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3 Esia Methodology Public Disclosure Authorized Environmental and Social Impact Assessment for the Construction/ Rehabilitation of the National TB Reference Laboratory and Five Satellite Laboratories in Uganda Project area: Butabika Hospital (Reference No.: MOH-EAPHLNP/SRVCS/2010-11/00006) Public Disclosure Authorized Prepared for: MINISTRY OF HEALTH Ministry of Health Headquarters Room C107, Plot 6/7 Lourdel Road, P.O. Box 7272, Kampala, Uganda Tel: +256-414-340872, Fax: 256-41-4231584 Public Disclosure Authorized By: AIR WATER EARTH (AWE) LTD Environmental, Civil Engineers & Project Management Consultants M1, Plot 27 Binayomba Road, Bugolobi P. O. Box 22428, Kampala, UGANDA. Public Disclosure Authorized Tel: 041-4268466, Mob: 078-2580480/ 077-2496451 Email: [email protected] Website: www.awe -engineers.com August 2014 AWE is member of International Federation of Consulting Engineers (FIDIC-GAMA) ii Consultants In conformity to NEMA (Uganda) requirements, this ESIA was prepared under Air Water Earth’s EIA partnership “AWE Environmental Engineers” by consultants below: Name and Qualifications Role Signature Lead Consultants: Eng. Lammeck KAJUBI; PE., CEnvP Team Leader/ BScEng(1.1 Hons) MAK, MEngSc(Env) (UQ-Queensland). Environmental Engineer NEMA Certified/Registered Environmental Practitioner Registered Professional Environmental Engineer ……………………………. Herbert Mpagi KALIBBALA, CEnvP Civil Engineer/ BSc (MAK), MSc (Env Eng), PhD (KTH-Sweden). Infrastructure specialist NEMA Certified/Registered Environmental Practitioner ……………………………. Mrs. Pamela Tashobya, CEnvP Sociologist BA Env.Mgt (Hons), MAK, MSc (Dev.Mgt.) (Norway). NEMA Certified/Registered Environmental Practitioner ……………………………. Oyen Ben David Environmental Engineer B(Env.Eng. and Mgt) KYU ……………………………. Faith Mugerwa Sociologist BA, Cert.EIA (MAK) ……………………………. Contributing personnel: Sharifah NAKIGOZI Health, Safety and Environmental consultant BSc (Hons) Cons. Bio (MUK), MSc. HSE, Ritah Nabaggala Field/ Research Staff BA Env. Mgt (MAK) iii iv Acronyms, units and definitions Acronyms CHD: Community Health Department ESIA: Environmental and Social Impact Assessment ESMP: Environmental and Social Management Plan GH: General Hospital(s) GIS: Geographical Information Systems GOU: Government of Uganda HC: Health Centre (e.g. HC IV, HC III, HC II) HCF: Healthcare Facility/ Facilities HCW: Healthcare Waste HSD Health Sub-District HSSPII: Health Services Support Project II LC: Local Council MOH: Ministry of Health NEMA: National Environment Management Authority NHS: National Health System OPD: Out Patient Department PCDP: Public Consultation and Disclosure Plan PFP: Private for Profit PHC: Primary Health Care PHP: Private Health Provider PID: Photo-Ionization Detector PMTCT: Prevention of Mother to Child Transmission PNFP: Private Not for Profit RRH: Regional Referral Hospital(s) TASO: The Aids Support Organisation TB: Tuberculosis TCMP: Traditional and Complimentary Medicine Practitioner TOR: Terms of Reference UBOS: Uganda Bureau of Statistics UNFPA: United Nations Fund for Population Activities UNMHCP: Uganda National Minimum Healthcare Package VCT: Volume Computed Tomography VHT: Village Health Team WB: World Bank WHO: World Health Organization Units of measures Ha: hectare km: kilometre m: metre v Definitions: Dioxins or These are a group of polyhalogenated compounds which are known to be potent Polychlorinated human carcinogens (cancer-causing chemical compounds). Dioxins can occur as dibenzodioxins (PCDDs): by-products of incineration of chlorine-containing substances such as chlorine- containing plastics. Incineration: This is a waste treatment technology that involves combustion of organic materials and/or substances converting them into incinerator bottom ash, flue gases, and particulates. Flue gases may contain significant amounts of particulate matter, heavy metals, dioxins, furans, sulphur dioxide and hydrochloric acid. Flue gases should therefore be cleaned before they are dispersed in the atmosphere. Infectious waste: This is the portion of medical waste that can transmit disease. On average about 10-15 percent of medical waste is actually infectious waste. Infectious waste comprises five categories: cultures and stocks, human pathological waste, human blood and blood products and sharps. Hazardous waste: Shares the properties of a hazardous material (for example, ignitability, corrosivity, reactivity or toxicity), or other physical, chemical, or biological characteristics that may pose a potential risk to human health or the environment if improperly managed. Hospital waste: All solid waste, both biological and non-biological, that is produced at a hospital and is discarded without further use. Medical waste: Materials generated as a result of patient diagnosis and/or treatment or the immunization of human beings. Solid (non-hazardous) Generally include any garbage, refuse. Examples of such waste include domestic wastes: trash and garbage; inert construction / demolition materials; refuse, such as metal scrap and empty containers (except those previously used to contain hazardous materials which should, in principle, be managed as a hazardous waste). vi Contents Consultants .......................................................................................................................................................... iii Acronyms, units and definitions ......................................................................................................................... v List of tables ......................................................................................................................................................... xi List of figures ...................................................................................................................................................... xii List of photos ...................................................................................................................................................... xii Executive Summary ........................................................................................................................................... xiii 1 INTRODUCTION ............................................................................................................................................ 1 1.1 PROJECT BACKGROUND ............................................................................................................. 1 1.2 OVERVIEW OF UGANDA’S HEALTH SECTOR ................................................................................ 1 2 PROJECT DESCRIPTION ............................................................................................................................. 4 2.1 PROPONENT CONTACT .......................................................................................................................... 4 2.2 LOCATION OF PROJECT SITE................................................................................................................. 4 2.3 PROJECT OBJECTIVES ........................................................................................................................... 4 2.4 PROJECT COMPONENTS ........................................................................................................................ 5 2.4.1 Modifications of the Built Space ................................................................................................. 5 2.4.2 Equipment to be Installed .......................................................................................................... 7 2.4.3 Utilities/Resources Required ..................................................................................................... 7 2.5 PROJECT ALTERNATIVES ....................................................................................................................... 7 2.5.1 ‘No Project’ Scenario ........................................................................................................................... 7 2.5.2 Alternatives Considered ...................................................................................................................... 7 2.6 PROJECT CLASSIFICATION FOR ESIA PURPOSES .............................................................................. 8 2.6.1 Classification according to Uganda’s National Environment Act, Cap 153 .......................................... 8 2.6.2 Project Classification according to World Bank ................................................................................... 8 3 ESIA METHODOLOGY ................................................................................................................................. 9 3.1 INTRODUCTION ........................................................................................................................................ 9 3.2 ESTABLISHMENT OF ENVIRONMENTAL AND SOCIO-ECONOMIC BASELINE CONDITIONS ............ 9 3.3 CONSULTATION AND PROJECT DISCLOSURE ................................................................................... 10 3.4 REVIEW OF POLICY, REGULATIONS, INSTITUTIONAL FRAMEWORK, INTERNATIONAL GUIDELINES ....................................................................................................................................... 13 3.5 OVERVIEW OF THE FLOOD ANALYSIS METHODOLOGY ................................................................... 13 3.5.1 Return Period ...................................................................................................................................
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