Environmental and Social Management Framework for Tanzania ...

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(iii) promoting a regional voice for member states in all matters of health at regional and international decision making forums; and (iv) advocating for greater attention and resources to strengthening laboratory capacity in the region. Participating countries will contribute a portion of the proceeds of their IDA credits for coordination of these activities. Member states are the main source of ECSA's funding, contributing roughly 80 percent of ECSA’s total budget, with the balance provided by other donors and partners. Project Components The project includes two components as follows: Component 1: Specialized Diagnostic Services for TB and Other Communicable Diseases (US$42.5 million) This component will improve access to quality diagnostic techniques for TB and other communicable diseases, by strengthening national public health laboratories as well as specialized satellite laboratories and putting in place systems for laboratory management and surveillance. This would involve funding the following three mutually complementary set of activities: 1. Networking National TB Reference Laboratories The Bank-funded regional project would assist to establish an East Africa network of national TB reference laboratories, to strengthen TB quality assurance and conduct epidemiological surveillance, including addressing the emergent threat of multi-drug resistant TB. The national TB reference laboratories would serve as models for prevention, control, and treatment efforts; acting as centres of excellence for knowledge generation and sharing. The laboratories would provide reference and specialized services, including testing of new technologies. Standardized quality assurance programs will be harmonized among the three East African national TB laboratories and inter-laboratory external quality assessments (EQA) would be supported. This would be an effective mechanism in the current absence of a Supranational Reference Laboratory. The regional project would establish the foundations for the East Africa laboratory network by first bolstering the capacities of the three national TB reference laboratories and subsequently assisting to put in place a Supranational Reference Laboratory (SRL). This would substantially boost Africa’s capacity as there is currently only one such laboratory in South Africa. As national capacities are enhanced and the network becomes fully functional, one of the three national TB reference laboratories (NTRL) will develop into a full Supranational Reference Laboratory. There is already an international commitment to establish such a supranational structure in East Africa and both the World Health Organization (WHO) and the TB Union have established processes for accrediting one of the laboratories to meet international standards. 6
The regional project would fund a full range of activities to strengthen and upgrade the NTRLs in the three participating countries and to establish them into a functional network. The ultimate goal is to ensure that TB diagnostic procedures are performed by appropriately trained and adequately protected technicians, operating in well equipped and safe laboratories and accordance with national and international proficiency and quality standards. To this end, the project would fund: (i) physical upgrading or construction of new laboratories to meet biosafety level III standards; (ii) introduction of modern diagnostic technologies, to complement financing from UNITAID, as may be necessary; (iii) technical assistance to facilitate development and introduction of standardized operating procedures, and quality assurance systems; (iv) equipment and logistical resources to establish integrated laboratory data management systems, communication systems, laboratory logistics, and commodity management systems; (v) materials and protective gear (e.g. masks, gloves) and related waste management equipment to ensure the safety of lab personnel; and (vi) provision of operating funds to render the laboratories functional, including strengthening human resources as the backbone of quality diagnostics. 2. Networking Central Public Health Laboratories The Central Public Health Laboratories (CPHLs) in the three countries would also be strengthened and upgraded to play a key role in controlling and preventing the spread of communicable diseases. Bank funding would assist the three countries to strengthen laboratory-based disease surveillance to: (i) provide early warning signals for health risks of regional and international concern, (ii) collaborate in investigations of disease outbreaks and; (iii) establish and maintain an integrated data management system to facilitate sharing of relevant data across the sub-region. The regional project would assist Kenya, Tanzania and Uganda to comply with the International Health Regulations (enacted in 2007) to which they have committed themselves by signing. The project would help the countries to establish capacity to conduct early identification of public health emergencies of international concern. The project would assist the countries to begin consolidating laboratory and diagnostic capacity and to reap greater economies of scale. This would foster a more efficient and cost-effective operation of the laboratory network. The process would be gradual and progressive, starting with the National TB Reference Laboratories and the Central Public Health Laboratories, which in all cases are in need of more adequate laboratory space. Relocating the national TB reference laboratories and the central public health laboratories to one location will enable them to share support systems and ultimately to consolidate their capacity and work effectively in the East Africa lab network. The activities to be funded would be broadly similar to those in 7
Page 1 and 2: REGIONAL HEALTH SYSTEMS STRENGTHENI
Page 3 and 4: TABLE OF CONTENTS TABLE OF CONTENTS
Page 5 and 6: The Environmental Management Act (2
Page 7 and 8: NIMR National Institute for Medical
Page 9 and 10: have negative environmental and soc
Page 11 and 12: suitable. The World Bank environmen
Page 13 and 14: CHAPTER 1 INTRODUCTION 1.1 PROJECT
Page 15 and 16: 1.2.2 Uganda: In line with the 2008
Page 17: specimen to designated laboratories
Page 21 and 22: 1. Supporting the Re-establishment
Page 23 and 24: documented and disseminated. Region
Page 25 and 26: surveillance and outbreak preparedn
Page 27 and 28: To ensure that these consequences o
Page 29 and 30: • identification and analysis of
Page 31 and 32: CHAPTER 2 LEGAL, REGULATORY, AND AD
Page 33 and 34: In addition; land, housing, infrast
Page 35 and 36: CHAPTER 3 IMPACT IDENTIFICATION AND
Page 37 and 38: 5. Conformity with and Support to t
Page 39 and 40: washed away into drains and nearby
Page 41 and 42: 2. Vegetation Destruction of trees
Page 43 and 44: Table 4.1: Generic Environmental an
Page 45 and 46: Project Stage / Environmental Compo
Page 53 and 54: CHAPTER 5 ENVIRONMENTAL AND SOCIAL
Page 55 and 56: 5.3 MONITORING INDICATORS Monitorin
Page 57 and 58: Mitigation Measures † Monitoring
Page 59 and 60: 6.4 CONDUCTING A LIMITED EIA OR FUL
Page 61 and 62: The Environmental Screening results
Page 63 and 64: The proposed guidelines will detail
Page 65 and 66: Training operatives and project sta
Page 67 and 68: CHAPTER 8 CONCLUSION AND RECOMMENDA
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REFERENCES 1. Government of the Uni
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ANNEXES ANNEX 1: ENVIRONMENTAL AND
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No Description Yes No Not known PAR
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No Description Yes No Not known or
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Date: ………………………
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Use of construction timber for supp
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ANNEX 4: LIMITED ENVIROMENTAL ASSES
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ANNEX 5: ENVIRONMENTAL GUIDELINES F
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• Health and safety of workers sh
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including the indicators to be used
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OP/BP 4.36 Forests OP 4.09 Pest Man
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OP/BP 4.10 Indigenous Peoples OP/BP
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OP 7.60 Projects in Disputed Areas
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M. Mwasekaga, Senior Laboratory Pro
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The Policy identifies HIV and AIDS
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The National Health Laboratory Stra
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phenomenon that may affect the quan
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In each city, municipality, distric
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land and not on restricted land res
Page 107 and 108:
Compensation under Section 156 of t
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