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Environmental and Social Management Framework for Tanzania ...

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3.1.3 Categorization of Impacts<br />

To facilitate identification <strong>and</strong> assessment of impacts, typical project activities, to be<br />

implemented under the laboratory construction <strong>and</strong> upgrading of the Regional Health<br />

Systems Strengthening <strong>and</strong> TB Support Project were broadly categorized into the<br />

following project phases:<br />

planning <strong>and</strong> design;<br />

construction <strong>and</strong> rehabilitation;<br />

operation <strong>and</strong> maintenance <strong>and</strong>.<br />

decommissioning <strong>and</strong> closure.<br />

Activities in each of the project phases listed above will have environmental <strong>and</strong><br />

social consequences on the different environmental components such as l<strong>and</strong>scape,<br />

soils, vegetation, water resources, air quality, ecosystems, <strong>and</strong> the socio-economy.<br />

Table 3.1 relates the four project phases to the environmental components.<br />

3.2 ASSESSMENT OF IMPACTS<br />

3.2.1 Generic Positive Impacts<br />

Most of the impacts of the Regional Health Systems Strengthening <strong>and</strong> TB Support<br />

Project will be positive <strong>and</strong> will generally impact on the socioeconomic component at<br />

the global, regional <strong>and</strong> national level. The participating regional countries will benefit<br />

from direct positive impacts in the areas of improved health <strong>and</strong> the associated<br />

socio-economic development. Key positive impacts of the project will be major <strong>and</strong><br />

long term <strong>and</strong> will include the following:<br />

1. Improvement of Health in Participating Countries<br />

The project will contribute to improvement of health in participating countries<br />

through increase in provision of <strong>and</strong> access to improved health care <strong>and</strong><br />

laboratory services to patients.<br />

2. Contribution to Global <strong>and</strong> Regional Health Objectives<br />

The project will contribute to the achievement of the Millennium Development<br />

Goal Number 6 (Combating HIV <strong>and</strong> AIDS, malaria <strong>and</strong> other diseases), <strong>and</strong><br />

more specifically to the global targets to “reduce the prevalence <strong>and</strong> death rates<br />

associated with TB” <strong>and</strong> to increase the “proportion of TB cases detected <strong>and</strong><br />

cured”.<br />

3. Increase in TB Case Detection <strong>and</strong> Treatment Success Rates<br />

Improving the accuracy <strong>and</strong> turnaround time of TB diagnostic techniques will<br />

contribute to increase in case detection <strong>and</strong> treatment success rates, as TB<br />

infectious individuals will be placed on correct treatment in the early stages.<br />

4. Complementing other TB Programmes<br />

By focusing on diagnostic capacities, the project will complement initiatives of<br />

other donors financing scale-up of TB treatment, including improved access to<br />

MDR-TB treatment. Combination of these ef<strong>for</strong>ts will contribute to the overall<br />

reduction in TB burden <strong>and</strong> transmission rates.<br />

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