Page 1 INTEGRATED SAFEGUARDS DATA SHEET CONCEPT STAGE Report No.: AC3191 Date ISDS Prepared/Updated: 12/12/2007 I. BASIC INFORMATION A. Basic Project Data Country: Barbados Project ID: P106623 Project Name: BB HIV/AIDS Task Team Leader: Joana Godinho Estimated Appraisal Date: December 19, 2007 Estimated Board Date: March 27, 2008 Managing Unit: LCSHH Lending Instrument: Specific Investment Loan Sector: Health (100%) Theme: HIV/AIDS (P);Population and reproductive health (P);Health system performance (S) IBRD Amount (US$m.): 35.00 IDA Amount (US$m.): 0.00 GEF Amount (US$m.): 0.00 PCF Amount (US$m.): 0.00 Other financing amounts by source: Borrower 100.00 100.00 B. Project Objectives [from section 2 of PCN] The project would support the implementation of the 2007-2012 Barbados National HIV/AIDS Strategic Plan, and the approved behavior change strategy, striving to achieve a better balance between prevention and treatment, specifically to increase: • Adoption of safe behaviors, in particular amongst most vulnerable groups. • Access to prevention, treatment and social care, in particular for the most vulnerable groups. • Strengthening of organizational and institutional structures that govern the NAP, focusing on use of quality data for problem identification, strategy definition and measuring results. C. Project Description [from section 3 of PCN] The proposed Project aims to build on the successful increase in access to HIV/AIDS testing, treatment and care accomplished by the Barbados HIV/AIDS Multisector Program, with assistance from the Bank-financed Barbados HIV/AIDS Prevention and Control Project. The new project would further expand this success into increased knowledge and effective, Page 2 sustainable behavior change. An additional major focus would be to improve monitoring and evaluation of the HIV/AIDS epidemic and program, and its ability to make mid-course corrections. The project would finance HIV/AIDS programs to be implemented in 5 years (2008-2013). The NHAC is preparing program budget estimates. Bank financing would contribute to the implementation of agreed policies and programs, and to the achievement of specific results. The project would consist of two components. The first one would support the implementation of the GOB new HIV/AIDS Strategic Plan, and the second would finance training and technical assistance to support the implementation of the Strategic Plan. The GOB and Bank would review annually the budget execution of key programs included in the project Component 1, aiming at guaranteeing at least 70% execution, and achievement of agreed results and PDO. Necessary adjustments would be made by the project mid-term review. Component 1: Prevention and Care This component would contribute to the implementation of the 2007-2012 Barbados National HIV/AIDS Strategy, specifically of the following three programs: • National Program Coordination and Monitoring. This program aims at strengthening the ability of the public sector, private sector and civil society partners to coordinate, monitor and evaluate their activities and use data to continually increase the quality of their programs. • Scaling up Prevention Efforts. This program aims at increasing access to preventive services, particularly behavior change communication, HIV/AIDS and STI prevention and treatment, and condoms. • Diagnosis, Treatment and Care. The goal of this program is to increase the length and quality of life of PLHIV. The program aims at increasing PLHIV access to diagnostic services, treatment services (ART and treatment for opportunistic infections) and social care and support (counseling, support groups, drug addiction therapy, and home care). Component 2: Institutional Strengthening This component would finance training and technical assistance on M&E, management, and prevention, diagnosis, treatment and care of HIV/AIDS and other STIs, to support the implementation of the Strategic Plan. The component would follow traditional Bank disbursement methods. Potential risks and mitigation The overall project risk is considered to be low. Barbados’ economy grew by 3.9% of GDP in 2006, compared to an average growth rate of 3.1% over the last 5 years. Authorities tightened macroeconomic policies in 2006 and achieved a balanced budget. Macroeconomic prospects are generally favorable, with growth projected at 4.2% in 2007. D. Project location (if known) Whole country. Page 3 E. Borrower’s Institutional Capacity for Safeguard Policies [from PCN] Barbados has highly trained professionals who can provide the training necessary to ensure compliance with international standards on Health Care Waste Management. This expertise however is distributed throughout different entities (Ministry of Health, Queen Elizabeth Hospital, Department of Solid Waste and the Ministry of Environment) and is overcommitted. Their ability to provide continuous training is questionable. The project will support the training necessary to increase and maintain a HCWM system that is compatible with National and International standards which comply with the Safeguard policies. Barbados will ensure that health service providers targeted under the project submit evidence that their existing or planned health care waste management, storage and disposal system can adequately accommodate any additional waste that would occur as a result of the expanded coverage. Where sufficient capacity does not exist, the project will finance activities as needed to ensure adequate disposal of all health care waste related to the project. F. Environmental and Social Safeguards Specialists Mr Gunars H. Platais (LCSEN) Ms Noortje Denkers (LCSHH) II. SAFEGUARD POLICIES THAT MIGHT APPLY Safeguard Policies Triggered Yes No TBD Environmental Assessment (OP/BP 4.01) X Only one safeguard policy, Environmental Assessment (OP/BP/GP 4.01), is expected to be triggered. Given that this is a follow on project, the environmental assessment will be updated regarding health care waste management with particular attention focused on the Queen Elizabeth Hospital. 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 Environmental Category: C - Not Required III. SAFEGUARD PREPARATION PLAN A. Target date for the Quality Enhancement Review (QER), at which time the PAD-stage ISDS would be prepared: 10/25/2007 Page 4 B. For simple projects that will not require a QER, the target date for preparing the PAD-stage ISDS: N/A C. Time frame for launching and completing the safeguard-related studies that may be needed. The specific studies and their timing 1 should be specified in the PAD-stage ISDS. Given that this is a follow on project, no new environmental assessment will be required. IV. APPROVALS Signed and submitted by: Task Team Leader: Ms Joana Godinho 12/12/2007 Approved by: Regional Safeguards Coordinator: Mr Reidar Kvam 12/12/2007 Comments: Sector Manager: Mr Keith E. Hansen 12/12/2007 Comments: 1 Reminder: The Bank's Disclosure Policy requires that safeguard-related documents be disclosed before appraisal (i) at the InfoShop and (ii) in-country, at publicly accessible locations and in a form and language that are accessible to potentially affected persons. Page 5