THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) The Federal Democratic Republic of Ethiopia Ministry of Health ETHIOPIA COVID-19 EMERGENCY RESPONSE PROJECT FIRST ADDITIONAL FINANCING (P175853) ENVIRONMENTAL and SOCIAL COMMITMENT PLAN (ESCP) February 2021 1|Page THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN 1. The Federal Democratic Republic of Ethiopia (the Recipient) will implement the ETHIOPIA COVID-19 Emergency Response Project first additional financing (the Project) with the involvement of the following ministries/agencies/units: Ministry of Health and Ethiopian Public Health Institute (EPHI). The International Development Association (the Association) has agreed to provide financing for the Project. 2. The Recipient shall implement material measures and actions so that the Project is implemented in accordance with the 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. The Recipient is responsible for compliance with all requirements of the ESCP even when implementation of specific measures and actions is conducted by the Ministry, agency or unit referenced in 1. above. 4. Implementation of the material measures and actions set out in this ESCP shall be monitored and reported to the Association by the Recipient as required by the ESCP and the conditions of the financing agreement, and the Association will monitor and assess progress and completion of the material measures and actions throughout implementation of the Project. 5. As agreed by the Association and the Recipient, 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, the Recipient 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 Recipient. The Recipient will promptly disclose the updated ESCP. 6. Where Project changes, unforeseen circumstances, or Project performance result in changes to the risks and impacts during Project implementation, the Recipient 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 RESPONSIBLE ENTITY/AUTHORITY MONITORING AND REPORTING A REGULAR REPORTING: Prepare and submit to the Association Quarterly throughout the Project Ministry of Health, Ethiopia/ regular monitoring reports on the environmental, social, health implementation period. Ethiopian Public Health Institute and safety (ESHS) performance of the Project, including, but not limited to, stakeholder engagement activities and grievances log. B INCIDENTS AND ACCIDENTS: Promptly notify the Association of Notify the Association within 48 hours Ministry of Health, Ethiopia any incident or accident related to the Project which has, or is likely of becoming aware of the incident or to have, a significant adverse effect on the environment, the accident.. affected communities, the public or workers including, inter alia, A detail report on such incidents or any COVID outbreak in the Project area or serious OHS incident accidents shall be provided within a under the Project. Provide sufficient detail regarding the incident timeframe acceptable to the or accident, indicating immediate measures taken or that are Association. planned to be taken to address it, and any information provided by any contractor and supervising 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. ESS 1: ASSESSMENT AND MANAGEMENT OF ENVIRONMENTAL AND SOCIAL RISKS AND IMPACTS 1.1 ORGANIZATIONAL STRUCTURE: The Ministry of Health/ EPHI shall Before Effectiveness of the Project Ministry of Health, Ethiopia/ establish and maintain a PIU/GMU with qualified staff and Ethiopian Public Health Institute resources to support management of environmental and social risks and impacts of the Project including environmental and social risk management specialists. 3|Page THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) 1.2 ENVIRONMENTAL AND SOCIAL ASSESSMENT/MANAGEMENT Ministry of Health, Ethiopia/ PLANS AND INSTRUMENTS/ CONTRACTORS a) Before Effectiveness of the Project Ethiopian Public Health Institute a. Assess the environmental and social risks and impacts of proposed Project activities, including to ensure that individuals or groups who, because of their particular circumstances, may be disadvantaged or vulnerable, have access to the development benefits resulting from the Project, in accordance with ESSs and the Environmental and Social Management Framework (ESMF) to be prepared pursuant to the provisions of the Financing Agreement. The ESMF prepared for the parent project includes a template for Infection Control and Waste Management Plan (ICWMP) based on the existing ICWMP equally prepared for the Africa CDC Regional Project as well as a template for Environmental and Social Management Plan (ESMP) as necessary for isolation centers construction. The ESMF which was prepared for the parent project- will be updated so that it could serve as a basis for the identification and management of EHS risks associated with the AF. However, for additional risks such as targeting, explicit, contextually appropriate, and well-communicated targeting criteria and implementation plan will be prepared before effectiveness. b) Before Effectiveness and thereafter b. Establish a system which allows inclusive targeting based on throughout Project implementation. sound epidemiological criteria as well as establishment and implementation of the necessary infrastructure and institutional setup to ensure access to the most vulnerable people to provide the vaccine benefits envisaged by this intervention c. Prepare, disclose, and implement any environmental and c)Before carrying out of the relevant 4|Page THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY social management plans or other instruments, if required for Project activities, and thereafter the respective Project activities based on the assessment throughout the carrying out of such process, in accordance with the ESSs and the ESMF, in a activities, if required by the ESMF. manner acceptable to the Association. d. Incorporate the relevant aspects of this ESCP, including, inter alia, any environmental and social management plans or d)Before launching the procurement other instruments, ESS2 requirements, and any other process for the relevant Project required ESHS measures, into the ESHS specifications of the activities and thereafter throughout procurement documents and contracts with contractors and the carrying out of such activities. supervising firms. Thereafter ensure that the contractors and supervising firms comply with the ESHS specifications of their respective contracts. e. Update environmental and social management plans or other instruments based on updated guidance by WHO on e) Throughout Project implementation COVID19. f. Adopt procedures, protocols and/or other measures to ensure Project beneficiaries that receive vaccines under the f) Throughout Project implementation Project do so under a program that does not include forced g) Before Effectiveness of the Project vaccination and is acceptable to the Bank. g. Prepare a vaccine cold chain management protocol following WHO requirements and good international industry practice 5|Page THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 1.3 EXCLUSIONS: Exclude the following types of activities as ineligible During the assessment process Ministry of Health, Ethiopia/ for financing under the Project: conducted under action 1.2.a. above. Ethiopian Public Health Institute • Activities that may cause long term, permanent and/or irreversible (e.g. loss of major natural habitat) impacts • Activities that have high probability of causing serious adverse effects to human health and/or the environment other than during treatment of COVID19 cases • Activities that may have significant adverse social impacts and may give rise to significant social conflict • Activities that may affect lands or rights of indigenous people or other vulnerable minorities, • Activities that may involve permanent resettlement or land acquisition or impacts on cultural heritage • All the other excluded activities set out in the ESMF of the Project. ESS 2: LABOR AND WORKING CONDITIONS 2.1 Relevant aspects of this standard shall be considered, as needed, Throughout Project implementation. Ministry of Health, Ethiopia/ under action 1.2 above. Ethiopian Public Health Institute 6|Page THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 2.2 LABOR MANAGEMENT: The Project shall be carried out in Throughout Project implementation. Ministry of Health, Ethiopia/ accordance with the applicable requirements of ESS2, in a manner Ethiopian Public Health Institute acceptable to the Association, including through, inter alia, implementing adequate occupational health and safety measures (including emergency preparedness and response measures), setting out grievance arrangements for Project workers, and incorporating labor requirements into the ESHS specifications of the procurement documents and contracts with contractors and supervising firms. 2.3 Prepare Labor Management Procedure (LMP Labor Management Before effectiveness Ministry of Health, Ethiopia Procedures (LMP) proportional to the activities, risks and impacts Ethiopian Public Health Institute to be annexed with the updated ESMF 2.4 Implement Labor Management Procedure Throughout project implementation Ministry of Health, Ethiopia Ethiopian Public Health Institute 2.5 The Borrower shall implement adequate occupational health and Throughout Project implementation. Ministry of Health, Ethiopia/ safety measures (including emergency preparedness and response Ethiopian Public Health Institute measures) in line with the ESMF and WHO guidelines on COVID19 in all facilities, including laboratories, quarantine and isolation centers, screening posts, and vaccination sites. 2.6 The Borrower shall ensure a non-discriminatory, decent work Throughout Project implementation. Ministry of Health, Ethiopia/ environment; including by ensuring that all health workers adhere Ethiopian Public Health Institute to the WHO Code of Ethics and Professional conduct. 7|Page THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 2.7 The Borrower shall establish a grievance hotline and assignment of A grievance hotline established for the Ministry of Health, Ethiopia/ focal points to address these grievances within MoH and Regions parent project will be used for the AF Ethiopian Public Health Institute and it shall be functional Throughout Project implementation. ESS 3: RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT 3.1 Relevant aspects of this standard shall be considered, as needed, Throughout Project implementation. Ministry of Health, Ethiopia/ under action 1.2 above, including, inter alia, measures carry out Ethiopian Public Health Institute the purchase, storage, transportation and handling of vaccines (including, ultra-cold chain management) in a safe manner and in accordance with the EHSGs, and other relevant GIIP including relevant WHO guidelines; and adequately manage and dispose of health care wastes (including, vaccines) and other types of hazardous and non-hazardous wastes. . 3.2 Prepare location-specific (for each health facility) waste Prior to the implementation of the Ministry of Health management plan for the disposal of vaccine wastage (vials not Project activities maintained at temperature required) and a disposal plan for any batteries or solar panels used for refrigeration purpose ESS 4: COMMUNITY HEALTH AND SAFETY 4.1 Relevant aspects of this standard shall be considered, as needed, Throughout Project implementation. Ministry of Health, Ethiopia/ under action 1.2 above. Ethiopian Public Health Institute 8|Page THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 4.2 Relevant aspects of this standard shall be considered, as needed, Throughout Project implementation. Ministry of Health, Ethiopia/ under action 1.2 above, including, inter alia, measures to: minimize Ethiopian Public Health Institute the potential for community exposure to communicable diseases; ensure that individuals or groups who, because of their particular circumstances, may be disadvantaged or vulnerable have access to the development benefits resulting from the Project; establish and implement appropriate quality management systems to manage the risks and the impacts that services provided and activities carried out under the Project may have on community health and safety; manage the risks of the use of security personnel; manage the risks of labor influx; and prevent and respond to sexual exploitation and abuse, and sexual harassment. 9|Page THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) 4.2 USE OF MILITARY OR SECURITY PERSONNEL: The following Ministry of Health, Ethiopia/ measures shall be adopted, to ensure that the engagement of Ethiopian Public Health Institute security personnel in the implementation of Project activities for provision of security to Project workers, sites and/or assets, is carried out in accordance with the ESSs: a. Assess the risks and impacts of engagement of the security personnel, as part of the assessment referred to in action 1.2 a) SMP will be prepared three months above, and implement measures to manage such risks and after effectiveness or before any impacts, including a stand-alone Security Management Plan which physical engagement in high-risk will be reviewed by the Bank, guided by the principles of security or conflict-prone areas or proportionality and GIIP, and by applicable law, in relation to prior to the deployment of hiring, rules of conduct, training, equipping, and monitoring of security personnel, whatever such security personnel, in a manner acceptable to the comes earlier Association; b. Adopt and enforce standards, protocols and codes of conduct for the selection and use of security personnel, and screen such personnel to verify that they have not engaged in past unlawful or abusive behavior, including sexual exploitation and b), c) and d) before deploying abuse (SEA), sexual harassment (SH) or excessive use of force; security personnel under the c. Ensure that MoH enters into a memorandum of Project and thereafter throughout understanding (MoU) with the Ministry of Peace setting out the Project implementation arrangements for the engagement of the security personnel under the Project, including compliance with the relevant requirements of this ESCP; 10 | P a g e THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY d. Ensure that such personnel is adequately instructed and trained, prior to deployment and on a regular basis, on the use of force and appropriate conduct (including in relation to civilian- security engagement, SEA and SH, and other relevant areas), as set e) as set out under actions 10.1 and 10.2 out in the Security Management Plan; respectively. e. Ensure that any concerns or grievances regarding the conduct of security or personnel are received, monitored, documented (taking into account the need to protect confidentiality),resolved through the Project’s grievance mechanism (see action 10.2 below) and reported to the Association no later than 3 days after being received; and 4.3 Develop a Security Management Plan following the requirements SMP will be prepared three months Ministry of Health, Ethiopia/ of ESS4. after effectiveness or before any Ethiopian Public Health Institute physical engagement in high-risk security or conflict-prone areas or prior to the deployment of security personnel, whatever comes earlier 4.4 The Borrower will put measures in place to prevent or minimize Throughout Project implementation Ministry of Health, Ethiopia/ the spread of the infectious disease/COVID-19 to the community. Ethiopian Public Health Institute 11 | P a g e THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 4.5 The Borrower will implement emergency preparedness measures Throughout Project implementation Ministry of Health, Ethiopia/ in case of accidents/ emergencies e.g. a fire response or natural Ethiopian Public Health Institute phenomena event 4.6 The Borrower will operate quarantine and isolation centers in line Throughout Project implementation Ministry of Health, Ethiopia/ with WHO guidelines on “Key considerations for repatriation and Ethiopian Public Health Institute quarantine of travelers in relation to the outbreak of novel coronavirus 2019-nCoV� as well as the Africa CDC guideline on “Africa CDC Guidance for Assessment, Monitoring, and Movement Restrictions of People at Risk for COVID-19 in Africa�. 4.7 The Borrower will ensure the avoidance of any form of Sexual Throughout Project implementation Ministry of Health, Ethiopia/ Exploitation and Abuse by relying on the WHO Code of Ethics and Ethiopian Public Health Institute Professional conduct for all workers in the quarantine facilities as well as the provision of gender-sensitive infrastructure such as segregated toilets and enough light in quarantine and isolation centers. 4.7 The Borrower will operate quarantine and isolation centers and Throughout Project implementation Ministry of Health, Ethiopia/ screening posts in a conflict-sensitive manner, avoiding any Ethiopian Public Health Institute aggravation of local communal conflicts, including between host communities and refugees/IDPs. 12 | P a g e THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 4.8 The Borrower will ensure that any security personnel operating for Throughout Project implementation Ministry of Health, Ethiopia/ health facilities, quarantine and isolation centers and screening Ethiopian Public Health Institute posts, vaccination centers (both static and outreach sites) follow strict rules of engagement and avoid any escalation and otherwise comply with the relevant provisions of the Security Management Plan and Action 4.2 of this ESCP. 4.9 The client will adopt and use COVID-19 vaccines safety surveillance Throughout Project implementation Ministry of Health, Ethiopia/ manual developed by the World Health Organization. Ethiopian Public Health Institute ESS 5: LAND ACQUISITION, RESTRICTIONS ON LAND USE AND INVOLUNTARY RESETTLEMENT 5.1 Not applicable as no land acquisition, restriction on land use and Throughout Project implementation. Ministry of Health, Ethiopia/ involuntary resettlement is anticipated. However, should the need Ethiopian Public Health Institute arise for the Project to acquire land, appropriate plans in accordance with ESS5 guidelines shall be prepared and cleared by the Bank prior to any land acquisition or population displacement. ESS 6: BIODIVERSITY CONSERVATION AND SUSTAINABLE MANAGEMENT OF LIVING NATURAL RESOURCES 6.1 Relevant aspects of this standard shall be considered, as needed, Throughout Project implementation. Ministry of Health, Ethiopia/ under action 1.2 above. Ethiopian Public Health Institute 13 | P a g e THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY ESS 7: INDIGENOUS PEOPLES/SUB-SAHARAN AFRICAN HISTORICALLY UNDERSERVED TRADITIONAL LOCAL COMMUNITIES 7.1 Relevant aspects of this standard shall be considered, as needed, Throughout Project implementation. Ministry of Health, Ethiopia/ under action 1.2 above. Ethiopian Public Health Institute 7.2 The Borrower will ensure that such communities are Throughout Project implementation. Ministry of Health, Ethiopia/ appropriately informed and can share in the benefits of the Ethiopian Public Health Institute project in an inclusive and culturally appropriate manner (i.e. prevention and treatment) with provisions included in the SEP. 7.3 In case whole SSAHUTLC communities would be addressed by Throughout Project implementation. Ministry of Health, Ethiopia/ quarantine provisions, site-specific approaches would be Ethiopian Public Health Institute prepared to ensure adequate consideration of their specific cultural needs, to the satisfaction of the Association. Further, the borrower will ensure that inclusive and culturally appropriate vaccine communication campaign is in place. 7.4 The Project will exclude any activities which would require FPIC. Throughout Project implementation. Ministry of Health, Ethiopia/ Ethiopian Public Health Institute ESS 8: CULTURAL HERITAGE 8.1 Relevant aspects of this standard shall be considered, as needed, Throughout Project implementation. Ministry of Health, Ethiopia/ under action 1.2 above. Ethiopian Public Health Institute ESS 9: FINANCIAL INTERMEDIARIES Not relevant. 14 | P a g e THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY ESS 10: STAKEHOLDER ENGAGEMENT AND INFORMATION DISCLOSURE 10.1 STAKEHOLDER ENGAGEMENT PLAN: Prepare, disclose, adopt, and SEP that was prepared and disclosed for Ministry of Health, Ethiopia/ implement a Stakeholder Engagement Plan (SEP) consistent with the parent project shall be amended Ethiopian Public Health Institute ESS10, in a manner acceptable to the Association. before appraisal to reflect Project activities. 10.2 UPDATE SEP: The project will amend the SEP in line with WHO The SEP prepared for the parent project Ministry of Health, Ethiopia/ provisions “Guidance on developing a national deployment and has been amended. Ethiopian Public Health Institute vaccination plan for COVID-19 vaccines. Geneva: World Health Organization (WHO/2019-nCoV/NDVP/2020.1 as well as the ‘Risk communication and community engagement (RCCE) readiness and response to the 2019 novel coronavirus (2019-nCoV)� (January 26, 2020) 10.3 STAKEHOLDER ENGAGEMENT AND INFORMATION DISCLOSURE: Throughout Project implementation. Ministry of Health, Ethiopia/ a) Implement the Stakeholder Engagement Plan (SEP) consistent Ethiopian Public Health Institute with ESS10, including the use of different, culturally appropriate communication approaches to ensure communication also with the most vulnerable, including illiterate and people with disabilities. b) Ensure communication and outreach to provide information to the public at large, and the risk groups in specific, all information necessary to take an informed decision on the benefits and risks of the vaccination campaign, the prioritization of different population groups, and the procedure to attain available vaccines. 15 | P a g e THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 10.4 CASE MANAGEMENT. In line with the SEP, the Project will ensure Throughout Project implementation. Ministry of Health, Ethiopia/ systematic case management, allowing communication between Ethiopian Public Health Institute quarantined people and their relatives. 10.5 GRIEVANCE MECHANISM: Accessible grievance arrangements The GRM established for the parent Ministry of Health, Ethiopia/ shall be made publicly available to receive and facilitate resolution project will continue to be used for the Ethiopian Public Health Institute of concerns and grievances in relation to the Project, consistent additional financing activities with ESS10, in a manner acceptable to the Association. throughout Project implementation. CAPACITY SUPPORT (TRAINING) Training topics will among others include: Throughout Project implementation. Ministry of Health, Ethiopia/ • COVID-19 Infection Prevention and Control Ethiopian Public Health Institute Recommendations • Standard precautions for COVID-19 patients • Risk communication and community engagement • WHO and Africa CDC guidelines on quarantine including case management • Waste disposal plan for wasted vaccine vials, used sharps, and any used batteries, solar panels, or unused/spilt fuel oil used for refrigeration • Cold chain management • Vaccine safety surveillance • Grievance redress mechanisms 16 | P a g e THE WORLD BANK - ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) 17 | P a g e