Page 1 INTEGRATED SAFEGUARDS DATASHEET APPRAISAL STAGE I. Basic Information Date prepared/updated: 01/11/2007 Report No.: AC2662 1. Basic Project Data Country: Ethiopia Project ID: P098031 Project Name: Second Multi-sectoral HIV/AIDS Project Task Team Leader: Gebreselassie Okubagzhi Estimated Appraisal Date: January 10, 2007 Estimated Board Date: March 8, 2007 Managing Unit: AFTH3 Lending Instrument: Specific Investment Loan Sector: Other social services (40%);Health (30%);General information and communications sector (20%);General education sector (10%) Theme: Other communicable diseases (P);HIV/AIDS (P);Other social development (S);Gender (S);Participation and civic engagement (S) IBRD Amount (US$m.): 0.00 IDA Amount (US$m.): 30.00 GEF Amount (US$m.): 0.00 PCF Amount (US$m.): 0.00 Other financing amounts by source: BORROWER/RECIPIENT 3.00 3.00 Environmental Category: B - Partial Assessment Simplified Processing Simple [X] Repeater [] Is this project processed under OP 8.50 (Emergency Recovery) Yes [ ] No [X] 2. Project Objectives The main objectives of EMSAP II are to: a) increase access to prevention services for youth, in particular females aged 15-24, and other most-at-risk populations; and b) sustain access to care and support for PLWHA and orphans undertaken in EMSAP I. 3. Project Description The proposed project would finance three main components and would support the Government to move towards a programmatic approach. These components consist of: (i) National Program Coordination and Institutional Strengthening; (ii) Multi-Sectoral Prevention Fund; and (iii) improving and scaling-up civil society response in the priority areas and for priority groups. A fourth unallocated category would be used to finance new activities as a result of changing priorities and sudden reductions in donor funding. Indicative allocations by component have been made; however, the actual allocations will be made annually in line with the agreed annual action plan with major donors. Page 2 4. Project Location and salient physical characteristics relevant to the safeguard analysis The project will be implemented by regional and Woreda HIV/AIDS Prevention and Control Offices (HAPCOs), with the active participation of regional bureaus (Health, Education, Agriculture, Trade and Industry, Labor and Social Affairs, Women Affairs), NGOs, CBOs, PLWHA, Women, and Youth Associations at local levels. This is a country-wide program. 5. Environmental and Social Safeguards Specialists Mr Serigne Omar Fye (AFTS1) 6. Safeguard Policies Triggered Yes No Environmental Assessment (OP/BP 4.01) X Natural Habitats (OP/BP 4.04) X Forests (OP/BP 4.36) X Pest Management (OP 4.09) X Physical Cultural Resources (OP/BP 4.11) X Indigenous Peoples (OP/BP 4.10) 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 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 project implementation may involve medical waste which could raise safeguard issues. The physical design of health centers and health posts have provisions for proper disposal of liquid and solid wastes in addition to small incinerators for burning contaminated materials used by health centers. 2. Describe any potential indirect and/or long term impacts due to anticipated future activities in the project area: No long-term impacts are anticipated as long as the safeguard policies are implemented as agreed. 3. Describe any project alternatives (if relevant) considered to help avoid or minimize adverse impacts. Regular supervision to ensure adherence to the medical waste handling guidelines will help minimize the possible adverse impacts. Page 3 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. Ethiopia developed Medical Waste Disposal and Handling Management Guidelines in September 1997 and Infection Prevention Guidelines for Health Care Facilities in Ethiopia in February 2005. Injection Safety Guidelines were also prepared in 2005 and have been distributed throughout the health sector. Furthermore, the health facilities have structural designs which facilitate proper disposal of medical wastes. Each woreda office and their health centers have environmental health experts capable of supervising medical waste handling by their respective health facilities. The major challenge will be the availability of sufficient time and funds for the experts to supervise and ensure proper implementation of the agreed safeguard measures. To this end, the Government will allocate sufficient funds to a) implement the construction of health centers and health posts as per the design; b) ensure availability of appropriate medical equipment and facilities; and c) conduct regular supervision and ensure timely maintenance of facilities and instruments. 5. Identify the key stakeholders and describe the mechanisms for consultation and disclosure on safeguard policies, with an emphasis on potentially affected people. Private and public health institutions are the major stakeholders. The preparation of the 1997 guideline reportedly involved a number of stakeholders. Workshop and briefing forums were used for consultation and disclosure. B. Disclosure Requirements Date Environmental Assessment/Audit/Management Plan/Other: Date of receipt by the Bank 08/25/2006 Date of "in-country" disclosure 09/25/1997 Date of submission to InfoShop 08/25/2006 For category A projects, date of distributing the Executive Summary of the EA to the Executive Directors * 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: The Medical Waste Disposal and Handling Guideline was in use since September 1997 and has been submitted to Info Shop on February 16, 2005. The Guidelines have been translated in English on February 2, 2006 and submitted to the World Bank. Through its letter of February 9, 2006, the Government of Ethiopia has confirmed the proper translation of the Amharic version of the Guidelines in English. C. Compliance Monitoring Indicators at the Corporate Level (to be filled in when the ISDS is finalized by the project decision meeting) Page 4 OP/BP/GP 4.01 - Environment Assessment Does the project require a stand-alone EA (including EMP) report? Yes If yes, then did the Regional Environment Unit or Sector Manager (SM) review and approve the EA report? Yes Are the cost and the accountabilities for the EMP incorporated in the credit/loan? Yes The World Bank Policy on Disclosure of Information Have relevant safeguard policies documents been sent to the World Bank's Infoshop? Yes 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? Yes All Safeguard Policies Have satisfactory calendar, budget and clear institutional responsibilities been prepared for the implementation of measures related to safeguard policies? Yes Have costs related to safeguard policy measures been included in the project cost? Yes Does the Monitoring and Evaluation system of the project include the monitoring of safeguard impacts and measures related to safeguard policies? Yes Have satisfactory implementation arrangements been agreed with the borrower and the same been adequately reflected in the project legal documents? Yes D. Approvals Signed and submitted by: Name Date Task Team Leader: Mr Gebreselassie Okubagzhi 01/11/2007 Environmental Specialist: Mr Serigne Omar Fye Social Development Specialist Additional Environmental and/or Social Development Specialist(s): Approved by: Sector Manager: Ms Laura Frigenti 01/11/2007 Comments: