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According to the Bank’s website, the objective of this project is to improve quality and utilization of essential health services and strengthen the national system for public health preparedness in The Gambia.
The Board previously approved $84.5 million to the Gambia Essential Health Services Strengthening Project. The additional financing ($35 million from the International Development Association - IDA) will support the completion of the ongoing construction of health facilities, the implementation of the national health insurance scheme, and the interoperability of the electronic civil registration and vital statistics system with the information systems of other sectors.
Environmental Risk Rating: The environmental risk rating of this third AF is moderate as the Parent Project, First AF and second AF. The first AF entailed several constructions and renovations (including asbestos removal) noted above those present risks of negative impacts to the environment and human health such as noise, dust emissions, release of dangerous asbestos fibers into the air, generation of solid and liquid waste, and health and safety issues. Under the second AF, activities with the construction of the NFDQCL and BEU, could generate negative environmental impacts and nuisances such as dust, noise, poor management of construction waste. In addition, there are Occupational health and safety risks (for workers) and Community health and safety issues (risk of accidents with company equipment).
Social Risk Rating: The previously identified risks for the Parent Project, first AF, and second AF are also applicable to the third AF activities. The first AF risks include: (ii) Exclusion of vulnerable groups in the reporting of priority diseases and events; and (ii) Privacy and data misuse issues due to transition from written to electronic records.
World Bank
Samuel Lantei Mills
Senior Health Specialist
Teegwende Valerie Porgo
Health Specialist
Borrower/Client/Recipient
The Gambia
Implementing Agencies
Ministry of Health
Omar Jah
Permanent Secretary
dromarjahjr@gmail.com
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ACCOUNTABILITY MECHANISM OF THE WORLD BANK
The World Bank Inspection Panel is the independent complaint mechanism and fact-finding body for people who believe they are likely to be, or have been, adversely affected by a World Bank-financed project. If you submit a complaint to the Inspection Panel, they may investigate to assess whether the World Bank is following its own policies and procedures for preventing harm to people or the environment. You can contact the Inspection Panel or submit a complaint by emailing ipanel@worldbank.org. Information on how to file a complaint and a complaint request form are available at: https://www.inspectionpanel.org/how-to-file-complaint