E2504 V2 Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized
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E2504 v2 Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Submitted to: The Ministry of Public Health and Population, Yemen Environmental and Social Impact Assessment (ESIA) EcoConServ Environmental Solutions JET for Engineering and Trading Health and Population Project Public Disclosure Authorized 10 El Kamel Mohamed St., Zamalek, Riyad (Hayil) Street, Al-Ghail Building 1st Cairo, Egypt 11211 Floor, Suite no. 1, Sana’a, Tel: + 20 2 27359078 – 2736 4818 Republic of Yemen, P.O. Box 2379 Final Report Fax: + 20 2 2736 5397 Tel.: + 967 1 212 567 E-mail: [email protected] Fax: + 967 1 211 097 URL: http://www.ecoconserv.com E-mail: [email protected] July 2010 URL: http://www.geocities.com/jetyemen Health and Population Project (HPP), Yemen Environmental and Social Impact Assessment (ESIA)-Final TABLE OF CONTENTS LIST OF TABLES .............................................................................................................. 5 LIST OF FIGURES............................................................................................................. 5 Executive Summary ............................................................................................................ 8 LIST OF ACRONYMS AND ABBREVIATIONS.......................................................... 12 1. Introduction ................................................................................................................... 14 −˜ł− Background ............................................................................................................... 14 1.2 Health and Population Project˜(HPP).......................................................................... 14 1.2.1 Project Objective...................................................................................................... 14 1.2.2 Objectives of the Environmental and Social Impact Assessment (ESIA) ............... 14 1.3 ESIA Methodology ..................................................................................................... 15 1.3.1 Phase One: Description of the Current Situation ..................................................... 15 1.3.2 Phase Two: Analyzing Results and Preparing the draft ESIA................................. 16 1.3.3 Phase Three: Presenting Results and Consultation with Stakeholders .................... 16 1.3.4 Phase Four: Preparing the Final ESIA and Disclose the Report.............................. 16 1.4 The ESIA Challenges and Methodology Strengths..................................................... 17 2 Legislative Framework................................................................................................... 19 2.1 Laws Related to the Environmental Impact Assessment ............................................ 19 2.1.1 Environmental Protection Law No. 26 of 1995 ....................................................... 19 2.1.2 Law 40/1999, the Law of Hygiene........................................................................... 19 2.1.3 Law 60/1999 for Medical and Health Facilities....................................................... 20 2.1.4 Law 39/1999 about Public Hygiene......................................................................... 22 2.1.4.1 Article (19) Concerning Healthcare Waste ........................................................... 22 2.2 Laws Related to Social Impact Assessment................................................................ 24 2.2.1 Yemeni Constitution ................................................................................................ 24 2.2.2 Local Administration Law (number 4/2002) ........................................................... 24 2.2.3 Public Health Law (number 4/2009)........................................................................ 24 2.2.4 Presidential Decree (number 76/2004)..................................................................... 25 2.3 International Regulations Related to the Project......................................................... 25 2.3.1 The Convention on the Rights of Children (CRC)................................................... 25 2.4 World Bank Safeguard Policies .................................................................................. 26 2.4.1 Environmental Assessment Policy (OP 4.1) ............................................................ 26 2.4.2˜Disclosure Policy (OP 17.50)................................................................................... 26 3. Health and Population Project (HPP)............................................................................ 27 3.1 Project Objective......................................................................................................... 27 3.2. Project Description..................................................................................................... 27 4. Description of the Environment and Socio-economic Conditions................................ 33 4.1. Description of the Environment ................................................................................. 33 Health and Population Project (HPP), Yemen Environmental and Social Impact Assessment (ESIA)-Final 4.1.1 Location.................................................................................................................... 33 4.1.2 Geological and Hydrological Characteristics of Yemen.......................................... 34 4.1.2.1 Terrain ................................................................................................................... 34 4.1.2.2 Soil ........................................................................................................................ 37 4.1.2.3 Climate .................................................................................................................. 38 4.1.3 Ecological Classification of the Study Area ............................................................ 39 4.1.3.1 Environmental Characteristics of the Study Area................................................. 39 4.1.3.2 Elements of Biodiversity in the Region ................................................................ 41 4.1.3.3 Risks and Threats Facing the Region.................................................................... 43 4.1.4 Environmental Background based on the Findings of the Field Study.................... 44 4.2 Socio-economic Background ...................................................................................... 50 4.2.1 General Background Information on the Socio-economic Conditions in Yemen ... 50 4.2.2 Economic Characteristics......................................................................................... 53 4.2.2.1 Poverty Level in Targeted Governorates: ............................................................. 54 4.2.3 Education.................................................................................................................. 55 4.2.4 Gender Issues ........................................................................................................... 57 4.2.4.1 Economic Participation among Women................................................................ 58 4.2.4.2 Women and Education .......................................................................................... 59 4.2.5 Health Indicators Related to the Project................................................................... 60 4.2.6 The Main Causes of MNCH Problems .................................................................... 65 4.2.7 Organizational Backgrounds Related to the Project ................................................ 72 4.2.7.1 Governmental Sector............................................................................................. 72 4.2.7.2 Other Bodies Concerned with MNCH in the Targeted Governorates .................. 79 5. Analysis of the Project Environmental and Social Impacts .......................................... 84 5.1 Expected Environmental Impacts................................................................................ 85 5.1.1 Expected Environmental Impacts during Preparation/Pre-implementation Phase .. 85 5.1.2 Expected Environmental Impacts during Operation Phase...................................... 85 5.1.2.1 Impacts Related to Improper Handling and Storage of Chemicals and Drugs ..... 85 5.1. 2.2 Inappropriate Disposal of HCW Generated during Outreach Activities ............. 87 5.1.2.3 Mismanagement of Increased Quantities of Municipal Solid Waste Generated by Healthcare Facilities.......................................................................................................... 87 5.1.2.4 Use of Poorly Maintained Electric Generators ..................................................... 88 5.2 Expected Social Impacts ............................................................................................. 91 5.2.1 Expected Social Impacts during Preparation/Pre-implementation Phase ................ 91 5.2.1.1 Creating Temporary Economic Opportunities ...................................................... 91 5.2. Expected Social Impacts during Operation Phase.................................................... 91 5.2.2.1 Job Opportunities for Women in the Field of Community Health........................ 91 5.2.2.2 Improving Women’s Access to Pregnant Women’s Health Services .................... 93 5.2.2.3 Improving Child Health and Safety at Remote and Disadvantaged Areas ........... 93 5.2.2.4 Enhanced Level of Trust between Beneficiaries and Government