Page 1 INTEGRATED SAFEGUARDS DATA SHEET CONCEPT STAGE Report No.: AC1835 Date ISDS Prepared/Updated: 10/12/2005 I. BASIC INFORMATION A. Basic Project Data Country: Iraq Project ID: P096774 Project Name: Emergency Disabilities Project Task Team Leader: Jean-Jacques Frere Estimated Appraisal Date: October 12, 2005 Estimated Board Date: December 29, 2005 Managing Unit: MNSHD Lending Instrument: Emergency Recovery Loan Sector: Health (50%);Other social services (50%) Theme: Injuries and non-communicable diseases (P);Conflict prevention and post- conflict reconstruction (S);Other social protection and risk management (S) IBRD Amount (US$m.): 0.00 IDA Amount (US$m.): 0.00 GEF Amount (US$m.): 0.00 PCF Amount (US$m.): 0.00 Other financing amounts by source: BORROWER 0.00 SPECIAL FINANCING 17.20 17.20 B. Project Objectives [from section 2 of PCN] The overall objective of the proposed project is to help prevent the disabled from falling deeper into poverty, as well as to help reduce the burden of physical and psycho-social disabilities through targeted and cost-effective rehabilitation services in a community setting. Specifically, the project will increase the capacity of the Government and stakeholders to: - Upgrade the infrastructure and equipment of 11 specialized rehabilitation centers throughout the country, including improving capacity to produce high-quality prosthetics and orthotics for amputees. - Improve the ability of policy-makers to assess disabilities requirements, ensure quality specialized care for the disabled, and provide opportunities for them to return to productive lives in their communities. Page 2 - Improve the information base on the disabled, including collecting and analyzing information on the current status of disabilities services, establishing assessment and registration capacities for the country, and developing a long term strategy for support to the disabled, including a focus on community-driven services. C. Project Description [from section 3 of PCN] The proposed project, which is consistent with the Government's priority to provide effective and high quality rehabilitation services to the disabled and help them return to society as productive individuals, comprises four components: Component 1: Service Delivery to the Disabled (estimated cost US$13.2 million) The objective of this component is to upgrade the services to the disabled throughout the country. Support will be provided to improving the physical infrastructure of 11 specialized centers, located throughout the country, most of which have been seriously damaged and neglected. Technical assistance and training will be given to technical staff in up-to-date rehabilitation approaches and techniques, in particular, drawing on the substantial regional capacity that exists in this field. The project will also provide a one-year supply of raw materials for the prosthetics/orthotics production units. Component 2: Development of a Long-term Strategy and Action Plan for the Disabled (estimated cost US$.5 million) The objective of this component is to prepare a long-term strategy, legal framework, and action plan, based on a community-driven services approach. As a basis for the strategy, an inventory of the current status of infrastructure and equipment, staffing, technical capacity, and national planning for services to the disabled will be carried out. Technical assistance and training will be provided by the project to support these activities. Component 3: Capacity Building to Support Implementation of the Long-term Strategy for the Disabled (estimated cost US$3 million) The objective of this component is to support capacity building activities, through technical assistance and training, for key Government staff responsible for disabilities policy and programs, and NGOs operating at the community level in delivery of services to the disabled. The technical assistance and training, which would be carried out both within Iraq and in neighboring countries, would be focused on developing capacity to assess disabilities requirements and provide specialized care, including physical therapy. A national assessment and registration system will also be developed to provide an integrated database on the disabled. Component 4: Monitoring and Evaluation and Project Management (estimated cost US$.5 million) The objectives of this component are two-fold: (i) to put in place a framework for monitoring and evaluation of project and Government program performance, through tracking of project and program outputs and impact, based on key indicators and relevant baseline data; and (ii) to put in Page 3 place a project management function, building on the capacities of the Project Management Team (PMT) which is coordinating the activities of the on-going Emergency Health Rehabilitation Project (EHRP) in the Ministry of Health. D. Project location (if known) Selected sites throughout Iraq. E. Borrower’s Institutional Capacity for Safeguard Policies [from PCN] The Project is rated category 'B'. Impacts would be those associated mainly with (i) construction of rehabilitation and new Disability Rehabilitation Centers (e.g., safety, dust, noise, waste material, and vehicular traffic); (ii) provision of sanitary services, water supply and waste management; and (iii) operation and maintenance of Disability Rehabilitation Centers. Because of the emergency conditions, the requirement to carry out a limited Environmental Analysis as part of project preparation will be waived. However, for sub-projects with possible moderate or minor adverse environmental impacts, a limited Environmental Analysis will be done during project design for World Bank approval prior to execution of such works. The Environmental and Social Screening and Assessment Framework (ESSAF) would be disclosed in the country and in the Infoshop in November 2005.Based on the ESSAF, the following standards will be applied during implementation: (i) inclusion of standard environmental codes of practice (ECOP) in the bid documents for rehabilitation and extension works; (ii) use of Safeguard Procedures for Inclusion in the Technical Specifications of Contracts; (iii) use of the Checklist of likely Environmental and Social Impacts of Subproject; (iv) review and oversight of any major reconstruction works by specialists; (v) implementation of environmentally and socially sound options for civil works; and (vi) provision for adequate budget and satisfactory institutional arrangements to monitor effective implementation and adequately operate and maintain sanitary facilities after project completion. Capacity building on Safeguards and on the implementation of the ESSAF has already been undertaken with the Ministry of Environment and other line Ministries under the Emergency Health Rehabilitation Project. There will be construction of about eight new facilities in government owned land without squatters and rehabilitation and extension of about ten existing facilities in the Project. The building extensions would be done within existing plots of land owned by MOH and without squatters. Therefore, World Bank Operational Policy (OP 4.12) would not be triggered since there should not be any involuntary relocation of populations or expropriation of privately owned land. However, the ESSAF, specifically elaborated for due diligence of emergency projects in Iraq, should be used to ensure that this is indeed the case and should there be any need for expropriation of privately owned land or/and involuntary relocation of population, the same guidelines will be followed. The MOH/PMT would employ a safeguard specialist who would be trained on World Bank safeguard policy and procedures for monitoring compliance with World Bank policy during project implementation and for reporting. Quarterly and annual implementation progress reports should include a section for reporting compliance with World Bank safeguard policy. F. Environmental and Social Safeguards Specialists Mr Mario Antonio Zelaya (MNSHD) Page 4 Ms Oroub El Abed (MNSRE) II. SAFEGUARD POLICIES THAT MIGHT APPLY Safeguard Policies Triggered Yes No TBD Environmental Assessment (OP/BP 4.01) X The ESSAF would be disclosed in the country and at the Infoshop in November 2005. Natural Habitats (OP/BP 4.04) X Forests (OP/BP 4.36) X Pest Management (OP 4.09) X Cultural Property (OPN 11.03) X Indigenous Peoples (OD 4.20) X Involuntary Resettlement (OP/BP 4.12) X Safety of Dams (OP/BP 4.37) X Projects on International Waterways (OP/BP 7.50) X Projects in Disputed Areas (OP/BP 7.60) X Environmental Category: B - Partial Assessment III. SAFEGUARD PREPARATION PLAN A. Target date for the Quality Enhancement Review (QER), at which time the PAD-stage ISDS would be prepared: N/A B. For simple projects that will not require a QER, the target date for preparing the PAD-stage ISDS: 11/30/2005 C. Time frame for launching and completing the safeguard-related studies that may be needed. The specific studies and their timing 1 should be specified in the PAD-stage ISDS. The ESSAF would be disclosed in the country before appraisal. IV. APPROVALS Signed and submitted by: Task Team Leader: Mr Jean-Jacques Frere 09/28/2005 Approved by: Regional Safeguards Coordinator: Mr Sherif Kamel F. Arif 10/03/2005 Comments: Sector Manager: Ms Akiko Maeda 09/28/2005 Comments: 1 Reminder: The Bank's Disclosure Policy requires that safeguard-related documents be disclosed before appraisal (i) at the InfoShop and (ii) in-country, at publicly accessible locations and in a form and language that are accessible to potentially affected persons. Page 5