Public Disclosure Authorized FEDERAL REPUBLIC OF SOMALIA THE MINISTRY OF HEALTH IMPROVING HEALTHCARE SERVICES IN SOMALIA (P172031) Public Disclosure Authorized ENVIRONMENTAL AND SOCIAL MANAGEMENT FRAMEWORK (ESMF) Public Disclosure Authorized FINAL VERSION © 10th May, 2021 Public Disclosure Authorized Improving Healthcare Services in Somalia (P172031) 2 FEDERAL REPUBLIC OF SOMALIA THE MINISTRY OF HEALTH IMPROVING HEALTHCARE SERVICES IN SOMALIA (P172031) PART 1: ENVIRONMENTAL MANAGEMENT FRAMEWORK (EMF) FINAL VERSION © 10th May, 2021 Improving Healthcare Services in Somalia (P172031) i TABLE OF CONTENTS TABLE OF CONTENTS .......................................................................................................................... I LIST OF TABLES ................................................................................................................................ III ACRONYMS AND ABBREVIATIONS .................................................................................................... IV EXECUTIVE SUMMARY .......................................................................................................................1 1 INTRODUCTION AND PROJECT CONTEXT ................................................................................... 16 1.1 PROJECT CONTEXT ........................................................................................................................... 16 1.2 IMPROVING HEALTHCARE SERVICES IN SOMALIA PROJECT ....................................................................... 19 1.3 PROJECT DEVELOPMENT OBJECTIVE AND COMPONENTS .......................................................................... 20 1.4 PROJECT BENEFICIARIES .................................................................................................................... 22 2 SCOPE AND METHODOLOGY OF THE EMF .................................................................................. 23 2.1 PURPOSE AND SCOPE OF THE EMF ..................................................................................................... 23 2.2 EMF JUSTIFICATION ......................................................................................................................... 23 2.3 EMF PRINCIPLE ............................................................................................................................... 24 2.4 METHODOLOGY .............................................................................................................................. 24 3 POLICY, LEGISLATIVE AND INSTITUTIONAL FRAMEWORKS ......................................................... 26 3.1 OVERVIEW ..................................................................................................................................... 26 3.2 SOMALIA NATIONAL LAWS, POLICIES AND LEGISLATIONS ......................................................................... 26 3.3 LAWS AND REGULATIONS IN FEDERAL MEMBER STATES OF SOMALIA ....................................................... 29 3.4 INSTITUTIONAL CAPACITY FOR ENVIRONMENTAL MANAGEMENT .............................................................. 30 3.5 INTERNATIONAL CONVENTIONS AND AGREEMENTS SIGNED OR RATIFIED BY SOMALIA .................................. 32 3.6 WORLD BANK ENVIRONMENT AND SOCIAL STANDARDS .......................................................................... 33 3.7 WORLD BANK GROUP EHS GUIDELINES .............................................................................................. 40 3.8 GAP ANALYSIS ................................................................................................................................. 40 3.9 ACTION PLAN FOR CAPACITY ENHANCEMENT IN ENVIRONMENTAL RISK MANAGEMENT .............................. 48 4 PROJECT’S BIOPHYSICAL AND SOCIOECONOMIC SETTINGS ........................................................ 51 4.1 OVERVIEW ..................................................................................................................................... 51 4.2 INTRODUCTION ............................................................................................................................... 51 4.3 CLIMATE ........................................................................................................................................ 51 4.4 ECOSYSTEMS ................................................................................................................................... 52 4.5 SOCIO-ECONOMIC ENVIRONMENT ...................................................................................................... 54 5 CONSULTATIONS AND PUBLIC DISCLOSURE ............................................................................... 56 5.1 INTRODUCTION ............................................................................................................................... 56 6 POTENTIAL ENVIRONMENTAL RISKS AND IMPACTS AND MITIGATION MEASURES ...................... 57 6.1 INTRODUCTION................................................................................................................................ 57 6.2 ENVIRONMENTAL RISKS RATING ......................................................................................................... 57 6.3 ENVIRONMENTAL RISKS AND IMPACTS ENVISAGED ................................................................................. 59 6.4 ENVIRONMENTAL RISKS SCREENING ..................................................................................................... 60 6.5 PREPARATION OF ENVIRONMENTAL ASSESSMENT INSTRUMENTS .............................................................. 61 Improving Healthcare Services in Somalia (P172031) ii 6.6 MONITORING AND MITIGATION MEASURES ......................................................................................... 63 6.7 ENVIRONMENTAL BENEFITS OF THE PROJECT ........................................................................................ 64 6.8 ENVIRONMENTAL IMPACTS MITIGATION AND MONITORING MEASURES PROPOSED ...................................... 65 6.9 ENVIRONMENTAL AND SOCIAL MONITORING BY CONTRACTORS ............................................................... 82 6.10 ENVIRONMENTAL LIABILITIES OF CONTRACTORS..................................................................................... 83 7 ROLES AND RESPONSIBLITIES OF IMPLEMENTING ENTITIES ........................................................ 85 7.1 INTRODUCTION ............................................................................................................................... 85 7.2 PROJECT COORDINATION AND IMPLEMENTATION UNIT (PCIU) ................................................................ 85 7.3 ENVIRONMENTAL SAFEGUARDS SPECIALIST AT THE PCIU AND PMTS ....................................................... 85 7.4 ROLES AND RESPONSIBILITIES OF THE MINISTRY OF HEALTH (FGS) ........................................................... 86 7.5 WORLD BANK ROLES AND RESPONSIBILITIES ......................................................................................... 87 7.6 BUDGET FOR IMPLEMENTING THE EMF ............................................................................................... 87 7.7 UPDATING THE EMF ........................................................................................................................ 89 7.8 DISCLOSURE OF ENVIRONMENTAL AND SOCIAL RISK MANAGEMENT INSTRUMENTS .................................... 89 ANNEX 1: WORLD BANK ENVIRONMENTAL AND SOCIAL STANDARDS ................................................ 90 ANNEX 2: INDICATIVE ENVIRONMENTAL SCREENING CHECKLIST ....................................................... 92 ANNEX 3: SCOPE OF AN EHS AUDIT OF EXISTING HEALTHCARE FACILITY ............................................ 95 ANNEX 4: DRAFT TERMS OF REFERENCE FOR A CONTRACTOR ESMP FOR A HEALTH FACILITY ............. 96 ANNEX 5: SAMPLE GRIEVANCE REGISTRATION FORM ....................................................................... 98 EXAMPLE OF COMPLAINTS FORM (TO BE TRANSLATED INTO SOMALI) .................................................. 98 ANNEX 6: INDICATIVE ENVIRONMENTAL STEWARDSHIP FRAMEWORK FOR CONTRACTORS ............... 99 ANNEX 7: INFECTION CONTROL AND WASTE MANAGEMENT PLAN ................................................. 103 Improving Healthcare Services in Somalia (P172031) iii LIST OF TABLES TABLE 1: DELIBERATIONS UNDERTAKEN IN THE PREPARATION OF THIS EMF ................................................................................. 25 TABLE 2: SUMMARY OF APPLICABLE WORLD BANK ENVIRONMENT AND SOCIAL STANDARDS (ESSS) ................................................. 34 TABLE 3: GAP ANALYSIS FOR ENVIRONMENTAL AND SOCIAL STANDARDS – IMPROVING HEALTHCARE SERVICES IN SOMALIA – JUNE 2020 ............................................................................................................................................................................ 41 TABLE 4: ENVIRONMENTAL MITIGATION AND MONITORING PLAN – IMPROVING HEALTHCARE SERVICES FOR SOMALIA PROJECT – JUNE 2020 .................................................................................................................................................................... 68 TABLE 5: INDICATIVE BUDGETARY REQUIREMENTS FOR IMPLEMENTING THE EMF FOR THE DAMAL CAAFIMAAD PROJECT...................... 89 Improving Healthcare Services in Somalia (P172031) iv ACRONYMS AND ABBREVIATIONS Abbreviation Description CPF Country Partnership Framework DG Director