THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) The Republic of Djibouti Ministry of Health Djibouti COVID-19 Emergency Response Project (P173807) ENVIRONMENTAL and SOCIAL COMMITMENT PLAN (ESCP) 20 March 2020 1|Page THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN 1. The Republic of Djibouti (the Recipient) will implement the DJIBOUTI COVID-19 Emergency Response Project (the Project), with the involvement of the following ministries/agencies/units: Ministry of Health (MOH). The International Development Association (the Association) has agreed to provide financing for the Project. 2. The Recipient will implement material measures and actions so that the Project is implemented in accordance with the Environmental and Social Standards (ESSs). This Environmental and Social Commitment Plan (ESCP) sets out material measures and actions, any specific documents or plans, as well as the timing for each of these. 3. The Recipient is responsible for compliance with all requirements of the ESCP even when implementation of specific measures and actions is conducted by the Ministry, agency or unit referenced in 1. above. 4. Implementation of the material measures and actions set out in this ESCP will be monitored and reported to the Association by the Recipient as required by the ESCP and the conditions of the legal agreement, and the Association will monitor and assess progress and completion of the material measures and actions throughout implementation of the Project. 5. As agreed by the Association and the Recipient, this ESCP may be revised from time to time during Project implementation, to reflect adaptive management of Project changes and unforeseen circumstances or in response to assessment of Project performance conducted under the ESCP itself. In such circumstances, the Recipient will agree to the changes with the Association and will update the ESCP to reflect such changes. Agreement on changes to the ESCP will be documented through the exchange of letters signed between the Association and the Recipient. The Recipient will promptly disclose the updated ESCP. 6. Where Project changes, unforeseen circumstances, or Project performance result in changes to the risks and impacts during Project implementation, the Recipient shall provide additional funds, if needed, to implement actions and measures to address such risks and impacts. 2|Page THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY MONITORING AND REPORTING A REGULAR REPORTING: Prepare and submit to the Association First report after three months of Ministry of Health, Djibouti regular monitoring reports on the environmental, social, health project implementation. The others and safety (ESHS) performance of the Project, including, but not quarterly throughout the Project limited to, stakeholder engagement activities and grievances log. implementation period. ESS 1: ASSESSMENT AND MANAGEMENT OF ENVIRONMENTAL AND SOCIAL RISKS AND IMPACTS 1.1 ORGANIZATIONAL STRUCTURE: The Ministry of Health shall Health and safety specialist hired or Ministry of Health, Djibouti establish and maintain a PIU with qualified staff and resources to appointed before the Effective Date of the support management of environmental and social risks and Project. PIU should be maintained impacts of the Project including environmental and social risk throughout Project implementation. management specialists. 3|Page THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 1.2 ENVIRONMENTAL AND SOCIAL ASSESSMENT/MANAGEMENT PLANS AND INSTRUMENTS/ CONTRACTORS a. The ESMF to be prepared one month a. Prepare the ESMF for the Project, including to ensure that individuals after the Effective Date. Assessment Ministry of Health, Djibouti or groups who, because of their circumstances, may be shall be conducted before the carrying disadvantaged or vulnerable have access to the development out of the respective Project activity. benefits resulting from the Project. b. Prepare, disclose, adopt, and implement any environmental and b. Plans or instruments prepared before social management plans or other instruments required for the the carrying out of the relevant Project respective Project activities as per the screening process, in activities. accordance with the ESSs, the Project ESMF, Labor Management Procedure (LMP), the EHSGs, and other relevant Good c. Throughout project implementation. International Industry Practice (GIIP) including the WHO guidelines on COVID January 2020 and in a manner acceptable to the Bank. c. Incorporate the relevant aspects of this ESCP, including, inter alia, any environmental and social management plans or other instruments, ESS2 requirements, and any other required ESHS measures, into the ESHS specifications of the procurement documents and contracts with contractors and supervising firms. Thereafter ensure that the contractors and supervising firms comply with the ESHS specifications of their respective contracts. 4|Page THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 1.3 EXCLUSIONS: Exclude the following type of activities as ineligible During the assessment process Ministry of Health, Djibouti for financing under the Project and will be reflected in the ESMF: conducted under action 1.2.a. above. Activities that may cause long term, permanent and/or irreversible (e.g. loss of major natural habitat) impacts New constructions or expansions with resettlement impacts Activities that have high probability of causing serious adverse effects to human health and/or the environment other than during the treatment of COVID19 cases Activities that may have significant adverse social impacts and may give rise to significant social conflict Activities that may affect lands or rights of indigenous people or other vulnerable minorities, Activities that may involve permanent resettlement or land acquisition or impacts on cultural heritage ESS 2: LABOR AND WORKING CONDITIONS 2.1 Relevant aspects of this standard shall be considered, as needed, Throughout Project implementation. Ministry of Health, Djibouti under action 1.2 above. 5|Page THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 2.2 LABOR MANAGEMENT: The Project shall be carried out in Throughout Project implementation. Ministry of Health, Djibouti accordance with the applicable requirements of ESS2, in a manner acceptable to the Association, including through, inter alia, implementing adequate occupational health and safety measures (including emergency preparedness and response measures), setting out grievance arrangements for Project workers, and incorporating labor requirements into the ESHS specifications of the procurement documents and contracts with contractors and supervising firms. The Borrower shall implement adequate occupational health and safety measures (including emergency preparedness and response measures) in line with Labor management Procedures annexed to the ESMF and WHO guidelines on COVID19 in all facilities, including laboratories, quarantine and isolation centers, and screening posts. This will be reflected in the assessment under action 1.2 above ESS 3: RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT 3.1 Relevant aspects of this standard shall be considered, as needed, Throughout Project implementation. Ministry of Health, Djibouti under action 1.2 above, including, inter alia, measures to: manage health care wastes, and other types of hazardous and non- hazardous wastes and use of resources (water, air, etc.) shall follow the applicable requirements under the relevant ESSs, the EHSGs, and other relevant Good International Industry Practice (GIIP) and relevant WHO guidelines satisfactory to the Bank. 6|Page THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY ESS 4: COMMUNITY HEALTH AND SAFETY 4.1 Relevant aspects of this standard shall be considered, as needed, Throughout Project implementation. Ministry of Health, Djibouti under action 1.2 above, including, inter alia, measures to: minimize the potential for community exposure to communicable diseases; ensure that individuals or groups who, because of their particular circumstances, may be disadvantaged or vulnerable have access to the development benefits resulting from the Project; manage the risks of the use of security personnel; manage the risks of labor influx; and prevent and respond to sexual exploitation and abuse, and sexual harassment. ESS 5: LAND ACQUISITION, RESTRICTIONS ON LAND USE AND INVOLUNTARY RESETTLEMENT 5.1 This ESS5 is not relevant N/A N/A ESS 6: BIODIVERSITY CONSERVATION AND SUSTAINABLE MANAGEMENT OF LIVING NATURAL RESOURCES 6.1 This ESS6 is not relevant N/A N/A ESS 7: INDIGENOUS PEOPLES/SUB-SAHARAN AFRICAN HISTORICALLY UNDERSERVED TRADITIONAL LOCAL COMMUNITIES 7.1 This ESS7 is not relevant N/A N/A ESS 8: CULTURAL HERITAGE 7|Page THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 8.1 This ESS8 is not relevant N/A N/A ESS 9: FINANCIAL INTERMEDIARIES This ESS9 is not relevant N/A N/A ESS 10: STAKEHOLDER ENGAGEMENT AND INFORMATION DISCLOSURE 10.1 STAKEHOLDER ENGAGEMENT PLAN: implement the preliminary 1 month after the Effectiveness Date Ministry of Health, Djibouti Stakeholder Engagement Plan (SEP) in line with Djibouti’s Plan and throughout the project Operationnel pour la Preparation et la Riposte au nouveau implementation Coronavirus a Djibouti (February 2020), the WHO provisions “Risk communication and community engagement (RCCE) readiness and response to the 2019 novel coronavirus (2019-nCoV)�? (January 26, 2020), the disclosed preliminary SEP, and consistent with ESS10, in a manner acceptable to the Association. The preliminary SEP will be updated and re-disclosed regularly. 10.2 STAKEHOLDER ENGAGEMENT AND INFORMATION DISCLOSURE: ESMF disclosed one month after Ministry of Health, Djibouti Disclosure of the ESMF and other ESF instruments. effectiveness and other instruments disclosed throughout Project implementation as required 10.3 GRIEVANCE MECHANISM: Accessible grievance arrangements within 30 days after effectiveness and Ministry of Health, Djibouti shall be made publicly available to receive and facilitate resolution throughout the project implementation of concerns and grievances in relation to the Project, consistent with ESS10, in a manner acceptable to the Association. 8|Page THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY CAPACITY SUPPORT (TRAINING) Training topics will among others include: Throughout Project implementation. Ministry of Health, Djibouti COVID-19 Infection Prevention and Control Recommendations Laboratory biosafety guidance related to the COVID-19 Specimen collection and shipment Standard precautions for COVID-19 patients Risk communication and community engagement WHO guidelines on quarantine including case management 9|Page