Page 1 INTEGRATED SAFEGUARDS DATA SHEET CONCEPT STAGE Report No.: AC2560 Date ISDS Prepared/Updated: 11/07/2006 I. BASIC INFORMATION A. Basic Project Data Country: Afghanistan Project ID: P101502 Project Name: Afghanistan HIV/AIDS Prevention Project Task Team Leader: Sundararajan Srinivasa Go Estimated Appraisal Date: March 23, 2007 Estimated Board Date: May 29, 2007 Managing Unit: SASHD Lending Instrument: Specific Investment Loan Sector: Health (70%);General education sector (15%);Media (10%);General public administration sector (5%) Theme: HIV/AIDS (P);Gender (S) IBRD Amount (US$m.): 0.00 IDA Amount (US$m.): 10.00 GEF Amount (US$m.): 0.00 PCF Amount (US$m.): 0.00 Other financing amounts by source: BORROWER/RECIPIENT 0.00 0.00 B. Project Objectives [from section 2 of PCN] To support the Government of Afghanistan in maintaining a low prevalence of HIV-positive cases (less than 0.5 percent) among the general population, containing the spread of HIV transmission among vulnerable population groups, i.e., IDU, FSW, MSM, controlling HIV transmission, especially to the general population and thus averting a generalized epidemic. to build the capacity of, and to contribute financially to an effective national response to HIV/AIDS, through a robust surveillance system, scaled up targeted interventions with sufficient coverage of vulnerable populations and appropriate communication activities to bring about changes in risky behaviors and stigma against HIV +ve persons. C. Project Description [from section 3 of PCN] Tentatively, given the information so far available, the team is considering the following components. 3.2.1. Strengthening surveillance system including Behavioral Surveillance Page 2 3.2.2. targeted interventions for high-risk and vulnerable groups, including support for innovative approaches and operations research to evaluate impact, 3.2.3. communications strengthening IEC/advocacy 3.2.4. Program management, capacity development and leadership (institutional development, multi sector approaches, monitoring and evaluation, coordination mechanism) Once the National Program Operational Plan (POP) is ready and other donor inputs are identified, the Bank-financed project would seek to fill the gaps through a process of prioritization in consultation with the Government. Therefore, the above set of components will be reviewed at that time. D. Project location (if known) Afghanistan. The main interventions are likely to be in selected urban centers where the high-risk and vulnerable population groups are usually concentrated. In selected cases second-tier cities would also need to be included, if the mapping exercises show the prevalence of high risk behaviors in those towns. Some interventions like awareness-building activitiees and behavior change communications using the media might be national in scope. E. Borrower’s Institutional Capacity for Safeguard Policies [from PCN] The Ministry of Public Health does have capacity constraints when it comes to implementing its Health Care Waste Management Plan. However, this is not unique to this particular line ministry and, in fact, this Ministry has a better implementation track record than most other line ministries, considering the country context of Afghanistan. F. Environmental and Social Safeguards Specialists Mr Mohammad Arif Rasuli (SASES) Ms Asta Olesen (SASES) II. SAFEGUARD POLICIES THAT MIGHT APPLY Safeguard Policies Triggered Yes No TBD Environmental Assessment (OP/BP 4.01) X Environmental safeguards need to be adhered to, with regard to health care waste management, and the safe disposal of unclean needles and syringes that the project would collect in exchange for clean needles and syringes as part of the harm reduction activities targeted at injecting drug users. The Ministry of Public Health already has a Health Care Waste Management Plan, prepared recently under the Bank-financed Emergency Health Project. That plan needs to be updated, especially to take account of the recently passed Environmental Safety Act. Once updated, the same plan would be applied to the interventions planned under this project as well. Page 3 Safeguard Policies Triggered Yes No TBD 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: 03/31/2007 B. For simple projects that will not require a QER, the target date for preparing the PAD-stage ISDS: 03/31/2007 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. Updating the Health Care Waste Management Plan - by 03/31/2007 IV. APPROVALS Signed and submitted by: Task Team Leader: Mr Sundararajan Srinivasa Gopalan 11/01/2006 Approved by: Regional Safeguards Coordinator: Mr Frederick Edmund Brusberg 11/07/2006 Comments: ISDS is cleared. Project is transferred to SASHD for safeguards oversight. Sector Manager: Ms Anabela Abreu 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