MONGOLIA SUPPORT FOR COVID-19 PROJECT (P173799), PEF SUPPORT FOR COVID-19 PROJECT (P174571) and COVID-19 VACCINATION ADDITIONAL FINANCING (P175730) ENVIRONMENTAL and SOCIAL MANAGEMENT FRAMEWORK (ESMF) 2021 1 | Page Mongolia- Covid-19 Project, ESMF This Environmental and Social Management Framework (EMSF) is developed to support the environment and social due diligence provisions for activities financed by the World Bank Group Mongolia PEF support for COVID-19 Project (P174571) and by the Pandemic Emergency Financing Facility (PEF) as additional Financing oF the Project with the involvement oF the Ministry oF Health (MOH). The objective oF the ESMF is to assess and mitigate potential negative environment and social (E&S) risks and impacts oF the Project consistently with the Environmental and Social Standards (ESSs) oF the World Bank Environmental and Social Framework (ESF). Developed by Enkhjargal Altangerel, MSc, PhD, Environmental and Occupational Health Specialist; Delgerzul Lodoysamba, MD, MSc, Risk Communication and Community Engagement Specialist, Otgonjargal Puntsag, MBA, Biomedical Specialist; Suvd Purevdorj, SPA, Financial Management Specialist; Enkhbold Sereenen, MD, MSc, PhD, Project Coordinator of IPIU oF WB funded Mongolia Covid-19 Emergency Response and Health System Preparedness Project (P173799). Reviewed and provided technical assistance by Erdene-Ochir Badarch, Operation OFFicer For Rural Development and Environment Programs at the World Bank, based in the Mongolia oFFice. Environmental team. Please contact in following email iF you have any enquiry regarding this document: [email protected] Дэлхийн банкны санхүүжилттэй ЭМЯ-ны төсөл @EHealthProject1 2 | Page Mongolia- Covid-19 Project, ESMF Contents 1. Background .......................................................................................................................................... 4 3. Policy, Legal and Regulatory Framework ........................................................................................... 15 4. Environmental and Social Baseline .................................................................................................... 21 5. Potential Environment and Social Risks and Impacts and their Mitigation Measures ...................... 29 6. Procedures to Address Environmental and Social Issues .................................................................. 29 7. Consultation and Disclosure .............................................................................................................. 32 8. Stakeholder Engagement................................................................................................................... 36 9. Project Implementation Arrangements, Responsibilities and Capacity building .............................. 38 10. Annexes ......................................................................................................................................... 45 I. Abbreviations and Acronyms .................................................................................................................. 45 II. Screening form for Potential risk of Environmental and Social issues .................................................. 47 III. ENVIRONMENTAL AND SOCIAL MANAGEMENT PLAN (ESMP)........................................................................... 57 IV. Infection Control and Waste Management Plan (ICWMP) Template .................................................. 76 V. Resource List: COVID-19 Guidance ........................................................................................................ 87 3 | Page Mongolia- Covid-19 Project, ESMF 1. Background This Environmental and Social Management Framework (EMSF) is developed to support the environment and social due diligence provisions For activities Financed by the World Bank Group Fast Track COVID-19 Facility (FCTF) , using standard components as described in Annex 2 oF the COVID-19 Board paper. This Project complements the longer-term development work in the Health Sector, including the Mongolia’s E Health Project (P131290) which seeks to improve integration and utilization of health inFormation and e-health solutions For better health service delivery in selected pilot sites. The Project was approved by the World Bank Board on 9 April, 2020 and was effective on 9 April 2020. This Project was selected For COVID-19 Financing because Mongolia Faces an elevated risk For COVID-19 outbreak spread. The scope and the components oF this Project are Fully aligned with the COVID-19 Fast Track Facility, using standard components. A phased response through the COVID-19 Fast Track Facility is proposed. While support will surely be needed to respond to the economic impact oF COVID-19 on households, businesses and government budgets, the World Bank’s approach is to lead with the health response. As a first step, the majority of operations processed through the Fast-Track Facility will be health sector operations to respond to urgent preparedness and response needs related to the COVID-19 outbreak. One of the challenges with the response to COVID-19 is the availability (and price) oF medical equipment and supplies. Rapid investments to build capacity, including through procurement of equipment, will be necessary to ensure the system is able to meet the increased demand From complicated COVID-19 cases. Indeed, there will likely be growing disruption to economic activities, businesses and livelihoods. Options For support through other Financing instruments are being explored as the Facility is established and through country consultations. While addressing the COVID-19 is an immediate priority for the Government of Mongolia the Project will in tandem strengthen health system preparedness for similar future public health emergencies. The Project will therefore address some oF the immediate needs For responding to COVID-19 including risk communication, strengthening response capacity and investing in the building blocks For a coordinated multi-sectoral approach. It will Further address health system gaps in the availability of drugs, medical supplies and equipment in key hospitals and aimag centers to meet the surge of expected patients and enhance the quality of patient care. This ESMF Follows World Bank Environmental and Social Framework and addresses risks identiFied in the updated Environmental and Social Commitment Plan (ESCP)1, and the updated Stakeholder 1 https://documents.worldbank.org/en/publication/documents-reports/documentdetail/957021585174181217/environmental- and-social-commitment-plan-escp-mongolia-covid-19-emergency-response-and-health-system-preparedness-project-p173799 4 | Page Mongolia- Covid-19 Project, ESMF Engagement Plan (SEP)2. As part of the World Bank support, the Ministry of Health is required to develop and implement this EMSF throughout the duration oF the Project. In case a CERC is triggered, the ESMF will be updated or a stand-alone CERC ESMF will be developed to address E&S risk management requirements oF the emergency related activities to be Funded. The Following sections describe the environmental and social due diligence across all the anticipated project activities. 1.2 Objective, Rationale and Application of the ESMF This Environmental and Social Management Framework (ESMF) assists the MOH in identiFying the type of environmental and social assessment that should be carried out for all activities funded by the project (original project, PEF support and additional financing), including activities that involve the expansion of vaccine central storage, rehabilitation and/or operation of healthcare facilities, and the deployment of a safe and effective vaccine in response to COVID-19, and in developing the environmental and social (E&S) management plans in accordance with the World Bank’s Environmental and Social Framework (ESF). The World Bank is providing support to Governments For preparedness planning to provide optimal medical care, maintain essential health services and to minimize risks For patients and health personnel (including training health Facilities staFF and Front-line workers on risk mitigation measures and providing them with the appropriate protective equipment and hygiene materials). As COVID-19 places a substantial burden on inpatient and outpatient health care services, support will be provided For a number oF diFFerent activities, all aimed at strengthening national health care systems, including systems For the deployment of a safe and effective vaccine. This ESMF has been developed For use in such projects. It includes the Environmental and Social Management Plan (ESMP) (Annex III) and the Infection Control and Waste Management Plan (ICWMP) (Annex IV). The ESMP identiFies potential environmental, social, health and saFety issues associated with the construction and operation of healthcare Facilities in response to COVID-19. The ICWMP Focuses on inFection control and healthcare waste management practices during the operation of healthcare Facilities. The ESMP and ICWMP set out appropriate measures For inFection control and waste management during operation oF the relevant healthcare Facility. The ESMF is complemented by other instruments including the Stakeholder Engagement Plan (SEP) and Labor Management Procedures (LMP), which speciFically address requirements under ESS 10 and ESS2 respectively. 2 https://documents.worldbank.org/en/publication/documents-reports/documentdetail/773991585914437112/stakeholder- engagement-plan-sep-mongolia-covid-19-emergency-response-and-health-system-preparedness-project-p173799