interference, coercion, discrimination and intimidation. 10.2 GRIEVANCE MECHANISM: PCU and ANAFIC 1.Establish, publicize, maintain, and operate an accessible grievance mechanism, to receive and facilitate resolution of concerns and 1. Within three months of the Project grievances in relation to the Project, promptly and effectively, in a Effective Date and throughout Project transparent manner that is culturally appropriate and readily implementation period. accessible to all Project-affected parties, at no cost and without retribution, including concerns and grievances filed anonymously, in a manner consistent with ESS10. 2. Prepare and implement a Grievance Mechanism Implementation Action Plan in coordination with the National Agency for Financing Local Communities (ANAFIC in French) 3. 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 2. Within six months of Project Effective manner. Date and implement throughout the project life cycle. CAPACITY SUPPORT (TRAINING) The PCU, stakeholders, members of affected communities as well Prepare a training plan within six months of PCU and other relevant line as Project workers will benefit from capacity building on the the Project Effective Date and implement it ministry staff following topics throughout the implementation of the • Identification and mobilization of stakeholders Project • Particular aspects of environmental and social assessment • Preparedness and response to emergency situations • Health and security at work • Population health and safety • Training of trainers on the management of waste from veterinary care and veterinary laboratory activities. Page 25 of 35 Health Security Program in Western and Central Africa Using the Multiphase Programmatic Approach (P179708) • Train staff and maintenance workers on the management of biological waste Train staff involved in waste management in their use (for selective sorting, use of bins, equipment, etc.) and display internal waste management procedures Train laboratory technicians, but also agents responsible for eliminating DB, in the operation and maintenance of incinerators before their installation (the main points of the treatment and operation process; health and safety in relation to operations; emergency and rescue procedures; technical procedures; maintenance; process and residue control and monitoring, etc.) Training on the health control of products of animal, fishery and phytosanitary origin Training on health surveillance of wildlife and national parks Training of Project workers in occupational health and safety, Implement training after Effective Date and PCU and other relevant line including the prevention of emergency situations and how to prior to start of Project activities, and ministry staff prepare for and respond to emergency thereafter implement throughout Project Health emergencies linked to climate change; Enforcement of implementation workforce management procedures, including code of conduct, incident reporting, sexual exploitation and abuse as well as sexual harassment, mitigation of the effects of epidemics Page 26 of 35 Health Security Program in Western and Central Africa Using the Multi-Phase Programmatic Approach (P179708) Republic of Liberia Health Security Program in Western and Central Africa Using the Multi-Phase Programmatic Approach - Phase 1 (P-179078) Negotiated version ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) November 1, 2023 Page 27 of 35 Health Security Program in Western and Central Africa Using the Multi-Phase Programmatic Approach (P179708) ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN 1. The Republic of Liberia (hereafter the Recipient) shall implement the Health Security Program in Western and Central Africa using the Multi-Phase Programmatic Approach (MPA) (P179078) (the Project) with the involvement of the Ministry of Finance and Development Planning, the Ministry of Health (MoH) as set out in the Financing Agreement. The International Development Association (the Association), has agreed to provide the financing for the Project (P179078), as set out in the referred agreement. 5. 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. 6. 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. 7. 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. In such circumstances, the Recipient through the MoH and the Association agree to update the ESCP to reflect these through an exchange of letters signed between the Association and the Recipient’s designated official, the Minister of Finance and Development Planning. The Recipient shall promptly disclose the updated ESCP. Page 28 of 35 Health Security Program in Western and Central Africa Using the Multi-Phase Programmatic Approach (P179708) MATERIALS MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY Monitoring and Reporting A REGULAR REPORTING Prepare and submit to the Association regular monitoring reports on Starting from the Effective Date, submit Project Implementation Unit the environmental, social, health and safety (ESHS) performance of the quarterly E&S Compliance Monitoring (PIU) Project, including but not limited to the implementation of the ESCP, reports no later than forty-five (45) days status of preparation and implementation of E&S instruments required after the end of each reporting period, and under the ESCP, stakeholder engagement activities and functioning of throughout Project Implementation. the grievance mechanisms. B INCIDENTS AND ACCIDENTS Promptly notify the Association of any incident or accident related to Notify the Association immediately or PIU the Project which has, or is likely to have, a significant adverse effect within 48 hours after learning of the on the environment, the affected communities, the public or workers, incident or accident. including, inter alia, cases of sexual exploitation and abuse (SEA), sexual harassment (SH), and accidents that result in death, serious or Provide subsequent report to the multiple injury. Provide sufficient detail regarding the incident or Association within a timeframe acceptable accident, indicating immediate measures taken or that are planned to to the Association. be taken to address it, and any information provided by any contractor and supervising entity, as appropriate. Subsequently, as per the Bank’s request, prepare a report on the incident or accident and propose any measures to prevent its recurrence. C CONTRACTORS’ MONTHLY REPORTS Require contractors and supervising firms to provide monthly Submit the monthly reports to the PIU monitoring reports on ESHS performance in accordance with the Association upon request. metrics specified in the respective bidding documents and contracts and submit such reports to the Association. ESS 1: ASSESSMENT AND MANAGEMENT OF ENVIRONMENTAL AND SOCIAL RISKS AND IMPACTS 1.1 ORGANIZATIONAL STRUCTURE Maintain a Project Implementation Unit (PIU) with qualified staff and The PIU shall be maintained throughout PIU resources to support management of ESHS risks and impacts of the Project implementation, including the MoH Project, including one Environmental Specialist, one Social/GBV Environmental Specialist, the Social/GBV NPHIL Specialist, and one communication officer, and hire two Environmental Specialist and the communication officer MOA and Social assistants. that are currently in place. Hire the two E&S assistants within six months after the Page 29 of 35 Health Security Program in Western and Central Africa Using the Multi-Phase Programmatic Approach (P179708) Effective Date, and thereafter maintain these positions throughout Project implementation. 1.2 ENVIRONMENTAL AND SOCIAL INSTRUMENTS 1. Prepare, disclose, consult upon, adopt, and implement an 1. The ESMF has been disclosed9 on PIU Environmental and Social Management Framework (ESMF) for the 17/10/2023 and will be implemented MoH Project, consistent with the relevant ESSs. throughout the project life cycle. NPHIL MoA 2. Prepare, disclose, consult upon, adopt EPA 2. Prepare, disclose, consult upon, adopt and implement site-specific the ESIA/ESMP prior to the launch of the Contractors Environmental and Social Impact Assessment (ESIA), and bidding process for all sub-projects and Environmental and Social Management Plan (ESMP) for activities with thereafter implement the ESIA/ESMP civil works (“subproject”), consistent with the relevant ESSs. throughout sub-project implementation. 3. Cause contractors to prepare and implement the ESMP-Contractor, 3. Prior to undertaking civil works, as set out in the ESMF. implement the respective ESMP throughout Project implementation. 1.3 MANAGEMENT OF CONTRACTORS Incorporate the relevant aspects of the ESCP, including, inter alia, the PIU relevant E&S instruments, the Labor Management Procedures, and As part of the preparation of procurement MoH code of conduct, into the ESHS specifications of the procurement documents and respective contracts. NPHIL documents and contracts with contractors and supervising firms. Supervise contractors throughout Project MoA Thereafter ensure that the contractors and supervising firms comply implementation. EPA and cause subcontractors to comply with the ESHS specifications of their respective contracts. 1.4 PIU MoH Throughout Project implementation. NPHIL MoA TECHNICAL ASSISTANCE EPA 9 https://www.nphil.gov.lr/index.php/validated-data-and-research-related-documents/ Page 30 of 35 Health Security Program in Western and Central Africa Using the Multi-Phase Programmatic Approach (P179708) Ensure that the consultancies, studies, capacity building, training, and any other technical assistance activities under the Project 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] [EARLY] RESPONSE FINANCING a) Ensure that the CERC Manual as specified in the Financing a) The adoption of the CERC manual and Agreement includes a description of the ESHS assessment and CERC-ESMF Addendum in form and management arrangements including the ESMF Addendum that will substance acceptable to the Association is be included or referred to in the CERC Manual for the implementation a withdrawal condition under Section III.B of the CERC component, in accordance with the ESSs. of Schedule 2 of the Financing Agreement PIU for the Project. MoH b) Adopt any environmental and social (E&S) instruments which may NPHIL be required for activities under the CERC component of the Project, in b) Adopt any required E&S instrument and MoA accordance with the CERC Manual and CERC-ESMF Addendum and include it as part of the respective bidding EPA the ESSs, and thereafter implement the measures and actions process, if applicable, and in any case, required under said E&S instruments, within the timeframes specified before the carrying out of the relevant 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 Adopt and implement the Labor Management Procedures (LMP) for Same timeline as for the adoption of ESMF PIU the Project, annexed to the ESMF outlined in 1.2, that includes, inter in 1.2 above. MoH alia, provisions on working conditions, management of workers NPHIL relationships, occupational health and safety (including personal MoA protective equipment, and emergency preparedness and response), EPA 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 grievance mechanism prior to PIU Establish and operate a grievance mechanism for Project workers, as engaging Project workers and thereafter MoH described in the LMP and consistent with ESS2. maintain and operate it throughout Project NPHIL implementation. MoA EPA Page 31 of 35 Health Security Program in Western and Central Africa Using the Multi-Phase Programmatic Approach (P179708) Contractors ESS 3: RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT 3.1 WASTE MANAGEMENT PLAN 1. Adopt and implement a Waste Management Plan (WMP), to manage 1. Same timeline as ESIA/ESMP under point PIU hazardous waste consistent with ESS3 as part of the ESIA/ESMP to be 1.2 above MoH developed under point 1.2. NPHIL MoA EPA Contractors 3.2 RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND 1. Same timeline as ESIA/ESMP under point PIU, MoH, NPHIL, MoA, EPA, MANAGEMENT 1.2 above Contractors Adopt and implement resource efficiency and pollution prevention measures as part of the ESIA/ESMP to be developed under point 1.2. 3.3 MEDICAL WASTE MANAGEMENT PLAN 1. Continue implementing the Medical Waste Management Plans for 1. Before the start of any activity with the PIU the existing health structures supported by the project. benefitting existing health structure. MoH NPHIL 2. Each new structure sub-projects will prepare, adopt and implement 2. Before the operation of the health MoA a Medical Waste Management Plan structures. EPA ESS 4: COMMUNITY HEALTH AND SAFETY 4.1 TRAFFIC AND ROAD SAFETY PIU Incorporate measures to manage traffic and road safety risks as Same timeframe as ESMP under point 1.2 MoH required in the ESMP to be prepared under action 1.2 above. above NPHIL MoA EPA 4.2 COMMUNITY HEALTH AND SAFETY Assess and manage specific risks and impacts to the community Same timeframe as ESMP under 1.2 above PIU arising from Project activities and include mitigation measures in the MoH ESMPs to be prepared in accordance with the ESMF outlined in 1.2. NPHIL 4.3 SEA AND SH RISKS PIU Update COVID GBV/SEA/SH Prevention and Response Plan to include Within three months after Project Effective MoH activities of the project and implement it thereafter throughout the Date and to be implemented throughout NPHIL Project, all consistent with ESS4. the Project life cycle. MoA EPA ESS 5: LAND ACQUISITION, RESTRICTIONS ON LAND USE AND INVOLUNTARY RESETTLEMENT Page 32 of 35 Health Security Program in Western and Central Africa Using the Multi-Phase Programmatic Approach (P179708) ESS 6: BIODIVERSITY CONSERVATION AND SUSTAINABLE MANAGEMENT OF LIVING NATURAL RESOURCES ESS 7: INDIGENOUS PEOPLES/SUB-SAHARAN AFRICAN HISTORICALLY UNDERSERVED TRADITIONAL LOCAL COMMUNITIES ESS 8: CULTURAL HERITAGE 8.1 CHANCE FINDS Describe and implement the chance finds procedures as part of the Same timeframe as the ESMF and ESMP in PIU ESMF and ESMP of the Project. 1.2 above ESS 9: FINANCIAL INTERMEDIARIES ESS 10: STAKEHOLDER ENGAGEMENT AND INFORMATION DISCLOSURE 10.1 STAKEHOLDER ENGAGEMENT PLAN Prepare, disclose, consult upon, adopt and implement a Stakeholder The SEP was disclosed10 on 2/10/2023 prior PIU Engagement Plan (SEP) for the Project, consistent with ESS10, which to the appraisal of the project. Implement shall include measures to, inter alia, provide stakeholders with timely, the SEP throughout Project relevant, understandable and accessible information, and consult with implementation. them in a culturally appropriate manner, which is free of manipulation, interference, coercion, discrimination and intimidation. 10.2 GRIEVANCE MECHANISM Publicize, maintain, and operate an accessible Grievance Mechanism Maintain the GM that is currently in place PIU (GM), to receive and facilitate resolution of concerns and grievances for the implementation of Project activities in relation to the Project, promptly and effectively, in a transparent throughout Project implementation period. 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. 10 Liberia: Health Security Program in Western and Central Africa, Phase I (Stakeholder Engagement Plan) – Ministry of Health (moh.gov.lr) Page 33 of 35 Health Security Program in Western and Central Africa Using the Multi-Phase Programmatic Approach (P179708) The GM shall be equipped to receive, register, and facilitate the resolution of GBV/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 (TRAINING) Conduct various types of E&S training, targeting groups (PIU Staff, These training shall start during the first PIU Contractors & Consultants’ Staffs) and including at least the following year after the Effective Date and Contractors topics: throughout Project implementation. MOH • Stakeholder identification, analysis, and engagement NPHIL • Labor management procedures for contractor workers MOA • GBV & SEA/SH EPA • Community health and safety • E&S risk management External training to increase capacity of E&S staff and other staff at the PIU and concerned line ministries Page 34 of 35 Health Security Program in Western and Central Africa Using the Multi-Phase Programmatic Approach (P179708) Page 35 of 35