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INTEGRATED SAFEGUARDS DATA SHEET 
CONCEPT STAGE 
Report No.:  AC598 
Date ISDS Prepared/Updated: February 2, 2004 
 
I.  BASIC INFORMATION 
A.  Basic Project Data 
Country: St. Vincent and the Grenadines 
Project ID: P076799 
Project Name: ST. VINCENT SNF THE 
GRENADINES HIV/AIDS 
Task Team Leader: Mary T. Mulusa 
Estimated Appraisal Date: April 
5
, 2004 
Estimated Board Date: June 
18
, 2004 
Managing Unit: LCSHH 
Lending Instrument: Adaptable Program Loan 
Sector: Health (100%) 
Theme: Other communicable diseases 
(P);Population and reproductive health (P);Health 
system performance (S);Child health (S) 
Safeguard Policies Specialists in the task team:  
Loan/Credit amount (
5.6 
$m.):  
IDAH: .
1.4 
IDA: 
1.4 
IBRD: 2.8 
Other financing amounts by source:  
Government of St. Vincent 
($m) 
1.4 
 
B.  Project Objectives [from section 3 of PCN] 
 
The project will support  control of the spread of HIV/AIDS and mitigation of its impact. It will support 
targeted interventions for high risk groups and non-targeted interventions for the general population. It is 
expected that the implementation of the project will lead to: a) increased awareness of HIV/AIDS and use 
of prevention services by high risk groups and the general; b) increase in the number of PLWHA and their 
families who are receiving care and support; and, c) strengthening of both public sector and civil society 
capacity to respond to HIV/AIDS.    
 
C.  Project Description [from section 4 of PCN] 
 
The  project is prepared under the third phase of the World Bank Multi-country HIV/AIDS Prevention 
and Control APL for the Caribbean.   A project of US$ 7 million is proposed with four components as 
outlined below: 
 
Component 1: Civil Society Organizations Initiatives (US$ 1.0 million).  
This component will finance 
HIV/AIDS prevention, care and support activities of communities, Non-Governmental Organizations 
(NGOs), Faith Based Organizations, women’s organizations and private sector organizations. It will also 
support strengthening the implementation capacity of these organizations by: providing training in 
information education and communication (IEC)/behavior change communication (BCC); home-based 
care; other technical skills;  and project management (including  financial management and monitoring 
and evaluation). 
 
Component 2: Line ministry response (US$ 2.0 million).  
This component will support the response of 
the non-health sector ministries to HIV/AIDS. There are basic cross-cutting HIV/AIDS activities that all 
ministries would be expected to implement. They include: (a) development and implementation of 
workplace HIV/AIDS policies; (b) IEC/BCC for HIV/AIDS and STDs; (b) condom promotion and 
distribution; (c) advocacy to reduce stigma and discrimination; (d) establishment of support groups for 
HIV/AIDS.  There are also HIV/AIDS related interventions that are specific to a particular ministry’s 
external clients, for example, pupils, students and teachers, for the Ministry of Education; the hotel 
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industry for the Ministry of Tourism; and, the uniformed forces and the prison population for the Ministry 
of Home Affairs.  A number of  ministries are expected to lead the way in the first year of project 
implementation: (a) Education, Youth and Sports; (b) Tourism and Culture; and (c) Social Development.   
 
Component 3:
 
Strengthening the health sector response to HIV/AIDS (US$ 3.0 million).  
The project 
will support the strengthening and expanding of health sector HIV/AIDS related services for prevention, 
treatment, care and support, which will include: voluntary counseling and testing (VCT), condom 
promotion and provision; introduction of syndromic management of sexually transmitted diseases, 
management of opportunistic infections, home-based care for PLWHA, prevention of mother to child 
transmission of HIV including treatment of the mother and family (PMTCT-Plus), support of nutritional 
interventions for PLWHA, introduction of anti-retroviral treatment (ART), strengthening of laboratory 
capacity, training of health workers to respond to HIV/AIDS, blood safety and medical waste 
management.  The capacity building and strengthening of this sector will contribute to the overall 
strengthening of the health care system. 
 
Component 4: Strengthening institutional capacity for program management (US$1.0 million).  
This component will support the building of institutional capacity for program coordination, facilitation 
and management. In particular, it will fund the operations of the National HIV/AIDS policy making body 
(to be formed), the National HIV/AIDS Program and the project coordination unit (PCU). The National 
HIV/AIDS Program will be the institution that will be responsible for day to day running of project 
activities, while the PCU will be responsible for financial management and procurement under the 
direction of the National HIV/AIDS Program. 
 
D.  Project location (if known) 
 
The project will cover interventions across the whole country.  The project aims to support specific high 
risk or vulnerable populations [(women, children, PLWHA, youth, orphans and commercial sex workers 
and men having sex with men (MSM)].  The project will also support interventions  for prevention 
targeted to the general population. 
 
E.  Borrower’s Institutional Capacity for Safeguard Policies [from PCN] 
 
The Bank's Environmental Assessment Policy (OP 4.01) is triggered by this project. An environmental 
assessment has been conducted for the OECS countries.  Component 3 of this proposed project will 
finance, among other activities: (a) simple rehabilitation of health facilities; and (b) strengthening of 
healthcare waste management, including equipment, training and technical assistance.   
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II.  SAFEGUARD POLICIES THAT MIGHT APPLY 
 
Applicable?
 
Safeguard Policy 
If Applicable, How Might It Apply? 
[x ] 
Environmental Assessment
 (
OP
/
BP
 4.01) 
 
 
[ ] 
Natural Habitats
 (
OP
/
BP
 4.04) 
 
 
[ ] 
Pest Management
 (
OP 4.09
) 
 
 
[ ] 
Involuntary Resettlement
 (
OP
/
BP
 4.12) 
 
 
[ ] 
Indigenous Peoples
 (
OD 4.20
) 
 
 
[ ] 
Forests
 (
OP
/
BP
 4.36) 
 
 
[ ] 
Safety of Dams
 (
OP
/
BP
 4.37) 
 
 
[ ] 
Cultural Property
 (draft OP 4.11 - 
OPN 11.03
) 
 
 
[ ] 
Projects in Disputed Areas
 (
OP
/
BP
/
GP
 7.60)
*
 
 
 
[ ] 
Projects on International Waterways
 (
OP
/
BP
/
GP
 
7.50) 
 
 
 
Environmental Assessment Category:
    
[ ] A   [X] B   [ ] C   [ ] FI   [ ] TBD (to be determined) 
 
If TBD, explain determinants of classification and give steps that will be taken to determine that EA category 
(mandatory): 
 
III.  SAFEGUARD PREPARATION PLAN 
 
A. 
Target date for the Quality Enhancement Review (QER), at which time the PAD-stage ISDS would be prepared. 
 
April 8, 2004 
 
B. 
For simple projects that will not require a QER, the target date for preparing the PAD-stage ISDS 
 
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. 
 
D. 
The team will seek to obtain QER clearance to use ht recent OECS countries’ environmental assessment for St. 
Vincent in lie of a new environmental assessment for this project. 
 
IV.  APPROVALS 
 
Signed and submitted by: 
  
                                                          
 
*
 
By supporting the proposed project, the Bank does not intend to prejudice the final determination of the parties' claims on the
 
disputed areas
 
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 af
fected 
persons.
 
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Task Team Leader: 
Mary T. Mulusa 
3/18/04 
Approved by: 
  
Regional Safeguards Coordinator: 
Juan Quintero 
2/20/04 
Comments 
Sector Manager: 
Evangeline Javier 
3/18/04 
Comments