Environmental and Social Management Framework Provision of Essential Health Services Project South Sudan – 2019 Version December 3, 2019 1 | Page Table of Contents Acronyms.........................................................................................................................................................4 1 Executive Summary .................................................................................................................................5 2 Introduction...........................................................................................................................................10 3 Project Description ................................................................................................................................11 3.1 Background Considerations ..........................................................................................................11 3.2 Delivery of High Impact Primary Health Care Services in South Sudan for the Most Vulnerable and Affected Communities........................................................................................................................13 3.3 Delivery of Mental Health and Psycho-Social Support in all ICRC Supported Health Facilities ....13 3.4 Delivery of High Impact Secondary Health Care Services as a Continuum of Care at Community Level 14 3.5 Geographical Setting.....................................................................................................................16 3.6 Contingency Emergency Response Mechanism (CERC)................................................................20 4 Legal and Institutional Framework........................................................................................................20 4.1 Legal International and National Frameworks..............................................................................20 4.1.1 Basel Convention, 1989 ............................................................................................................20 4.1.2 Stockholm Convention, 2001....................................................................................................21 4.1.3 Environment Policy of South Sudan, 2010................................................................................21 4.1.4 Environment Protection Bill of South Sudan, 2010 ..................................................................21 4.1.5 Environmental Protection Act, 2001.........................................................................................21 4.1.6 Environment Health Act, 1975..................................................................................................21 4.1.7 Public Health (Water and Sanitation) Acts of South Sudan, 2008 ............................................21 4.1.8 Policy on Medical Waste Management for South Sudan, 2012 ...............................................22 4.1.9 Guideline on MWM for South Sudan, 2011..............................................................................22 4.2 World Bank Environmental and Social Policies.............................................................................22 4.3 Institutional ICRC Environmental and Social Frameworks............................................................22 4.3.1 Framework for Sustainable Development at the ICRC .............................................................22 4.3.2 ICRC Framework for Environmental Management in Assistance Programs.............................24 4.3.3 Medical Waste Management....................................................................................................24 4.3.4 Acceptance of the ICRC (Social Considerations) and Security Management............................25 4.3.5 Accountability to Affected People Institutional Framework ....................................................27 4.3.6 Guidelines and Information on How to Do Business with ICRC................................................28 4.3.7 Code of Ethics for Purchasing (Goods and Services).................................................................28 4.3.8 General Conditions for Purchasing ...........................................................................................28 4.3.9 Reference of Manufacturing Standards for Relief Items Production .......................................29 4.3.10 Internal ICRC Logistics’ SOP ..................................................................................................29 4.3.11 Rules on Personal Data Protection .......................................................................................29 2 | Page 4.3.12 ICRC’s Approach to Protection .............................................................................................30 4.3.13 Headquarters Agreement.....................................................................................................31 5 Baseline data..........................................................................................................................................31 5.1 Situation Overview........................................................................................................................31 5.2 Problem Analysis...........................................................................................................................32 5.3 Analysis of Alternatives.................................................................................................................33 6 Environmental Risks, Impacts and Mitigation Measures.......................................................................34 6.1 Introduction to Assessment and Management of Environmental and Social Risks and Impacts.35 6.2 Summary Table of Main Risks, Mitigating Measures and Indicators............................................36 6.3 Occupational Health and Safety....................................................................................................38 6.4 Community Health and Safety ......................................................................................................38 6.5 Medical Waste Management........................................................................................................39 6.6 Minor Facility Repair and Rehabilitation.......................................................................................41 7 Social Risks and Mitigation Measures....................................................................................................43 7.1 Grievance Redress.........................................................................................................................44 7.2 Stakeholder Consultations ............................................................................................................47 8 Institutional Arrangements of the ESMF ...............................................................................................47 8.1 Stakeholder Engagement and Information Disclosure .................................................................48 8.2 Project-Specific Consultations and Community Engagement.......................................................48 8.3 Contractual Relationship with Hospitals.......................................................................................49 8.4 Staffing and Hiring.........................................................................................................................49 8.5 Staff Training.................................................................................................................................49 8.6 Monitoring and Reporting ............................................................................................................50 9 Annexes .................................................................................................................................................53 9.1 ICRC Code of Conduct ...................................................................................................................53 9.2 ICRC Waste Disposal Methods Impacts and Mitigation Measures...............................................57 9.3 Sample Hospital Medical Waste Area Plan...................................................................................57 9.4 Sample Montfort Incinerator Design for Hospital ........................................................................57 9.5 Geographic scope of the program ................................................................................................58 9.6 Medical Waste Management Manual Checklists..........................................................................58 3 | Page Acronyms AAP Accountability to Affected People CBP Community-based Protection CERC Contingency Emergency Response Mechanism FI Financial Intermediary GBV Gender-based Violence GoSS Government of South Sudan HCiD Healthcare in Danger ICRC International Committee of the Red Cross IDMC Internal Displacement Monitoring Center IDP Internally Displaced Person IHL International Humanitarian Law IPC Integrated Food Security Phase Classification MHPSS Mental Health and Psychosocial Support NGO Non-governmental Organization NIIHA Neutral, Impartial, Independent Humanitarian Action OCHA Office for the Coordination of Humanitarian Affairs OSV Other Situations of Violence PfR Planning for Results PHC Primary Healthcare PMT Planning and Monitoring Tool POM Project Operational Manual PoC Protection of Civilians SA Social Assessment SOP Standard Operating Procedure UNDP United Nations Development Program