Report No. 23216
Report No: I074059 <--Please check for duplicates!
Integrated Safeguards Data Sheet (Initial)
Date ISDS Prepared/Updated: 11/08/2001
Section I - Basic Information
A. Basic Project Data
Country: SENEGAL         Project ID: P074059
Project: HIV/AIDS Prevention and Control Project          Task Team Leader: Anwar
Bach-Baouab
Appraisal Date: October 26, 2001         IBRD Amount ($m):
Board Date: January 17, 2002     IDA Amount ($m): 30.00
Managing Unit: AFTH2     Sector: HA - HIV/AIDS
Lending Instrument: Specific Investment Loan (SIL)        Status: Lending
I.A.2. Project Objectives:
The overall development objective of the project is to assist the
governemnt of Senegal in (i) preventing the spread of HIV/AIDS by reducing
transmission among the high risk groups, (ii) expanding the access to
treatment care and support of people living with HIV/AIDS and (iii)
supporting civil society and community initiatives for prevention and care
put forward by beneficiary groups selected on the basis of the technical
quality and likely impact of their proposals. The project will support the
implementation of Senegal's strategic plan against HIV/AIDS for the period
2002-2006 (Plan Multisectoriel de Lutte Contre le SIDA).The plan specifc
goals aim to:
maintain below 3 W the prevalence level of HIV in the country by 2006;
mitigate the health and socio-economic impact of HIV/AIDS at individual,
household and community levels, and
create an enabling environment for a broader and stronger public/private
partnership to implement the plan.
I.A.3. Project Description:
The project will support implementation of Senegal's multisector strategic
plan by a wide variety of public sector agencies, private and
non-governmental organizations, and by community based organizations. It
will be carried over a five years period extending from 2002 to 2006 to
coincide with the strategic plan duration and will be complementary to
other donors activities. The project aims at building additional planning,
implementation, monitoring and evaluation capacity and expanding existing
prevention, treatment and mitigation programs. It will be implemented
through four major components as follows:
A. Strengthening the capacity of implementing agencies and coordination
structures (US$ 2.0 million)
This component is designed to reinforce the resource management,
implementation and monitoring and evaluation capacity of government
agencies, civil society and the private sector and to strengthen the



capacity of local organizations and rural communities in the design and
implementation of demand-driven HIV/AIDS activities. The national HIV/AIDS
Council, its Secretariat and its decentralized bodies at the regional and
district levels will also be provided financial and material support to
coordinate, monitor and evaluate implementation of the national strategic
plan. More specifically, capacity building support will consist of two
sub-components:
Sub-component one will cover the provision of technical support services
and training to HIV/AIDS units of line ministries, NGOs and CBOs
personnel, with an emphasis on project design, participatory planning, and
monitoring of community-based activities, and the training of lab
technicians, medical and paramedical staff and social workers to
strengthen VCT, the prevention of mother to child transmission, the
prevention and treatment of opportunistic infection and tuberculosis and
the provision of ART; and
Sub-component two will consist of the provision of technical support
services, equipment and materials to implement a comprehensive Monitoring
&Evaluation plan consisting of epidemiological surveillance and research,
behavior surveys, financial and program management and operation research.
Senegal has excellent capacity and established international partnerships
in both biological and behavioural surveillance and epidemilogical
research. In contrast, program management capacity which relates to the
relevance, quantity and quality of public sector and civil society
services is less developed. Consequently, this sub-component will have
more of a major focus on the latter and will complement and draw upon the
insights of ongoing surveillance activities in support of the Ministry of
Health and Prevention efforts to progressively expand coverage nation
wide. It will also finance operation research to ensure maximum program
learning and dissemination. On financial and program management
monitoring, Senegal has agreed to outsource the project financial
management to a single agency which will also be responsible for financial
and programme management monitoring.
B. Support to civil society and community based initiatives in the area of
prevention, Care and mitigation (US$ 12.5 million), this component is
designed to intensify prevention, care and social support to meet the
information needs of specific target groups and PLWHA and their families
and to ensure continuity and expansion of successful HIV/AIDS mitigation
activities adapted to local conditions and managed by grass root
organizations and communities. The component will also promote and
encourage initiatives of private sector enterprises to develop and
implement prevention, care and support strategies designed for their
employees and their families. Funds will be channeled directly through
grants to associations, religious organizations, NGOs and
communities-based organizations to cover a wide range of activities
including: (i) prevention and sensitization activities targeted to
specific groups at high risk and aimed at raising awareness and changing
behavior; (ii) provision of home and community-based care for AIDS
patients, and (iii) social support to orphans and to households affected
by HIV/AIDS including income generation activities.
C. Support to Governmental Agencies Multi-Sector program (US$ 12.5
million) the purpose of this component is to support a major expansion
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of HIV/AIDS activities implemented by government entities. Several
ministries are in the process of developing their work plans and will be
eligible for support under the project as of project year one. Additional
ministries would also have access to IDA funds once they develop their own
plan. Activities under this component cover the full spectrum of
prevention, treatment, care and support and include:
(i) the design, implementation and evaluation of information, education
and communication (IEC) programs aimed at specific audiences and high risk
groups of the population such as adolescents (both gender) in and out of
school, women, youth, and men in uniforms;
(ii) the promotion and distribution of condoms;
(iii) the promotion of and access to voluntary HIV counselling and testing
(VCT) and
(iv) ART, PMCT and the prevention and treatment of STIs, other
opportunistic infections and tuberculosis.
The IEC program which will be supported under this component aims at
maintaining people's awareness of HIV/AIDS risks and protection measures.
It will promote behavior change for safe sex practices and risk reduction
and advocacy among public and private leaders on human rights protections,
abolition of discriminatory practices and learning to live with PLWHAs.
Use of the mass media would be an important channel of communication.
The component will also support the use of social marketing for condoms
promotion and distribution, peer groups, vending machines and other
strategies will be used to make condoms accessible to all segment of
adolescent and adult population, with each ministry choosing its strategy
to make condoms available and accessible to its staff and clients. Visible
access to condoms in public places will be encouraged.
The component will support the MOHP ART program which is based on the
expansion of ISAARV
(Senegal Initiative for the Introduction of Antiretroviral Therapy).
Launched in 2000 and currently limited to the city of Dakar, ISAARV will
be progressively decentralized to the main cities of the country (Saint
Louis, Kaolack, Ziginchor and Tambacounda). For this purpose, this
component will strengthen voluntary counseling and confidential testing
and laboratory capacity to help scale up the diagnosis, treatment and care
for HIV/AIDS patients as part of the MOH objective to reduce HIV
transmission, reduce work disability and improve the quality of life for
HIV/AIDS patients. The component will also support activities aimed at
improving the diagnostic and treatment of sexually transmitted diseases,
opportunistic infections, and tuberculosis. It will contribute as needed,
to strengthening drug management, patient management (eligibility,
clinical and biological follow-up) and psycho-social and economic support
to PLWHA. Bio-medical equipment will be purchased to monitoring the
immunologic and virology parameters of HIV infection and financing will be
made available to cover the costs of minor renovations in selected
laboratory facilities, the procurement of reagents and drugs for the
treatment of STIs, Opportunistic Infections, TB and other HIV related
illnesses. The Government of Senegal will continue its ARV drugs
procurement plan under arrangement with five international pharmaceutical
companies (Merck, Pfizer, Bristol-Meyers, Boeringer/Engelheim and Roche)
as part of the "Access Initiative" organized by these companies in Africa.
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However, supplementary funds under the IDA Credit would be made available
to cover additional ARV drug purchase as might be needed.
D. Support to project management and administration (US$ 3.0 million) this
component will provide support to facilitate the programming,
coordination, and monitoring of project operations, including support to
NAC and NSE to ensure complementarity and efficient coordination of
activities by all concerned parties and to consolidate activity plans,
budgets and progress reports. The component will support the deployment of
skilled and experienced manpower to staff essential coordinating
structures and will fund services of a financial management agent,
technical and financial audits, logistic support to facilitate project
supervision and reporting, and the organization of CMLS/NES regular
meetings and annual project reviews.
Components:
A. Strengthening capacity of implementing agencies and coordinating
structures
B. Support to Civil Society and community based organizations Initiatives
C. Support to Govt. Agencies Multi-Sector Programs
D. SuppoLine ministries and rt to Project Management and Administration
I.A.4. Project Location: (Geographic location, information about the key
environmental and social characteristics of the area and population likely
to be affected, and proximity to any protected areas, or sites or critical
natural habitats, or any other culturally or socially sensitive areas.)
B. Check Environmental Classification: B (Partial Assessment)
Comments: The project will include measures and supplemental financing to
implement a bio-medical waste management plan of action which is under
preparation by the Government of Senegal in collaboration with the World
Health Organixation andother development agencies.
This project is being processed as a Category B without a separate EA. The
project will include measures and supplemented financing to implement a
bio-medical waste management plan of action.
This plan of action is currently being prepared and a draft version will
be reviewed by IDA during the project appraisal mission. A final version
of the plan should be availableat Credit effectiveness. Given the nature
of stemming the epidemic and the desire of the Government to move as
quickly as possible no separate Environmental assessment is being required
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prior to project appraisal and negotiations.
C. Safeguard Policies Triggered
Policy Applicability
Environmental Assessment (OP/BP/GP 4.01)          Yes
Forestry (OP/GP 4.36)    No
Natural Habitats (OP/BP 4.04)     No
Safety of Dams (OP/BP 4.37)       No
Pest Management (OP 4.09)         No
Involuntary Resettlement (OD 4.30)        No
Indigenous Peoples (OD 4.20)     No
Cultural Property (OP 4.11)       No
Projects in Disputed Territories (OP/BP/GP 7.60)*          No
Projects in International Waterways (OP/BP/GP 7.50)        No
*By supporting the proposed project, the Bank does not intend to prejudice
the final determination of the parties' claims on the disputed areas
Section II - Key Safeguard Issues and Their Management
D. Summary of Key Safeguard Issues. Please fill in all relevant questions.
If information is not available, describe steps to be taken to obtain
necessary data.
II.D.la. Describe any safeguard issues and impacts associated with the
proposed project. Identify and describe any potential large scale,
significant and/or irreversible impacts.
II.D.lb. Describe any potential cumulative impacts due to application of
more than one safeguard policy or due to multiple project component.
II.D.lc Describe any potential long term impacts due to anticipated future
activities in the project area.
II.D.2. In light of 1, describe the proposed treatment of alternatives (if
required)
II.D.3. Describe arrangement for the borrower to address safeguard issues
II.D.4. Identify the key stakeholders and describe the mechanisms for
consultation and disclosure on safeguard policies, with an emphasis on
potentially affected people.
E. Safeguards Classification. Category is determined by the highest impact
in any policy. Or on basis of cumulative impacts from multiple safeguards.
Whenever an individual safeguard policy is triggered the provisions of
that policy apply.
I S1. - Significant, cumulative and/or irreversible impacts; or
significant technical and institutional risks in management of one or more
safeguard areas
[XI S2. - One or more safeguard policies are triggered, but effects are
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limited in their impact and are technically and institutionally manageable
[   S3. - No safeguard issues
[   SF. - Financial intermediary projects, social development funds,
community driven development or similar projects which require a safeguard
framework or programmatic approach to address safeguard issues.
F. Disclosure Requirements Environmental Assessment/Analysis/Management
Plan:   Expected         Actual
Date of receipt by the Bank      Not Available
Date of "in-country" disclosure Not Available
Date of submission to InfoShop
Date of distributing the Exec. Summary of the EA to the ED
(For category A projects)
Resettlement Action Plan/Framework:      Expected         Actual
Date of receipt by the Bank      Not Available
Date of "in-country" disclosure
Date of submission to InfoShop
Indigenous Peoples Development Plan/Framework:   Expected         Actual
Date of receipt by the Bank
Date of "in-country" disclosure
Date of submission to InfoShop
Pest Management Plan:    Expected        Actual
Date of receipt by the Bank      Not Available
Date of "in-country" disclosure
Date of submission to InfoShop
Dam Safety Management Plan:      Expected        Actual
Date of receipt by the Bank
Date of "in-country" disclosure
Date of submission to InfoShop
If in-country disclosure of any of the above documents is not expected,
please explain why.
Signed and submitted by          Name    Date
Task Team Leader:        Anwar Bach-Baouab        9/13/2001
Project Safeguards Specialists 1:        Maria Mims/Person/World Bank     9/13/2001
Project Safeguards Specialists 2:
Project Safeguards Specialists 3:
Approved by:     Name    Date
Regional Safeguards Coordinator:         Serigne Omar Fye         9/13/2001
Sector Manager/Director:         Alexandre V. Abrantes    9/13/2001
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