Report No. 23254 Report No: I071014 <--Please check for duplicates! Integrated Safeguards Data Sheet (Initial) Date ISDS Prepared/Updated: 11/19/2001 Section I - Basic Information A. Basic Project Data Country: TANZANIA Project ID: P071014 Project: Multi-Sectoral AIDS Project Task Team Leader: Philip R. Gowers Appraisal Date: January 21, 2002 IBRD Amount ($m): Board Date: March 26, 2002 IDA Amount ($m): 60.00 Managing Unit: AFTH1 Sector: HA - HIV/AIDS Lending Instrument: Specific Investment Loan (SIL) Status: Lending I.A.2. Project Objectives: The project will support the goal of the Government of Tanzania which is to reduce the spread of HIV in the general population of Tanzania through multisectoral action involving Government, Non-Government, Civil Society and community organizations. While the project development objective is the reduction of the spread of HIV in the general population of Tanzania, the mitigation of the health and socio-economic impact of HIV/AIDS at individual, household and community levels and the strengthening of national capacity to respond to the epidemic will also be supported as activities of the project. I.A.3. Project Description: The project, under the Multi-Country AIDS Program (MAP) for Africa, will finance HIV/AIDS activities for a period of four years between 2002 and 2006. It will have the following three components: 1. Civil Society Fund 2. Public Multi-Sector Fund 3. Tanzania AIDS Commission Institutional Support Activities to be supported by the project will be coordinated by the Tanzania Commission for AIDS (TACAIDS). The purpose of the project would be to scale up and accelerate the national response to the HIV/AIDS epidemic taking into account the priorities identified in the draft HIV/AIDS policy and draft HIV/AIDS strategic plan being prepared for the prevention and control of HIV/AIDS. The project would support activities in the priority areas of prevention, care, support and mitigation of the socio-economic impact of HIV/AIDS, and institutional capacity building for TACAIDS. The project will be coordinated by TACAIDS and implemented by civil society groups and public and private service agencies. Component 1. Civil Society Fund. A fund will be set up to expand and strengthen HIV/AIDS activities being carried out by Non Governmental Organizations (NGOs) including Employers and Workers' organizations, Community Based Organizations (CBOs), private sector, religious sector, persons living with HIV/AIDS (PLWHAs) and communities. Activities to be funded will include the full spectrum of HIV/AIDS activities within the broad groups of prevention, care & support and mitigation of socio-economic impact. This component will focus on social mobilization and community level response to HIV/AIDS. The groups funded under this component will be encouraged to focus, but not necessary limit, their activities to the most vulnerable groups which include: people living with HIV/AIDS (PLWHA), hospital workers, orphans, youths, commercial sex workers and truck drivers. Component 2. Public Multi-Sector Fund. This component will comprise a fund to scale up and strengthen prevention, care, support and mitigation of the social economic impact of HIV/AIDS through programs/activities of the public sector (ministries, local authorities and parastatals). Sub-contracting by ministries, local authorities and parastatals will be encouraged in order to make the best use of the implementation capacity that may be available outside the public sector. Each public sector agency will define a work program which, as a minimum, will address issues regarding HIV/AIDS among its employees. Public agencies will also be expected to extend HIV/AIDS services to their clients and neighboring communities. Component 3. Tanzania AIDS Commission Institutional Support. The project will support Tanzania Commission for AIDS (TACAIDS) to fulfill its national HIV/AIDS coordination mandate. Support, in particular, will be given to TACAIDS to create an effective secretariat and identify networks at the regional and district levels. Support will be provided for: (i) establishment of the Secretariat and networks to the regions and districts (ii) establishment of financial management and procurement systems; (iii) resource mobilization; and (iv) monitoring & evaluation systems. I.A.4. Project Location: (Geographic location, information about the key environmental and social characteristics of the area and population likely to be affected, and proximity to any protected areas, or sites or critical natural habitats, or any other culturally or socially sensitive areas.) The project will be implemented country-wide. The project is not expected to generate any adverse environmental effects. However, inappropriate handling and disposal of medical waste and inadequate management of the respective disposal sites in urban or peri-urban areas is a threat. The project will finance training of health care professionals, traditional birth attendants/traditional healers, and community workers delivering care to HIV/AIDS patients. This training will include instruction on appropriate separation, transport and disposal of hazardous medical waste. The project will finance the revision of existing health sector guidelines on appropriate management of medical waste at medical facilities and at disposal sites to include the relevant sections regarding HIV/AIDS. The project is expected to have a positive social impact by assisting and empowering people and institutions to deal more effectively with the HIV epidemic. People living with HIV/AIDS and their families will have an opportunity to receive better social support from their communities, civil society organizations and the Government. Families of people living with HIV/AIDS are vulnerable to economic and human rights abuses in the absence of legislation and social norms that can protect them. The project will - 2- support and enhance the development of community norms that will protect people living with HIV/AIDS. The project will involve key stakeholders, including civil society organizations and people living with HIV/AIDS in the development of such social protective measures. B. Check Environmental Classification: B (Partial Assessment) Comments: The Government, through the Ministry of Health, is currently working on a Medical Waste Management Plan. After consultation between the team and ESD, it was agreed that the project would be processed as a Category B without a separate Environmental Assessment. The recommendations from the Medical Waste Management Plan will be articulated in the environmental section of the PAD, which will also detail expected costs of implementation and the institutional arrangements for the execution of the plan. C. Safeguard Policies Triggered Policy Applicability Environmental Assessment (OP/BP/GP 4.01) Yes Forestry (OP/GP 4.36) No Natural Habitats (OP/BP 4.04) No Safety of Dams (OP/BP 4.37) No Pest Management (OP 4.09) No Involuntary Resettlement (OD 4.30) No Indigenous Peoples (OD 4.20) No Cultural Property (OP 4.11) No Projects in Disputed Territories (OP/BP/GP 7.60)* No Projects in International Waterways (OP/BP/GP 7.50) No *By supporting the proposed project, the Bank does not intend to prejudice the final determination of the parties' claims on the disputed areas Section II - Key Safeguard Issues and Their Management D. Summary of Key Safeguard Issues. Please fill in all relevant questions. If information is not available, describe steps to be taken to obtain necessary data. II.D.la. Describe any safeguard issues and impacts associated with the proposed project. Identify and describe any potential large scale, significant and/or irreversible impacts. The project complies with all Bank's safeguard policies, including those described above. A Medical Waste Plan has been outlined by the Government. The team is currently reconciling this Plan with the TOR that has been developed by ESD to determine if it meets the Bank's requirements. Guidance will be sought from ESD on whether further Environmental Assessment work will be necessary. II.D.lb. Describe any potential cumulative impacts due to application of more than one safeguard policy or due to multiple project component. N/A II.D.lc Describe any potential long term impacts due to anticipated future activities in the project area. N/A II.D.2. In light of 1, describe the proposed treatment of alternatives (if required) N/A -3- II.D.3. Describe arrangement for the borrower to address safeguard issues The Government is preparing a Medical Waste Management Plan, the implementation of which the Bank will be prepared to support through this Credit. II.D.4. Identify the key stakeholders and describe the mechanisms for consultation and disclosure on safeguard policies, with an emphasis on potentially affected people. Key stakeholders include all sectors of Government, development partners, NGOs/CBOs, People living with HIV/AIDS and their families, medical personnel, and the general population. During project preparation, consensus-building exercises to involve major stakeholders to gain consensus around the project concept document, project design and implementation arrangements will be held. During project implementation, communities will be able to express their needs through Community HIV/AIDS projects and to participate as active partners in project implementation, adding ownership, transparency and accountability to the project. Consultations with civil society organizations on the concept of the project has already began and further consultations during project preparation, implementation, monitoring and evaluation will continue. NGOs and other civil society organizations will implement a significant part of the project, supporting government agencies and communities in the implementation of project activities. Civil society organizations will also be consulted in the annual project reviews, in the mid-term reviews and during the summative evaluation of the project. E. Safeguards Classification. Category is determined by the highest impact in any policy. Or on basis of cumulative impacts from multiple safeguards. Whenever an individual safeguard policy is triggered the provisions of that policy apply. I S1. - Significant, cumulative and/or irreversible impacts; or significant technical and institutional risks in management of one or more safeguard areas [XI S2. - One or more safeguard policies are triggered, but effects are limited in their impact and are technically and institutionally manageable I S3. - No safeguard issues I SF. - Financial intermediary projects, social development funds, community driven development or similar projects which require a safeguard framework or programmatic approach to address safeguard issues. F. Disclosure Requirements Environmental Assessment/Analysis/Management Plan: Expected Actual Date of receipt by the Bank Date of "in-country" disclosure Date of submission to InfoShop Date of distributing the Exec. Summary of the EA to the ED (For category A projects) Resettlement Action Plan/Framework: Expected Actual Date of receipt by the Bank Not Applicable Not Applicable Date of "in-country" disclosure Not Applicable Not Applicable Date of submission to InfoShop Not Applicable Not Applicable Indigenous Peoples Development Plan/Framework: Expected Actual Date of receipt by the Bank Not Applicable Not Applicable - 4 - Date of "in-country" disclosure Not Applicable Not Applicable Date of submission to InfoShop Not Applicable Not Applicable Pest Management Plan: Expected Actual Date of receipt by the Bank Not Applicable Not Applicable Date of "in-country" disclosure Not Applicable Not Applicable Date of submission to InfoShop Not Applicable Not Applicable Dam Safety Management Plan: Expected Actual Date of receipt by the Bank Not Applicable Not Applicable Date of "in-country" disclosure Not Applicable Not Applicable Date of submission to InfoShop Not Applicable Not Applicable If in-country disclosure of any of the above documents is not expected, please explain why. Signed and submitted by Name Date Task Team Leader: Philip R. Gowers 11/14/2001 Project Safeguards Specialists 1: Project Safeguards Specialists 2: Project Safeguards Specialists 3: Approved by: Name Date Regional Safeguards Coordinator: Serigne Omar Fye 11/15/2001 Sector Manager/Director: Dzingai B. Mutumbuka 11/14/2001 For a list of World Bank news releases on projects and reports, click here - 5 -