Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized I. Basic Information Date prepared/updated: 05/10/2007 INTEGRATED SAFEGUARDS DATASHEET APPRAISAL STAGE Report.: AC2906 1. Basic Project Data Country: Central African Republic Project ID: P073525 Project Name: Multisectoral HIV/AIDS Project Task Team Leader: Jean J. Delion Estimated Appraisal Date: April 23, 2001 Estimated Board Date: December 14, 2001 Managing Unit: AFTS3 Lending Instrument: Adaptable Program Loan Sector: Health (47%);Other social services (33%);Central government administration (15%);Sub-national government administration (5%) Theme: HIV/AIDS (P);Participation and civic engagement (P);Health system performance (S);Population and reproductive health (S);Gender (S) IBRD Amount (US$m.): 0.00 IDA Amount (US$m.): 17.00 GEF Amount (US$m.): 0.00 PCF Amount (US$m.): 0.00 Other financing amounts by source: BORROWER/RECIPIENT 1.00 1.00 Environmental Category: B - Partial Assessment Simplified Processing Simple [] Repeater [] Is this project processed under OP 8.50 (Emergency Recovery) [ ] [ ] 2. Project Objectives The Multisectoral HIV/AIDS Project is being restructured. The revised PDO would be to contribute to meeting (a) urgent needs in the fight against HIV, such as access to prevention, treatment, and impact mitigation services (b) urgent social needs such as prevention of malaria, increased access to water supply and improved primary education. 3. Project Description Changes in Project Development Objectives (PDO). The PDO related to the fight against HIV-AIDS have been adjusted in line with the country s updated National Strategy against HIV-AIDS (2006-2010). The revised PDO reflect today s understanding that MAP projects cannot use prevalence rates as impact indicators. The revised PDO would be to contribute to (i) urgent needs in the fight against HIV-AIDS such as access to tests and treatment (ii) urgent social needs such as prevention of malaria, increased access to water supply and improved primary education. Changes in project components and sub-components. The project components and subcomponents would reflect the new objectives, addressing HIV-AIDS, health and
education emergency needs. The restructured project would include a component for each sector, plus a component for a small financial management and procurement unit. Each component would include sub-components for specific activities. (Detailed changes in the project design are in Annex 2.) Component 1: Support to the National Program against HIV-AIDS Subcomponent 1 (a): Civil society responses against HIV/AIDS: The restructured project would focus on supporting 50 youth organizations, a federation of associations of people living with HIV/AIDS (PLWHA) and 30 PLWHA associations. Subcomponent 1 (b): Ministry of Health responses against HIV-AIDS. The restructured project would support Ministry of Health activities by enhancing access to prevention, care and treatment regarding HIV/AIDS. Project funding for the programs of the Ministry of Health would supplement the financing provided by the Global Fund and others, focusing in geographic areas not served by other donors. Subcomponent 1 (c): Other public-sector responses against HIV-AIDS. The restructured project would follow the initial objectives of supporting public sector responses in the following priority public sectors: Education, Defense, Social and Public Services. Subcomponent 1(d) Coordination, supervision, M&E. The project would finance the operations of the CNLS Technical Secretariat and the decentralized coordinating committees at the prefecture level. The project would also support three studies for the monitoring and evaluation (M&E) of the National Program against HIV/AIDS. Component 2: Support to emergency Health needs Component 2 (a): Malaria prevention and improved access to emergency health services This subcomponent would mainly procure and distribute: (i) about 300,000 insecticidetreated mosquito nets (ITMN) for pregnant women and children under age five and (ii) equipment for emergency health services. It would complement Global Fund support, following WHO guidelines. Subcomponent 2 (b): Small emergency health subprojects. The project would finance small subprojects prepared with communities and civil-society organizations, addressing emergency health needs, such as small rural water supply systems and drainage of marshlands to reduce reproduction and spreading of mosquitoes. This subcomponent would support the establishment of an agency to channel funds to civil-society organizations (CSO) and community initiatives. Subcomponent 2 (c): coordination, supervision, M&E. The project would support limited financing to assist the Ministry of Health to supervise, monitor, and evaluate the above activities. Component 3: Support to emergency Education needs Sub-component 3 (a): Training of primary schools teachers. The project would improve the quality of teaching at the primary level and respond to urgent needs of
providing teaching services, by focusing on teachers? training and improving the student to teacher ratio. Sub-component 3 (b): Access to educational materials in primary schools. The project would provide textbooks and other educational material in primary schools. Subcomponent3 (c): Coordination, supervision, M&E. The project would support limited financing to assist Ministry of Education to supervise, monitor and evaluate the above activities. Component 4: Support to a financial management and procurement Unit The project would support a small Financial Management and Procurement Unit, to channel funds to the three implementing agencies. The unit would include an experienced financial management specialist and an experienced procurement specialist, both internationally hired. 4. Project Location and salient physical characteristics relevant to the safeguard analysis Country-wide in areas not already served. Subcomponent 2(b) would include small rural water supply systems and drainage of marshlands to reduce reproduction and spreading of mosquitoes. 5. Environmental and Social Safeguards Specialists Mr Amadou Konare (AFTS1) 6. Safeguard Policies Triggered Environmental Assessment (OP/BP 4.01) Natural Habitats (OP/BP 4.04) Forests (OP/BP 4.36) Pest Management (OP 4.09) Physical Cultural Resources (OP/BP 4.11) Indigenous Peoples (OP/BP 4.10) Involuntary Resettlement (OP/BP 4.12) Safety of Dams (OP/BP 4.37) Projects on International Waterways (OP/BP 7.50) Projects in Disputed Areas (OP/BP 7.60) II. Key Safeguard Policy Issues and Their Management A. 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: The restructuring would not change the environmental category of the project. The effects and mitigation measures would be the following: - On HIV/AIDS, the project would review the effectiveness of the existing Medical Waste Mitigation Plan (MWMP), adjust it to the present context and re-disclose the final
plan, and would fund it with a provision of US$200,000. The MWMP would also serve the health sector at large. - In the health sector, under component 2, subcomponent b, small projects would involve the drainage of small marshlands and rural water supplies at the community level. These small projects would not involve land acquisition or resettlement. These small projects would trigger OP 4.01 and OP 4.04. Due to the lack of detailed information on the number, scale and environmental characteristics of sub-projects, at this time, the Ministry of Health will prepare an Environmental and Social Management Framework (ESMF) acceptable to the Bank, with procedures, guidelines and institutional arrangements for screening, review, approval, implementation and monitoring subproject specific environmental measures. Before the start of any drainage of marshlands or construction of water supply sub-projects, the Borrower will prepare specific subprojects Environmental Management Plan. The ESMP would discuss issues regarding OP. 4.37 if it is determined that the project will engage in dam construction. In the context of the EMP, the project would consult broadly project stakeholders on issues related to OP 4.07, in particular, the drainage of marshlands and small water supply activities, and implement mitigation measures as required. The ESMP would designate the authority that would approve each specific ESMP. The use of insecticide-treated bed nets would comply with the requirements of OP 4.09. Under the ESMP, MOH would provide the list of pesticides involved in treatment of bed nets. Under approval of the ESMP, the MOH would confirm that it complies with WHO guidelines (class 3 pesticides) and would control strict adherence to it during project implementation. Under these conditions, the use of impregnated bed nets and class III insecticide for malaria would trigger OP4.09 on pest management, but would not require a pest management plan, in accordance with 4.01 Annex C. 2. Describe any potential indirect and/or long term impacts due to anticipated future activities in the project area: The Project environmental category remains unchanged, as B, even with the revision of the existing MWMP and preparation of an ESMF, as it is expected that the impacts would be minimal, site-specific and manageable to an accepted level.. The financing agreement would plan for submission and approval of a revised MWMP and ESMF within three months after signing of the revised credit agreement. Approval of the ESMF would be a condition for disbursement for the concerned small projects under sub-component 2(a). The restructuring would not involve exception to the Bank s environmental policies. 3. Describe any project alternatives (if relevant) considered to help avoid or minimize adverse impacts. The Borrower did not envisage alternatives: water supply is a priority in rural areas. The Borrower is used to address proliferation of mosquitoes by drainage of marshlands as it is a long-term sustainable option.
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. CAR is a post-conflict country, the Bank has limited recent experience. Still, Ministry of Environment is willing to apply the planned measures. It will prepare a detailed ESMP with assistance from an international consultant in June 2007. 5. Identify the key stakeholders and describe the mechanisms for consultation and disclosure on safeguard policies, with an emphasis on potentially affected people. Ministry of Planning and Ministry of Environment plan to organize a review of the proposed ESMF with Ministry of Health, Ministry of Energy, Mining and Hydraulic, private firms and NGOs involved in the field of the envisaged project activities. B. Disclosure Requirements Date Environmental Assessment/Audit/Management Plan/Other: Date of receipt by the Bank 10/31/2007 Date of "in-country" disclosure 11/15/2007 Date of submission to InfoShop 11/20/2007 For category A projects, date of distributing the Executive Summary of the EA to the Executive Directors Pest Management Process: Date of receipt by the Bank 10/31/2007 Date of "in-country" disclosure 11/15/2007 Date of submission to InfoShop 11/20/2007 * If the project triggers the Pest Management and/or Physical Cultural Resources, the respective issues are to be addressed and disclosed as part of the Environmental Assessment/Audit/or EMP. If in-country disclosure of any of the above documents is not expected, please explain why: C. Compliance Monitoring Indicators at the Corporate Level (to be filled in when the ISDS is finalized by the project decision meeting) OP/BP/GP 4.01 - Environment Assessment Does the project require a stand-alone EA (including EMP) report? If yes, then did the Regional Environment Unit or Sector Manager (SM) review and approve the EA report? Are the cost and the accountabilities for the EMP incorporated in the credit/loan? OP/BP 4.04 - Natural Habitats 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 the Bank? OP 4.09 - Pest Management Does the EA adequately address the pest management issues? Is a separate PMP required? If yes, has the PMP been reviewed and approved by a safeguards specialist or SM? Are PMP requirements included in project design? If yes, does the project team include a Pest Management Specialist? The World Bank Policy on Disclosure of Information Have relevant safeguard policies documents been sent to the World Bank s Infoshop? 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 NGOs? All Safeguard Policies Have satisfactory calendar, budget and clear institutional responsibilities been prepared for the implementation of measures related to safeguard policies? Have costs related to safeguard policy measures been included in the project cost? Does the Monitoring and Evaluation system of the project include the monitoring of safeguard impacts and measures related to safeguard policies? Have satisfactory implementation arrangements been agreed with the borrower and the same been adequately reflected in the project legal documents? N/A D. Approvals Signed and submitted by: Name Date Task Team Leader: Mr Jean J. Delion 04/19/2007 Environmental Specialist: Mr Amadou Konare 04/19/2007 Social Development Specialist Additional Environmental and/or Social Development Specialist(s): Approved by: Regional Safeguards Coordinator: Mr Warren Waters 04/19/2007 Comments: Sector Manager: Mr Francois G. Le Gall 04/19/2007 Comments: