| Project Detail |
Proposed Development Objective(s) Parent
The Project Development Objective (PDO) is to contribute to the improvement of the coverage and quality of basic
primary health care (PHC) services in rural health facilities in selected districts.
Components
Component 1: Performance-Based Financing
Component 2: Primary Health Care Strengthening
Component 3: Project Management, Coordination, and Monitoring & Evaluation
Summary of Key Safeguard Issues
1. Describe any safeguard issues and impacts associated with the proposed project. Identify and describe any potential
large scale, significant and/or irreversible impacts:
Physical works to be supported by the proposed AF will be limited to installation of solar panels at eleven Rural Health
Centers (RHC) within the existing footprint of these facilities and minor rehabilitation of selected primary care facilities
in new Project districts. These works will generate only minor environmental impacts such as noise, dust and
construction waste, along with some occupational health and safety risks. Older building structures may contain
asbestos, which would require sound management during dismantling and disposal. Hence, the environmental
category, given to the project in accordance with OP 4.01 Environmental Assessment, remains Category B, and no
additional safeguard policies are triggered.
2. Describe any potential indirect and/or long term impacts due to anticipated future activities in the project area:
Following are potential indirect and/or long term impacts due to anticipated future activities in the project area:-
(i) Localized soil and water contamination due to poor sanitation and inadequate waste management.
(ii) Toxic air emissions due to poor incineration/burning practices of unsegregated waste.
(iii) Contamination due to poor management of construction waste and indiscriminate disposal of asbestos.
(iv) No such impacts with regard to social safeguards.
3. Describe any project alternatives (if relevant) considered to help avoid or minimize adverse impacts.
The project will not finance any activities that will result in land acquisition, and/or restriction in access to physical
assets, resources or services.
4. Describe measures taken by the borrower to address safeguard policy issues. Provide an assessment of borrower
capacity to plan and implement the measures described.
ESMF, prepared for the purposes of the first AF, has been updated to reflect the proposed AF components.
Environmental and Social Management Framework (ESMF) will be applied to address minor environmental impacts
associated with the noise, dust and construction waste, along with some occupational health and safety risks. The
proposed AF rehabilitation of buildings may include the dismantling and disposal of asbestos, and management
provisions are included in the ESMF. ESMF provides guidelines for designing site-specific ESMPs, including necessary
mitigation and monitoring measures, and organizational and implementation arrangements. Site-specific ESMPs will
be prepared and approved when the detailed designs are available and prior to commencement of civil works and
mobilization of equipment to the site. The ESMP requirements, including regular supervision of environmental and
social performance will be included into the civil works bidding documents. The Borrower has shown satisfactory track
record in environmental and social performance throughout the life of Project. Site-specific ESMPs developed for all facilities are compliant with the Banks requirements.
5. Identify the key stakeholders and describe the mechanisms for consultation and disclosure on safeguard policies,
with an emphasis on potentially affected people.
The project’s main beneficiaries are the general population and specifically, women and children. The stakeholders
will include healthcare workers, and staff from the MOHSP and the RHCs, the construction management agencies
which will be involved in providing clearances and undertaking the civil works, the neighborhood communities residing
near the RHCs and those who utilize the services of the RHCs and primary care facilities. |
