Page 1 INTEGRATED SAFEGUARDS DATA SHEET CONCEPT STAGE Report No.: AC2474 Date ISDS Prepared/Updated: 09/12/2006 I. BASIC INFORMATION A. Basic Project Data Country: Cape Verde Project ID: P101950 Project Name: HIV/AIDS MAP Supplemental Task Team Leader: Maurizia Tovo Estimated Appraisal Date: October 5, 2006 Estimated Board Date: December 21, 2006 Managing Unit: AFTH2 Lending Instrument: Specific Investment Loan Sector: Health (100%) Theme: HIV/AIDS (P);Other social protection and risk management (S) IBRD Amount (US$m.): 0.00 IDA Amount (US$m.): 5.00 GEF Amount (US$m.): 0.00 PCF Amount (US$m.): 0.00 Other financing amounts by source: BORROWER/RECIPIENT 0.50 Financing Gap 0.00 0.50 B. Project Objectives [from section 2 of PCN] To support the goal of the national HIV/AIDS strategy to reduce the spread of HIV infection in the country by supporting: (a) the mitigation of HIV/AIDS impact at individual, household, and community levels, thus sustaining an economically productive population; and (b) the establishment of a strong and sustainable national capacity to respond to the epidemic. C. Project Description [from section 3 of PCN] The current project has four components: (a) capacity-building; (b) public sector initiatives, including national and municipal levels; (c) civil society and private sector initiatives; and (d) project facilitation, coordination, monitoring and evaluation. It supports: (a) health promotion activities targeted at behavior change to reduce the transmission of HIV; (b) diagnosis, treatment, care and support for Persons Leaving with HIV/AIDS (PLWHA) and others affected by the epidemic; (c) mitigation of the socio-economic impact of HIV/AIDS, and (d) research, surveillance, monitoring, and evaluation to strengthen national and local capacity to respond effectively and efficiently to the epidemic. The four initial components will probably be reduced to three, as capacity building (component 1) has been successfully implemented and additional outside support does not appear to be Page 2 needed to maintain current levels. In addition, the activities financed under the supplemental project will be more focused. In fact, the initial project was designed to cast a large net, as little was known about the characteristics of the epidemics and the most effective ways to fight it. Thanks to additional information and the implementation experience of the past three years, it is now possible to target efforts on a smaller, better targeted number of activities. The additional financing of US$5.0 million equivalent will aim at: (i) implementing activities that will help consolidate project gains and focus on the most cost-effective approaches and actions; and (ii) identifying ways of making the fight against HIV/AIDS financially sustainable as donor money is expected to dry up in the near future. D. Project location (if known) Country-wide. E. Borrower’s Institutional Capacity for Safeguard Policies [from PCN] The modest level of risk related to institutional and organizational capacity that prevailed at the time of the initial Project approval did not materialize, as shown by the successful implementation by line ministries and municipalities, despite little experience with multisectoral initiatives and no experience in HIV/AIDS control. In particular, the implementation of the Medical Waste Plan was highly successful and has become a model for other countries. F. Environmental and Social Safeguards Specialists Mr Serigne Omar Fye (AFTS1) II. SAFEGUARD POLICIES THAT MIGHT APPLY Safeguard Policies Triggered Yes No TBD Environmental Assessment (OP/BP 4.01) X This is an HIV/AIDS project and as such providing care to PLWHA requires proper disposal of medical supplies through an appropriate waste management system. 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 Environmental Category: B - Partial Assessment III. SAFEGUARD PREPARATION PLAN A. Target date for the Quality Enhancement Review (QER), at which time the PAD-stage ISDS would be prepared: N/A Page 3 B. For simple projects that will not require a QER, the target date for preparing the PAD-stage ISDS: 09/19/2006 C. Time frame for launching and completing the safeguard-related studies that may be needed. The specific studies and their timing 1 should be specified in the PAD-stage ISDS. The medical waste management plan of the original MAP project will be redisclosed in country and to the Infoshop prior to appraisal. The project will also document possible lessons learned from experience in implementing the plan to guide the supplemental on the way forward. The SMU has also agreed to accept the transfer of the safeguard responsibilities. IV. APPROVALS Signed and submitted by: Task Team Leader: Ms Maurizia Tovo 09/12/2006 Approved by: Regional Safeguards Coordinator: Mr Warren Waters 09/12/2006 Comments: Sector Manager: Ms Eva Jarawan 09/12/2006 Comments: 1 Reminder: The Bank's Disclosure Policy requires that safeguard-related documents be disclosed before appraisal (i) at the InfoShop and (ii) in-country, at publicly accessible locations and in a form and language that are accessible to potentially affected persons. Page 4