INTEGRATED SAFEGUARDS DATA SHEET APPRAISAL STAGE Report No.: ISDSA4447 Public Disclosure Copy Date ISDS Prepared/Updated: 04-Jun-2013 Date ISDS Approved/Disclosed: 04-Jun-2013 I. BASIC INFORMATION 1. Basic Project Data Country: Jordan Project ID: P145865 Project Name: Mitigate the Impact of Syrian Displacement on Jordan (P145865) Task Team Haneen Ismail Sayed Leader: Estimated Estimated 02-Jul-2013 Appraisal Date: Board Date: Managing Unit: MNSSP Lending Investment Project Financing Instrument: Sector(s): Health (50%), Other social services (50%) Theme(s): Debt management and fiscal sustainability (50%), Social risk mitigation (50%) Is this project processed under OP 8.50 (Emergency Recovery) or OP No 8.00 (Rapid Response to Crises and Emergencies)? Financing (In USD Million) Total Project Cost: 150.00 Total Bank Financing: 150.00 Public Disclosure Copy Total Cofinancing: Financing Gap: 0.00 Financing Source Amount Borrower 0.00 International Bank for Reconstruction and Development 150.00 Total 150.00 Environmental C - Not Required Category: Is this a No Repeater project? 2. Project Development Objective(s) 3. Project Description In order to help Jordan address the situation resulting from the impact of the large and growing influx of displaced peoples from Syria, the World Bank is preparing an emergency Investment Project Financing (IPF) operation under OP 10.00 (paragraph 11). The project aims to help mitigate the Page 1 of 5 immediate and substantial impact of the Syrian conflict on Jordan’s economy and social sectors, by financing expenditures that will be/have been incurred to (i) accommodate the refugees in the Jordanian public system; and (ii) support Jordanian households’ basic needs. The operation would Public Disclosure Copy finance recurrent expenditures in the health sector, as well as commodities that the poor and middle class rely on. The proposed operation will be fast-disbursing over a period of one year with up to 40% of the funds eligible to be disbursed rapidly after loan effective. Specifically, The project objective is to help the Government of Jordan maintain access to essential health services and basic household needs for the Jordanian population affected by the large and increasing influx of Syrian refugees. It consists of the following three components: Component 1: Maintaining Access to Essential Healthcare Services (US$70 million) This component aims to sustain the provision of essential healthcare services to the Jordanian population which is at risk due to the stress on resources resulting from the large influx of Syrian refugees. This will be achieved by financing needed vaccines and drugs, and the treatment of uninsured Jordanians that are being crowded out from public hospitals as a result of the increasing use of public services by Syrian refugees. • Provision of vaccines and essential drugs to ensure their adequate and continuous supply at all public healthcare facilities ($50 million). In particular, the sub-component will finance vaccines and drugs procured by the Joint Procurement Department (JPD) from the Rational Drug List (see Annex 3) in a manner that satisfies the considerations of economy and efficiency. The project will finance a total of $50 million of drugs and vaccines, including costs of drugs and vaccines procured in 2012, 2013, retroactively, and expected to be procured in 2013 and 2014. • Financing of healthcare services for uninsured Jordanians in non-MOH health facilities ($20 million). This sub-component aims to mitigate the financial impact of referring uninsured Jordanian patients to non-MOH hospitals and health facilities as a result of the increased demand for public Public Disclosure Copy facilities by Syrian refugees. As Jordanian law entitles all citizens to free public health services, referrals from crowded public facilities to the non-MOH hospitals and health facilities have been undertaken by the MOH to ensure access to healthcare services for Jordanians, thus incurring higher costs. In particular, the project will finance the costs of healthcare for approximately 2500 uninsured Jordanian patients who MOH will need to refer to non-MOH hospitals and health facilities. This will help alleviate the burden of the Syrian crisis on affected communities, improve the fiscal ability of the MOH to reimburse the non-MOH hospitals and health facilities for its services, and assist the MOH maintain its commitment for timely access to health care to its citizens Component 2: Supporting Household Basic Needs (US$79.9 million) Financing universal subsidies for household basic needs. The objective of this component is to help the GOJ ensure the uninterrupted supply of basic household commodities for poor and lower middle class households. The two subsidized products financed under this component are bread (wheat) and LPG cylinders • Bread ($55 million): The project will finance bread subsidies worth $55 million which is the estimated cost arising from the Syrian conflict and the associated increase in bread demand. • LPG Cylinders ($25 million): For the LPG cylinders, which are mostly used by households Page 2 of 5 for cooking and space heating, the project will finance $25 million worth of subsidies which is the estimated cost arising from the Syrian conflict and the associated increase in LPG demand. Public Disclosure Copy The selection of health services and basic household needs was based on the following criteria, considerations and constraints: (a) financing existing programs and those ready for implementation, (b) protecting poor and vulnerable lower middle class households from the impact of the crisis and rapid results, (c) material impact and (c) donor complementarity. The project will be implemented over 12 months given the urgent needs. It includes provision for retroactive financing of up to US$60 million (40 percent of loan amount) for expenditures incurred 12 months prior to loan signing. While indicative allocations were agreed upon during project appraisal for the Components 1 and 2, the project is designed to accommodate changes in needs during implementation. Disbursements will be made either based on a positive list (agreed upon during appraisal to be the Rational Drug List) or transaction based. 4. Project location and salient physical characteristics relevant to the safeguard analysis (if known) Jordan 5. Environmental and Social Safeguards Specialists Banu Setlur (MNSEE) Nina Bhatt (MNSUS) 6. Safeguard Policies Triggered? Explanation (Optional) Environmental Assessment OP/ No Nature of project activities will not result in the BP 4.01 triggering of environmental safeguard policies. Project will finance the procurement of drugs under the nati Public Disclosure Copy onal drug list to fill the expected gaps in supply. Healthcare facilities will c ontinue functioning in the present manner in relation to management of medical w astes. Project will not involve any construction related civil works. OP 4.01 an d other environmental safeguard policies will not be triggered and there is no n eed to prepare an environmental safeguards- related instrument. Natural Habitats OP/BP 4.04 No Forests OP/BP 4.36 No Pest Management OP 4.09 No Physical Cultural Resources OP/ No BP 4.11 Page 3 of 5 Indigenous Peoples OP/BP 4.10 No Public Disclosure Copy Involuntary Resettlement OP/BP No The project finances vaccines, drugs, and 4.12 medical treatment, bread and LPG containers. None of these goods or services could possibly involve civil works, land acquisition, or restriction of access to natural resources in parks and protecte d areas. Therefore OP 4.12 will not be triggered and there is no need to prepare a resettlement instrument. Safety of Dams OP/BP 4.37 No Projects on International No Waterways OP/BP 7.50 Projects in Disputed Areas OP/BP No 7.60 II. Key Safeguard Policy Issues and Their Management A. Summary of Key Safeguard Issues 1. Describe any safeguard issues and impacts associated with the Restructured project. Identify and describe any potential large scale, significant and/or irreversible impacts: 2. Describe any potential indirect and/or long term impacts due to anticipated future activities in the project area: Public Disclosure Copy 3. Describe any project alternatives (if relevant) considered to help avoid or minimize adverse impacts. 4. Describe measures taken by the borrower to address safeguard policy issues. Provide an assessment of borrower capacity to plan and implement the measures described. 5. Identify the key stakeholders and describe the mechanisms for consultation and disclosure on safeguard policies, with an emphasis on potentially affected people. B. Disclosure Requirements If the project triggers the Pest Management and/or Physical Cultural Resources policies, the respective issues are to be addressed and disclosed as part of the Environmental Assessment/ Audit/or EMP. If in-country disclosure of any of the above documents is not expected, please explain why: This is a category C project C. Compliance Monitoring Indicators at the Corporate Level Page 4 of 5 OP 7.60 - Projects in Disputed Areas Yes [ ] No [ ] NA [ ] The World Bank Policy on Disclosure of Information Public Disclosure Copy Have relevant safeguard policies documents been sent to the Yes [ ] No [ ] NA [ ] World Bank's Infoshop? Have relevant documents been disclosed in-country in a public Yes [ ] No [ ] NA [ ] place in a form and language that are understandable and accessible to project-affected groups and local NGOs? All Safeguard Policies Have satisfactory calendar, budget and clear institutional Yes [ ] No [ ] NA [ ] responsibilities been prepared for the implementation of measures related to safeguard policies? Have costs related to safeguard policy measures been included Yes [ ] No [ ] NA [ ] in the project cost? Does the Monitoring and Evaluation system of the project Yes [ ] No [ ] NA [ ] include the monitoring of safeguard impacts and measures related to safeguard policies? Have satisfactory implementation arrangements been agreed Yes [ ] No [ ] NA [ ] with the borrower and the same been adequately reflected in the project legal documents? III. APPROVALS Task Team Leader: Haneen Ismail Sayed Approved By Sector Manager: Name: Yasser Aabdel-Aleem Awny El- Date: 04-Jun-2013 Public Disclosure Copy Gammal (SM) Page 5 of 5