INTEGRATED SAFEGUARDS DATA SHEET APPRAISAL STAGE Report No.: ISDSA7150 Public Disclosure Copy Date ISDS Prepared/Updated: 04-Feb-2014 Date ISDS Approved/Disclosed: 04-Feb-2014 I. BASIC INFORMATION 1. Basic Project Data Country: Kosovo Project ID: P147402 Project Name: Kosovo Health Project (P147402) Task Team Aneesa Arur Leader: Estimated 14-Feb-2014 Estimated 13-May-2014 Appraisal Date: Board Date: Managing Unit: ECSH1 Lending Investment Project Financing Instrument: Sector(s): Health (100%) Theme(s): Health system performance (100%) Is this project processed under OP 8.50 (Emergency Recovery) or OP No 8.00 (Rapid Response to Crises and Emergencies)? Financing (In USD Million) Total Project Cost: 25.50 Total Bank Financing: 25.50 Public Disclosure Copy Financing Gap: 0.00 Financing Source Amount BORROWER/RECIPIENT 0.00 International Development Association (IDA) 25.50 Total 25.50 Environmental C - Not Required Category: Is this a No Repeater project? 2. Project Development Objective(s) To contribute to improving financial protection from health spending for the poor and quality of care for priority Maternal and Child Health and Non Communicable Disease services through: (i) support for health sector reforms focused on mandatory health insurance and performance-based purchasing; and (ii) building capacity to improve quality of care. 3. Project Description Page 1 of 4 The Project will include the following three components: Component 1: Improving financial protection and quality of care Public Disclosure Copy This component will build institutional capacity to implement health sector reforms to improve financial protection and quality of care. It will finance capacity building and goods, services and equipment to support the design and implementation of effective reforms, communications to manage the reforms, monitoring and evaluation of the reforms and upgrades of health information systems. Component 2: Strengthening primary care This component seeks to improve physical access to quality priority services at the primary care level, including Maternal and Child Health (MCH) and Non Communicable Disease (NCD) services, and therefore, to contribute to enhancing the sustainability of the mandatory health insurance reforms and improving population health outcomes. The component will finance capitation payments linked to performance. Component 3: Project management This component will support the operational costs of implementing the Project, including project coordination and supervision and fiduciary management (financial, procurement and audits of Project accounts). 4. Project location and salient physical characteristics relevant to the safeguard analysis (if known) Country-wide. Project activities will be implemented in hospitals and health centers across the country. Public Disclosure Copy 5. Environmental and Social Safeguards Specialists Bekim Imeri (ECSSO) 6. Safeguard Policies Triggered? Explanation (Optional) Environmental Assessment OP/ No The Project will have no negative environmental BP 4.01 and social impacts, as no construction or civil works are planned under the Project. Natural Habitats OP/BP 4.04 No Forests OP/BP 4.36 No Pest Management OP 4.09 No Physical Cultural Resources OP/ No BP 4.11 Indigenous Peoples OP/BP 4.10 No No No new construction works will be carried out. Page 2 of 4 Involuntary Resettlement OP/BP 4.12 Safety of Dams OP/BP 4.37 No Public Disclosure Copy Projects on International No Waterways OP/BP 7.50 Projects in Disputed Areas OP/BP No 7.60 II. Key Safeguard Policy Issues and Their Management A. Summary of Key Safeguard Issues 1. Describe any safeguard issues and impacts associated with the proposed project. Identify and describe any potential large scale, significant and/or irreversible impacts: Not applicable. No construction or civil works are envisaged. Only minor refurbishment may be undertaken in health facility areas where equipment are to be installed. The medical equipment supported by the Project do not require any special arrangements for installation. Expert assessment suggests that water and electricity requirements for the equipment to be supported with Project funds are normally available in all hospitals. No medical equipment with safeguards consequences - such as radiographic equipment that requires room shielding works - will be purchased with Project funds. 2. Describe any potential indirect and/or long term impacts due to anticipated future activities in the project area: Not applicable. 3. Describe any project alternatives (if relevant) considered to help avoid or minimize adverse impacts. Not applicable. Public Disclosure Copy 4. Describe measures taken by the borrower to address safeguard policy issues. Provide an assessment of borrower capacity to plan and implement the measures described. Not applicable. 5. Identify the key stakeholders and describe the mechanisms for consultation and disclosure on safeguard policies, with an emphasis on potentially affected people. Not applicable. B. Disclosure Requirements If the project triggers the Pest Management and/or Physical Cultural Resources policies, the respective issues are to be addressed and disclosed as part of the Environmental Assessment/ Audit/or EMP. If in-country disclosure of any of the above documents is not expected, please explain why: C. Compliance Monitoring Indicators at the Corporate Level OP 7.60 - Projects in Disputed Areas Page 3 of 4 Has the memo conveying all pertinent information on the Yes [ ] No [ ] NA [ ] international aspects of the project, including the procedures to Public Disclosure Copy be followed, and the recommendations for dealing with the issue, been prepared Does the PAD/MOP include the standard disclaimer referred to Yes [ ] No [ ] NA [ ] in the OP? The World Bank Policy on Disclosure of Information Have relevant safeguard policies documents been sent to the Yes [ ] No [ ] NA [ ] World Bank's Infoshop? Have relevant documents been disclosed in-country in a public Yes [ ] No [ ] NA [ ] place in a form and language that are understandable and accessible to project-affected groups and local NGOs? All Safeguard Policies Have satisfactory calendar, budget and clear institutional Yes [ ] No [ ] NA [ ] responsibilities been prepared for the implementation of measures related to safeguard policies? Have costs related to safeguard policy measures been included Yes [ ] No [ ] NA [ ] in the project cost? Does the Monitoring and Evaluation system of the project Yes [ ] No [ ] NA [ ] include the monitoring of safeguard impacts and measures related to safeguard policies? Have satisfactory implementation arrangements been agreed Yes [ ] No [ ] NA [ ] with the borrower and the same been adequately reflected in the project legal documents? Public Disclosure Copy III. APPROVALS Task Team Leader: Name: Aneesa Arur Approved By Regional Safeguards Name: Nicolas Perrin (RSA) Date: 04-Feb-2014 Advisor: Sector Manager: Name: Daniel Dulitzky (SM) Date: 04-Feb-2014 Page 4 of 4