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World Bank Document Requirement for Pforr Investment Operations

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World Bank Document Requirement for Pforr Investment Operations Public Disclosure Authorized The People’s Republic of China Guizhou Aged Care System Development Program Environment and Social Systems Assessment (ESSA) Public Disclosure Authorized (Draft) Public Disclosure Authorized November 15, 2018 Prepared by the World Bank Public Disclosure Authorized Acronyms AWS Administration of Work Safety CAB Civil Affair Bureau DLI Disbursement – Linked Indicators DRC Development and Reform Committee EPB Environmental Protection Bureau EA Environmental Assessment EIA Environmental Impact Assessment EPL Environmental Protection Law ESSA Environmental and Social System Assessment GRM Grievance Redress Mechanism Guizhou PEPB Department of Environmental Protection of Guizhou Guizhou HFPC Guizhou Health and Family Planning Committee HCF Health Care Facilities MEP Ministry of Environmental Protection HFPB Health and Family Planning Bureau MEE Ministry of Environment and Ecology MEM Ministry of Emergency Management NHs Natural Habitats PforR Program for Results PC People’s Congress PCRs Physical Cultural Resources SEPA State Environmental Protection Administration SC State Council 2 Table of Contents EXECUTIVE SUMMARY ................................................................................................................................................. 5 SECTION I: INTRODUCTION ..................................................................................................................................... 14 1.3 Guizhou Provincial Context .................................................................................................................................. 15 1.4 Sectoral (or multi-sectoral) and Institutional Context of the Program ..................................................... 18 SECTION II: PROGRAM DESCRIPTION ................................................................................................................... 20 2.1 Program Contents ..................................................................................................................................................... 20 SECTION III: POTENTIAL ENVIRONMENTAL AND SOCIAL EFFECTS ........................................ 24 3.1 Environmental and Social Screening .......................................................................................... 24 3.2 Potential Environmental Benefits and Risks ............................................................................... 26 3.3 Potential Social Benefits and Risks ............................................................................................ 29 3.3.2. Potential Social Effects and Risks .................................................................................................................. 30 SECTION IV: ENVIRONMENTAL MANAGEMENTSYSTEM ........................................................... 35 4.1 Legal Framework Applicable to the PforR ....................................................................................... 35 4.2 Implementation of Environmental Management Systems ................................................................ 41 4.3 Environmental Management Agencies and Capacity Assessment ................................................... 51 SECTION V: SOCIAL MANAGEMENT SYSTEM............................................................................................. 56 5.1 Legal and Regulatory Framework ............................................................................................... 56 5.1.1 A. Land Acquisition and Resettlement ................................................................................... 56 5.1.2 Ethnic Minority Development ................................................................................................ 62 5.1.3 Citizen Engagement, consultation and Information Disclosure .............................................. 64 5.1.4 Grievance Redress Measures .................................................................................................. 66 5.2 Implementation of Social Management Systems ........................................................................ 67 5.2.1 Land acquisition procedures ................................................................................................... 67 5.2.2 Implementation of ethnic minority development .................................................................... 69 5.2.3 Management of Other Social Issues ........................................................................................ 70 5.3 Institutional Arrangement for Implementing the Program .......................................................... 71 5.3.1 Institutional Arrangement on Aged Care Development .......................................................... 71 5.3.2 Institutional Arrangement for Land Acquisition .................................................................... 72 5.3.3 Ethnic minority Management Agencies and Capacity ............................................................ 73 5.3.4 Public Participation and complaints Management Agencies and Capacity ............................ 73 3 SECTION VI: ASSESSMENT OF ENVIRONMENTAL AND SOCIAL SYSTEM AGAINST PforR POLICY ANDDIRECTIVE ............................................................................................................................... 75 SECTION VII: STALKHOLDERS CONSULTATION ...................................................................................... 88 SECTION VIII: RECOMMENDATIONS ................................................................................................................ 89 Annex 1 List of Applicable Environmental and Social Law, Regulations and Guidelines ............................. 91 Annex 2: Summary of Consultation Workshop .......................................................................................................... 101 Annex 3 Institutional Responsibilities and Duties and Information Required .................................................. 102 4 EXECUTIVE SUMMARY 1. The PforR is expected to bring about major positive environmental and social benefits by increasing equitable access to basic package of aged care services and to strengthen the effectiveness of the aged care system in Guizhou Province, which will directly benefit about 3.27 million urban and rural elderlies and improved management practice of medical wastes in selected five cities and prefectures in Guizhou Province, including Guiyang, Zunyi, and Liupanshui Cities, and Qianxinan and Qiannan Prefectures. Here basic package of aged care services refers to the public financed aged care services, which would cover home- and community-based aged care, and institutional care. The types and levels of basic package of aged care services will be determined by the local city or county governments based on the affordability of public resources for the targeted elderly population. Under the PforR, it is expected that 955,000 elderly population in urban areas, and about 2,32 million elderly people in rural areas could increase their access to improved basic home based and community based aged care services, and institutional care, and their aged care condition could be improved along with the economic development in the country. 2. The PforR includes upgrading, rehabilitation and/or new construction of a range of aged care facilities at the county or district level, township or sub-district level, and residential community or village levels. The scale of the physical structure may range from institutions in communities, home based aged care station in rural and urban areas, to “happy home” in rural village and welfare homes in urban and rural areas. 3. The activities supported under the PforR are not expected to take place in or near environmentally sensitive areas (e.g., significant natural habitats, protected areas, or natural forests, or physical cultural resources at or above county level) and have no significant land acquisition or social risks. Activities will not involve dams, or be located in disputed areas or international waterways. 4. Nonetheless, some of the activities supported under the PforR have potential negative impacts and risks associated with construction and operation of the activities. The potential environmental risks identified for further assessment include the medical waste and radiation issues associated with institutions physically integrating aged care with health care that to be constructed, upgraded or expanded under the PforR. While the potential social impact identified for further assessment include certain amount of land acquisition, involvement with ethnic minority communities, equal access of improved aged care facilities and consultation and grievance procedures. Overall, these risks and potential impacts are moderate. 5. This Environment and Social Systems Assessment (ESSA), prepared by the Bank team, provides a comprehensive review of relevant environmental and social management systems and procedures, institutional capacity and performance, in China and the Guizhou; identifies the extent to which the country/local systems are consistent with PforR Bank Policy and Directive, and; recommends necessary actions to address the gaps as well as opportunities to enhance performance during the implementation of the PforR. Potential Environmental and Social Effects and Risks Environment 6. The potential environmental and social effects and risks of the program activities have been screened and further analyzed at early stage, to exclude the activities of high risks and identify
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