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Environmental and Social Monitoring Report Annual Report 2020 January 2021 CAM: Greater Mekong Subregion Health Security Project This environmental and social monitoring report is a document of the borrower. The views expressed herein do not necessarily represent those of ADB's Board of Directors, Management, or staff, and may be preliminary in nature. In preparing any country program or strategy, financing any project, or by making any designation of or reference to a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgments as to the legal or other status of any territory or area. Prepared by the Ministry of Health, Cambodia. 1 Safeguards Monitoring Report January 2021 CAM: GREATER MEKONG SUB-REGION (GMS) HEALTH SECURITY PROJECT (GMS-HSP) Prepared by the Ministry of Health/Project Management Unit for the Asian Development Bank. 2 NOTE (i) The fiscal year (FY) of the Government of Cambodia and the Ministry of Health ends on 31 st December 2020. (ii) In this report "$" refers to US dollars. This safeguards monitoring report is a document of the borrower. The views expressed herein do not necessarily represent those of ADB's Board of Directors, Management, or staff, and may be preliminary in nature. In preparing any country program or strategy, financing any Project, or by making any designation of or reference to a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgments as to the legal or other status of any territory or area. 3 Contents Abbreviations and Acronyms ......................................................................................................... 5 I. Executive Summary ............................................................................................................ 6 II. Project Overview, General safeguard matters ..................................................................... 7 1. Project Overview ................................................................................................................. 7 2. Project Progress ................................................................................................................. 7 3. Safeguards Plans Implementation Arrangements ............................................................. 15 4. Updated EMP and DDR, Incorporation of Safeguards Requirements into Project Contractual Arrangements .......................................................................................................................... 16 III. Environmental Performance Monitoring ............................................................................ 16 Status of EMP implementation (Mitigation Measures) .............................................................. 16 IV. Involuntary Resettlement Performance Monitoring ............................................................ 18 V. Ethnic Groups Development Plan Performance Monitoring ............................................... 18 VI. Compliance with safeguards related project covenants ..................................................... 28 VII. Public consultation, Information Disclosure, Capability Building ........................................ 37 VIII. Grievance Redress Mechanism ........................................................................................ 39 IX. Conclusion ........................................................................................................................ 41 X. Next Steps for year 2021................................................................................................... 42 XI. Attachments ...................................................................................................................... 43 Annex-1: Environmental monitoring checklists completions ..................................................... 43 Annex-2: Typing Lists of trainees in capacity building for safeguards (Oct-Dec20): ................ 124 Annex-3: Scanned original lists of trainees in capacity building for safeguards: ..................... 136 Annex-4: Photos of safeguards activities: ............................................................................... 150 4 Abbreviations and Acronyms ADB Asian Development Bank AET Applied Epidemiology Training AIDS Acquired Immune Deficiency Syndrome AMR Anti-microbial resistance AOP Annual Operational Plan APSED Asia Pacific Strategy for Emerging Diseases BCC Behavioral Change Communication BOD Biological oxygen demand CAM Cambodia CDC Communicable Diseases Control CEP Commitment on Environmental Protection COL Concessional Loan/Confessional Ordinary Loan CPMU Central Project Management Unit DDR Due Diligence Report DHS Department of Hospital Services EA Environmental assessment/Executing Agency EARF Environmental Assessment and Review Framework EGs Ethnic Groups EGDP Ethnic Groups Development Plan EIA Environmental Impact Assessment EID Emerging Infectious Diseases EMP Environmental Management Plan FETP Field Epidemiology Training Program FP Focal Point GMS Greater Mekong Subregion HC Health Center HF Health Facility HP Health Post HIS Health Information System HIV Human Immunodeficiency Virus IHR International Health Regulations IP Indigenous peoples IPC Infection Prevention and Control IPP Indigenous Peoples Plan Lao PDR Lao People’s Democratic Republic MEVs Migrants, Ethnic and other Vulnerable Groups MOH Ministry of Health OD Operational District PCU Project Coordination Unit PHD Provincial Health Department PH Provincial Hospital PIA Provincial Implementing Agency PMU Project Management Unit PPMU Provincial Project Management Unit RH Referral Hospital RRT Rapid Response Team SPS Safeguard Policy Statement SWM Solid Waste Management TB Tuberculosis TOT Training of Trainer US CDC United States-Centers for Disease Control and Prevention WHO World Health Organization 5 I. EXECUTIVE SUMMARY 1. The annual safeguards monitoring report covers the periods from 1 st January to 31 st December 2020 of the Greater Mekong Sub-Region Health Security Project (GMS-HSP). This safeguards progress monitoring report has been written as a periodic report for the third annual Safeguards Monitoring Report 2020. 2. Safeguards consultant has dealt with the social and environmental issues of the minor repair/small building civil work implementations and working together with infection prevention and control (IPC) consultant and EGDP consultant. The Government of Cambodia uses the loan to finance hardware such as laboratory facilities and infection prevention and control equipment, computers, transport vehicles and other auxiliary devices, and uses government resources to finance software such as training and workshops and project management. 3. In relation with social safeguards issues, the consultant has produced the due diligence report for 27 target hospitals, endorsed by ADB/CARM and uploaded onto the ADB website during August 2019. The updated initial environmental examination (IEE) was produced that included COVID-19 managing risk and prevention was endorsed by ADB/CARM and uploaded onto ADB website. 4. The minor repair/renovation and upgrading of existing laboratory facilities and other buildings to serve for the Project/Program complied with safeguards materials, especially for the output 3: Laboratory Service and Hospital Infection Prevention Control Improved. 5. From October to early December 2020, safeguards consultant has conducted social and environmental safeguards orientations that involved 27 hospital staff and management, totally 148 trainees, with 30 female trainees (IP provinces with 44 trainees, F: 8, EG: 0). 6. The Indigenous Peoples (IP) is categorized as B. The Project/Program has been designed as Indigenous Peoples Plan (IPP), then developed as Ethnic Groups Development Plan (EGDP) in accordance with the three outputs of the Project/Program. The EGDP is paralleled with General Program/Project of Health Security Project with particular expertise’s responsibilities. 7. EGDP implementation is regularly monitored and reported to ADB as attached with project progress report on quarterly basis and integrated with social monitoring report on annually basis. 8. Implementation of EGDP is being on track up to end of 2020. There are 3 actions plus 8 indicators, among total 13 actions and indicators, have been gradually achieved and keep being achieved while 2 remaining indicators related to laboratory and IPC are being rolled out. 9. Data on progress of project implementation is disaggregated by EGs (IPs). 1 10. Progress in 2020 includes capacity development for EGs staff through their participation in supervision activities. 74% of supervisions and 27% of outreach activities involved EGs staff. 11. Project has targeted EGs community members, outreach activities in EGs villages in border areas as well as consultations and participations have been moving smoothly. Total 169 EGs villages among 248 villages participated in supervision and outreach activities. 1 In Cambodia, (1) Ethnic groups development plan means Indigenous peoples plan, (2) Ethnic groups (EGs) means Indigenous peoples (IPs) 6 12. Majority of participants reports having known on prevention measures against communicable diseases. More than 80% are willing to report to village chief or commune staff or health center staff if disease outbreak occurred in their villages. 13. Improvement on community/household sanitation, drinking boiled water, toilet use, personal protection during work in farm
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