Integrated Safeguards Data Sheet (ISDS) Section I - Basic Information Date ISDS Prepared/Updated: February 11, 2004 Report No.:AC627 A. Basic Project Data A. 1. Project Statistics Country: Sao Tome and Principe | Project ID: P075979 Project: SOCIAL SECTOR SUPPORT PROJECT TTL: Safaa El Tayeb El-Kogali Total project cost (by component): Appraisal Date: February 16, 2004 Loan/Credit amount($m): IDA: 6 Board Date: May 18, 2004 Other financing amounts by source: ($m.) Managing Unit: AFTH2 Sector: General education sector (50%);Central government administration (25%);Health (25%) Lending Instruments: Specific Investment Loan Is this project processed under OP 8.50 (Emergency recovery? Yes? [ No? [ X] Environmental Category: B Safeguard Classification: S2 A.2. Project Objectives The development objective of the proposed Social Sector Support Project (PASS) is to contribute to improving the delivery of basic health and education services, which implies a focus on better equitable access, better quality, and improved local governance of services. A.3. Project Description The project includes the following 4 components: (i) Improved delivery of basic education services; (ii) Improved delivery of basic health services; (iii) Addressing cross-cutting issues: HIV/AIDS and Malaria; and (iv) Project Management and Coordination. For improved service delivery, the project combines top-down and bottom-up approaches which incorporate supply-side enhancement and actions to more closely attune service provision with local preferences and demand. The capacity building activities are integrated into the components. These activities will aim at improving basic systems and capacity to operate a light decentralized system, including improving fundamental strategic planning, management, and monitoring and accountability procedures in the health and education sectors. They target the key organization and staff of the Ministries at the central and district levels. Given the extremely weak planning and management capacities and the overly centralized administration, limited but critical new competencies for the administration units at the central and district levels will be introduced gradually over the project life. A.4. Project Location and salient physical characteristics relevant to the safeguard analysis: Project will not undertake any activities that may require involuntary resettlement. B. Check Environmental Category A [],B [X], C [], Fl [] Comments: No major environmental impact is anticipated. C Safeguard Policies Triggered Yes No Environmental Assessment (OP/BP/GP 4.01) [P] [] Natural Habitats (OP/BP 4.04) [] [X] Pest Management (OP 4.09) [] [X] Cultural Propertv (draft OP 4.11 - OPN 11.03-) [] [X] Involuntary Resettlement (OP/BP 4.12) [XI I ] Indigenous Peoples (OD 4.20) [ ] [X] Forests (OP/BP 4.36) [[] [X] Safety of Dams (OP/BP 4.37) [ [XI Projects in Disputed Areas (P/BP/GP 7.60) | [I] [X] PrI ects on International Waterwavs (OP/BP/GP 7.50) j [ ] [X] By supporting the proposed project, the Bank does not intend to prejudice the final determination of the parties' claims on the disputed areas Section II - Key Safeguard Issues and Their Management D. Summary of Key Safeguard Issues. D. 1. Describe any safeguard issues and impacts associated with the proposed project. Identify and describe any potential large scale, significant and/or irreversible impacts. There are no potential large scale, significant and/or irreversible impacts. The safeguard issues and impacts associated with the proposed project involve medical waste. Current practices in health care waste management and contaminated health care waste handling, storage and disposal, in particular, raises environmental and social concerns. Health related activities produce considerable amount of waste on a daily basis, as a result of preventive and curative service delivery. The composition of waste produced is in the form of sharps (needles, syringes, etc.), non- sharp materials, such as blood and other body fluids that could be infected, chemicals, expired pharmaceuticals and other medical devises needing proper handling and disposal. There is potential for health workers, waste handlers, users of health facilities and the general public to be exposed to and become infected by health care related waste, as a result of poor HCW management practices. D.2 Describe any potential indirect and/or long term impacts due to anticipated future activities in the project area. None anticipated. D.3. Describe the treatment of altematives (if relevant) D.4. Describe measures taken by the borrower to address safeguard issues. Provide an assessment of borrower capacity to plan and implement the measures described. Regarding medical waste a Medical Waste Plan (MWP) was prepared and costed. The plan and costs will be applied only to those activities financed under the project that entail medical waste. While no major environmental impact nor involuntary resettlement is anticipated with the project, an Environmental and Social Management Framework (ESMF) and a Resettlement Policy Framework (RPF) were prepared and disclosed as protective measures, incase at any time during the project's life an activity would trigger it. D.5. Identify the key stakeholders and describe the mechanisms for consultation and disclosure on safeguard policies, with an emphasis on potentially affected people. Key stakeholders are the Ministries of Education and Health at the central and district level, in addition to the Federation of Non-Governmental Organizations (FONG) as well as Community- based Organizations (CBOs) and communities. The ESMF, MWP and RPF has been disclosed in country within the government offices, in FONG, at the UN information center as well as in the main library in Sao Tome and at the InfoShop. F. Disclosure Requirements Date Environmental Assessment/A udit/Management Plan/Other: Date of receipt by the Bank 1/26/04 or Not Applicable Date of "in-country" disclosure 2/13/04 or Not Applicable Date of submission to InfoShop 2/13/04 or Not Applicable For category A projects, date of distributing the Executive Summary of the EA to the Executive Directors .../.. /.1.. or Not Applicable Resettlement Action Plan/Framework/Policy Process: Date of receipt by the Bank 1/26/04 or Not Applicable Date of "in-country" disclosure 2/13/04 or Not Applicable Date of submission to InfoShop 2/13/04 or Not Applicable Indigenous Peoples Development Plan/Framework Date of receipt by the Bank . . ./. . ./... or Not Applicable X Date of "in-country" disclosure . . ./. . ./... or Not Applicable X Date of submission to InfoShop . . ./.. ./... or Not Applicable X Pest Management Plan: Date of receipt by the Bank . .1..!... or Not Applicable X Date of "in-country" disclosure . . ./. . ./... or Not Applicable X Date of submission to InfoShop ... ... or Not Applicable X Dam Safety Management Plan: Date of receipt by the Bank . . ./. . ./... or Not Applicable X Date of "in-country" disclosure . ../ .l.l. or Not Applicable X Date of submission to InfoShop .../ ./... or Not Applicable X If in-country disclosure of any of the above documents is not expected, please explain why. Section III - Compliance Monitoring Indicators at the Corporate Level (To be filled in when the ISDS is finalized by the project decision meeting) OP/BP 4.01 - Environment Assessment: Yes No Does the project require a stand-alone EA (including EMP) report? X If yes, then did the Regional Environment Unit review and approve the EA report? X Are the cost and the accountabilities for the EMP incorporated in the credit/loan? Only for the medical waste associated with the activities financed by the project X OP/BP 4.04 - Natural Habitats: Yes No Would the project result in any significant conversion or degradation of critical natural habitats? If the project would result in significant conversion or degradation of other (non- critical) natural habitats, does the project include mitigation measures acceptable to N/A the Bank? OP 4.09 - Pest Management: Yes No Does the EA adequately address the pest management issues? N/A Is a separate PMP required? N/A If yes, are PMP requirements included in project design? Draft OP 4.11 (OPN 11.03) - Cultural Property: Yes No Does the EA include adequate measures? N/A Does the credit/loan incorporate mechanisms to mitigate the potential adverse impacts N/A on physical cultural resources? OD 4.20 - Indigenous Peoples: Yes No Has a separate indigenous people development plan been prepared in consultation N/A with the Indigenous People? If yes, then did the Regional Social Development Unit review and approve the plan? If the whole project is designed to benefit IP, has the design been reviewed and approved by the Regional Social Development Unit? OP/BP 4.12 - Involuntary Resettlement: Yes No Has a resettlement action plan, policy framework or policy process been prepared? Although the project does not anticipate any activities that would result in X involuntary resettlement, a resettlement policy framework was prepared incase at any time during the project's life the issue arises If yes, then did the Regional Social Development Unit review and approve the plan X policy framework / policy process? OP/BP 4.36 - Forests: Yes No Has the sector-wide analysis of policy and institutional issues and constraints been N/A carried out? Does the project design include satisfactory measures to overcome these constraints? N/A Does the project finance commercial harvesting, and if so, does it include provisions N/A for certification system? OP/BP 4.37- Safely of Dams: Yes No Have dam safety plans been prepared? N/A Have the TORs as well as composition for the independent Panel of Experts (POE) N/A been reviewed and approved by the Bank? Has an Emergency Preparedness Plan (EPP) been prepared and arrangements been N/A made for public awareness and training? OP 7.50 - Projects on International Waterways: Yes No Have the other riparians been notified of the project? N/A If the project falls under one of the exceptions to the notification requirement, then has this been cleared with the Legal Department, and the memo to the RVP prepared and sent? What are the reasons for the exception? Please explain: Has the RVP approved such an exception? OP 7.60 - Projects in Disputed Areas: Yes No Has the memo conveying all pertinent information on the international aspects of the project, including the procedures to be followed, and the recommendations for dealing N/A with the issue, been prepared, cleared with the Legal Department and sent to the RVP? Does the PAD/MOP include the standard disclaimer referred to in the OP? N/A BP 17.50 - Public Disclosure: Yes No Have relevant safeguard policies documents been sent to the World Bank's Infoshop? X Have relevant documents been disclosed in-country in a public place in a form and language that are understandable and accessible to project-affected groups and local X NGOs? All Safeguard Policies: Yes No Have satisfactory calendar, budget and clear institutional responsibilities been X prepared for the implementation of the safeguard measures? Have safeguard measures costs been included in project cost? Those relating to X medical waste management in the health centers financed under the project Will the safeguard measures costs be funded as part of project implementation? Those relating to medical waste management in the health centers financed under the X project Does the Monitoring and Evaluation system of the project include the monitoring of X safeguard impacts and measures? Have satisfactory implementation arrangements been agreed with the borrower and the same been adequately reflected in the project legal documents? Signed and submitted by: Name Date Task Team Leader: Safaa El Tayeb El-Kogali 02/11/2004 Project Safeguards Specialist: Serigne Omar Fye 02/11/2004 Approved by: Name Date Regional Safeguards Coordinator: Thomas E. Walton Comments: Sector Manager: Alexandre Abrantes Comments: