Republic of Peru National Institute of Health Peru: Strengthening of the Public Health Emergency Preparedness and Response (P174177) Negotiated Version ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN (ESCP) 05/19/2021 Page |1 Official Use ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN 1. The Republic of Peru (Borrower) has decided to support the financing of the Peru: Strengthening of the Public Health Emergency Preparedness and Response - hereinafter referred to as “the Project” - with the participation of the National Institute of Health (INS). The International Bank for Reconstruction and Development—hereinafter “the Bank”—has agreed to provide financing for the Project. 2. The Borrower, through the INS, shall implement material measures and actions to ensure that the Project is implemented in accordance with the World Bank’s Environmental and Social Standards (ESSs). This Environmental and Social Commitment Plan (ESCP) sets out the material measures and actions, any specific documents or plans, as well as the timing for implementing each of these. 3. The Borrower shall be responsible for compliance with all the commitments set forth in the ESCP, in a manner acceptable to the Bank, even when implementation of specific measures and actions is conducted by the INS or any agencies or municipalities involved in the Project that may not be explicitly mentioned in paragraph 1 above. 4. The Borrower, through the INS, shall monitor and report to the Bank on the implementation of the material measures and actions set out in this ESCP, as required by the ESCP and the conditions of the Loan Agreement. 5. As agreed by the Bank and the Borrower, this ESCP may be revised from time to time during Project implementation to reflect adaptive management of Project changes and unforeseen circumstances or in response to the assessment of Project performance conducted under the ESCP itself. In such circumstances, the Borrower, through the INS, represented by its Project Management Team Coordinator (PMT) or the Chief of the INS, shall agree to the changes with the Bank and will update the ESCP to reflect such changes. Agreements on changes to the ESCP shall be documented through the exchange of letters signed between the Bank and the INS -PMT Coordinator, or by the Chief of the INS. The INS shall promptly disclose the updated ESCP. 6. Where Project changes, unforeseen circumstances, or Project performance result in changes to the risks and impacts during Project implementation, the Borrower shall provide additional funds, if needed, to implement measures to address such risks and impacts. Page |2 Official Use Peru: Strengthening of the Public Health Emergency Preparedness and Response MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/ AUTHORITY MONITORING AND REPORTING A REGULAR REPORTING: Reports to be provided to the Bank each INS - Project Management Team semester during Project implementation (PMT) The PMT shall prepare and submit semi-annual monitoring reports on the within 45 days following the end of the performance of the Project in environmental, social, health, and safety (ESHS) reporting semester. aspects, in form and substance acceptable to the Bank. Reports shall include, inter alia: • Progress in the implementation of the ESCP. • Progress in the preparation and implementation of all documents referred to in the ESCP. • Summary of activities to be carried out during the next period. • Summary of training and capacity-building activities during the period. • Summary of dissemination, participation, and consultation activities carried out during the period. • Record of complaints and grievances received and addressed during the period through the Grievance Redress Mechanism (GRM) for workers and the community. The Project Operations Manual (POM) shall contain an annex of the minimum content and format of the reports, also indicating frequency and procedures. B INCIDENTS AND ACCIDENTS: 1. Notify the Bank, through a Flash INS-PMT Report, within 24 hours of learning of 1. Flash Reports: The PMT shall promptly notify the Bank of any incident or the incident/accident. accident related to the Project, which has, or is likely to have a significant 2. Send the detailed report of the adverse effect on the environment, the affected communities, the public, or incident/accident to the Bank within the workers. This immediate notification must contain basic information the timeframe established by the about the accident, the seriousness of the accident (indicating explicitly if it is Bank after receiving the Flash Report a fatality), and the circumstances under which it happened, in addition to the referred to in 1 above. immediate steps taken to address it. 2. Detailed Report: the PMT shall prepare and send to the Bank a report detailing the incident or accident and propose any measures to prevent its recurrence. The POM shall contain an annex of the minimum content and format of the corresponding detailed reports, including details of the process whereby such reports are submitted to the Bank. Page |3 Official Use Peru: Strengthening of the Public Health Emergency Preparedness and Response MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/ AUTHORITY C CONTRACTOR AND SUPERVISOR REPORTS: PMT to ensure that the Contractor and INS-PMT the Supervising Firms develop and submit PMT shall Indicate in the bidding documents of civil works and supervision to the PMT monthly progress reports consulting to be financed under Part 2 of the Project, the requirement to provide throughout implementation of works monthly progress and ESHS compliance reports to the PMT, which in turn, shall under Part 2 of the Project. The PMT shall forward the reports to the Bank as part of the semi-annual monitoring reports (see provide these reports to the Bank on a Action A). biannual basis through the semi-annual reports referred to in Action A. The POM shall contain an annex of the minimum content and format of the respective reports of the Contractor and the Supervising Firms. ESS 1: ASSESSMENT AND MANAGEMENT OF ENVIRONMENTAL AND SOCIAL RISKS AND IMPACTS 1.1 ORGANIZATIONAL STRUCTURE OF THE PMT: The hiring or appointment of the qualified INS-PMT staff indicated (one environmental The INS shall establish an organizational structure in the PMT at the central level, specialist and one social specialist) within with qualified staff to support the management of ESHS risks of the Project. This the PMT must be carried out no later than includes, at a minimum (to be assessed and adjusted during Project 30 days after the Project Effective Date, implementation, if necessary): one (01) full-time environmental specialist, and and be maintained throughout Project one (01) part-time social specialist, both with skills and experience acceptable to implementation. the Bank. The POM shall contain an annex detailing the requirements for both specialists, as well as their hiring process. Any commitment related to environmental and/or social matters prior to hiring the mentioned specialists (see actions 1.2.1, 2.1 and 10.2) must be carried out by the INS team involved in the preparation of the operation. Page |4 Official Use Peru: Strengthening of the Public Health Emergency Preparedness and Response MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/ AUTHORITY 1.2 ENVIRONMENTAL AND SOCIAL ASSESSMENT AND MANAGEMENT TOOLS AND 1. The update and disclosure of the ESMF INS-PMT INSTRUMENTS: is an Additional Condition of Effectiveness, as stipulated in the Loan 1. Update, disclose, consult, adopt, and implement the final Environmental and Agreement. Thereafter, it must be Social Management Framework (ESMF), in a manner and with content implemented during the execution of acceptable to the Bank. The ESMF must be developed in line with the ESSs the Project. requirements, (including ESS 7 in relation to the activities under Part 1 of the 2. Specific Environmental and Social Project, after a more detailed evaluation), the World Bank Group Management Plans (ESMPs) shall be Environmental, Health and Safety Guidelines (EHS Guidelines), and other prepared, finalized, and approved by relevant Good International Industry Practice (GIIP). The activities listed in the the Bank before launching of bidding exclusion list of the ESMF shall not be supported by the Project. process for the construction works 2. Develop, disclose, consult, adopt, and implement the Environmental and Social related to activities under Part 2 of the Management Plans (ESMPs) specific to the activities under Part 2 of the Project, Project. Once approved, the ESMPs in accordance with the Project ESMF, ESSs, EHS Guidelines and other GIIPs as shall be implemented throughout appropriate, in a manner acceptable to the Bank. Project Execution. 3. Incorporate in the procurement documents and contracts with contractors, 3. Before launching the procurement subcontractors, and supervising firms the relevant aspects of this ESCP, processes for relevant Project including, inter alia, the ESMF, the ESMPs or other instruments, the Labor activities, and throughout Project Management Procedures (LMPs), ESSs requirements, and any other required Execution. ESHS measures. Thereafter, ensure that contractors and supervising firms comply with the ESHS specifications of their respective contracts. Page |5 Official Use Peru: Strengthening of the Public Health Emergency Preparedness and Response MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 1.3 CONTINGENCY EMERGENCY RESPONSE COMPONENT (CERC): 1. The development and adoption of the The Borrower and the CERC Coordinating ESMF-CERC in a manner acceptable to Authority to be appointed in accordance 1. Develop, maintain and adopt the CERC's ESMF (ESMF-CERC) in a the Bank is a condition for disbursement, with the Loan Agreement manner acceptable to the Bank, consistent with ESS requirements. The as stipulated in the Loan Agreement. ESMF-CERC corresponds to an independent document that must 2. Environmental and/or social include an exclusion list of activities that shall not be supported by Part instruments will be submitted to the 5 of the Project, procedures for the preparation of any environmental Bank for review and approval, and and/or social instruments that may be required, among others. thereafter adopted before carrying out any activity under Part 5 that requires 2. Prepare, adopt and disclose any environmental and/or social such instruments. Once adopted, the instruments that may be required for activities under Part 5 of the instruments will be implemented in Project, in line with the ESMF-CERC and ESS requirements, and accordance with their terms, in a implement the management measures required under such manner acceptable to the Bank. instruments, within the specified timeframes, all in a manner acceptable to the Bank. 1.4 PERMITS, LICENSES, AND AUTHORIZATIONS: Throughout Project implementation, as INS-PMT needed. Obtain, or help obtain, EHS permits, licenses, and authorizations from relevant authorities for the Project, that are applicable to implement Permits, licenses, and authorizations should activities under Parts 2, and/or 5 of the Project, as needed. be obtained in strict compliance with relevant national regulations, in terms of Enforce the conditions set forth in these permits, licenses, and timeframe, form, and substance authorizations throughout Project implementation. 1.5 MANAGEMENT OF CONSULTANCIES RELATED TO INFRASTRUCTURE Before launching of each bidding process for INS-PMT FINAL DESIGNS the development of the final designs for works financed under Part 2 of the Project. Ensure that the bidding documents of consulting services for developing the final designs of infrastructure works financed under Part 2 of the Project include the necessary EHS requirements, in accordance with international biosafety standards (in the case of laboratories), solid and liquid waste management standards, among others, as specified in the Project ESMF, ESS, EHS Guidelines, and other relevant Good International Industry Practice (GIIP) as appropriate. Page |6 Official Use Peru: Strengthening of the Public Health Emergency Preparedness and Response MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 1.6 ADVISORY COMMITTEE: The Advisory Committee shall be INS-PMT established no later than 30 days after the Ensure that the Advisory Committee includes among its members a Project Effective Date, and must be representative of the Ministry of Health with the capacity and expertise maintained throughout its implementation. to provide technical advice on EHS matters, in line with the Project's ESMF. The process for establishing the committee and the detail of its roles will be detailed in the POM. 1.7 INTER-INSTITUTIONAL AGREEMENTS: Before carrying out activities under Part 2 of INS-PMT the Project Ensure to update the Inter-institutional Agreements between the INS and the Regional Governments of the regions covered under Part 2 of the Project, to incorporate references to Project implementation, and include the appropriate wording that allows the PMT to manage adequately the ESHS aspects during the relevant activities, as detailed in the Project ESMF and POM. ESS 2: LABOR AND WORKING CONDITIONS 2.1 LABOR MANAGEMENT PROCEDURES (LMP): INS-PMT The update and disclosure of the LMP shall The Project shall be carried out in accordance with the Labor be an Additional Condition of Effectiveness, Management Procedures (LMP) and applicable requirements of ESS2, in as stipulated in the Project Loan Agreement. a manner acceptable to the Bank, including through, inter alia, Thereafter, implemented throughout implementing adequate occupational health and safety measures Project implementation. (including emergency preparedness and response measures); implementing grievance arrangements for Project workers; incorporating a Code of Conduct for contractors; incorporating labor requirements into the environmental, social, health and safety (ESHS) specifications of the procurement documents and contracts signed with the contractor and the supervising firms; and ensuring that the contractors and subcontractors responsible for the works have in place the personnel, capabilities, and budget required during implementation of works to satisfactorily comply with the LMP provisions and that they can meet the applicable LMP requirements in their contracts with their primary suppliers. Page |7 Official Use Peru: Strengthening of the Public Health Emergency Preparedness and Response MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 2.2 GRIEVANCE MECHANISM FOR PROJECT WORKERS: 1. The mechanism shall be part of LMP, INS-PMT and thus, in operation prior to the 1. Develop, maintain, and implement a grievance redress mechanism Effective Date. for Project workers in conformance with LMP, in line with ESS2. 2. The mechanism shall be a requirement 2. Ensure that the contractor sets up and maintains a complaint and to be included in the bidding claims mechanism for its workers and that the bidding documents of documents for the supervising firm and the contractor include the requirement to ensure that similar the contractor, with stipulations that provisions are included in its agreements with subcontractors. they include similar provisions in 3. Collect information from both grievance redress mechanisms for agreements with their subcontractors, workers and include it in the semi-annual reports mentioned in before the start of Project works. action C. 3. The mechanism is to be maintained throughout Project implementation 2.3 TRAINING OF PROJECT WORKERS: Training should be conducted at the INS-PMT beginning of each contract with regular Implement capacity-building activities for Project workers, as set out in refresher training from time to time. the LMP to heighten awareness of possible occupational health and safety (OHS) risks and to mitigate corresponding impacts on local communities: 1. Occupational health and safety risks. 2. Sexual harassment policies and protocols in the workplace, and. 3. Labor procedures, based on the provisions of the LMP. 2.4 CODE OF CONDUCT: Before launching of each bidding process for INS-PMT works to be financed under Part 2 of the Establish provisions in the bidding documents for the contractor and the Project. supervisor to apply or cause to apply a code of conduct for their workers and subcontractors. The code of conduct must be based on the guidelines contained in the LMP and should address the risks of Sexual Exploitation and Abuse (SEA) and Sexual Harassment (SH) in the workplace. ESS 3: RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT 3.1 Relevant aspects of this standard shall be considered, as needed, under action 1.2 above. This should include, inter alia, measures that shall be implemented to manage biohazard wastes, and other types of hazardous and non-hazardous wastes under Part 2 of the Project. ESS 4: COMMUNITY HEALTH AND SAFETY Page |8 Official Use Peru: Strengthening of the Public Health Emergency Preparedness and Response MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 4.1 COMMUNITY HEALTH AND SAFETY: Same timeframe as indicated under action INS-PMT 1.2 Relevant aspects of this standard shall be considered, as needed, under action 1.2 above, including, inter alia, measures to: minimize the potential for community exposure to infectious microorganisms resulting from the development of epidemiological research in the laboratories to be built under Part 2 of the Project, and prevent and respond to SEA, and SHA that may arise during the Project implementation. 4.2 RISK HAZARD ASSESSMENT (RHA) AND EMERGENCY RESPONSE PLAN The specific ESMP for the laboratories, INS-PMT (ERP): including the Risk Hazard Assessments, and Emergency Response Plans, where Ensure that ESMPs for the laboratories to be financed under Part 2 of the appropriate, must be prepared, finalized, Project include, inter alia: (i) the development of a Risk or Hazard and approved by the Bank and the PMT Assessment and (ii) as needed, the development of an Emergency before launching of the bidding process for Response Plan, in accordance with the ESMF, and in a manner acceptable the construction of the relevant works. to the Bank, in line with action 1.2.2. 4.3 SECURITY PERSONNEL: Before launching of each bidding process for INS-PMT works under Part 2 of the Project. Develop and implement measures to assess and manage security risks posed by these security arrangements to the population within the Project site and to Project workers, including the following: o INS shall ensure that bidding documents for hiring and supervising security personnel by the contractor include the necessary provisions so that their actions are consistent with ESS 4 requirements and consider the Bank's guidelines. o The contractor and the supervisor shall appoint a person in charge of verifying that the actions of the security personnel are consistent with ESS 4. ESS 5: LAND ACQUISITION, RESTRICTIONS ON LAND USE AND INVOLUNTARY RESETTLEMENT 5.1 Agreement to transfer parcels of land to INS to build Macro Regional Agreements signed before commencement INS-PMT Centers in Loreto, Arequipa, and Lambayeque. of works under Part 2 of the Project. ESS 6: BIODIVERSITY CONSERVATION AND SUSTAINABLE MANAGEMENT OF LIVING NATURAL RESOURCES Page |9 Official Use Peru: Strengthening of the Public Health Emergency Preparedness and Response MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 6.1 Relevant aspects of this standard shall be considered, as needed, under action 1.2 above. This should include, inter alia, the development of a “Deforestation Management Plan” as part of the ESMP of the Iquitos Macro-Regional Center under Part 2 of the Project, in compliance with both ESS6 requirements and national regulations, mainly the Forestry and Wildlife Law (No. 29763) ESS 7: INDIGENOUS PEOPLES/SUB-SAHARAN AFRICAN HISTORICALLY UNDERSERVED TRADITIONAL LOCAL COMMUNITIES 7.1 Relevant aspects of this standard shall be considered, as needed, under Same timeframe as indicated for under INS-PMT action 1.2 above. action 1.2 ESS 8: CULTURAL HERITAGE 8.1 Relevant aspects of this standard, including chance finds procedures shall be considered, as needed, under action 1.2 above. ESS 9: FINANCIAL INTERMEDIARIES Currently not relevant. ESS 10: STAKEHOLDER ENGAGEMENT AND INFORMATION DISCLOSURE 10.1 PLAN STAKEHOLDER ENGAGEMENT PLAN (SEP): 1. The update and disclosure of the SEP INS-PMT shall be an Additional Condition of Prepare, disclose, consult, adopt and implement Stakeholder Effectiveness, as stipulated in the Engagement Plan (SEP), consistent with ESS10, in a manner acceptable to Project Loan Agreement. Thereafter, the Bank implemented throughout Project implementation. 10.2 PROJECT GRIEVANCE MECHANISM: The mechanism already in place at INS shall INS-PMT address any complaints and grievances Accessible grievance arrangements shall be made publicly available to throughout the Project's lifetime. A Project- receive and facilitate the resolution of concerns and grievances in specific GRM should be established prior to relation to the Project, as described in the SEP, consistent with ESS10, in the Effective Date and be in place a manner acceptable to the Bank. throughout Project implementation. CAPACITY SUPPORT (TRAINING) FC1 TRAINING PMT SPECIALISTS: Ongoing training during the first year of the INS-PMT, supported by WB execution of the Project, as needed. Training to all PMT specialists on the Bank's ESSs and Project instruments. As part of this training, include the Code of Conduct for contractors mentioned in action 2.1 and 2.4 and the various grievance redress mechanisms required for the Project. P a g e | 10 Official Use Peru: Strengthening of the Public Health Emergency Preparedness and Response MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY FC2 LABORATORY WORKERS TRAINING PROGRAM: 1.a. Design in regional public health INS-PMT laboratories: before the start of activities 1. Design a Laboratory Workers Training Program (for existing for laboratory equipping. laboratories to be equipped and new laboratories to be built by the 1.b. The training program should be further Project), focused on implementing all necessary EHS considerations enhanced, before the start of laboratory during routine laboratory procedures, in line with ESMF requirements. equipping activities in the three regional centers and the National Health Complex, to 2. Implement the training program throughout the 21 regional public incorporate specialized modules on health laboratories to be equipped, and the laboratories to be built and research and surveillance activities that will equipped in the 03 macro-regional centers and the National Health be developed in such centers. Complex. 2.a. Implementation in the 21 regional public health laboratories: within the first month of equipping said laboratories. 2.b. Implementation in laboratories within the macro-regional centers and the National Health Complex: within the first month of hiring each specialist who will develop research and surveillance activities in said laboratories. 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