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Topography and Drainage of Kamuzu Central Hospital and the Proposed Site ...21 SFG2187 V4 Government of the Republic of Malawi Public Disclosure Authorized Ministry of Health EBOLA PREPAREDNESS PLAN Public Disclosure Authorized Environmental and Social Management Plan for the proposed Construction of an Ebola Virus Diseases Treatment Centre at Kamuzu Central Hospital Public Disclosure Authorized Public Disclosure Authorized 06 May 2016 Page | 1 Contents LIST TABLES .......................................................................................................................... iv LIST OF FIGURES ................................................................................................................... v LIST OF ACRONYMS ............................................................................................................ vi ACKNOWLEDGEMENTS ..................................................................................................... vii EXECTUTIVE SUMMARY ................................................................................................. viii CHAPTER 1 INTRODUCTION ......................................................................................... 1 1.1. PROJECT BACKGROUND ............................................................................................ 1 1.2. NATURE OF THE PROJECT ......................................................................................... 4 1.3. OBJECTIVE OF THE ESMP ........................................................................................... 5 1.4. SCOPE OF THE ESMP STUDY ...................................................................................... 5 1.5. ASSESSMENT METHODOLOGY FOR THE ESMP ........................................................ 5 CHAPTER 2 POLICY AND LEGAL FRAMEWORK FOR THE PROJECT ................... 7 2.1 POLICIES ..................................................................................................................... 7 2.1.1 The Constitution of the Republic of Malawi, 1995 .............................................. 7 2.1.2 Malawi Growth and Development Strategy, 2011 – 2016 .................................. 7 2.1.3 The National Environmental Policy, 2004 ............................................................ 8 2.1.4 The National Environmental Action Plan, 2002 ................................................... 8 2.1.5 The National Water Policy, 2005 .......................................................................... 8 2.1.6 Guidelines for Environmental Impact Assessment (EIA), 1997 ........................... 9 2.1.7 National Construction Industry Policy, 2015 ........................................................ 9 2.1.8 Infection Prevention and Control Policy, 2006 .................................................... 9 2.1.9 National Sanitation Policy, 2007 ........................................................................... 9 2.1.10 Decentralization Policy, 1998 ......................................................................... 10 2.1.11 Revised Decentralized Environmental Management Guidelines, 2012 ........ 10 2.1.12 Malawi Standards (MS) 615: 2005: Waste within health-care facilities, handling and disposal (code of practice) ........................................................................ 10 2.2 LEGAL FRAMEWORK ................................................................................................ 11 2.2.1. The Environment Management Act, 1996 ..................................................... 11 2.2.2. Public Health Act, 1966 ................................................................................... 11 2.2.3. The Water Resources Act, 2013 ...................................................................... 11 2.2.4. Occupational Safety, Health and Welfare Act, 1997 ..................................... 12 2.2.5. National Construction Industry Act, 1996 ...................................................... 12 2.2.6. The Local Government Act, 1998 .................................................................... 12 2.3 ADMINISTRATIVE FRAMEWORK ............................................................................. 13 2.4 THE WORLD BANK SAFEGUARD POLICIES .............................................................. 13 Page | i 2.4.1. Environmental Assessment (OP/BP 4.01) ...................................................... 14 CHAPTER 3 DESCRIPTION OF THE PROJECT AND COMPONENTS ..................... 15 3.1 THE EVD TREATMENT CENTRE FOR KAMUZU CENTRAL HOSPITAL ....................... 15 3.2 COMPARISON OF THE KCH DESIGN AND THE DESIGNS BY MOH .......................... 16 3.3 WASTE DISPOSAL SYSTEMS .................................................................................... 16 3.2.1. Liquid Waste Disposal ..................................................................................... 16 3.2.2. Solid Waste Disposal ....................................................................................... 18 3.4 CONSTRUCTION MATERIALS ................................................................................... 18 3.5 CONSTRUCTION WORKS ......................................................................................... 18 CHAPTER 4 ENVIRONMENTAL AND SOCIAL SETTING ........................................ 19 4.1 PROJECT SITE LOCATION AND ACCESSIBILITY ........................................................ 19 4.2 PROJECT SITE SELECTION ........................................................................................ 20 4.3 BIO-PHYSICAL CHARACTERISTICS OF THE PROJECT AREA ..................................... 20 4.2.1. Topography and Drainage ............................................................................... 20 4.2.2. Air Quality/ Air pollution ................................................................................ 22 4.2.3. Geology and Soil .............................................................................................. 22 4.2.4. Flora and fauna ................................................................................................ 22 4.2.5. Climate ............................................................................................................. 22 4.4 SOCIO-ECONOMIC CHARACTERISTICS .................................................................... 23 4.3.1 Population ........................................................................................................... 23 4.3.2 Migration ............................................................................................................. 24 4.3.3 Economy .............................................................................................................. 24 4.3.4 Water, Electricity, Telephone and Internet Services ......................................... 25 4.3.5 Health Services .................................................................................................... 25 4.5 SPECIAL CHARACTERISTICS OF KAMUZU CENTRAL HOSPITAL .............................. 26 4.4.1. Infrastructure .................................................................................................. 26 4.4.2. Liquid Waste Management ............................................................................. 26 4.4.3. Solid Waste Management ............................................................................... 27 CHAPTER 5 IMPACTS OF THE PROJECT ................................................................... 30 5.1 IDENTIFICATION OF THE POTENTIAL IMPACTS ...................................................... 30 5.1.1. Literature review ............................................................................................. 30 5.1.2. Site Investigation and Stakeholder Consultations ......................................... 30 5.1.3. Study of satellite images ................................................................................. 30 5.2 DESCRIPTION OF POSITIVE IMPACTS ...................................................................... 30 5.2.1. Positive impacts during planning phase ......................................................... 31 Page | ii 5.2.2. Positive impacts during construction phase .................................................. 31 5.2.3. Positive Impacts during the Operation and Maintenance Phase .................. 32 5.3 DESCRIPTION OF NEGATIVE IMPACTS .................................................................... 32 5.3.1. Impacts during the planning and design ........................................................ 32 5.3.2. Impacts during construction ........................................................................... 33 5.3.3. Impacts during Operation and Maintenance ................................................. 36 5.3.4. Impacts during Decommissioning................................................................... 39 5.4. SIGNIFICANCE RATING OF NEGATIVE IMPACTS ..................................................... 40 CHAPTER 6 ENVIRONMENTAL AND SOCIAL MANAGEMENT AND MONITORING PLAN ............................................................................................................ 43 6.1. THE ENVIRONMENTAL AND SOCIAL MANAGEMEN PLAN ..................................... 43 6.2. ENVIRONMENTAL AND SOCIAL MONITORING PLAN ............................................. 53 6.3. INSTITUTIONAL RESPONSIBILITY AND REPORTING STRUCTURE ........................... 64 6.4. SUMMARY OF THE COSTS FOR ENVIRONMENTAL MANAGEMENT ...................... 65 CHAPTER 7 CONCLUSION AND RECOMMENDATIONS ........................................ 66 7.1 CONCLUSIONS ........................................................................................................
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