INTEGRATED SAFEGUARDS DATASHEET RESTRUCTURING STAGE I. Basic Information Date prepared/updated: 12/18/2012 Report No.: 74860 1. Basic Project Data Country: Timor-Leste Project ID: P104794 Project Name: Health Sector Strategic Plan Support Project Task Team Leader: Yi-Kyoung Lee Estimated Appraisal Date: September 11, Estimated Board Date: December 13, 2007 2007 Managing Unit: EASHH Lending Instrument: Specific Investment Loan Sector: Health (83%);Central government administration (12%);Sub-national government administration (5%) Theme: Health system performance (33%);Child health (17%);Malaria (17%);Nutrition and food security (17%);Population and reproductive health (16%) IBRD Amount (US$m.): 0 IDA Amount (US$m.): 1 GEF Amount (US$m.): 0 PCF Amount (US$m.): 0 Other financing amounts by source: BORROWER/RECIPIENT 0.00 AUSTRALIA: Australian Agency for International Development29.24 EC: EUROPEAID Agency 8.46 Financing Gap 0.00 37.70 Environmental Category: C - Not Required Simplified Processing Simple [] Repeater [] Is this project processed under OP 8.50 (Emergency Recovery) Yes [ ] No [X] or OP 8.00 (Rapid Response to Crises and Emergencies) 2. Project Objectives The initial Project Development Objective (PDO) is "to improve the quality and coverage of preventive and curative health services, particularly for women and children, in order to accelerate progress toward the health millennium development goals (MDGs)". However, the initial design has proven too complex for the implementation capacity, and thus the PDO will be changed to: "support Government of Timor-Leste to get more resources to where they are needed most, to improve the delivery of health services in districts and sub-districts." The restructured Project will target the system and resource management issues that underpin improved essential health service delivery at the district level, which is where live the majority of the Timorese population. The proposed modifications in the PDO and its components do not change the overall environmental category of the Project (rated Category C), nor do they trigger new safeguard policies. The ISDS is being updated to reflect the changes in the PDO and components. 3. Project Description The restructured Project will focus on the system and resource management issues that will ultimately improve primary health care services in districts and sub-districts. Central to the restructured Project is a 'roadmap' to improve public financial management (PFM) for increased service delivery captured in the NHSSP. The following components will replace the existing components: Component 1. Improving PFM and Fund Flows for Service Delivery: (i) strengthening the MoH's planning and budgeting; (ii) advocating for an increased overall health budget allocation; and (iii) increasing flexible and innovative funding for district service delivery; Component 2. Strengthening Pharmaceutical and Medical Supplies Management: (i) strengthening the clinical and logistics management capacity of the health sector; (ii) strengthening regulatory capacity of the health sector; and (iii) improving quality control; and Component 3: Improving Evidence-Informed Decision Making and Health Sector Coordination: (i) developing and using an agreed sector M&E framework to assess performance across the health sector; (ii) institutionalizing health sector coordination; and (iii) strengthening research capacity. 4. Project Location and salient physical characteristics relevant to the safeguard analysis As the restructured Project will focus primarily on resource management by strengthening the system and building capacity among staff to better manage it, the restructured Project will not finance any drugs or any civil works, except for very minor rehabilitation (i.e., shelf and window screen for drug storage). Accordingly no land acquisition or involuntary resettlement is needed. Thus, no adverse social or environmental impacts are anticipated. Various capacity building activities will target all PFM related staff in the health sector (e.g., central MOH, all 13 district health teams, hospitals, and central medical stores) without any preference given to specific ethnic and/or gender groups. 5. Environmental and Social Safeguards Specialists Mr Isono Sadoko (EASID) Mr Virza S. Sasmitawidjaja (EASHH) 6. Safeguard Policies Triggered Yes No Environmental Assessment (OP/BP 4.01) X Natural Habitats (OP/BP 4.04) X Forests (OP/BP 4.36) X Pest Management (OP 4.09) X Physical Cultural Resources (OP/BP 4.11) X Indigenous Peoples (OP/BP 4.10) X Involuntary Resettlement (OP/BP 4.12) X Safety of Dams (OP/BP 4.37) X Projects on International Waterways (OP/BP 7.50) X Projects in Disputed Areas (OP/BP 7.60) X 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: The proposed modifications do not change the overall environmental category of the Project (rated Category C), nor do they trigger any new safeguard policies. OP/BP 4.01. Environmental Assessment remains triggered as the original Project financed the rehabilitation of facilities and procurement of drugs and medical equipment. A short Environmental and Health Care Waste Management Assessment was disclosed in 2007. The rehabilitation of the targeted health facilities is completed, even though distribution of medical equipment is pending. The restructured Project will not finance any procurement of drugs or civil works/infrastructure, except for very minor rehabilitation (i.e., shelf and window screen for drug storage), as other funding sources are available for this purpose, most notably the GoTL's own Infrastructure Fund. Accordingly, no land acquisition or involuntary resettlement is needed under the restructured Project. Also, as the restructured Project will focus primarily on resource management by strengthening the system and building capacity among staff, no adverse social or environmental impacts are anticipated. Various capacity building activities will target all PFM related staff in the health sector (e.g., central MOH, all 13 district health teams, hospitals, and central medical stores) without any preference given to specific ethnic and/or gender groups. 2. Describe any potential indirect and/or long term impacts due to anticipated future activities in the project area: N/A 3. Describe any project alternatives (if relevant) considered to help avoid or minimize adverse impacts. N/A 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. N/A 5. Identify the key stakeholders and describe the mechanisms for consultation and disclosure on safeguard policies, with an emphasis on potentially affected people. N/A B. Disclosure Requirements Date Environmental Assessment/Audit/Management Plan/Other: Was the document disclosed prior to appraisal? Yes Date of receipt by the Bank 10/17/2007 Date of "in-country" disclosure 10/23/2007 Date of submission to InfoShop 10/23/2007 For category A projects, date of distributing the Executive Summary of the EA to the Executive Directors Resettlement Action Plan/Framework/Policy Process: Was the document disclosed prior to appraisal? Date of receipt by the Bank Date of "in-country" disclosure Date of submission to InfoShop Indigenous Peoples Plan/Planning Framework: Was the document disclosed prior to appraisal? Date of receipt by the Bank Date of "in-country" disclosure Date of submission to InfoShop Pest Management Plan: Was the document disclosed prior to appraisal? Date of receipt by the Bank Date of "in-country" disclosure Date of submission to InfoShop * If the project triggers the Pest Management and/or Physical Cultural Resources, 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: N/A C. Compliance Monitoring Indicators at the Corporate Level (to be filled in when the ISDS is finalized by the project decision meeting) OP/BP/GP 4.01 - Environment Assessment Does the project require a stand-alone EA (including EMP) report? No If yes, then did the Regional Environment Unit or Sector Manager (SM) N/A review and approve the EA report? Are the cost and the accountabilities for the EMP incorporated in the N/A credit/loan? The World Bank Policy on Disclosure of Information Have relevant safeguard policies documents been sent to the World Bank's N/A Infoshop? Have relevant documents been disclosed in-country in a public place in a N/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 responsibilities N/A been prepared for the implementation of measures related to safeguard policies? Have costs related to safeguard policy measures been included in the project N/A cost? Does the Monitoring and Evaluation system of the project include the N/A monitoring of safeguard impacts and measures related to safeguard policies? Have satisfactory implementation arrangements been agreed with the N/A borrower and the same been adequately reflected in the project legal documents? D. Approvals Signed and submitted by: Name Date Task Team Leader: Ms Yi-Kyoung Lee 12/17/2012 Environmental Specialist: Mr Virza S. Sasmitawidjaja 12/17/2012 Social Development Specialist Mr Isono Sadoko 12/18/2012 Additional Environmental and/or Social Development Specialist(s): Approved by: Sector Manager: Mr Timothy A. Johnston 12/18/2012 Comments: