Environmental and Social Management Framework for Tanzania ...

is also in line with the World Bank Operational Policies for environmental
management of projects where specific details are not yet known.
Approach and Methodology for Preparation of the ESMF
In the development of this ESMF, a high degree of consultation with various key
stakeholders was employed. The rationale of these extensive consultations was to
solicit views of a cross section of key stakeholders including key officials of
Government Departments involved in the project and the EIA process.
Information for the preparation of the ESMF has been collected through a number of
research methods, which include review of related literature from published and
unpublished documents, field investigations and consultation with key stakeholder.
The field investigations and public consultations were conducted in Dar es Salaam
from August 4 to 22 and the key stakeholders consulted are presented in Annex 8.
Summary of Features of the ESMF
The impact of TB in Africa and Sub-Saharan Countries and the effects of TB
combined with the HIV/AIDS; and high incidences of maternal and infant mortality
rates associated with sepsis are the driving forces for this project. Three Sub-
Saharan countries (Kenya, Uganda and Tanzania) are participating in the first phase
of the project.
In general; the legal, regulatory and administrative framework to support
environmental management of the Regional Health Systems Strengthening and TB
Support Project in the participating countries is established. However, the legal
framework for environmental management is not explicit for projects whose activities
are not well defined and the project locations are not yet known. Hence the
participating countries’ legislation, together with the Word Banks Safeguard Policies
(focusing the Environmental Assessment Policy (OP 4.01)), are the basis of this
ESMF.
Although the ESM has been prepared with information obtained primarily from
Tanzanian, the other participating countries would use it to suit their specific needs
with little modification, if any. This is so because the types of works (comprising
construction of new and refurbishing of existing laboratories) are similar in all the
three countries.
In general, the civil works elements of the project would not normally require an
Environmental Impact Assessment (as the type of project activities would be
considered minor). However discharge of medical wastes would attract some strict
environmental control and therefore, in this respect, preparation of an EIA may be a
necessity.
This ESMF will assist in determination of whether or not particular sub-projects
require an EIA. The principle and process of carrying out this determination are very
well described in chapter 6 and would be applicable to any situation in the
participating countries, especially in view of the fact that the project activities would
basically be the same. Differences might occur where the project sites are not
biophysically similar and in these cases, the ESMF would assist in determining to
select an environmentally suitable area and to reject those sites which would not be
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