Page 1 Integrated Safeguards Data Sheet (ISDS) Section I – Basic Information Date ISDS Prepared/Updated: August 27, 2004 Report No.:AC1006 A. Basic Project Data A.1. Project Statistics Country: Angola Project ID: P083180 Project: Angola HAMSET Project TTL: Jean J. De St Antoine Total project cost (by component): Appraisal Date: September 2, 2004 Loan/Credit amount($m): IDA grant: 21.0 Board Date: December 14, 2004 Other financing amounts by source: ($m.) Bilateral agencies 14.9 Borrower 3.7 Managing Unit: AFTH1 Sector: Health (80%);Other social services (20%) Lending Instruments: Specific Investment Loan Is this project processed under OP 8.50 (Emergency recovery)? Yes? [ ] No? [x] Environmental Category: A.2 . Project Objectives The project’s development objectives are to: (i) reduce the spread of HIV/AIDS in the Angolan population through a multi-sector approach that strengthens institutional capacity and increases access and utilization of health services for prevention, diagnosis, care, and support; (ii) strengthen the capacity of the health sector to reduce the incidence of TB, improve treatment continuity, and increase cure rates; and (iii) strengthen the capacity of the MOH for effective case management of malaria. Page 2 A.3. Project Description The project would have an estimated cost of about $39.6 million. This total cost represents the overall program including on-going projects financed by other donors (US$14.9 million), as well as additional activities to be financed under HAMSET by the Bank (US$21.0 million) and the government (US$3.7 million). The project would have four components as follows: (i) Public Sector Response to AIDS: $2.5 million (of which IDA: US$2.0 m); (ii) Health Sector Response (all three diseases): US$12.1 million (IDA: US$7.2 m); (iii) Community Response (all three diseases): US$19.2 million (IDA: US$7.0 m); and (iv) Multi-sector Program Coordination: US$4.8 million. Implementation would start with provinces with the highest population, prevalence of HIV/AIDS, malaria and TB, presence of partners, and ease of access, and expand geographically over time. Some activities such as mass media prevention campaigns or definition of testing protocols would have a national coverage from the outset. The project’s results framework and proposed monitoring indicators are presented in Annex 3. A detailed project description is presented in Annex 4 and summarized below. Component 1 - Public Sector Response . This component would support a multi-sector response from government ministries and local government agencies. The project would: (i) help build capacity; (ii) help line ministries reduce impact of AIDS, malaria and TB on ministry staff and their dependents; and (iii) help to line ministries reduce impact of AIDS, malaria and TB on external clients (users of their services). Priority activities within this component would be information, education, and communication (IEC), behavior change communication (BCC), social marketing of condoms, and access to VCT and PMTCT. Component 2 – Health Sector Response . This component would provide funding to the MOH for the prevention and treatment of TB and malaria, as well as for HIV/AIDS activities for which the MOH is directly responsible such as training of MOH staff, VCT and STI management, PMTCT, and treatment of opportunistic infections. Component 3 - Community Response . This component would provide funding and technical assistance to civil society organizations, communities, NGOs, and faith-based organizations (FBOs) that would present subprojects to prevent and mitigate the effects of the three diseases. They would cover preventive activities for HIV/AIDS, social marketing of bed nets, and community treatment of malaria, and support to implementation of DOTS for TB. Criteria used for the approval of grants would include potential impact, innovation, and capacity of the organization. Eligibility criteria for community subprojects are presented in Annex 6. Component 4 – Multi-sector Program Coordination . This component would help: (i) support the establishment of Provincial AIDS and Endemic Diseases Commission (a national commission is already established); (ii) contract professionals for PCU; (ii) contract professional; services including financial and procurement management; and (iii) develop information systems to monitor and evaluate progress in controlling the epidemics. Page 3 A.4. Project Location and salient physical characteristics relevant to the safeguard analysis: B. Check Environmental Category A [ ], B [X], C [ ], FI [ ] Comments: C. Safeguard Policies Triggered Yes No Environmental Assessment ( OP / BP / GP 4.01) [x] [ ] Natural Habitats ( OP / BP 4.04) [ ] [x] Pest Management (OP 4.09) [ ] [x] Cultural Property (draft OP 4.11 - OPN 11.03 -) [ ] [x] Involuntary Resettlement ( OP / BP 4.12) [ ] [x] Indigenous Peoples ( OD 4.20 ) [ ] [x] Forests ( OP / BP 4.36) [ ] [x] Safety of Dams ( OP / BP 4.37) [ ] [x] Projects in Disputed Areas ( OP / BP / GP 7.60) * [ ] [x] Projects on International Waterways ( OP / BP /GP 7.50) [ ] [x] * By supporting the proposed project, the Bank does not intend to prejudice the final determination of the parties' claims on the disputed areas Page 4 Section II – Key Safeguard Issues and Their Management D. Summary of Key Safeguard Issues . D.1. Describe any safeguard issues and impacts associated with the proposed project. Identify and describe any potential large scale, significant and/or irreversible impacts. An assessment of current health care waste management and disposal systems was undertaken. The detailed findings are presented in the PAD and are summarized below. Current practices in health care waste and contaminated health care waste handling, storage and disposal raises environmental and social concerns. At present, there are no available national environmental and social policies and regulations for the safe handling, storage and disposal of waste, including health care waste. Nor are there national policies and regulations related to pest control and pesticides use and management. Hence there is a need for a thorough assessment of health care waste and disposal, with a particular focus on management of waste from HIV/AIDS, tuberculosis, and other infectious diseases. The government has agreed to use the PPF to contract a consultant to help the government develop a national Health Care Waste Management Plan. Draft terms of reference to that effect are presented in Annex 10 of the PAD. Notwithstanding the above issues, there is fertile ground for success for the forthcoming health care waste management plan. Provincial and local governments are open to improving their waste collection and have a decentralized structure to that effect. A new strategy has been developed in conjunction with the Ministry of Urbanism and Environment. This strategy is designed to revamp current management practices of waste, in general, and health care waste in particular. It establishes a new centralized incineration center for infectious health care waste and a new sanitary dump site, and brings on board three new private waste management service providers to complement the activities of the existing private service provider, and broaden the coverage of waste management and disposal activities in a safe and timely fashion. Finally, there are a number of environmentally focused NGOs in the country, who can play a crucial role in behavior change activities targeted at scavenging communities. D.2 Describe any potential indirect and/or long term impacts due to anticipated future activities in the project area. D.3. Describe the treatment of alternatives (if relevant) D.4. Describe measures taken by the borrower to address safeguard issues. Provide an assessment of borrower capacity to plan and implement the measures described. Page 5 D.5. Identify the key stakeholders and describe the mechanisms for consultation and disclosure on safeguard policies, with an emphasis on potentially affected people. Page 6 F. Disclosure Requirements Date Environmental Assessment/Audit/Management Plan/Other: Date of receipt by the Bank …/…/… or Not Applicable Date of “in-country” disclosure …/…/… or Not Applicable Date of submission to InfoShop …/…/… or Not Applicable For category A projects, date of distributing the Executive Summary of the EA to the Executive Directors …/…/… or Not Applicable Resettlement Action Plan/Framework/Policy Process: Date of receipt by the Bank …/…/… or Not Applicable Date of “in-country” disclosure …/…/… or Not Applicable Date of submission to InfoShop …/…/… or Not Applicable Indigenous Peoples Development Plan/Framework: Date of receipt by the Bank …/…/… or Not Applicable Date of “in-country” disclosure …/…/… or Not Applicable Date of submission to InfoShop …/…/… or Not Applicable Pest Management Plan: Date of receipt by the Bank …/…/… or Not Applicable Date of “in-country” disclosure …/…/… or Not Applicable Date of submission to InfoShop …/…/… or Not Applicable Dam Safety Management Plan: Date of receipt by the Bank …/…/… or Not Applicable Date of “in-country” disclosure …/…/… or Not Applicable Date of submission to InfoShop …/…/… or Not Applicable If in-country disclosure of any of the above documents is not expected, please explain why. Section III – Compliance Monitoring Indicators at the Corporate Level (To be filled in when the ISDS is finalized by the project decision meeting) OP/BP 4.01 - Environment Assessment: Yes No Does the project require a stand-alone EA (including EMP) report? If yes, then did the Regional Environment Unit review and approve the EA report? Are the cost and the accountabilities for the EMP incorporated in the credit/loan? OP/BP 4.04 - Natural Habitats: Yes No Would the project result in any significant conversion or degradation of critical natural habitats? If the project would result in significant conversion or degradation of other (non-critical) natural habitats, does the project include mitigation measures acceptable to the Bank? OP 4.09 - Pest Management: Yes No Does the EA adequately address the pest management issues? Is a separate PMP required? If yes, are PMP requirements included in project design? Page 7 Draft OP 4.11 (OPN 11.03) - Cultural Property: Yes No Does the EA include adequate measures? Does the credit/loan incorporate mechanisms to mitigate the potential adverse impacts on physical cultural resources? OD 4.20 - Indigenous Peoples: Yes No Has a separate indigenous people development plan been prepared in consultation with the Indigenous People? If yes, then did the Regional Social Development Unit review and approve the plan? If the whole project is designed to benefit IP, has the design been reviewed and approved by the Regional Social Development Unit? OP/BP 4.12 - Involuntary Resettlement: Yes No Has a resettlement action plan, policy framework or policy process been prepared? If yes, then did the Regional Social Development Unit review and approve the plan / policy framework / policy process? OP/BP 4.36 – Forests: Yes No Has the sector-wide analysis of policy and institutional issues and constraints been carried out? Does the project design include satisfactory measures to overcome these constraints? Does the project finance commercial harvesting, and if so, does it include provisions for certification system? OP/BP 4.37 - Safety of Dams: Yes No Have dam safety plans been prepared? Have the TORs as well as composition for the independent Panel of Experts (POE) been reviewed and approved by the Bank? Has an Emergency Preparedness Plan (EPP) been prepared and arrangements been made for public awareness and training? OP 7.50 - Projects on International Waterways: Yes No Have the other riparians been notified of the project? If the project falls under one of the exceptions to the notification requirement, then has this been cleared with the Legal Department, and the memo to the RVP prepared and sent? What are the reasons for the exception? Please explain: Has the RVP approved such an exception? OP 7.60 - Projects in Disputed Areas : Yes No Has the memo conveying all pertinent information on the international aspects of the project, including the procedures to be followed, and the recommendations for dealing with the issue, been prepared, cleared with the Legal Department and sent to the RVP? Does the PAD/MOP include the standard disclaimer referred to in the OP? BP 17.50 - Public Disclosure: Yes No Have relevant safeguard policies documents been sent to the World Page 8 Bank's Infoshop? 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? All Safeguard Policies: Yes No Have satisfactory calendar, budget and clear institutional responsibilities been prepared for the implementation of the safeguard measures? Have safeguard measures costs been included in project cost? Will the safeguard measures costs be funded as part of project implementation? Does the Monitoring and Evaluation system of the project include the monitoring of safeguard impacts and measures? Have satisfactory implementation arrangements been agreed with the borrower and the same been adequately reflected in the project legal documents? Signed and submitted by: Name Date Task Team Leader: Jean J. De St Antoine Project Safeguards Specialist 1: Project Safeguards Specialist 2: Project Safeguards Specialist 3: Approved by: Name Date Regional Safeguards Coordinator: Comments: Sector Manager: Comments: