MONGOLIA MONGOLIA COVID-19 EMERGENCY RESPONSE AND HEALTH SYSTEM PREPAREDNESS PROJECT (P173799) AND ADDITIONAL FINANCING (P175730) [Draft/Version for Negotiations] ENVIRONMENTAL and SOCIAL COMMITMENT PLAN (ESCP) [Date] 1 1 To be updated to the Negotiation Date in due course. 1|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN 1. Mongolia (hereinafter the Recipient) shall implement the COVID-19 Emergency Response and Health System Preparedness Project (P173799) including the activities to be supported under the Additional Financing (P175730) Project (the Project), with the involvement of the Ministry of Health. International Bank for Reconstruction and Development and the International Development Association (collectively, hereinafter the Bank) has agreed to provide financing for the Project. 2. The Recipient shall carry out the Project in accordance with the Environmental and Social Standards (ESSs). To this end, this Environmental and Social Commitment Plan (ESCP) sets out material measures and actions to be carried out or caused to be carried out by the Recipient, including the timeframes of the actions and measures, institutional, staffing, training, monitoring and reporting arrangements, grievance management and the environmental and social assessments and instruments to be prepared or updated, disclosed, consulted, adopted and implemented under the ESCP and the ESSs, all in a manner acceptable to the Bank. 3. Implementation of the material measures and actions set out in this ESCP shall be monitored and reported to the Bank by the Recipient as required by the ESCP and the provisions of the Loan Agreement and Financing Agreement. 4. As agreed by the Bank and the Recipient, 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 assessment of Project performance conducted under the ESCP itself. In such circumstances, the Recipient shall update the ESCP to reflect the agreed-upon changes. Agreement on changes to the ESCP shall be documented through an exchange of letters signed between the Bank and the Recipient. The Recipient shall promptly disclose the updated ESCP. 5. Where Project changes, unforeseen circumstances, or Project performance result in changes to the risks and impacts during Project implementation, the Recipient shall provide additional funds, if needed, to implement actions and measures to address such risks and impacts. 2|Page Mongolia COVID-19 Emergency Response and Health System Preparedness Project MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY MONITORING AND REPORTING A REGULAR REPORTING: Prepare and submit to the Bank regular monitoring reports Quarterly throughout Project PIU at the Ministry of Health on the environmental, social, health and safety (ESHS) performance of the Project, implementation including but not limited to, stakeholder engagement activities and grievances log. B INCIDENTS AND ACCIDENTS: Promptly notify the Bank of any incident or accident Minor incidents will be reflected in the PIU at the Ministry of Health related to the Project which has, or is likely to have, a significant adverse effect on six-monthly reports to the Bank, major the environment, the affected communities, the public or workers including, inter issues will be flagged to the Bank alia, any COVID outbreak in the Project area. Provide sufficient detail regarding the immediately. incident or accident, indicating immediate measures taken or that are planned to be taken to address it, and any information provided by any contractor and A report would be provided to the Bank, supervising entity, as appropriate. Subsequently, as per the Bank’s request, prepare as requested. a report on the incident or accident and propose any measures to prevent its recurrence. ESS 1: ASSESSMENT AND MANAGEMENT OF ENVIRONMENTAL AND SOCIAL RISKS AND IMPACTS 1.1 ORGANIZATIONAL STRUCTURE: The Ministry of Health shall establish and maintain Key staff to be appointed prior to PIU at the Ministry of Health a Project Implementation Unit with qualified staff and resources to support commencement of Project activities and management of ESHS risks and impacts of the Project including (i) a community maintained throughout Project engagement specialist experienced in working with poor, vulnerable and remotely implementation located communities; (ii) facility health and safety specialist; (iii) environmental 1. Community engagement specialist health specialist; iv) Vaccination Specialist; and v) Monitoring and Evaluation 2. Facility health and safety specialist Specialist. 3. Environmental health specialist 4. Vaccination Specialist The PIU will also contract UNICEF and WHO to support Project activities. The PIU 5. Monitoring and Evaluation Specialist shall ensure that these organizations follow the Project’s ESMF and comply with all relevant ESSs. 3|Page Mongolia COVID-19 Emergency Response and Health System Preparedness Project MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 1.2 ENVIRONMENTAL AND SOCIAL ASSESSMENT/MANAGEMENT PLANS AND PIU at the Ministry of Health INSTRUMENTS/ CONTRACTORS a. Assess the environmental and social risks and impacts of proposed Project a. ESMF shall be prepared, disclosed, activities, in accordance with an Environmental & Social Management consulted and adopted before the Framework (ESMF) to be prepared, disclosed, consulted and adopted by the Effective Date. Assessment shall be Recipient for the Project, the ESSs, the Environmental, Health and Safety conducted before the carrying out of Guidelines (EHSGs), and other relevant Good International Industry Practice the relevant Project activities. (GIIP), including relevant WHO guidelines. b. Prepare, disclose, consult, adopt and implement any environmental and social b. Plans/instruments shall be prepared, management plans (e.g. health-care waste management plans), instruments or disclosed, consulted and adapted other measures required for the respective Project activities based on the before the carrying out of the assessment process, in accordance with the ESSs, the ESMF, the EHSGs, and relevant Project activities, and other relevant Good International Industry Practice (GIIP), including relevant thereafter implemented throughout WHO guidelines to, inter alia, ensure access to and allocation of Project the carrying out of such activities. benefits in a fair, equitable and inclusive manner, taking into account the needs of individuals or groups who, because of their particular circumstances, may be disadvantaged or vulnerable, including, as relevant, with regards to vaccines. c. Incorporate the relevant aspects of this ESCP, including, inter alia, the ESMF, any environmental and social management plans or other instruments, ESS2 requirements, and any other required ESHS measures, into the ESHS c. The relevant ESHS measures shall be specifications of the procurement documents and contracts with contractors incorporated into the procurement and supervising firms. Thereafter ensure that the contractors and supervising documents before launching the firms comply with the ESHS specifications of their respective contracts. procurement process for the relevant d. Adopt procedures, protocols and/or other measures to ensure Project Project activities and shall thereafter beneficiaries that receive vaccines under the Project do so under a program be complied with throughout the that does not include forced vaccination and is acceptable to the Bank, as set carrying out of such activities. out in the ESMF. d. Before the carrying out of the relevant Project activities, and thereafter implemented throughout the carrying out of such activities. 4|Page Mongolia COVID-19 Emergency Response and Health System Preparedness Project MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 1.3 EXCLUSIONS: Exclude activities that may cause long term, permanent and/or During the assessment process PIU at the Ministry of Health irreversible (e.g. loss of major natural habitat) adverse impacts; have high conducted under action 1.2.a above probability of causing serious adverse effects to human health and/or the environment other than during treatment of COVID-19 cases and all the other excluded activities set out in the ESMF of the Project. 1.4. CONTINGENT EMERGENCY RESPONSE FINANCING a) The adoption of the Emergency PIU at the Ministry of Health a. Ensure that the Emergency Response Manual and ESMF include a description Response Manual and relevant E&S of the ESHS assessment and management arrangements for the instruments is a withdrawal condition in implementation of the Contingent Emergency Response Component of the the Loan Agreement and Financing Project, in accordance with the ESSs. Agreement for the Project. b. Prepare, disclose, consult and adopt any environmental and social (E&S) b) The E&S management plans or management plans or instruments which may be required for activities under instruments shall be prepared, disclosed, the Contingent Emergency Response Component, in accordance with the consulted, and thereafter adopted before Emergency Response Manual, the ESMF and the ESSs, and thereafter the carrying out of the relevant Project implement the measures and actions required under said E&S management activities under the Contingent plans or instruments, within the timeframes specified in said E&S management Emergency Response Component. The plans or instruments. E&S management plans or instruments shall be implemented in accordance with their terms, throughout Project implementation. ESS 2: LABOR AND WORKING CONDITIONS 2.1 LABOR MANAGEMENT: The Project shall be carried out in accordance with the Throughout Project implementation. PIU at the Ministry of Health applicable requirements of ESS2, in a manner acceptable to the Bank, setting out grievance mechanisms and incorporating labor requirements. These requirements are outlined in the ESMF and Labor Management Procedures (LMP). 2.2 OCCUPATIONAL HEALTH AND SAFETY: The Recipient shall implement adequate Throughout Project implementation. PIU at the Ministry of Health occupational health and safety measures (including emergency preparedness and response measures) in line with the ESMF, LMP, Infection Prevention & Waste Management Plan (IPC&WMP) and WHO guidelines on COVID-19 in a manner acceptable to the Bank. 2.3 WORKERS CODE OF CONDUCT: The Recipient shall ensure that all health workers Throughout Project implementation PIU at the Ministry of Health adhere to the WHO Code of Ethics and Professional conduct. 5|Page Mongolia COVID-19 Emergency Response and Health System Preparedness Project MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 2.4 GRIEVANCE MECHANISM FOR PROJECT WORKERS Throughout Project implementation PIU at the Ministry of Health Establish, maintain, and operate a grievance redress mechanism for Project workers, as described in the Labor Management Procedures and consistent with ESS2, with focal points to address these grievances established within MOH. 2.5 CHILD LABOR AND MINIMUM AGE Throughout Project implementation PIU at the Ministry of Health The Recipient will prohibit child labor (any person under the age of 18) due to the hazardous work situation. 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 Throughout Project implementation PIU at the Ministry of Health above, including, inter alia, measures to: carry out the purchase, storage, transportation and handling of vaccines (including, ultra-cold chain management) in a safe manner and in accordance with the EHSGs, and other relevant GIIP including relevant WHO guidelines; and adequately manage and dispose of health care wastes (including, vaccines) and other types of hazardous and non-hazardous wastes. ESS 4: COMMUNITY HEALTH AND SAFETY 4.1 COMMUNITY HEALTH AND SAFETY: Relevant aspects of this standard shall be Throughout Project implementation PIU at the Ministry of Health considered, as needed, under action 1.2 above including, inter alia, measures to: minimize the potential for community exposure to communicable diseases; establish and implement appropriate quality management systems to manage the risks and the impacts that services provided and activities carried out under the Project may have on community health and safety; manage the risks of the use of security personnel; and prevent and respond to sexual exploitation and abuse, and sexual harassment. 4.2 LIFE AND FIRE SAFETY RISK: Relevant aspects of this standard shall be considered, The life and fire safety risk mitigation PIU at the Ministry of Health as needed, under action 1.2 above regarding measure to prevent or mitigate life procedures shall be prepared as part of and fire safety risks from the supply of oxygen delivery systems. These will be the ESMF by the Effective Date. included in the ESMF and subsequent specific E&S assessments. In addition, health care facilities that receive funding for the procurement of oxygen delivery system Emergency response procedures for shall review their life and fire safety systems, update their emergency response participating health facilities shall be procedures and ensure these are communicated to staff, and undertake regular updated before oxygen delivery systems drills. are installed. 6|Page Mongolia COVID-19 Emergency Response and Health System Preparedness Project MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 4.3 USE OF SECURITY PERSONNEL: The following measures shall be adopted, to ensure Throughout Project Implementation PIU at the Ministry of Health that the engagement of security personnel to protect lab testing unit, quarantine National Emergency Committee and isolation and/or vaccination centers are carried out in accordance with the ESSs: a. Assess the risks and impacts of engagement of the security personnel, as part of the assessment referred to in action 1.2 a) above, and implement measures to manage such risks and impacts, guided by the principles of proportionality and GIIP, and by applicable law, in relation to hiring, rules of conduct, training, equipping, and monitoring of such security personnel; b. Adopt and enforce standards, protocols and codes of conduct for the selection and use of security personnel, and screen such personnel to verify that they have not engaged in past unlawful or abusive behavior, including sexual exploitation and abuse (SEA), sexual harassment (SH) or excessive use of force; c. Ensure that the security personnel is adequately instructed and trained, prior to development and on a regullar basis, on the use of force and appropriate conduct (including in relation to civilian-secutiry engagement, SEA and SH, and othe relevant areas), as set out in the Environmental and Social Management Framework.. d. Ensure that the stakeholder engagement activities under the Stakeholder Engagement Plan (SEP) include a communication strategy on the involvement of security personnel under the Project; e. Ensure that any concerns or grievances regarding the conduct of security personnel are received, monitored, documented (taking into account the need to protect confidentiality),resolved through the Project’s grievance mechanism (see action 10.2 below) and reported to the Bank no later than 14 days after being received; ESS 5: LAND ACQUISITION, RESTRICTIONS ON LAND USE AND INVOLUNTARY RESETTLEMENT Not relevant. ESS 6: BIODIVERSITY CONSERVATION AND SUSTAINABLE MANAGEMENT OF LIVING NATURAL RESOURCES Not relevant ESS 7: INDIGENOUS PEOPLES/SUB-SAHARAN AFRICAN HISTORICALLY UNDERSERVED TRADITIONAL LOCAL COMMUNITIES 7|Page Mongolia COVID-19 Emergency Response and Health System Preparedness Project MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 7.1 MEASURES FOR INDIGENOUS PEOPLES: The Project shall be carried out in Throughout Project implementation. PIU at the Ministry of Health accordance with the applicable requirements of ESS7, including, inter alia: (i) ensuring that the Stakeholder Engagement Plan (SEP) includes meaningful consultations with ethnic minority people throughout Project implementation; (ii) implementing procedures, protocols and/or other measures to ensure that ethnic minority peoples have access to Project benefits in an fair, equitable, inclusive and culturally appropriate manner, as set out in the ESMF and the SEP; and (iii) implementing measures to ensure that ethnic minorities are able to access the Project’s grievance mechanism in a culturally appropriate manner. ESS 8: CULTURAL HERITAGE Relevant aspects of this standard shall be considered, as needed, under action 1.2 above. ESS 9: FINANCIAL INTERMEDIARIES Not relevant. ESS 10: STAKEHOLDER ENGAGEMENT AND INFORMATION DISCLOSURE 10.1 STAKEHOLDER ENGAGEMENT PLAN: Prepare or revise, disclose, consult, adopt A SEP was already prepared and PIU at the Ministry of Health and implement a Stakeholder Engagement Plan (SEP) consistent with ESS10, which disclosed, and shall be consulted, shall include measures to, inter alia, provide stakeholders with timely, relevant, updated and adopted before the Effective understandable and accessible information, and consult with them in a culturally Date. The SEP shall be implemented appropriate manner, which is free of manipulation, interference, coercion, throughout Project implementation. discrimination and intimidation. 10.2 GRIEVANCE MECHANISM: An accessible grievance mechanism shall be established, Throughout Project implementation. PIU at the Ministry of Health publicized, maintained and operated to receive and facilitate resolution of concerns and grievances in relation to the Project, promptly and effectively, in a transparent manner that is culturally appropriate and readily accessible to all Project-affected parties, at no cost and without retribution, including concerns and grievances filed anonymously, in a manner consistent with ESS10. The grievance mechanism shall also receive, register and address concerns and grievances related to the sexual exploitation and abuse, sexual harassment in a safe and confidential manner, including through the referral of survivors to gender- based violence service providers. The grievance mechanism shall also receive, register and address concerns arising from unintended health consequences after vaccination especially those resulting in serious adverse effects. CAPACITY SUPPORT (TRAINING) 8|Page Mongolia COVID-19 Emergency Response and Health System Preparedness Project MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY CS1 Project Management Unit and other relevant implementing support staff No later than 30 days of the Effective PIU at the Ministry of Health responsible for the Project to receive training on the Project’s ESHS plans and Date and periodically with the addition instruments, fair, equitable and inclusive access and allocation of Project benefits of new Project team members join the including with regards to vaccines and the roles and responsibilities of different Project throughout implementation. key agencies in the ESF implementation. These include: • COVID-19 Infection Prevention and Control Recommendations Laboratory biosafety guidance related to the COVID-19 • Specimen collection and shipment • Vaccine storage, transportation, distribution and administration • Standard precautions for COVID-19 patients • Risk communication and community engagement • Medical and hazardous waste management 9|Page