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According to the Bank’s website, the Project Development Objective (PDO) is to strengthen health system resilience and multisectoral preparedness and response to health emergencies in the Republic of Zambia.
Component 1. Strengthening the Preparedness and Resilience of the Health System to Manage HEs (US$10 million equivalent).
Subcomponent 1.1. Develop health workforce through training, regulatory and management mechanisms (US$5 million equivalent).
Subcomponent 1.2. Operationalize information systems for HEs and digitalize the health sector (US$5 million equivalent).
Component 2: Improving the Detection of and Response to HEs through a Multisectoral Approach (US$35 million equivalent).
Subcomponent 2.1. Strengthen emergency management structures and processes and patient-centered healthcare provision (US$25 million equivalent).
Subcomponent 2.2. Risk communication and community engagement (RCCE, US$4 million equivalent).
Subcomponent 2.3: Climate change adaptive emergency preparedness and response (US$6 million equivalent).
Component 3: Project Management (US$5 million equivalent).
Component 4: Contingent Emergency Response Component (CERC).
The environmental risk rating is Moderate. The project footprint will be confined to existing Ministry of Health land and will not encroach on environmental sensitive areas or any areas designated as national parks etc. The Environmental and OHS risks and impacts under both components are predictable, reversible and have a low probability
of adverse or serious impacts to human health or the environment. Environmental risks and impacts from the project include; (i) the generation of e-waste over a longer term period (including solar equipment); (ii) relatively minor amounts of construction waste and OHS risks from the rehabilitation and construction of WASH facilities including installation of water storage and distribution equipment and; (iii) a suitable level of water quality for WASH.
The social risk is rating is Moderate. The construction of new installations and the rehabilitation of water and sanitation (WASH) facilities within existing health facilities will not necessitate land acquisition or resettlement. Key potential social risks include: (i) the risk of exclusion or discrimination against women, youth, people living with disabilities, and remotely located communities in accessing healthcare services; (ii) labor and working conditions risks stemming from non-compliance with national legislation on working hours, wages, overtime, compensation, or benefits; (iii) sexual exploitation, abuse, and harassment (SEA/SH) among project workers, stakeholders, and local communities; (iv) community health and safety risks related to the transmission of communicable diseases through interactions among project workers and between the project workforce and local communities, including community-based volunteers and community health assistants, as well as the improper disposal of healthcare waste from project activities; (v) challenges in organizing or gaining access to grievance redress and referral processes; (vi) potential risks of unauthorized exposure of patient-level data, particularly with activities aimed at digitizing the health sector; and (vii) potential risks linked to the downstream aspects of the technical assistance activities supported by the project.
A PROPOSED GRANT IN THE AMOUNT OF SDR 38 MILLION (US$50 MILLION EQUIVALENT).
World Bank
Moustafa Mohamed ElSayed Mohamed Abdalla
Senior Health Specialist
John Bosco Makumba
Senior Operations Officer
Borrower/Client/Recipient
Republic of Zambia
Mwaka Mukubesa
Permanent Secretary - Budget and Economic Affairs
Mukuli.Chikuba@grz.gov.zm
Danies Chisenda
Permanent Secretary - Economic Management and Finance
denies.Chisenda@grz.gov.zm
Implementing Agencies
Ministry of Health
George Sinyangwe
Permanent Secretary - Donor Coordination
gsinyangwe1964@gmail.com
Bushimbwa Tambatamba
Director, Public Health Directorate
butachapula@hotmail.com
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