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EIA-Vanadzor-MC-Final.Pdf DISEASE PREVENTION AND CONTROL PROJECT Public Disclosure Authorized Public Disclosure Authorized THE NEW VANADZOR MEDICAL CENTER ENVIRONMENTAL IMPACT ASSESSMENT REPORT AND Public Disclosure Authorized ENVIRONMENTAL MANAGEMENT PLAN Public Disclosure Authorized Yerevan, November 2013 List of Acronyms AEN - Armenia Electric Network ANC - Ante-Natal Care AOC - Armenia Oncology Center BOD - Biological Oxygen Demand CJSC - Closed Joint Stock Company CHD - Coronary Heart Deceases EIA - Environmental Impact Assessment EMF - Environmental Management Framework EMP - Environmental Management Plan HPIU- Health Project Implementation Unit MAC - Maximum Admissible Concentration MC - Medical Center MCH - Maternal and Child Health MPE - Maximum Permissible Emission MPD - Maximum Permissible Discharge MNP - Ministry of Nature Protection MoH - Ministry of Health NCD - Non-communicable Deceases DPC - Disease Prevention and Control PAD - Project Appraisal Document PHC - Primary Health Care RA - Republic of Armenia SNCO - State Non Commercial Organization VOC - Volatile Organic Compound WB - World Bank Table of Contents EXECUTIVE SUMMARY ............................................................................................................. 1 1. INTRODUCTION ....................................................................................................................... 6 2. METHODOLOGY ...................................................................................................................... 6 3. LEGAL AND ADMINISTRATIVE FRAMEWORK ................................................................ 7 3.1. National Legislation ....................................................................................................... 7 3.2. Licenses and permits to be obtained by the project proponent and by works contractor to carry out project activities ................................................................................................. 9 3.3. World Bank Safeguard Policies ......................................................................................... 10 3.4. Administrative Framework ................................................................................................ 10 5. TECHNICAL STANDARDS AND REGULATIONS.......................................................... 11 6. PHYSICAL AND NATURAL ENVIRONMENT ................................................................ 12 6.1. Geographic location .................................................................................................. 12 6.2. Hydro-geological conditions ..................................................................................... 12 6.3. Seismic condition and tectonics ................................................................................ 13 6.4. Climate ...................................................................................................................... 13 6.5. landscape and soils .................................................................................................... 13 6.6. Flora .......................................................................................................................... 14 6.7. Fauna ......................................................................................................................... 14 6.8. Specially protected natural areas .............................................................................. 14 7. TECHNICAL DESCRIPTION OF WORKS ......................................................................... 15 8. SENSITIVE RECEPTORS .................................................................................................... 17 8.1 Ambient Air .............................................................................................................. 17 8.2. Water Resources ....................................................................................................... 17 8.3 Land Resources ......................................................................................................... 18 8.4 Social Environment ................................................................................................... 18 8.5 Cultural Resources .................................................................................................... 18 9. SOCIAL AND ECONOMIC ENVIRONMENT ................................................................... 18 10. EXPECTED ENVIRONMENTAL AND SOCIAL IMPACTS ......................................... 20 10.1 Construction phase .................................................................................................... 21 10.2 Operation phase ........................................................................................................ 23 11. IMPACT MITIGATION .................................................................................................... 25 11.1. Construction Phase ..................................................................................................... 25 11.2. Operation Phase .......................................................................................................... 26 12. ENVIRONMENTAL MANAGEMENT PLAN ................................................................ 27 12.1 Responsibilities and Institutional Arrangements ...................................................... 27 12.2 Responsibilities of Construction Contractor ............................................................. 27 12.3 Monitoring of EMP implementation ......................................................................... 27 13. STAKEHOLDER CONSULTATION ............................................................................... 27 ANNEX I. List of References ....................................................................................................... 28 ANNEX II. Environmental Management Plan (EMP) .................................................................. 30 Environmental Monitoring Plan .................................................................................................... 34 ANNEX III. Minutes of Public Consultation Meeting .................................................................. 38 ANNEX IV. Location and Ownership of Land Plots Allocated for Vanadzor MC ...................... 44 ANNEX V. Agreement for the Disposal of Construction Waste .................................................. 48 ....................................................................................................................................................... 48 ANNEX VI. Calculation of Volumes of Emissions, Water Use, and Water Discharge ............... 49 ANNEX VII. Classification of MC Wastes .................................................................................. 54 EXECUTIVE SUMMARY Introduction Armenia faced enormous difficulties after the collapse of the Soviet Union. It led to the crisis in the provision of public services, including health care system. Main issues accumulated in the health sector of Armenia since independence were considered to be the following: low access and use of health services; under-funded healthcare system with poorly and inequitably used resources; high out-of-pocket informal payments; low perceived quality of care, especially in regions; excess capacity of physical infrastructure of hospitals and polyclinics; and geographic mal-distribution of health workforce between Yerevan and the regions of the country. The reform process, initiated in the mid-1990s, aimed at enhancing efficiency and ensuring accessibility and quality of essential health services, particularly for vulnerable groups. The first WB-supported Armenia Health Finance and Primary Health Care Development Project was implemented in the years of 1997-2003 and significantly contributed to the success of the country health reforms and developments. A two-phase Adaptable Lending Program (APL) for the health systems modernization followed afterwards to support the reform of the health sector in Armenia in the three main areas: (i) development of primary health care, (ii) hospital optimization and modernization, (iii) and strengthening of the government institutional capacities. The first phase of the Health System Modernization Project (HSMP)was implemented in 2004-2010. The second phase started in 2007 and is scheduled to complete in December 2014. Later, the Government of Armenia (GoA) applied for the WB loan to increase the effectiveness of prevention and treatment of non-communicable deceases, in particular Coronary Heart Deceases (CHD), oncologic illnesses, and diabetes mellitus. The new WB-financed Disease Prevention and Control (DPC) Project commenced in 2013 and is scheduled to complete in December 2019. The DPC Project Development Objective is to improve (i) Maternal and Child Health (MCH) services and the prevention, early detection, and management of selected non-communicable diseases at the Primary Health Care (PHC) level; and (ii) the efficiency and quality of selected hospitals in Armenia. One of the targets selected for the Project intervention is the Lori Marz (province) hospital network. In particular, the project will finance civil works; provision of medical equipment, furniture and supplies; training and other TA for the improvement of Vanadzor Medical Center (MC). Technical and Environmental Standards and Regulations The national legislation of Armenia includes a law on the Environmental Impact Assessment (EIA) . It does not establish categories of activities by the associated
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