According to the Bank’s website, the Development Objective (DO) is to strengthen health system resilience and multisectoral preparedness and response to health emergencies in the Republic of Angola.

The Angola project will follow the HEPRR Program’s Results Chain (unchanged) which emphasizes multisectoral engagement across all cores public health, service delivery, and regional coordination capacities and the overall emergency response and management, at all levels of the health system.

A brief summary of the areas of investment relevant to Angola and within the scope of the approved menu of activities described in the Program PAD is provided below. The Project will implement activities building on the World Bank’s earlier health sector investments. Component 1: Strengthening the Preparedness and Resilience of the National Health Systems to Manage Health Emergencies.Component 2: Improving early detection of and response to Health Emergencies through a multisectoral approach.Component 3: Project Management.Component 4: Contingent Emergency Response Component (CERC).

Environmental risk rating is Moderate considering (i) the small-scale civil works to rehabilitate and operate (a) existing BSL-1 and BSL-2 laboratories and insectarium for entomological surveillance; and (b) PHEOC regional network corresponding small-scale civil works and are expected to occur within the existing infrastructure footprint, not interfering with sensitive areas; (ii) risks and impacts generated are anticipated to be moderate and mitigated with readily reliable measures (iii) the Borrower has experience implementing projects under ESF and is committed to have in place an E&S team from an early stage of the project preparation, (iv) the absence of relevant contextual factors that can exacerbate the project's environmental risks and impacts, and (v) occupational and community health and safety. The project's potential adverse environmental risks and impacts will primarily stem from civil works and rehabilitation and operation and management of BSL-1 and BSL-2 and the Insectarium. These risks also include those associated with waste from healthcare facilities and vaccination programs during implementation. Key potential environmental risks include: i) generation of dust, noise, vibration, waste and occupational, health and safety (OHS), aspects due to arising from civil works and operation of the facilities; ii) improper handling waste, including wastewater and hazardous materials/wastes (e.g. Chemical and biological); (iii) water pollution and spill of hazardous chemicals; and iv) resources efficiency. Environmental and Safety risks and impacts during the operation phase could be moderate due to limitations in legislative framework. Insufficient compliance with biomedical waste handling and disposal could lead to exposure to zoonotic diseases and infections. The nature and magnitude of these risks are generally considered manageable can be effectively managed through established best practices and robust waste management plans and ESMPs.

Social risk rating is Moderate as adverse social risks and impacts are not likely to be significant and will be managed with development of appropriate mitigation measures. The planned physical interventions for the rehabilitation of the regional laboratories and insectarium for entomological surveillance, and expansion of PHEOC regional network correspond to small-medium-scale civil works, are expected to occur within the existing MoH infrastructure/land, and could result in social risks and potentially negative impacts, including: (i) potential small-scale involuntary resettlement impacts due to land use change, land acquisition, physical and economic resettlement; (ii) potential community health and safety risks, particularly related to the civil works and renovation, as well as risks associated with the movement of and distribution of vaccines; (iii) possible SEA/SH risks resulting from the interactions between workers and community, which may include statutory rape, sexually transmitted infections (STIs) and teenage pregnancies; (iv) labor and working conditions, including those related to employment discrimination and workplace SH; (v) potential involuntary exclusion and elite capture of project benefits, especially considering the presence of ethnolinguistic minorities and other vulnerable groups, who may be project beneficiaries; and (vi) potential tensions and conflict between lab security guards and their surrounding populations.

IBRD Commitment: US$ 250.00 million

Grant Amount: US$ 3.00 million

World Bank

Renzo Efren Sotomayor Noel
Senior Health Specialist
Humberto Albino Cossa
Senior Health Specialist

Borrower/Client/Recipient

Republic of Angola

Implementing Agencies

Angola Ministry of Health
Silvia Lutucuta
Minister of Health
silvialutucuta1@gmail.com

ACCESS TO INFORMATION

To submit an information request for project information, you will have to create an account to access the Access to Information request form. You can learn more about this process at: https://www.worldbank.org/en/access-to-information/request-submission

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