Page 1 INTEGRATED SAFEGUARDS DATASHEET APPRAISAL STAGE I. Basic Information Date prepared/updated: 05/27/2008 Report No.: AC3518 1. Basic Project Data Country: Botswana Project ID: P102299 Project Name: Botswana National HIV/AIDS Prevention Support Project Task Team Leader: Sheila Dutta Estimated Appraisal Date: April 21, 2008 Estimated Board Date: July 10, 2008 Managing Unit: AFTH1 Lending Instrument: Specific Investment Loan Sector: Health (100%) Theme: HIV/AIDS (P) IBRD Amount (US$m.): 50.00 IDA Amount (US$m.): 0.00 GEF Amount (US$m.): 0.00 PCF Amount (US$m.): 0.00 Other financing amounts by source: Borrower 0.00 Bilateral Agencies (unidentified) 0.00 0.00 Environmental Category: C - Not Required Simplified Processing Simple [] Repeater [] Is this project processed under OP 8.50 (Emergency Recovery) or OP 8.00 (Rapid Response to Crises and Emergencies) Yes [ ] No [X] 2. Project Objectives The project development objective is to assist the Government of Botswana to increase the coverage, efficiency, and sustainability of targeted and evidence-based HIV/AIDS interventions through (i) strengthening NACA’s institutional management and coordination capacity; and (ii) financing strategic and innovative HIV/AIDS-related prevention and mitigation activities. It is envisioned that this project development objective would be measured by utilizing indicators addressing the longer-term planning, implementation, and effectiveness of national and decentralized coordination efforts. 3. Project Description The Government of Botswana requested the Bank’s support in anticipation that these additional resources would play a strategically significant role in supporting a more efficient and evidence-based response to the epidemic. The Bank’s comparative advantage in the areas of strategic planning, knowledge-sharing, implementation support, leveraging of financial and technical resources. Given that the national HIV/AIDS program has emphasized treatment-related issues to date, the proposed project is designed to enhance overall program efficiency while re-emphasizing prevention and the balanced response envisaged in the National Strategic Framework. Page 2 With respect to the project’s geographic focus, activities for the first two years would focus intensively on the eastern border of the country, between Gaborone and Francistown. This decision was based on by the fact that the vast majority of the national population (about 80 percent) resides along this corridor, which also includes the country’s highest prevalence districts. This phased-approach would enable the rapid expansion and coverage of high-impact interventions among vulnerable and high-risk populations in Botswana. It is planned that the final three years of the project would be nationwide in scope, following a intensive evidence-based learning and capacity development over the first two years of the project. The locations selected by Government for the first phase of the project are located along the Eastern border of the country and include South East District, Kwaneng East District, Francistown District, Selebi-Phikwe Districts and Goodhope Sub-District. It is important to note that the framework for the project design is comprehensive and, in close collaboration with Government, seeks to achieve prioritized and phased implementation. The proposed project components follow from the key program coordination and implementation channels and are based on the analysis of key challenges in the national response presented earlier. It should be emphasized that the figures below are indicative allocations and that re-allocation of resources between components would be possible during project implementation, on the basis of implementation performance and regular assessments. Component One: Support to NACA (US$7.5 million) The analysis above summarized the weaknesses in NACA. Similar weaknesses are found in many sub-Saharan African countries’ national HIV/AIDS coordinating bodies. But the solutions need to be tailored to the circumstances of each country.For Botswana, with NACA as the institutional home of the Project, the NACA component will provide very focused and strategic attention to build internal capacity to coordinate HIV/AIDS activities effectively, both for the Project and the program more generally. The role of NACA as primarily a program coordinator would continue to be emphasized. This includes the decentralized program and Project activities which would continue to be implemented through the Ministry of Local Government, the district administrations, NGOs, etc. Importantly, this component would also provide support complementing other inputs for the improved design and strengthening of the National M&E Framework both centrally and in the districts. This includes technical assistance, and support for database development and surveys. A central part of the Project is long-term technical support for NACA. Component Two: Public Sector Ministries (US$20.0 million) This component will support public sector line ministries focusing on initiatives in line with the National Strategic Framework (NSF). In consultation with partners and as indicated in the NSF, the Project will commence with the following ministries: (i) Health; (ii) Works and Transport; (iii) Labor and Home Affairs; (iv) Education; (v) Local Government; and (vi) Youth, Sports and Culture. Annual work plans for funding under the project will be submitted for the Project Steering as well as the HIV/AIDS Technical Page 3 Sub- Committee’s review. Upon approval, funding will be channeled through NACA for further disbursement to the relevant ministries. However the current financial disbursement architecture is under review as proposed by the pending Organization and Methods Review report. Monitoring and evaluation of activities will be coordinated by NACA. The key thematic areas of support would focus on programs and activities in the three priority areas reflected in the NSF. Component Three: Civil Society Organizations/Private Sector (US$22.5 million) This component has been allocated the majority of the Project funds, reflecting the importance of the civil society organizations (CSOs) in the achievement of Project activities. This component would make financial resources available to civil society, private sector, focusing on initiatives in line with the NSF. In terms of implementation of this component, the process could be described in four interlinked processes: developing calls for proposals; receiving, evaluating, and awarding proposals; financial flows monitoring outputs. The project design has emphasized results-based support and targeted community level activities. This component will focus on proposals and activities that prioritize specific HIV/AIDS prevention results and target vulnerable populations. Vulnerable population groups eligible for BNAPS financing will be decided through the agreed processes involving both the HIV/AIDS Technical Sub-Committee and Project Steering Committee, as outlined in the draft Operations Manual. It is expected that this process will streamline funding procedures while focusing on specific thematic areas based on comparative strengths and regional needs. 4. Project Location and salient physical characteristics relevant to the safeguard analysis Project implementation in 5 districts for the first two years and nationwide for the final three years of project duration. The five districts selected by Government for the first phase of the project are located along the Eastern border of the country and include South East District, Kwaneng East District, Francistown District, Selebi-Phikwe Districts and Goodhope Sub-District. 5. Environmental and Social Safeguards Specialists Mr Warren Waters (AFTQK) 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 Physical Cultural Resources (OP/BP 4.11) 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 Page 4 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: No safeguards are triggered by this operation – it has been rated as Category Cby ASPEN. In contrast, this operation will be supporting the mitigation of potential HIV/AIDS-related impacts in the pipeline Transport and Energy projects, since both of these operations would involve a large population of migrant workers temporarily residing in districts with low population density, but very high HIV infection rates. 2. Describe any potential indirect and/or long term impacts due to anticipated future activities in the project area: The project will be supporting a detailed social analysis in Year One which would examine means of addressing the prevention and treatment-related needs of indigenous people. The indigenous populations in Botswana would be involved in Phase II of the project, thereby allowing Phase I to focus on the development of appropriate models/interventions through operations research. 3. Describe any project alternatives (if relevant) considered to help avoid or minimize adverse impacts. The only alternative project design was a SWAp model. However, this was not feasible in the current donor context. However, it has been agreed that the Bank will collaborate with all key development partners in Botswana (PEPFAR, ACHAP, EC) in the conduct of joint annual reviews. This would maximize harmonizaiton of inter-agency programs, in addition to ensuring that key vulnerable groups receive the requisite focus. 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. As per ASPEN’s recommendation, the Ministry of Health has submitted their Medical Waste Management Plan to the Bank to reference and review. This plan is being monitored and is complied with by Government. 5. Identify the key stakeholders and describe the mechanisms for consultation and disclosure on safeguard policies, with an emphasis on potentially affected people. Given the Category C project status, consultations regarding disclosure on safeguard policies were not conducted. However, extensive consultations were held with stakeholders in the public, private, and civil society sector to ensure that the project design was informed by key challenges in accessing/deliverying prevention services. These consultantions were held both in Gaborone and at district-level, and involved civil society groups of people living with HIV/AIDS. B. Disclosure Requirements Date Environmental Assessment/Audit/Management Plan/Other: Was the document disclosed prior to appraisal? Page 5 Date of receipt by the Bank Date of "in-country" disclosure Date of submission to InfoShop For category A projects, date of distributing the Executive Summary of the EA to the Executive Directors Resettlement Action Plan/Framework/Policy Process: Was the document disclosed prior to appraisal? Date of receipt by the Bank Date of "in-country" disclosure Date of submission to InfoShop Indigenous Peoples Plan/Planning Framework: Was the document disclosed prior to appraisal? Date of receipt by the Bank Date of "in-country" disclosure Date of submission to InfoShop Pest Management Plan: Was the document disclosed prior to appraisal? Date of receipt by the Bank Date of "in-country" disclosure Date of submission to InfoShop * If the project triggers the Pest Management and/or Physical Cultural Resources, 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: Category C project - no disclosure requirements. C. Compliance Monitoring Indicators at the Corporate Level (to be filled in when the ISDS is finalized by the project decision meeting) The World Bank Policy on Disclosure of Information Have relevant safeguard policies documents been sent to the World Bank's Infoshop? N/A 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? N/A All Safeguard Policies Have satisfactory calendar, budget and clear institutional responsibilities been prepared for the implementation of measures related to safeguard policies? N/A Have costs related to safeguard policy measures been included in the project cost? N/A Does the Monitoring and Evaluation system of the project include the monitoring of safeguard impacts and measures related to safeguard policies? N/A Have satisfactory implementation arrangements been agreed with the N/A Page 6 borrower and the same been adequately reflected in the project legal documents? D. Approvals Signed and submitted by: Name Date Task Team Leader: Ms Sheila Dutta 03/31/2008 Environmental Specialist: Mr Warren Waters 03/31/2008 Social Development Specialist Additional Environmental and/or Social Development Specialist(s): Approved by: Sector Manager: Mr Christopher J. Thomas 03/31/2008 Comments: