Page 1 INTEGRATED SAFEGUARDS DATASHEET APPRAISAL STAGE I. Basic Information Date prepared/updated: 05/08/2006 Report No.: AC2066 1. Basic Project Data Country: Sudan Project ID: P098495 Project Name: Southern Sudan Umbrella Program for Health System Development Task Team Leader: Jean-Pierre Manshande Estimated Appraisal Date: January 25, 2006 Estimated Board Date: May 10, 2006 Managing Unit: AFTH3 Lending Instrument: Emergency Recovery Loan Sector: Health (100%) Theme: Child health (P);Other communicable diseases (P);Health system performance (P);Nutrition and food security (P);Population and reproductive health (P) IBRD Amount (US$m.): 0.00 IDA Amount (US$m.): 0.00 GEF Amount (US$m.): 0.00 PCF Amount (US$m.): 0.00 Other financing amounts by source: BORROWER 150.00 SPECIAL FINANCING 75.00 225.00 Environmental Category: B - Partial Assessment Simplified Processing Simple [X] Repeater [] Is this project processed under OP 8.50 (Emergency Recovery) Yes [X] No [ ] 2. Project Objectives The project's development objective is to develop core health sector systems and capacities and increase the population’s access to basic health services and interventions. 3. Project Description Component 1. Development of policy and capacity of the public health administration. This component will improve the capacities of MOH planners and administrators at GoSS, state, and county levels to formulate policy, set priorities, develop operational plans and budgets, and supervise and coordinate service providers and other sector partners. The program will finance office equipment, information technology (IT), and vehicles as well as technical assistance and training. Component 2. Investment in infrastructure and equipment. During the first year, the program will support detailed planning for the investment program. As well, the program will equip functioning facilities as well as upgrade priority existing hospitals and health centers. Subsequent Later years will see a rapid increase in the rehabilitation and construction of health facilities at PHC, health center, and rural hospital levels. Page 2 Component 3. Pharmaceutical system capacity and supply. This component will develop MoH's capacity to strengthen the regulatory framework and to manage the procurement, supply and distribution of drugs. Rehabilitation and construction of central and regional warehouses is also planned. Component 4. Health human resource development. This component will develop the health human resources required for expansion of basic service delivery. Technical assistance will support the Ministry on human resource planning and management. The component will also support development of pre- and in-service training capacity and programs, including developing and harmonizing curricula and training material, training of teachers and trainers, rehabilitating training facilities, and meeting the recurrent costs of training programs. Component 5. Expansion of health service delivery. This component will finance rapid expansion of health service delivery, largely through contracting mechanisms designed to bypass capacity constraints. The first sub-component involves strengthening and reforming service delivery by the three major hospitals in Juba, Malakal and Wau. The second sub-component focuses on supporting and developing the PHC level, including district (first-referral) hospitals. Component 6. High-impact health interventions. This component seeks to reach the two-thirds of the population of South Sudan without access to formal health services through the introduction of high-impact interventions delivered through community and household channels. Interventions will include measles immunization, distribution of insecticidal nets for malaria prevention, and others. Component 7. Monitoring and evaluation. This component will develop the Ministry of Health’s monitoring and evaluation (M&E) capacity and establish its M&E system, as well as measure the performance of this program itself. Component 8. Program implementation. Capacity for program implementation will be built in the existing structure of the MoH, with an Executive Board comprising the Undersecretary and Department Directors. Internationally-recruited technical assistants will support program coordination, financial management, procurement, and the relevant implementing Directorates of the Ministry in technical areas. 4. Project Location and salient physical characteristics relevant to the safeguard analysis The program will be implemented in South Sudan, with a population of about 10 million in an area the size of France. Land is seemingly plentiful, but its use is governed by a complex traditional and legal framework. Long distances and poor transport infrastructure will necessitate decentralized arrangements for medical waste management. 5. Environmental and Social Safeguards Specialists Mr Mohamed Arbi Ben-Achour (AFTS1) Page 3 Mr John A. Boyle (AFTS1) 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 Cultural Property (OPN 11.03) 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: Environmental issues are expected only with the construction of new, and renovation of old, buildings such as health centers, hospitals and offices (e.g. safe water supply, sanitation, waste disposal). These will be addressed through the implementation of an Environmental and Social Management Framework (ESMF) and a Medical Waste Management Plan (MWMP). The construction of new, and renovation of old, buildings such as health centers, hospitals and offices may require land acquisition, and a Resettlement Policy Framework (RPF) will address potential compensation requirements. 2. Describe any potential indirect and/or long term impacts due to anticipated future activities in the project area: None 3. Describe any project alternatives (if relevant) considered to help avoid or minimize adverse impacts. Alternatives will be considered in the siting of new facilties during project implementation. 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. Borrower capacity is virtually non-existent. It is planned that the ESMF and RPF will be applicable to all MDTF projects, initially education, health and roads. The MWMP will apply to this project only. To address safeguards capacity constraints, the Ministry of Environment, Wildlife Conservation and Tourism (MOEWCT) has agreed to coordinate an MDTF Safeguards Management Committee, comprised of Safeguards Officers from each ministry benefiting from the MDTF. The MOEWCT will not have subproject approval authority. However, each Safeguards Officer will have the authority to determine, in consultation with the coordinator, whether the site is free of safeguards Page 4 issues and whether additional mitigation measures are needed. The Committee will be supported by a regionally recruited advisor specialized in World Bank Safeguards over the project period (three years). The advisor will monitor the implementation of the safeguard procedures, provide training and advice to the SMC as needed, and will report to the benefiting ministries and to the MTDF Administrator. This arrangement will support not only continuous performance improvement for the Safeguards Officers and implementation of the ESMF and RPF (and MWMP), but also policy, regulatory and institutional strengthening for the MOEWCT to support environmentally sustainable growth and resource management in Southern Sudan. 5. Identify the key stakeholders and describe the mechanisms for consultation and disclosure on safeguard policies, with an emphasis on potentially affected people. Key stakeholders are the households and communities living near and served by health facilities, health service providers, and local, state, and central MOH authorities. The development of the ESMF and RPF will involve stakeholder consultation, while the MOH Safeguards Officer will be the focal point for consultation and disclosure during project implementation, including making available the findings of Land Acquisitions Assessments and other individual clearances. B. Disclosure Requirements Date Environmental Assessment/Audit/Management Plan/Other: Date of receipt by the Bank 10/15/2006 Date of "in-country" disclosure 12/01/2006 Date of submission to InfoShop 12/15/2006 For category A projects, date of distributing the Executive Summary of the EA to the Executive Directors Resettlement Action Plan/Framework/Policy Process: Date of receipt by the Bank 10/15/2006 Date of "in-country" disclosure 12/01/2006 Date of submission to InfoShop 12/15/2006 * If the project triggers the Pest Management and/or Cultural Property, 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: Since the project is being prepared under OP8.50 (Emergency Recovery Assistance), the ESMF, RPF and MWMP will be completed, approved and disclosed by the Government and the MDTF Administrator within six months of project effectiveness. 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 Page 5 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? No Are the cost and the accountabilities for the EMP incorporated in the credit/loan? No OP/BP 4.12 - Involuntary Resettlement Has a resettlement plan/abbreviated plan/policy framework/process framework (as appropriate) been prepared? No If yes, then did the Regional unit responsible for safeguards or Sector Manager review the plan? No The World Bank Policy on Disclosure of Information Have relevant safeguard policies documents been sent to the World Bank's Infoshop? No 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? No All Safeguard Policies Have satisfactory calendar, budget and clear institutional responsibilities been prepared for the implementation of measures related to safeguard policies? Yes 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: Mr Jean-Pierre Manshande 05/09/2006 Environmental Specialist: Mr John A. Boyle 05/09/2006 Social Development Specialist Mr Mohamed Arbi Ben-Achour 05/09/2006 Additional Environmental and/or Social Development Specialist(s): Approved by: Sector Manager: Ms Laura Frigenti 05/09/2006 Comments: