This project is expected to create many positive impacts and social benefits both for the community and the health service delivery system in Dominica. There are also negative consequences which may occur as a result and for which measures should be put in place to mitigate these negative impacts. To reduce or minimize these negative impacts, this ESMF was developed in keeping with the World Bank's requirements and Dominica's commitment to address those project-related negative outcomes which will affect communities and individuals. We have identified potential risks, analyzed strategies for risk minimization and provided guidance during project implementation. This ESMF document therefore establishes the commitment that the Ministry of Health and Social Services places on good environmental and social management practices throughout the project cycle. It also serves as a public document for stakeholder information and improvement of the project by providing feedback on community concerns. As the details of the site locations are not known at the time of project preparation, an Environmental and Social Management Framework (ESMF) is required. Activities with the potential for significant negative environment and social impacts are not expected, however, if any are identified, a subproject-specific environmental and/or social assessment will be prepared and subjected to review and approval by the WB. All proposed activities will be subject to environmental screening to decrease potential negative impacts through analysing design alternatives and to avoid or mitigate negative impacts.
This ESMF document was developed to identify how anticipated risks can be managed in line with the WB safeguards and global good practice. The ESMF also serves as a public document to inform stakeholders, which is an opportunity to improve the project by getting stakeholder feedback on relevant concerns or issues.
Read the entire Environmental and Social Management Framework (ESMF) for the OECS Regional Health Project (PDF, 2,340 KB) document.