REPUBLIC OF GUINEA ********* Work - Justice - Solidarity ********* ADDITIONAL FINANCING FOR GUINEA COVID-19 VACCINE DEPLOYMENT (P176706) ********* ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) June 2021 1P a g e ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN 1- The Republic of Guinea (hereinafter the Recipient) shall implement the Additional financing for Guinea COVID-19 vaccine deployment -P176706 (the Project) through the Project Coordination Unit (PCU) of REDISSE I project. The International Development Association (hereafter the Association) has agreed to provide additional financing for the Project. 2- The Recipient shall carry out the Project in accordance with the Environmental and Social Standards (ESSs). To this end, this Environmental and Social Commitment Plan (ESCP) sets out material measures and actions to be carried out or caused to be carried out by the Recipient, including the timeframes of the actions and measures, institutional, staffing, training, monitoring and reporting arrangements, grievance management and the environmental and social assessments and instruments to be prepared or updated, disclosed, consulted, adopted and implemented under the ESCP and the ESSs, all in a manner acceptable to the Association. 3-. The Recipient is responsible for compliance with all requirements of the ESCP, even when the implementation of specific measures and actions is carried out by the ministry or agency mentioned in paragraph 1 above. 4- The implementation of the material measures and actions defined in this ESCP shall be monitored and reported to the Association by the Recipient, in accordance with the requirements of the ESCP and the terms of the Financing Agreement, and the Association shall monitor and evaluate the progress and completion of the material measures and actions throughout the implementation of the Project. 5- As agreed by the Association and the Recipient, this ESCP may be revised from time to time during the implementation of the Project, to reflect adaptive management of Project changes and unforeseen circumstances or in response to the evaluation of the Project's performance conducted under the ESCP itself. In such circumstances, the Recipient shall agree to the changes with the Association and shall update the ESCP to reflect such changes. Agreement on changes to the ESCP shall be documented by the exchange of signed letters between the Association and the Recipient. The Recipient shall promptly disclose the updated ESCP. 6- When changes in the Project, unforeseen circumstances, or Project performance result in changes to the risks and impacts during Project implementation, the Recipient shall provide additional funds, if necessary, to implement actions and measures to address those risks and impacts which may include, but are not limited to impacts on the environment, health and safety; influx of labor; transmission of diseases including COVID-19; risks of sexual exploitation and abuse , sexual harassment (SEA/SH). 2P a g e 3P a g e MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY MONITORING AND REPORTING A REGULAR REPORTING: The Recipient shall prepare and submit to the The Recipient shall provide quarterly Ministry of Health (MOH) Association regular (quarterly) monitoring reports on the environmental, reports to the Association starting through the REDISSE-I PCU social, health and safety (ESHS) performance of the Project, including, but from the Effective Date, and not limited to, implementation of the ESCP, E&S instruments, stakeholder throughout the Project engagement activities, and grievances log .The quarterly reports shall be implementation, not later than 20 compiled in the annual implementation report and in the Implementation days after the end of each reporting Status Report (ISR), which shall be analyzed and monitored by the Project period. Steering Committee. B INCIDENTS AND ACCIDENTS: The Recipient shall promptly notify the The beneficiary shall notify the MOH through REDISSE I PCU Association of any incident or accident related to the Project that has, or is Association within 48 hours of (Coordinator, E&S Safeguard likely to have, a significant adverse effect on the environment, affected becoming aware of the incident or and Communication Specialist communities, the public, or workers, including, but not limited to, any accident. outbreak of COVID in the Project area, vaccine-related events, risks of sexual exploitation and abuse, sexual harassment (SEA/SH) and other gender- The detailed report shall be provided based violence, and working conditions. The Recipient shall provide by the Recipient within 7 (seven) sufficient detail regarding the incident or accident, indicating the immediate steps taken or planned to be taken to remedy it, as well as any information working days following the provided by any contractor and supervisory entity, if applicable. Thereafter, incident/accident. It shall be also at the request of the Association, prepare a report on the incident or reflected in the quarterly reports. accident and propose any action to prevent its recurrence. Notification/reporting system shall be in place throughout the Project implementation. 4P a g e MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY ESS 1: ASSESSMENT AND MANAGEMENT OF ENVIRONMENTAL AND SOCIAL RISKS AND IMPACTS 1.1 ORGANIZATIONAL STRUCTURE: The existing institutional and The Recipient shall maintain MOH/ REDISSE I PCU implementation arrangements that are used by Regional Disease specialists in environment, social Surveillance Systems Enhancement -Phase I in Guinea (REDISSE I) Project development and communication shall be maintained with qualified staff and resources to support throughout the implementation of management of ESHS risks and impacts of the Project . Therefore, the the Project. REDISSE I Project Coordination Unit (PCU) in Guinea shall be responsible for the day-to-day implementation of the Project. The existing CIU is headed by a project coordinator and supported by, among others, three qualified specialists including: one environmental specialist, one social development specialist and one communication specialist who are responsible for overseeing the management of the Project's social and environmental risks. 5P a g e 1.2 ENVIRONMENTAL AND SOCIAL ASSESSMENT / MANAGEMENT PLANS a. The ESMF of the Parent Project MOH/ REDISSE I PCU AND INSTRUMENTS / CONTRACTORS was updated, consulted upon and adopted, disclosed on June 27, a. The Recipient shall assess the environmental and social risks and 2021. The impact assessment shall impacts of proposed Project activities, in accordance with the Parent be conducted prior to the Project’s Environmental and Social Management Framework (ESMF) to implementation of relevant be updated, disclosed, consulted upon, and adopted for the Project, the Project activities. ESSs, Environmental, Health and Safety Guidelines (EHSGs) and other International Good International Industry Practices (GIIP), including b. Plans/instruments shall be relevant WHO guidelines. The updated ESMF will integrate a plan to prepared or updated as relevant, address risks of SEA/SH disclosed, consulted and adopted b. The Recipient shall prepare or update as relevant, disclose, consult, prior to the carrying out of the adopt and implement any environmental and social management plans relevant Project activities, and (e.g., health care waste management plans), instruments or other then implemented throughout measures required for the respective Project activities based on the the carrying out of those assessment process, in accordance with the ESSs, the ESMF, the EHSGs activities. and other relevant GIIP, including relevant WHO guidelines, in order to, c. Relevant ESHS measures shall be inter alia, ensure access to and distribution of the benefits of the Project incorporated into the in a fair, equitable and inclusive manner, taking into account the needs procurement documents prior to of individuals or groups who, due to their particular circumstances, may initiating the procurement be disadvantaged or vulnerable including, where appropriate, with process for relevant project respect to vaccines. activities and shall then be c. The Recipient shall incorporate the relevant aspects of this ESCP, adhered to throughout the including, among others, any environmental and social management implementation of those plan or other instrument, the requirements of ESS2 and any other activities. required ESHS measures, into the ESHS specifications of the d. The Recipient shall ensure, before procurement documents and contracts with the contractors and the implementation of the supervisory companies. The Recipient shall then ensure that the relevant Project activities, and contractors and the supervision companies respect the ESHS thereafter implement throughout specifications of their respective contracts. the implementation of these d. Adopt procedures, protocols, and/or other measures to ensure that activities. Project beneficiaries who receive vaccines under the Project do so e. in accordance with the ESS3 under a program that does not include forced vaccination and is below f. The audit of the parent project 6P a g e MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY acceptable to the Association, as indicated in the ESMF. implementation to be completed e.The Recipient will develop a detailed Infection Control and Waste by the Effective Date. Management Plan (ICWMP) in accordance with the Annex IV of the COVID 19 ESMF Template f. The Client will undertake, in accordance with the Association, an audit of the parent project environmental and social measures implementation and provide recommendations for the AF implementation 1.3 EXCLUSIONS: Exclude the following types of activities as ineligible for The Recipient shall ensure that these funding under the Project: exclusions are taken into account during the evaluation process carried MOH/ REDISSE I PCU - Activities likely to cause long-term, permanent and/or irreversible out under Action 1.2.a. above. adverse E&S effects (e.g. loss of important natural habitat) - Activities that have a high probability of causing serious adverse human health and/or environmental effects - Activities that may have an impact and give rise to significant negative social conflict and social exclusion of individuals or groups of people - Activities that may affect the land or rights of individuals or groups of people, including vulnerable groups (people with disabilities, ethnic minorities, internally displaced persons, etc.), which may result in economic or physical displacement or restriction of access to livelihoods through land acquisition or negative impacts on cultural heritage - All other excluded activities defined in the project paper. 1.4 TECHNICAL ASSISTANCE: Ensure that the consultancies, studies, capacity Throughout the Project MOH/ REDISSE I PCU building, training and any other technical assistance activities under the implementation Project are carried out in accordance with terms of reference acceptable to the Association, that incorporate the relevant requirements of the ESSs. Any outputs from the technical assistance activities shall be consistent with the ESSs. 7P a g e MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY ESS 2: WORK AND WORKING CONDITIONS 2.1 LABOR MANAGEMENT: The Project must be carried out in accordance with The Parent Project LMP was updated, MOH/ REDISSE I PCU the applicable requirements of ESS 2, including the implementation of and disclosed on June 2021 adequate occupational health and safety measures (including personal protective equipment and emergency preparedness and response measures), measures to prevent and respond to SEA/SH in the workplace, LMP and other measures listed here the implementation of grievance mechanisms for Project workers and the shall be implemented throughout the inclusion of labor requirements in ESHS specifications in procurement implementation of the Project and in documents and contracts with contractors and supervising firms who will any case, prior to engaging Project be involved in the implementation of project activities. workers, and shall be systematically The Labor Management Procedures developed for the Parent Project, implemented throughout Project which includes a grievance mechanism, shall be updated, disclosed, implementation consulted upon, adopted and implemented in accordance with the requirements of ESS2 and in a manner acceptable to the Association 8P a g e MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 2.2 GRIEVANCE MECHANISMS FOR PROJECT WORKERS The GM(s) for Project workers shall be MOH/ REDISSE I PCU The Recipient shall maintain and improve based on the AF expectations the established and be operational prior existing grievance mechanisms for Project workers in accordance with the to engaging Project workers and requirements of ESS2 and in a manner acceptable to the Association. The maintained throughout the Project PCU shall ensure that Project contractors and subcontractors also prepare implementation. and maintain a GM for Project workers that they engage to address any work-related or employment-related issues related to the Project. GMs for Project workers shall also be equipped to address allegations of sexual abuse and exploitation and sexual harassment, in accordance with ESS 2 requirements. 2.3 READINESS AND EMERGENCY RESPONSE Before the order of service to start the MOH/ REDISSE I PCU and the The PIU shall ensure that project contractors or subcontractors prepare and work is issued. Civil Engineer, implement a plan to ensure preparedness and emergency response under the framework of contractor's environmental, health and safety management plan. ESS 3: RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT 9P a g e MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY . The ICWMP shall be prepared, disclosed, consulted upon, adopted, and The ICWMP WAS prepared in MOH/ REDISSE I PCU implemented in accordance with ESS3 requirements and in a manner advanced draft, and will be finalized acceptable to the Association. Relevant aspects of this standard shall be and disclosed, prior to the Effective taken into account, as needed, under Action 1.2 above, including, but not Date and implemented throughout limited to, measures to: carry out the procurement, storage, transportation, the Project implementation. and handling of vaccines (including cold chain management) safely and in accordance with the EHSGs, and other relevant GIIP, including relevant All measures listed here shall be in WHO guidelines; and properly manage and dispose of health care waste place prior to the commencement of (including vaccines) and other types of hazardous and non-hazardous relevant activities and implemented throughout the implementation of waste. the Project. ESS 4: COMMUNITY HEALTH AND SAFETY 10P a g e 4.1 COMMUNITY HEALTH AND SAFETY: MOH/ REDISSE I PCU Relevant aspects of this standard shall be taken into account, as needed, The measures shall be prepared and under Action 1.2 above, including, among other things, measures to: adopted at the same time as the ESMF (i)minimize the risk of community exposure to communicable diseases and and shall be implemented throughout prepare an emergency response plan; (ii) ensure the follow-up of all adverse the implementation of the Project. events following immunization (AEFIs) cases and manage them appropriately, (iii) ensure that individuals or groups of individuals who, due to their particular circumstances, may be disadvantaged or vulnerable, have access to the development benefits resulting from the project, (iv) manage the risks associated with the use of security personnel, (v) establish and implement appropriate quality management systems to manage the risks and impacts of services provided and Project activities that may have on the health and safety of the community; (vi) manage any risks associated with the influx of labor (vii) and prevent and respond to sexual exploitation and abuse, sexual harassment that shall include key stakeholders’ trainings on the SEA/SH, Codes of Conduct (CoC) and the GBV referral chain and signature of codes of conduct containing information on unacceptable behaviors such as SEA/SH during their engagement in the project and accompanied by the dissemination of messages on the prohibition of SEA/SH and relevant sanctions when providing health care to health personnel; information available to GBV service providers on where psychosocial support and emergency services are available; a mechanism for managing complaints related to SEA/SH, including multiple and secure entry routes, and two-way communication between health authorities and communities to enable information on SEA/SH cases to surface and to inform the strengthening of SEA/SH measures as needed - to be developed on the basis of consultations with affected communities (particularly with women and girls) and compliance with guiding principles such as 11P a g e MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY confidentiality, security, non-discrimination and respect. A community feedback mechanism will be put in place to allow communication between health service providers and the beneficiaries. This mechanism will facilitate the reporting of SEA/SH cases in accordance with the guiding principles of confidentiality, respect, non-discrimination and safety/security. This mechanism will be adjusted and improved based on feedback from the public to make it safe and secure for both women and girls. All these measures shall be applied in accordance with the requirements of ESS4 and in a manner acceptable to the Association. ESS 5: LAND ACQUISITION, RESTRICTIONS ON LAND USE AND INVOLUNTARY RESETTLEMENT NOT RELEVANT ESS 6: BIODIVERSITY CONSERVATION AND SUSTAINABLE MANAGEMENT OF LIVING NATURAL RESOURCES NOT RELEVANT ESS 7: INDIGENOUS PEOPLES/SUB-SAHARAN AFRICA HISTORICALLY UNDERSERVED TRADITIONAL LOCAL COMMUNITIES NOT RELEVANT ESS 8: CULTURAL HERITAGE Ensure that the "chance finds" procedures described in the ESMF are implemented, where the work highlights objects or remains that may be of artistic, archaeological or historical character, the Contractor must report this to the PCU through environmental and social safeguards specialists and make any declarations under the existing regulations. 12P a g e MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY ESS 9 : FINANCIAL INTERMEDIARIES NOT RELEVANT ESS 10: STAKEHOLDER ENGAGEMENT AND DISCLOSURE 10.1 STAKEHOLDER ENGAGEMENT PLAN: The Recipient shall update, disclose, . MOH/ REDISSE I PCU consult upon, adopt and implement the Parent Project’s Stakeholder Engagement Plan (SEP), which shall include measures to, inter alia, provide stakeholders with timely, relevant, understandable and accessible The Parent Project’s SEP has been information, and consult with them in a culturally appropriate manner, updated , and disclosed on June 27, which is free of manipulation, interference, coercion, discrimination and 2021 intimidation, in accordance with ESS 10 requirements and in a manner The SEP shall be implemented acceptable to the Association. throughout the Project implementation. 13P a g e MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 10.2 GRIEVANCE MECHANISM: The Project GM shall be established MOH/ REDISSE I PCU and operational throughout the The Project shall maintain the grievance mechanism that was set up as part implementation of the Project. of the Parent Project. This mechanism must be accessible and operated to receive and facilitate the resolution of project-related concerns and grievances, including adverse events following immunization (AEFIs) and SEA/SH, promptly and efficiently, in a transparent, culturally appropriate and easily accessible manner to all parties affected by the Project, free of charge and without retaliation, including concerns and grievances filed anonymously, in a manner consistent with ESS 10 and in a manner acceptable to the Association. The GM shall also receive, register and address concerns and claims related to sexual exploitation and abuse, sexual harassment, in a safe and confidential manner, including referring survivors to providers specializing in GBV. The grievance mechanism shall also receive, register and address concerns arising from unintended health consequences after vaccination especially those resulting in serious adverse effects, [and, as appropriate, requests for compensation]. CAPACITY SUPPORT (TRAINING) 14P a g e MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY CS1 The project implementing unit and other relevant implementation A detailed training plan will be MOH/ REDISSE I PCU support staff responsible for the project will receive training on the prepared no later than 30 days project's ESHS plans and instruments, fair, equitable and inclusive after the Effective Date. access and benefit allocation, including vaccines, and the roles and The detailed training plan will be responsibilities of the different key agencies in the implementation implemented immediately and of the ESS. These include: throughout the implementation of the Project. a. Communication Strategy on COVID-19 Infection Prevention and Control (IPC) Recommendations; Trainings shall be conducted b. Risk Communication Strategy and Community Engagement; periodically throughout the Project c. IPC recommendations to COVID-19; implementation with the addition of d. Laboratory biosafety advice related to COVID-19; new Project team members joining the Project. e. Collection and transport of samples for screening purposes. f. Standard precautions for patients with COVID-19; g. Risk Communication and Community Engagement. h. WHO and CDC Africa guidelines for quarantine including case management; i. AEFI detection, monitoring and management. j. . In addition, the PCU will be trained on the prevention and response to SEA/SH, including code of conduct and the GRM. 15P a g e MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY a. ESS N°1: Assessment and management of environmental and Prior to the start of Project MOH/ REDISSE I PCU social risks and impacts; activities b. ESS N°2: Employment and working conditions; c. ESS N°3: Rational use of resources and pollution prevention and management; d. ESS N°4: Health and safety of populations; e. ESS N°10: Stakeholder engagement and information; f. Content of the Environmental and Social Commitment Plan (ESCP); g. Content of the Stakeholder Engagement Plan (SEP). 16P a g e MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY Specific modules for staff involved in the implementation of the ▪ Prior to the start of Project ▪ MOH/ REDISSE I PCU project: activities b) Occupational Hygiene, Health, and Safety (Hygiène, Santé, et Sécurité au Travail, HSST) ; c) Personal Protective Equipment; d) Workplace Risk Management; e) Workplace accident prevention; f) Health and safety rules; g) Management of medical waste (solid and liquid) including vaccination waste. Complaint Management: a. Types of mechanism. b. Registration and processing procedure; c. Level of treatment, types of instances and composition. 17P a g e MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY VIOLENCE ON THE COMMUNITY: ▪ Prior to the start of Project ▪ MOH/ REDISSE I PCU activities. a. Legislation and laws on GBV in Guinea. b. Awareness and measures to prevent and mitigate the risks of GBV; c. Content and Sanctions of the Codes of Conduct (CoC); d. Management of GBV / SEA / SH survivors; e. Complaint Management; f. Activities and target audiences will be defined in the GBV Action Plan. INTRODUCTION TO RISK AND EMERGENCY SITUATION ▪ Prior to the start of Project MOH/ REDISSE I PCU MANAGMENT: activities and throughout Project a. Types of emergencies; implementation Emergencies Management. 18P a g e