MONGOLIA MONGOLIA COVID-19 EMERGENCY RESPONSE AND HEALTH SYSTEM PREPAREDNESS PROJECT (P173799). ENVIRONMENTAL and SOCIAL COMMITMENT PLAN (ESCP) 1|Page ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN 1. Mongolia (hereinafter the Borrower/Recipient) will implement the COVID-19 Emergency Response and Health System Preparedness Project (the Project), with the involvement of the Ministry of Health (MoH). The International Bank for Reconstruction and Development and the International Development Association (hereinafter the Bank/the Association) have agreed to provide financing for the Project. 2. The Borrower/Recipient will implement material measures and actions so that the Project is implemented in accordance with the Environmental and Social Standards (ESSs). This Environmental and Social Commitment Plan (ESCP) sets out material measures and actions, any specific documents or plans, as well as the timing for each of these. 3. The Borrower/Recipient is responsible for compliance with all requirements of the ESCP even when implementation of specific measures and actions is conducted by the Ministry referenced in Section 1 above. 4. Implementation of the material measures and actions set out in this ESCP will be monitored and reported to the Bank/the Association by the Borrower/Recipient as required by the ESCP and the conditions of the legal agreement, and the Association will monitor and assess progress and completion of the material measures and actions throughout implementation of the Project. 5. As agreed by the Bank/the Association and the Borrower/Recipient, this ESCP may be revised from time to time during Project implementation, to reflect adaptive management of Project changes and unforeseen circumstances or in response to assessment of Project performance conducted under the ESCP itself. In such circumstances, the Borrower/Recipient, through its MoH, will agree to the changes with the Bank/the Association and will update the ESCP to reflect such changes. Agreement on changes to the ESCP will be documented through the exchange of letters signed between the Bank/the Association and the Borrower/Recipient, through its MoH. The Borrower/Recipient, through its MoH, will promptly disclose the updated ESCP. 6. Where Project changes, unforeseen circumstances, or Project performance result in changes to the risks and impacts during Project implementation, the Borrower/Recipient shall provide additional funds, if needed, to implement actions and measures to address such risks and impacts. 2|Page MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY MONITORING AND REPORTING A REGULAR REPORTING: Prepare and submit to the Bank/Association regular Quarterly throughout Project MoH/PIU monitoring reports on the environmental, social, health and safety (ESHS) implementation performance of the Project, including but not limited to, stakeholder engagement activities and grievances log. ESS 1: ASSESSMENT AND MANAGEMENT OF ENVIRONMENTAL AND SOCIAL RISKS AND IMPACTS 1.1 ORGANIZATIONAL STRUCTURE: The existing E-Health Project Key staff to be appointed prior to MoH/PIU Implementation Unit will be expanded and staffed with relevant experts commencement of Project activities and including bio-medical engineer, environment and occupational health maintained throughout Project specialist, risk communication and community engagement officer. implementation 1. Risk Communication and Community engagement specialist 2. Environment and Occupational Health specialist 3. Environmental/Bio-medical engineer 3|Page MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 1.2 ENVIRONMENTAL AND SOCIAL ASSESSMENT/MANAGEMENT PLANS AND a. ESMF to be prepared prior to MoH/PIU INSTRUMENTS/ CONTRACTORS commencement of Project activities. a. Assess the environmental and social risks and impacts of proposed Project Assessment to be conducted before activities, in accordance an Environmental & Social Management Framework the carrying out of the relevant (ESMF) to be prepared for the Project in a manner and substance acceptable Project activities. to the Bank/Association prior to commencement of Project activities. This ESMF will include measures to ensure that individuals or groups who, because b. Before the carrying out of the of their particular circumstances, may be disadvantaged or vulnerable, have relevant Project activities, and access to the development benefits resulting from the Project. thereafter throughout the carrying out of such activities. b. Prepare, disclose, adopt, and implement any environmental and social management plans or other instruments required for the respective Project c. Before launching the procurement activities based on the assessment process, in accordance with the ESSs, the process for the relevant Project Environmental, Health, and Safety Guidelines (EHSGs), and other relevant activities, and thereafter throughout Good International Industry Practice (GIIP) including the WHO guidelines on the carrying out of such activities. Risk Communication and Community Engagement, Migrant camps and camp- like settings; Guidance for schools, workplaces & institutions; Reduction of transmission from animals to humans; Infection protection and control/WASH; National Laboratories, in a manner acceptable to the Bank/the Association. c. Incorporate the relevant aspects of this ESCP, including, inter alia, any environmental and social management plans or other instruments, ESS2 requirements, and any other required ESHS measures, into the ESHS specifications of the procurement documents and contracts with contractors and supervising firms. Thereafter ensure that the contractors and supervising firms comply with the ESHS specifications of their respective contracts. 4|Page MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 1.3 EXCLUSIONS: The following type of activities shall not be eligible for These exclusions shall be applied as part of MoH/PIU finance under the Project: the assessment process conducted under • Activities that may cause long term, permanent and/or action 1.2.a. above irreversible (e.g. loss of major natural habitat) adverse impacts • Activities that have high probability of causing serious adverse effects to human health and/or the environment other than during treatment of COVID-19 cases • Activities that may have significant adverse social impacts and may give rise to significant social conflict • Activities that may affect lands or rights of indigenous people or other vulnerable minorities, • Activities that may involve permanent resettlement or land acquisition or adverse impacts on cultural heritage • All the other excluded activities set out in the ESMF of the Project. ESS 2: LABOR AND WORKING CONDITIONS 2.1 LABOR MANAGEMENT: The Project shall be carried out in accordance Throughout Project implementation. MoH/PIU with the applicable requirements of ESS2, in a manner acceptable to the Association, including through, inter alia, implementing adequate occupational health and safety measures (including emergency preparedness and response measures), setting out grievance arrangements for Project workers, and incorporating labor requirements into the ESHS specifications of the procurement documents and contracts with contractors and supervising firms. 2.2 The Borrower/Recipient shall prepare, adopt and implement a Labor LMP to be adopted before engaging project MoH/PIU Management Plan (LMP) in a manner and substance acceptable to the workers in Project activities and thereafter Bank/Association. implemented throughout Project implementation 2.3 The Borrower/Recipient shall implement adequate occupational health Throughout Project implementation MoH/PIU and safety measures (including emergency preparedness and response measures) in line with the ESMF, the applicable requirements of ESS2, the ESHGs and other relevant GIIP including the WHO guidelines on COVID19 in all facilities, including laboratories, quarantine and isolation centers, and screening posts. 2.4 The Borrower/Recipient shall ensure that all health workers adhere to Throughout Project implementation MoH/PIU the WHO Code of Ethics and Professional conduct. 2.5 The Borrower/Recipient shall establish a grievance hotline and Throughout Project implementation MoH/PIU assignment of focal points to address these grievances within MoH. 5|Page MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 2.6 The Borrower/Recipient will prohibit child labor (any person under the Throughout Project implementation MoH/PIU age of 18) due to the hazardous work situation. ESS 3: RESOURCE EFFICIENCY AND POLLUTION PREVENTION AND MANAGEMENT 3.1 Relevant aspects of this standard shall be considered, as needed, under action 1.2 above, including, inter alia, measures to manage health care wastes and other types of hazardous and non-hazardous wastes. ESS 4: COMMUNITY HEALTH AND SAFETY 4.1 Relevant aspects of this standard shall be considered, as needed, under action 1.2 above including, inter alia, measures to: minimize the potential for community exposure to communicable diseases; ensure that individuals or groups who, because of their particular circumstances, may be disadvantaged or vulnerable, have access to the development benefits resulting from the Project; manage the risks of the use of security personnel; manage the risks of labor influx; and prevent and respond to sexual exploitation and abuse, and sexual harassment. ESS 5: LAND ACQUISITION, RESTRICTIONS ON LAND USE AND INVOLUNTARY RESETTLEMENT 5.1 Relevant aspects of this standard shall be considered, as needed, under Throughout Project implementation MoH/PIU action 1.2 above. ESS 6: BIODIVERSITY CONSERVATION AND SUSTAINABLE MANAGEMENT OF LIVING NATURAL RESOURCES Not relevant ESS 7: INDIGENOUS PEOPLES/SUB-SAHARAN AFRICAN HISTORICALLY UNDERSERVED TRADITIONAL LOCAL COMMUNITIES Relevant aspects of this standard shall be considered, as needed, under action 1.2 above. ESS 8: CULTURAL HERITAGE Relevant aspects of this standard shall be considered, as needed, under action 1.2 above. ESS 9: FINANCIAL INTERMEDIARIES Not relevant ESS 10: STAKEHOLDER ENGAGEMENT AND INFORMATION DISCLOSURE 10.1 STAKEHOLDER ENGAGEMENT PLAN: Update, disclose, adopt, and A draft SEP was already prepared and shall MoH/PIU implement a Stakeholder Engagement Plan (SEP) consistent with ESS10, be updated and disclosed no later than 30 in a manner acceptable to the Bank/Association. days following the Effective Date. The SEP shall be implemented throughout the Project duration. 6|Page MATERIAL MEASURES AND ACTIONS TIMEFRAME RESPONSIBLE ENTITY/AUTHORITY 10.2 GRIEVANCE MECHANISM: Accessible grievance arrangements shall be Throughout Project implementation. MoH/PIU made publicly available to receive and facilitate resolution of concerns and grievances in relation to the Project, consistent with ESS10, in a manner acceptable to the Bank/Association. CAPACITY SUPPORT (TRAINING) Training topics for personnel involved in the implementation of Project Throughout Project implementation MoH/PIU activities will among others include: • COVID-19 Infection Prevention and Control Recommendations Laboratory biosafety guidance related to the COVID-19 • Specimen collection and shipment • Standard precautions for COVID-19 patients • Risk communication and community engagement • Medical and hazardous waste management 7|Page