Page 1 Page 2 Integrated Safeguards Data Sheet (ISDS) Section I – Basic Information Date ISDS Prepared/Updated: April 14, 2004 Report No.:AC782 A. Basic Project Data A.1. Project Statistics Country: St. Lucia Project ID: P076795 Project: ST. LUCIA HIV/AIDS PREVENTION & CONTROL TTL: Mary T. Mulusa Total project cost (by component): Project Cost By Component and/or Activity Local US $million Foreign US $million Total US $million Community and civil society initiatives 0.57 0.19 0.76 Line Ministry response 0.60 0.30 0.90 Strengthening the health sector response to HIV/AIDS 1.25 2.28 3.54 Strengthening institutional capacity for program management 1.35 1.29 2.64 Unallocated 0.00 0.18 0.18 Total Project Costs 1 3.76 4.24 8.00 Appraisal Date: May 10, 2004 Loan/Credit amount($m): IDAH: 1.6 IDA: 1.6 IBRD: 3.2 Board Date: June 29, 2004 Other financing amounts by source: ($m.) Managing Unit: LCSHH Sector: Health (100%) Lending Instruments: Adaptable Program Loan Is this project processed under OP 8.50 (Emergency recovery? Yes? [ ] No? [x ] Environmental Category: B Safeguard Classification: S2 A.2. Project Objectives: The development objective of the project is to support the national program that aims to prevent and to control the spread of HIV/AIDS and to mitigate the socio-economic impact of the disease on the population. The project will use a two pronged strategy: targeting interventions at high risk groups and implementing non-targeted activities for the general population. Successful achievement of the development objective will demonstrate: (a) sustained national commitment to the HIV/AIDS response; (b) reduced incidence of HIV infections by a higher use of safe sexual practices in high risk; (c) prolonged and improved quality of life of people living with AIDS; (d) mitigated negative impact of HIV/AIDS on infected persons and their families; and (e) reduced degree of stigma and discrimination associated with the disease. Page 3 A.3. Project Description This project is part of the third phase of The World Bank’s Caribbean Multi-Country HIV/AIDS Prevention and Control Adaptable Program Lending (APL) approved in June 2001. The project will be financed through a blend of IDA grant, IDA credit and IBRD loan. The project will cost US$ 8 million equivalent. It has the following four components: Component 1: Community And Civil Society Initiatives. This component will finance HIV/AIDS prevention, care and support activities of civil society organizations. The types of HIV/AIDS activities to be supported include: delivery of community based HIV/AIDS IEC/BCC; Condom distribution and/or social marketing; home based care of PLWHA; community advocacy to reduce HIV/AIDS stigma and discrimination; support activities for orphans and widows/widowers of HIV/AIDS; support activities for people infected and affected by HIV/AIDS. Capacity building of civil society organizations will also be supported. Component 2: Line Ministry Response. This component will support the response to HIV/AIDS by non-health sector line ministries. There are basic cross-cutting HIV/AIDS activities which all ministries are expected to implement under their respective HIV/AIDS programs. These include: development and implementation of workplace HIV/AIDS policies; IEC/BCC for HIV/AIDS and STDs; condom distribution and promotion; advocacy to reduce HIV/AIDS stigmatization and discrimination, particularly in the work place. The project will also support HIV/AIDS related interventions that are specific to the external clients of ministries. Component 3: Strengthening The Health Sector Response To HIV/AIDS . This component will strengthen the health sector response to HIV/AIDS by supporting HIV/AIDS related services for prevention, treatment and care. It will strengthen existing primary health care (PHC) services to respond to HIV/AIDS. Capacity building will include strengthening of diagnostic capacity of the health care system, training of health care staff and strengthening of monitoring and evaluation. Component 4: Strengthening Institutional Capacity For Program Management. This component will support: strengthening institutional capacity for coordinating and managing the National HIV/AIDS Program; and program monitoring and evaluation. It will also support drafting of a comprehensive new act that will ensure to people living with HIV/AIDS and other vulnerable populations, including children affected by HIV/AIDS, full equality and dignity under the law as well as updating the necessary legal and regulatory provisions to make the country’s legal framework compliant with the WTO’s Agreement on Trade-Related Intellectual Property Rights (TRIPS) in a manner that fully protects the public health and that promotes access to HIV/AIDS drugs and related medicines and supplies to all who need them. A.4. Project Location and salient physical characteristics relevant to the safeguard analysis: Page 4 The proposed project will cover the whole country. B. Check Environmental Category A [ ], B [X], C [ ], FI [ ] Comments: C. Safeguard Policies Triggered Yes No Environmental Assessment ( OP / BP / GP 4.01) [x ] [ ] Natural Habitats ( OP / BP 4.04) [ ] [x ] Pest Management (OP 4.09) [ ] [ x] Cultural Property (draft OP 4.11 - OPN 11.03 -) [ ] [x ] Involuntary Resettlement ( OP / BP 4.12) [ ] [x ] Indigenous Peoples ( OD 4.20 ) [ ] [x ] Forests ( OP / BP 4.36) [ ] [x ] Safety of Dams ( OP / BP 4.37) [ ] [x ] Projects in Disputed Areas ( OP / BP / GP 7.60) * [ ] [x ] Projects on International Waterways ( OP / BP /GP 7.50) [ ] [ ] * By supporting the proposed project, the Bank does not intend to prejudice the final determination of the parties' claims on the disputed areas Page 5 Section II – Key Safeguard Issues and Their Management D. Summary of Key Safeguard Issues . D.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 proposed project has a Category “B” environmental rating. Overall , activities under the project are not expected to generate adverse environmental impacts. Some medical waste is expected to be generated from care and treatment activities. D.2 Describe any potential indirect and/or long term impacts due to anticipated future activities in the project area. NONE D.3. Describe the treatment of alternatives (if relevant) N/A D.4. Describe measures taken by the borrower to address safeguard issues. Provide an assessment of borrower capacity to plan and implement the measures described. The St. Lucia Solid Waste Management Authority (SLSWMA) is responsible for solid waste management in the country. With joint funding from GPEC and the Canadian International Development Agency’s Industrial Cooperation Program (CIDA INC), GPEC developed the Medical Waste And Other Bio-Hazardous Wastes Management Plan for St. Lucia. The plan addresses waste generated in the healthcare industry (e.g. hospitals, medical laboratories, health clinics, doctors and dentist offices, veterinary, and funeral parlors) as well as condemned meats and quarantined foodstuff. The plan is under implementation: most of the investments in biomedical waste disposal equipment has been completed and installed; guidelines for management of biomedical waste in health facilities are in use. This project will finance the training of health care workers on biomedical waste management to ensure the continuity of the practices that have been institutionalized. The SLSWMA provides technical oversight and health care facilities have adequate capacity for implementation of the plan. D.5. Identify the key stakeholders and describe the mechanisms for consultation and disclosure on safeguard policies, with an emphasis on potentially affected people. The biomedical waste management report was prepared through consultations with technical staff in the SLSWMA and health care workers at different health care facilities and officials of the Ministry of Health. Dissemination involved use of the official Government website and the official gazette. F. Disclosure Requirements Date Page 6 Environmental Assessment/Audit/Management Plan/Other: Date of receipt by the Bank 02/23/2004 or Not Applicable Date of “in-country” disclosure 05/05/2004 or Not Applicable Date of submission to InfoShop 05/07/2004 or Not Applicable For category A projects, date of distributing the Executive Summary of the EA to the Executive Directors …/…/… or Not Applicable Resettlement Action Plan/Framework/Policy Process: Date of receipt by the Bank …/…/… or Not Applicable N/A Date of “in-country” disclosure …/…/… or Not Applicable Date of submission to InfoShop …/…/… or Not Applicable Indigenous Peoples Development Plan/Framework: Date of receipt by the Bank …/…/… or Not Applicable N/A Date of “in-country” disclosure …/…/… or Not Applicable Date of submission to InfoShop …/…/… or Not Applicable Pest Management Plan: Date of receipt by the Bank …/…/… or Not Applicable N/A Date of “in-country” disclosure …/…/… or Not Applicable Date of submission to InfoShop …/…/… or Not Applicable Dam Safety Management Plan: Date of receipt by the Bank …/…/… or Not Applicable N/A Date of “in-country” disclosure …/…/… or Not Applicable Date of submission to InfoShop …/…/… or Not Applicable If in-country disclosure of any of the above documents is not expected, please explain why. Section III – Compliance Monitoring Indicators at the Corporate Level (To be filled in when the ISDS is finalized by the project decision meeting) OP/BP 4.01 - Environment Assessment: Yes No Does the project require a stand-alone EA (including EMP) report? X If yes, then did the Regional Environment Unit review and approve the EA report? X Are the cost and the accountabilities for the EMP incorporated in the credit/loan? X OP/BP 4.04 - Natural Habitats: Yes No Would the project result in any significant conversion or degradation of critical natural habitats? X 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: Yes No Does the EA adequately address the pest management issues? N/A Is a separate PMP required? If yes, are PMP requirements included in project design? Draft OP 4.11 (OPN 11.03) - Cultural Property: Yes No Does the EA include adequate measures? N/A Page 7 Does the credit/loan incorporate mechanisms to mitigate the potential adverse impacts on physical cultural resources? OD 4.20 - Indigenous Peoples: Yes No Has a separate indigenous people development plan been prepared in consultation with the Indigenous People? N/A If yes, then did the Regional Social Development Unit review and approve the plan? If the whole project is designed to benefit IP, has the design been reviewed and approved by the Regional Social Development Unit? OP/BP 4.12 - Involuntary Resettlement: Yes No Has a resettlement action plan, policy framework or policy process been prepared? N/A If yes, then did the Regional Social Development Unit review and approve the plan / policy framework / policy process? OP/BP 4.36 – Forests: Yes No Has the sector-wide analysis of policy and institutional issues and constraints been carried out? N/A Does the project design include satisfactory measures to overcome these constraints? Does the project finance commercial harvesting, and if so, does it include provisions for certification system? OP/BP 4.37 - Safety of Dams: Yes No Have dam safety plans been prepared? N/A Have the TORs as well as composition for the independent Panel of Experts (POE) been reviewed and approved by the Bank? Has an Emergency Preparedness Plan (EPP) been prepared and arrangements been made for public awareness and training? OP 7.50 - Projects on International Waterways: Yes No Have the other riparians been notified of the project? N/A If the project falls under one of the exceptions to the notification requirement, then has this been cleared with the Legal Department, and the memo to the RVP prepared and sent? What are the reasons for the exception? Please explain: Has the RVP approved such an exception? OP 7.60 - Projects in Disputed Areas : Yes No Has the memo conveying all pertinent information on the international aspects of the project, including the procedures to be followed, and the recommendations for dealing with the issue, been prepared, cleared with the Legal Department and sent to the RVP? N/A Does the PAD/MOP include the standard disclaimer referred to in the OP? BP 17.50 - Public Disclosure: Yes No Have relevant safeguard policies documents been sent to the World Bank's Infoshop? X Have relevant documents been disclosed in-country in a public X Page 8 place in a form and language that are understandable and accessible to project-affected groups and local NGOs? All Safeguard Policies: Yes No Have satisfactory calendar, budget and clear institutional responsibilities been prepared for the implementation of the safeguard measures? X Have safeguard measures costs been included in project cost? X Will the safeguard measures costs be funded as part of project implementation? X Does the Monitoring and Evaluation system of the project include the monitoring of safeguard impacts and measures? X Have satisfactory implementation arrangements been agreed with the borrower and the same been adequately reflected in the project legal documents? X Signed and submitted by: Name Date Task Team Leader: Mary T. Mulusa Project Safeguards Specialist 1: Project Safeguards Specialist 2: Project Safeguards Specialist 3: Approved by: Name Date Regional Safeguards Coordinator: Juan Quintero Comments: Sector Manager: Evangeline Javier Comments: