Page 1 INTEGRATED SAFEGUARDS DATASHEET APPRAISAL STAGE I. Basic Information Date prepared/updated: 10/28/2010 Report No.: AC5737 1. Basic Project Data Original Project ID: P081712 Original Project Name: Total War Against HIV and AIDS (TOWA) Project Country: Kenya Project ID: P122491 Project Name: KE-Total War Against HIV & AIDS (TOWA) - Additional Financing Task Team Leader: Wachuka W. Ikua Estimated Appraisal Date: October 28, 2010 Estimated Board Date: December 14, 2010 Managing Unit: AFTHE Lending Instrument: Specific Investment Loan Sector: Health (100%) Theme: HIV/AIDS (60%);Malaria (40%) IBRD Amount (US$m.): 0.00 IDA Amount (US$m.): 55.00 GEF Amount (US$m.): 0.00 PCF Amount (US$m.): 0.00 Other financing amounts by source: BORROWER/RECIPIENT 0.00 0.00 Environmental Category: B - Partial Assessment Simplified Processing Simple [] Repeater [] Is this project processed under OP 8.50 (Emergency Recovery) or OP 8.00 (Rapid Response to Crises and Emergencies) Yes [ ] No [X] 2. Project Objectives The Project Development Objectives are to: (i) expand the coverage of targeted HIV and AIDS prevention and mitigation measures; and (ii) expand access to bednets among targeted People Living with HIV and AIDS and other households in malaria risk areas. 3. Project Description The Project is to support the implementation of the Kenya National HIV and AIDS Strategic Plan (KNASP), with priorities set within its strategic objectives and detailed each year through the Joint HIV and AIDS Program Review process. There are two Components: Component I: Strengthening Governance and Coordination Capacity to support the continued development of the coordinating function of the NACC, the monitoring and evaluation framework of the KNASP, and capacity building of beneficiaries in the use of grant funds. Page 2 Component II: Support for Program Implementation to make financial resources available to civil society, public sector, private sector, and research institutions, focusing on initiatives in line with the KNASP and responding to priorities identified by the JAPR, and also with provision of some essential commodities. This proposed Additional Financing request for US$55 million is to: (i) cover a financing gap due to less availability of co-financing than originally expected; (ii) increase the financial allocation for the procurement of bednets for the national malaria program; (iii) restore some funding that had been reallocated and provide for the extended implementation of the Project, including particularly for continued fiduciary and M&E strengthening. 4. Project Location and salient physical characteristics relevant to the safeguard analysis National Project 5. Environmental and Social Safeguards Specialists Ms Gibwa A. Kajubi (AFTCS) Ms Noreen Beg (AFTEN) 6. Safeguard Policies Triggered Yes No Environmental Assessment (OP/BP 4.01) X Natural Habitats (OP/BP 4.04) X Forests (OP/BP 4.36) X Pest Management (OP 4.09) X Physical Cultural Resources (OP/BP 4.11) X Indigenous Peoples (OP/BP 4.10) X Involuntary Resettlement (OP/BP 4.12) X Safety of Dams (OP/BP 4.37) X Projects on International Waterways (OP/BP 7.50) X Projects in Disputed Areas (OP/BP 7.60) X II. Key Safeguard Policy Issues and Their Management A. Summary of Key Safeguard Issues 1. Describe any safeguard issues and impacts associated with the proposed project. Identify and describe any potential large scale, significant and/or irreversible impacts: Environment. It is proposed to maintain the existing environmental category for the Project as a result of the additional financing. The ongoing Project is classified as #Category B# for environmental screening purposes. As a repeater project, the TOWA Project has made use of the existing arrangements for safeguard issues, which had been successfully implemented under the Kenya HIV/AIDS Disaster Response Project (KHADREP). In addition, a national medical waste management action plan was developed and disclosed by the Borrower, and later further updated. Both the updated health Waste Management Plan and the ISDS for the additional funds have been disclosed at the Bank#s Info Shop. The medical waste management action plan is now Page 3 being implemented (including with support from the Health Project which has recently been declared effective. Indigenous People. However, in view of the increased focus on issues affecting indigenous peoples (IPs) and further consideration on reaching out to IP communities on health issues, it has been decided that the IP safeguard policy should be triggered for the AF. In the original TOWA project, OP 4.10 safeguard was not triggered. An IP Planning Framework (IPPF) has been prepared by the Borrower. It will take a pro-active approach to ensure IPs are included in the program, through targeted assistance in local sub- projects. The IPPF will be disclosed at the Borrower#s website and in the Bank#s Info Shop as soon as it has been cleared by the Bank. It will include a Public Consultation and Disclosure Plan. The IP Plan will be prepared and implemented as specified in the framework by the NACC. 2. Describe any potential indirect and/or long term impacts due to anticipated future activities in the project area: Environment. There are no potential impacts other than medical waste, as discussed above. Indigenous Peoples. The Project should provide benefits to IPs through the prevention and mitigation of HIV and AIDS in their communities. However, this needs to be done in culturally sensitive ways. The approach of the Project is to issue Calls for Proposals for grants, and so local communities and civil society organizations can respond according to their local needs and priorities. 3. Describe any project alternatives (if relevant) considered to help avoid or minimize adverse impacts. Environment. Medical waste is inevitable in health care. There were therefore no alternatives considered. Indigenous People. It was decided that the Project should be national in scope, including IPs. 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. The Government of Kenya has already prepared a Health Care Waste Management Plan, which focuses on existing laboratory waste generation, as well as the segregation, storage, collection, transport, and final disposal practices; technologies for waste disposal; public awareness programs; and relevant national legislation. This plan has been reviewed and accepted in the IDA-funded East Africa Public Health Laboratory Networking Project (EAPHLNP), as well as in the recently approved Kenya Health Sector Support Project. There is an existing IPPF to cover issues that may affect vulnerable indigenous groups in the health sector. A similar approach is now being taken with the TOWA and under the additional funds. Page 4 5. Identify the key stakeholders and describe the mechanisms for consultation and disclosure on safeguard policies, with an emphasis on potentially affected people. Environment. The key stakeholders are Ministry of Health, National AIDS Control Council, NGOs, private and mission health facilities, municipal councils and health facilities, etc. Consultation for the national waste management plan was done in several ways, the most effective ones being the public hearings, stakeholder workshops and (as mentioned above) the meeting of heads of implementing agencies. As regards the disclosure of the safeguards instruments, the documents were posted on the websites of the Ministry of Health and the National AIDS Control Council (NACC), as well as advertisements in local papers and local radio. Indigenous People. The key stakeholders are the National AIDS Control Council at the national and decentralized levels, along with CBOs and NGOs. The NACC will disclose the IPPF to the IP#s through the public access avenues such as CACC#s, Media houses (Radio and Print), NACC website, and district notice boards and already identified IPO#s. In addition, the IPPF will be made available in the World Bank#s InfoShop. During implementation, the NACC will prepare social accountability reports (showing available services, complaints received and response measures) and make them available to indigenous peoples, post them on its website, and submit these to the Bank for review along with the remaining annual supervision reports. There have been recent consultations with IPs about health sector issues, most recently in the preparation of the joint IPPF for the East Africa Health Laboratory Networking Project and the Kenya Health Sector Support Project; these two projects were approved by the Board on May 25, 2010 and June 29, 2010 respectively. The consultations with the IPs on health sector issues have informed the IPPF for this Additional Financing. While the IPPF will be explained in the context of consultations about the AF as a whole, a Public Consultation and Disclosure Plan will be prepared for the specific consultations on the IPPF. These consultations will take place after the IPPF has been disclosed and once specific sub-projects are known. As mentioned above, an IP Plan will be prepared. No adverse environmental and social impacts are anticipated from the sub-projects. B. Disclosure Requirements Date Environmental Assessment/Audit/Management Plan/Other: Was the document disclosed prior to appraisal? Yes Date of receipt by the Bank 02/03/2010 Date of "in-country" disclosure 09/27/2010 Date of submission to InfoShop 09/28/2010 For category A projects, date of distributing the Executive Summary of the EA to the Executive Directors Resettlement Action Plan/Framework/Policy Process: Was the document disclosed prior to appraisal? Date of receipt by the Bank Page 5 Date of "in-country" disclosure Date of submission to InfoShop Indigenous Peoples Plan/Planning Framework: Was the document disclosed prior to appraisal? Yes Date of receipt by the Bank 06/10/2010 Date of "in-country" disclosure 10/28/2010 Date of submission to InfoShop 10/28/2010 Pest Management Plan: Was the document disclosed prior to appraisal? Date of receipt by the Bank Date of "in-country" disclosure Date of submission to InfoShop * If the project triggers the Pest Management and/or Physical Cultural Resources, 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: C. Compliance Monitoring Indicators at the Corporate Level (to be filled in when the ISDS is finalized by the project decision meeting) OP/BP/GP 4.01 - Environment Assessment Does the project require a stand-alone EA (including EMP) report? Yes If yes, then did the Regional Environment Unit or Sector Manager (SM) review and approve the EA report? Yes Are the cost and the accountabilities for the EMP incorporated in the credit/loan? No OP/BP 4.10 - Indigenous Peoples Has a separate Indigenous Peoples Plan/Planning Framework (as appropriate) been prepared in consultation with affected Indigenous Peoples? Yes If yes, then did the Regional unit responsible for safeguards or Sector Manager review the plan? Yes If the whole project is designed to benefit IP, has the design been reviewed and approved by the Regional Social Development Unit or Sector Manager? Yes The World Bank Policy on Disclosure of Information Have relevant safeguard policies documents been sent to the World Bank's Infoshop? Yes Have relevant documents been disclosed in-country in a public place in a form and language that are understandable and accessible to project-affected groups and local NGOs? Yes All Safeguard Policies Have satisfactory calendar, budget and clear institutional responsibilities been prepared for the implementation of measures related to safeguard policies? Yes Page 6 Have costs related to safeguard policy measures been included in the project cost? Yes Does the Monitoring and Evaluation system of the project include the monitoring of safeguard impacts and measures related to safeguard policies? Yes Have satisfactory implementation arrangements been agreed with the borrower and the same been adequately reflected in the project legal documents? Yes D. Approvals Signed and submitted by: Name Date Task Team Leader: Ms Wachuka W. Ikua 10/12/2010 Environmental Specialist: Ms Noreen Beg 09/24/2010 Social Development Specialist Ms Gibwa A. Kajubi 10/12/2010 Additional Environmental and/or Social Development Specialist(s): Approved by: Regional Safeguards Coordinator: Ms Alexandra C. Bezeredi 10/27/2010 Comments: Sector Manager: Ms Eva Jarawan 10/28/2010 Comments: