INTEGRATED SAFEGUARDS DATA SHEET APPRAISAL STAGE Report No.: ISDSA7963 Public Disclosure Copy Date ISDS Prepared/Updated: 19-Dec-2013 Date ISDS Approved/Disclosed: 26-Nov-2013, 10-Dec-2013, 19-Dec-2013, 05-Mar-2014 I. BASIC INFORMATION 1. Basic Project Data Country: Mongolia Project ID: P131290 Project Name: E-Health Project (P131290) Task Team Aparnaa Somanathan Leader: Estimated 22-Nov-2013 Estimated 29-May-2014 Appraisal Date: Board Date: Managing Unit: EASHH Lending Investment Project Financing Instrument: Sector(s): Health (100%) Theme(s): Managing for development results (20%), Health system performance (80%) 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: 24.20 Total Bank Financing: 19.50 Public Disclosure Copy Financing Gap: 0.00 Financing Source Amount BORROWER/RECIPIENT 4.70 International Development Association (IDA) 19.50 Total 24.20 Environmental C - Not Required Category: Is this a No Repeater project? 2. Project Development Objective(s) To improve integration and utilization of health information and e-health solutions for better health service delivery in selected pilot sites. 3. Project Description Component 1: e-Health foundational activities (US$3,000,000). The focus of this component is on laying the foundations for successful deployment of e-Health solutions and developing the pre- Page 1 of 5 requisites needed for greater integration of health information between health facilities, the health insurance agency, public health agencies, private sector etc. Public Disclosure Copy Component 2: Clinical Data Collection, Access and Sharing (US$7,751,000). The aim of this component is to design and pilot test systems to enhance access to and sharing of health data. Component 3: National Health Information Center (NHIC) (US$2,624,000). The focus of this component would be on establishing a center that oversees aspects of e-health in Mongolia, thus assuring the long-term sustainability of Mongolia’s e-Health investments. Component 4: Institutional Strengthening and Capacity Building (US$1,000,000). This component will build the necessary human capacity for the successful implementation and institutionalization of e-health in Mongolia. Financing will be provided for improving the computer literacy of health services providers through training in a variety of subjects. Support for the consultants necessary for Project management, and incremental operating costs associated with the Project are also provided under this Component. Preliminary technical assistance needs anticipated include areas such as procurement, financial management, and monitoring and evaluation. Component 5: Project Management (US$1,103,000). This component would finance the project implementation unit (PMU), domain expert consultation, and annual monitoring and evaluation (M&E) of the project. 4. Project location and salient physical characteristics relevant to the safeguard analysis (if known) The Project will be implemented in 4 pilot sites, of which are 3 are in or around Ulaanbaatar, and one in Khovsgul Aimag. 5. Environmental and Social Safeguards Specialists Songling Yao (EASCS) Public Disclosure Copy Peter Leonard (EASDE) Yiren Feng (EASCS) 6. Safeguard Policies Triggered? Explanation (Optional) Environmental Assessment OP/ No The Project will not trigger this policy since no BP 4.01 civil works are being supported. Natural Habitats OP/BP 4.04 No The Project is not affecting any natural habitats. Forests OP/BP 4.36 No The Project is not affecting any forests. Pest Management OP 4.09 No The Project will not procure pesticides or increase use of pesticides. Physical Cultural Resources OP/ No No physical cultural resources are affected by the BP 4.11 Project. Indigenous Peoples OP/BP 4.10 Yes The Indigenous People (IP) Policy is triggered because ethnic minorities are or may be project beneficiaries, in particular in one of the pilot zones. However, specific safeguards instruments Page 2 of 5 are not required. Relevant elements of the IP Policy will be directly integrated into the project design such as: the inclusion of IPs in project Public Disclosure Copy activities through free and informed consultations during implementation; ensuring the provision of culturally appropriate e-health benefits by using the IP languages in the provision of e-services; establishing the estimated number of IPs in the selected project areas and the proportion of IPs likely to have information in the system; and providing opportunities for those IPs that may not have had access to the public health facilities by providing information about e-health and addressing any concerns they may have about e- health. Involuntary Resettlement OP/BP No The project is to address four key shortcomings of 4.12 the current health information management system, and does not include any land related issue. Safety of Dams OP/BP 4.37 No The project will not finance construction or rehabilitation of any dams as defined under the policy. Projects on International No The Project is not being implemented on an Waterways OP/BP 7.50 international waterway. Projects in Disputed Areas OP/BP No There are no disputed areas where the Project will 7.60 be implemented. Public Disclosure Copy 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: Ethnic minorities are or may be project beneficiaries, in particular in one of the pilot zone. The project will not have nationality- or group-differentiated benefits. There are no large-scale, significant and/or irreversible impacts. The Indigenous People (IP) Policy is triggered. However, specific safeguards instruments are not required. 2. Describe any potential indirect and/or long term impacts due to anticipated future activities in the project area: NA 3. Describe any project alternatives (if relevant) considered to help avoid or minimize adverse impacts. NA 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. NA Page 3 of 5 5. Identify the key stakeholders and describe the mechanisms for consultation and disclosure on safeguard policies, with an emphasis on potentially affected people. NA Public Disclosure Copy B. Disclosure Requirements Indigenous Peoples Development Plan/Framework Date of receipt by the Bank 18-Dec-2013 Date of submission to InfoShop 20-Dec-2013 "In country" Disclosure Comments: 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: As advised by the Regional Safeguards Secretariat, specific safeguards instruments are not required. Relevant elements of the IP Policy have been incorporated into the project design as described in the PAD. As such, the date on which the PAD is finalized is listed as the Date of Receipt by the Bank. C. Compliance Monitoring Indicators at the Corporate Level OP/BP 4.10 - Indigenous Peoples Has a separate Indigenous Peoples Plan/Planning Framework Yes [ ] No [ ] NA [ ] (as appropriate) been prepared in consultation with affected Indigenous Peoples? The World Bank Policy on Disclosure of Information Have relevant safeguard policies documents been sent to the Yes [ ] No [ ] NA [ ] Public Disclosure Copy 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? III. APPROVALS Page 4 of 5 Task Team Leader: Name: Aparnaa Somanathan Approved By Public Disclosure Copy Sector Manager: Name: Toomas Palu (SM) Date: 05-Mar-2014 Public Disclosure Copy Page 5 of 5