SFG1506 Public Disclosure Authorized National Agency for the Control of AIDS Second HIV/AIDS Program Development Project (HPDP II) Environmental and Social Safeguards Audit Public Disclosure Authorized FINAL REPORT Submitted to: The Director General Public Disclosure Authorized National Agency for the Control of AIDS (NACA) Central Business District, Abuja, NIGERIA Public Disclosure Authorized 1 JULY 2015 Acronyms AIDS Acquired Immune Deficiency Syndrome ART Anti-Retroviral Treatment ARV Anti-Retroviral BCC Behaviour change Communication CBOs Community Based Organizations CSO Civil Society Organisation DfID Department for International Development EIA Environmental Impact Assessment ESM Environmental Sound Management ESMF Environmental and Social Management Framework FCT Federal Capital Territory FEPA Federal Environmental Protection Agency FMEnv Federal ministry of Environment FMENV Federal Ministry of Environment FMoH Federal Ministry of Health FSW Female Sex Workers GDP Gross Domestic Product HAF HIV/AIDS Fund HCF Health Centre Facility HCT HIV Counselling and Testing HCW Health Care Waste HIV Human Immuno-deficiency Virus HSDP II Health Systems Project Development II HPDP HIV/AIDS Program Development Project IDU Injecting Drug Users ISDS Integrated Safeguards Sheet ITCZ Inter-Tropical Convergence Zone LACA Local Action Committee on Aids LAWMA Lagos State Waste Management Agency LGA Local Government Area MAP Multi-Country AIDS Program for Africa M&E Monitoring and Evaluating MWMP Medical Waste Management Plan MSM Men Having Sex with Men MARP Most at Risk Population NAAQS National Ambient Air Quality Standards NACA National Agency for the Control of AIDS NHP National Health Policy NSF National Strategy Framework (2005 – 2009) 2 NSF 2 Second National Strategic Framework 2 (2010 – 2014) OPS Organized Private Sector OVC Orphans and Vulnerable Children PAD Project Appraisal Document PCN Project Concept Note PHC Primary Health Care PIU Project Implementation Unit PLHA People Living with HIV/AIDS PLWA People Living With AIDS PLWD People Living with Disabilities PMTCT Prevention of Mother to Child Transmission PPT Project Preparation Team PSP Private Sector Participation ROP Resident Organic Pollutants RRF Rapid Respond Fund SACA State Action Committee on AIDS/State Agencies SEPA State Environmental Protection Agency SMEnv State Ministry of Environment TA Technical Assistance TB Tuberculosis TDS Total Dissolved Solids TOR Terms of Reference TOT Training of Trainers UNAIDS Joint United Nations Program on AIDS UNDP United Nations Development Program WHO World Health Organisation 3 Table of Contents ACRONYMS .................................................................................................................................. 2 LIST OF TABLES ............................................................................................................................ 6 TABLE 1.1 SAMPLING FRAME FOR SELECTED HCFS ...................................................................... 6 LIST OF FIGURES ........................................................................................................................... 7 EXECUTIVE SUMMARY ................................................................................................................. 8 ENVIRONMENTAL & SOCIAL SAFEGUARDS AUDIT METHODOLOGY ................................................................... 8 AUDIT FINDINGS ...................................................................................................................................... 9 Brief about sampled HCFs .............................................................................................................. 9 Waste generation, characterization and disposal in Health facilities ............................................ 9 Availability of incineration facilities in the states ........................................................................... 9 Emergency preparedness and response (EPR) ............................................................................... 9 Structures and systems in place in support of Health, Safety and Environment programmes .... 10 Management support for HSE programme .................................................................................. 10 Employee practice and behavior .................................................................................................. 10 Awareness and implementation of safeguard policies by SACA and Partners ............................. 10 Environmental and social issues associated with HPDPII projects in the states .......................... 11 MITIGATION AND ACTION PLAN ............................................................................................................... 11 CONCLUSION ........................................................................................................................................ 12 CHAPTER ONE ............................................................................................................................ 13 INTRODUCTION/BACKGROUND ................................................................................................................ 13 1.2 OBJECTIVES OF THE ENVIRONMENTAL AND SOCIAL SAFEGUARDS AUDIT ................................................... 15 1.3 SCOPE OF WORK AND TASK............................................................................................................... 16 1.4 ENVIRONMENTAL & SOCIAL SAFEGUARDS AUDIT METHODOLOGY ........................................................... 17 1.4.1 Introduction ......................................................................................................................... 17 1.4.2 Audit location ...................................................................................................................... 18 1.4.3 Audit design ......................................................................................................................... 18 1.4.4 Data collection, management and analysis plan ................................................................ 20 1.4.5 Consultations with Stakeholders ......................................................................................... 21 CHAPTER TWO ........................................................................................................................... 29 POLICY, ADMINISTRATIVE AND LEGAL FRAMEWORK................................................................... 29 2.0 INTRODUCTION ................................................................................................................. 29 2.1 RELEVANT NIGERIAN REGULATORY INSTRUMENTS ........................................................... 29 2.1.1 NATIONAL POLICY ON THE ENVIRONMENT 1989 (REVISED 1999) ................................................... 29 2.1.2 Some Thematic (Area) Policies on Environment- ............................................................... 30 2.2. ENVIRONMENTAL LAWS/ACTS .......................................................................................................... 30 2.3 ENVIRONMENTAL REGULATIONS ........................................................................................................ 32 2.4 THE SOCIAL CONTEXT OF LEGAL FRAMEWORK ...................................................................................... 32 2.5 OVERVIEW OF THE NIGERIA HEALTH CARE WASTE MANAGEMENT POLICY, PLAN AND GUIDELINES: .............. 34 2.6 ADMINISTRATIVE FRAMEWORK .......................................................................................................... 38 2.6.1 Federal Ministry of Health ................................................................................................... 39 2.6.2 Federal Ministry of Environment ......................................................................................... 39 2.6.3 State Environmental Protection Agency or Authority ......................................................... 39 2.7 WORLD BANK SAFEGUARD POLICIES ................................................................................................... 40 4 2.7.1 OP 4.01 Environmental Assessment .................................................................................... 41 2.8 NIGERIAN EA GUIDELINES AND WORLD BANK EA GUIDELINES................................................................ 41 CHAPTER THREE ......................................................................................................................... 42 OVERVIEW OF THE PROJECT/PROJECT DESCRIPTION ................................................................... 42 3.1 PROJECT LOCATION.......................................................................................................................... 42 3.2 PROJECT COMPONENTS .................................................................................................................... 42 3.2.1 Component 1: Expanding the Public Sector Response........................................................ 43 3.2.2 Component 2: Expanding the civil and private sector engagement and response through the HIV/AIDS Fund. ....................................................................................................................... 44 3.2.3 Component 3: Strengthening mechanisms for project coordination and management ..... 45 3.3: PROJECT ACTIVITIES ........................................................................................................................ 46 CHAPTER 4 ................................................................................................................................