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Improved Child Survival Program for Human Capital MPA Public Disclosure Authorized 2021 Public Disclosure Authorized Public Disclosure Authorized Improved Child Survival Program for Human Capital MPA Public Disclosure Authorized Updated Environmental and Social Management Framework (ESMF) – Public Disclosure Authorized Draft Final ACRONYMS ANC Ante Natal Care LERICC Local Emergency Routine Immunization Coordinating Center CWM Construction Waste Management NBS National Bureau of Statistics EA Environmental Assessment NESREA National Environmental Standards EAR Environmental Audit Report Regulatory Enforcement Agency ESIA Environmental and Social Impact NMEP National Malaria Elimination Program Assessment NPHCDA National Primary Healthcare ESMF Environmental and Social Management Development Agency Framework MICS Multiple Indicator Clustery Survey ESMP Environmental and Social Management Plan MoU Memorandum of Understanding FEPA Federal Environmental Protection Agency MPA Multi-Phased Approach FGoN Federal Government of Nigeria PAD Project Appraisal Document FMEnv Federal Ministry of Environment PCN Project Concept Notes GFF Global Financing Facility POPs Persistent Organic Pollutants GoN Government of Nigeria PDO Project Development Objectives GRS Grievance Redress Service PP Project Paper GRM Grievance Redress Mechanism PPE Protective Personnel Equipment HAI Hospital Acquired Infection SBCC Social Behavior Change Communication HCF Healthcare Facility TOR Terms of Reference HCW Healthcare Waste Management U5MR Under 5 Mortality Rate IDA International Development Association UN United Nations HWMP Health Waste Management Plan UNICEF United Nations Childrens Fund LFN Laws of the Federation of Nigeria WB World Bank LGA Local Government Area WM Waste Management LLIN Long Lasting Insecticide Nets WHO World Health Organization Environmental and Social Management Framework for Nigeria Page | i Improved Child Survival Program for Human Capital MPA (P167156) Table of Contents ACRONYMS …………………………………………………………………………………………………………………………….. i Table of Contents ............................................................................................................................ 2 Executive Summary ......................................................................................................................... 6 ES 1: Introduction and Background .......................................................................................................... 6 ES 2: Brief Project Objectives, Goal and Description ................................................................................ 7 ES 3: Overview of Environmental and Social Risks Associated with MPA ................................................ 9 ES 4: Legal and Institutional Framework ................................................................................................. 10 ES 5: Activities Associated with the MPA Program ................................................................................. 11 ES 6: Healthcare Waste Management and Construction Waste ............................................................ 12 ES 7: Potential Risks, Impacts and Mitigation Measures ........................................................................ 12 ES 8: Framework Environmental and Social Management Plan (Framework) ....................................... 15 ES 9: Gender and Vulnerability ............................................................................................................... 16 ES 10: Citizens Engagement .................................................................................................................... 16 ES 11: Grievance Redress Mechanism (GRM) ......................................................................................... 16 ES 12: Safeguard Instruments and Public Disclosure .............................................................................. 17 ES 13: Institutional Arrangement for the Implementation of the ESMP-F ............................................. 17 ES 14: Roles and Responsibilities in Implementing the ESMP-F ............................................................. 17 ES 15: Capacity Building and Target Audience ........................................................................................ 18 ES 16: Indicative Cost Estimates for Implementing the ESMF ................................................................ 20 ES 17: Stakeholders Consultation ........................................................................................................... 20 CHAPTER 1: Introduction .............................................................................................................. 21 1.1 Introduction ...................................................................................................................................... 21 1.2 Rationale for Updating the ESMF...................................................................................................... 23 1.3 Objectives of the Environmental and Social Management Framework (ESMF) ............................... 24 CHAPTER 2: Program Objectives, Description and Structure ....................................................... 26 2.1 Program Goal and Development Objectives ..................................................................................... 26 2.2 Program Description/Design ............................................................................................................. 26 2.2.1 Rationale for Using An MPA ....................................................................................................... 26 2.2.2 Program Framework .................................................................................................................. 27 2.2.3 Participating States .................................................................................................................... 27 2.3 Phases of the MPA ............................................................................................................................ 29 2.3.1 Phase I: High-impact interventions and innovations in service delivery: .................................. 29 2.3.2 Phase II: Expanding PHC strengthening through the BHCPF. .................................................... 29 2.3.3 Phase III: Integration and scale-up in lagging states. ................................................................. 29 2.4 Components of the Program ............................................................................................................ 31 2.5 Description of Proposed Program and Sub Project Activities ........................................................... 34 2.6 Challenges in the Nigerian Health Sector ......................................................................................... 35 2.7 Gender, Vulnerability and Disability ................................................................................................. 35 CHAPTER 3: National Policies, Acts, Regulations, Administrative Framework and World Bank Safeguard Policies .................................................................................................... 37 3.1 Relevant Nigeria’s National Policies .................................................................................................. 37 Environmental and Social Management Framework for Nigeria Page | 2 Improved Child Survival Program for Human Capital MPA (P167156) 3.2 Relevant National Acts ...................................................................................................................... 38 3.3 Relevant National Regulations .......................................................................................................... 39 3.4 Institutional Framework.................................................................................................................... 40 3.4.1 Ministries Relevant to the MPA ................................................................................................. 40 3.4.2 Relevant State Ministries and Environmental Protection Agencies (SEPAs) ............................. 42 3.5 International Conventions and Treaties Relevant to the MPA ......................................................... 43 3.6 Other Relevant Treaties and Conventions ........................................................................................ 44 3.7 World Bank Safeguard Policies ......................................................................................................... 44 3.7.1 Project Safeguards Instruments ................................................................................................. 44 3.7.2 Activities and Component(s) of the MPA That Trigger Environmental Assessment OP 4.01 .... 45 3.8 World Bank Environmental Health and Safety Guidelines (ESHG) ................................................... 46 3.9 Assessment of the Nigerian Environmental and Social Regulatory System ..................................... 46 CHAPTER 4: Baseline Studies of Nigeria & Program States .......................................................... 48 4.1 General Overview of Nigeria ............................................................................................................. 48 4.2 General Baseline of Participating States ........................................................................................... 50 4.3 Healthcare Baseline of Participating States ...................................................................................... 57 4.4 Environmental and Social Baseline Participating States ..................................................................
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