CAMBODIA PRE-SERVICE TRAINING FOR HEALTH WORKERS PROJECT - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) Kingdom of Cambodia Royal Government of Cambodia Ministry of Health Cambodia Pre-Service Training for Health Workers Project - P169629 Draft ENVIRONMENTAL and SOCIAL COMMITMENT PLAN (ESCP) 15 February 2020 1|Page CAMBODIA PRE-SERVICE TRAINING FOR HEALTH WORKERS PROJECT - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN 1. The Royal Government of Cambodia (RGC) will implement the Cambodia Pre-Service Training for Health Workers Project (the Project), with the involvement of the Ministry of Health (MoH). The International Development Association (hereinafter the Association) has agreed to provide financing for the Project. 2. RGC will implement material measures and actions within the country context so that the Project is implemented in accordance with the World Bank’s 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. RGC will also comply with the provisions of any other E&S documents required under the ESF and referred to in this ESCP, such as the project’s Stakeholder Engagement Plan (SEP) and the Human Resource Development Readiness Assessment and Plan for Inclusive Service Delivery (HRDRAP), and the timelines specified in those E&S documents. 4. RGC is responsible for compliance with all requirements of the ESCP even when implementation of specific measures and actions is conducted by the Ministry referenced in 1 above. 5. Implementation of the material measures and actions set out in this ESCP will be monitored and reported to the Association by RGC 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. 6. As agreed by the Association and RGC, 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, RGC / or delegate(s) 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 RGC / or delegate(s). The RGC or delegate(s) will promptly disclose the updated ESCP. 7. Where Project changes, unforeseen circumstances, or Project performance result in changes to the risks and impacts during Project implementation, the RGC 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 RESPONSIBILE ENTITY/AUTHORITY MONITORING AND REPORTING A REGULAR REPORTING Six-monthly, throughout Project Project Implementation Unit at the Prepare and submit to the Association regular monitoring reports on implementation. Ministry of Health the environmental, social, health and safety (ESHS) performance of the Project, including but not limited to the implementation of the ESCP, status of preparation and implementation of E&S documents required under the ESCP, stakeholder engagement activities, labor management procedures, Contractor’s ESHS implementation (when required for the improvement of physical facilities/equipping the existing facilities), ESHS incidents, functioning of the grievance mechanism(s). B INCIDENTS AND ACCIDENTS Minor incidents are reflected in the six- Project Implementation Unit at the Promptly notify the Association of any incident or accident related to monthly reports to the Association, major Ministry of Health the Project which has, or is likely to have, a significant adverse effect on issues are flagged to the World Bank the environment, the affected communities, the public or workers. immediately. Provide sufficient detail regarding the incident or accident, indicating immediate measures taken or that are planned to be taken to address A report would be provided to the it, and any information provided by any contractor and supervising Association, as requested. entity, as appropriate. Subsequently, as per the Association’s request, prepare a report on the incident or accident and propose any measures to prevent its recurrence. These activities are outlined in the Project Grievance Mechanism. ESS 1: ASSESSMENT AND MANAGEMENT OF ENVIRONMENTAL AND SOCIAL RISKS AND IMPACTS 1.1 ORGANIZATIONAL STRUCTURE The ESF Focal Point as part of his/her role Project Implementation Unit at the Establish and maintain an organizational structure with qualified staff will be available to support the Project Ministry of Health and resources to support management of E&S risks including assign an throughout project implementation. ESF Focal Point in the Project Implementation Unit to provide ongoing support, advice and monitoring to all the institutional stakeholders. Part time consultants may be hired and Recruitment of part time/full time consultants as required to support retained on an as-required basis. the stakeholder engagement processes, technical advisory work and (in case it is required) supervise the improvement of physical facilities/equipping the existing facilities. 3|Page THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBILE ENTITY/AUTHORITY 1.2 ENVIRONMENTAL AND SOCIAL ASSESSMENT Adopt and implement the Human Resource Project Implementation Unit at the Adopt, implement and update the Human Resource Development Development Readiness Assessment and Ministry of Health Readiness Assessment and Plan for Inclusive Service Delivery (HRDRAP) Plan for Inclusive Service Delivery in a manner acceptable to the Association. Specific environmental and (HRDRAP) throughout Project social risks and impacts are expected to be low. However, there are Implementation. some risks linked to the renovation of physical facilities/equipping the existing facilities. Specific opportunities relating to institutional strengthening include promoting equitable access to project benefits to Ethnic Groups and other socially vulnerable groups. 1.3 MANAGEMENT OF CONTRACTORS Prior to the preparation of procurement Project Implementation Unit at the Incorporate the relevant aspects of the ESCP, including the relevant documents. Ministry of Health aspects of the Human Resource Development Readiness Assessment Supervise contractors throughout Project and Plan for Inclusive Service Delivery (HRDRAP), Stakeholder implementation. Engagement Plan (SEP), Environmental Codes of Practices (ECOP) and the Labor Management Procedures (LMP), into the ESHS specifications of the procurement documents. Thereafter ensure that the contractors comply with the ESHS specifications of their respective contracts. ESS 2: LABOR AND WORKING CONDITIONS 2.1 LABOR MANAGEMENT PROCEDURES Adopt, implement and update the Labor Project Implementation Unit at the Adopt, implement and update the Labor Management Procedures Management Procedures (LMP) Ministry of Health (LMP) in a manner acceptable to the Association. throughout Project Implementation. 2.2 GRIEVANCE MECHANISM FOR PROJECT WORKERS Adopt, implement and update the Project Implementation Unit at the Establish, maintain, and operate a grievance mechanism for Project Grievance Mechanism throughout Project Ministry of Health workers, as described in the Labor Management Procedures (LMP) and Implementation. consistent with ESS2. 2.3 OCCUPATIONAL HEALTH AND SAFETY (OHS) MEASURES Adopt and implement the Labor Project Implementation Unit at the Adopt, implement and update the occupational, health and safety (OHS) Management Procedure (LMP) and the Ministry of Health measures specified in the Labor Management Procedure (LMP) and the Human Resource Development Readiness Human Resource Development Readiness Assessment and Plan for Assessment and Plan for Inclusive Service Inclusive Service Delivery (HRDRAP) in a manner acceptable to the Delivery (HRDRAP) throughout Project Association. Specific issues relate to the improvement of physical Implementation. facilities/equipping the existing facilities. 2.4 WORKER CODE OF CONDUCT Prior to the commencement of works. Project Implementation Unit at the Prepare and implement code of conduct for workers as specified in the Ministry of Health LMP. 4|Page THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBILE ENTITY/AUTHORITY ESS 3: RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT [ 3.1 HAZARDOUS AND HEALTH CARE WASTE MANAGEMENT PLAN: Adopt and implement the Human Resource Project Implementation Unit at the Adopt, implement and update the hazardous and health care waste Development Readiness Assessment and Ministry of Health management measures specified in the Human Resource Development Plan for Inclusive Service Delivery Readiness Assessment and Plan for Inclusive Service Delivery (HRDRAP) (HRDRAP) throughout Project in a manner acceptable to the Association. Specific issues relate to the Implementation. improvement of physical facilities/equipping the existing facilities. ESS 4: COMMUNITY HEALTH AND SAFETY 4.1 COMMUNITY HEALTH AND SAFETY: Adopt and implement the Labor Project Implementation Unit at the Adopt, implement and update community health and safety prevention Management Procedure (LMP) and the Ministry of Health measures specified in the Labor Management Procedure (LMP) and the Human Resource Development Readiness Human Resource Development Readiness Assessment and Plan for Assessment and Plan for Inclusive Service Inclusive Service Delivery (HRDRAP) in a manner acceptable to the Delivery (HRDRAP) throughout Project Association. Specific issues relate to the improvement of physical Implementation. facilities/equipping the existing facilities. 4.2 GBV AND SEA RISKS DURING PROJECT IMPLEMENTATION: Adopt and implement the Labor Project Implementation Unit at the Adopt, implement and update the GBV and SEA prevention measures Management Procedure (LMP) and the Ministry of Health specified in the Labor Management Procedure (LMP) and the Human Human Resource Development Readiness Resource Development Readiness Assessment and Plan for Inclusive Assessment and Plan for Inclusive Service Service Delivery (HRDRAP) in a manner acceptable to the Association. Delivery (HRDRAP) throughout Project Specific issues relate to the improvement of physical facilities/equipping Implementation. the existing facilities. ESS 7: INDIGENOUS PEOPLES/SUB-SAHARAN AFRICAN HISTORICALLY UNDERSERVED TRADITIONAL LOCAL COMMUNITIES [See examples of possible actions below, if determined that ESS7 is relevant]. 7.1 INDIGENOUS PEOPLES: Adopt and implement the Human Resource Project Implementation Unit at the Adopt, implement and update to promote the inclusion on Indigenous Development Readiness Assessment and Ministry of Health Peoples in the Human Resource Development Readiness Assessment Plan for Inclusive Service Delivery and Plan for Inclusive Service Delivery (HRDRAP) in a manner acceptable (HRDRAP) throughout Project to the Association. Specific issues relate to the improvement of physical Implementation facilities/equipping the existing facilities. ESS 10: STAKEHOLDER ENGAGEMENT AND INFORMATION DISCLOSURE 5|Page THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) 10.1 STAKEHOLDER ENGAGEMENT PLAN PREPARATION AND Adopt and implement the Stakeholder Project Implementation Unit at the IMPLEMENTATION Engagement Plan (SEP) throughout Project Ministry of Health Adopt, implement and update the Stakeholder Engagement Plan (SEP) Implementation. throughout Project implementation. Specific issues relate to engaging fully with project beneficiaries: line public agencies, public sector medical schools, representatives of professors and students, professional and civil society stakeholders or private sector medical schools. 10.2 PROJECT GRIEVANCE MECHANISM: Adopt and implement the Grievance Project Implementation Unit at the Adopt, implement and update the Grievance Mechanism throughout Mechanism throughout Project Ministry of Health Project implementation included in the project’s Stakeholder Implementation. Engagement plan. CAPACITY SUPPORT (TRAINING) CS1 Ministry of Health and other relevant implementing support staff Within three months of Project Project Implementation Unit at the responsible for the Project, including the ESF Focal Point, to receive effectiveness and as new project team Ministry of Health. training from on the project’s ESF instruments, the relevant members join the Project throughout requirements of the Labor Management Procedure (LMP) and the implementation. Human Resource Development Readiness Assessment and Plan for Inclusive Service Delivery (HRDRAP), and the roles and responsibilities of different key agencies in the ESF implementation. CS2 Contractors to receive training on the relevant aspects of the Project Prior to work commencing, throughout Project Implementation Unit at the ESF instruments and relevant ESHS requirements. project implementation. Ministry of Health. 6|Page