Activities Categorical Exclusion Negative Determination With Conditions Positive Determination Deferral Uganda Health Systems Strengthening Activity (UHSS) √ √ - - Strategic Information Technical Support Activity (SITES) √ - - - Strengthening Human Resources for Health Activity (SHRH) √ - - - Systems Strengthening and Health Commodities (Uganda Health Supply Chain) √ √ - - Applying Science to Strengthen and Improve Systems (ASSIST) √ √ - - Advocacy for Better Health (ABH) √ - - - Support Results Based Financing through the Ministry of Finance √ √ - - Fiduciary Agent (FA) √ - - - HSS Project Cross-cutting Analytics Implementation Science and Program Operations Support √ - - - WHO PIO Grant for the TB Catastrophic Cost Survey √ - - - National Nutritional Surveillance √ - - - Enterprise Resource Planning (ERP) (Software Procurement) √ - - - Enterprise Resource Planning (ERP) (Hardware Procurement) √ - - - Global Health Supply Chain (GHSC) for Procurement and Supply Management (PSM) √ √ - - Nutrition Commodities – Ready to Use Therapeutic Food (RUTF) √ √ - - STOP TB/Global Drug Facility √ √ - - Food Fortification √ - - - EQUIP √ - - - Fleet Management √ - - -
media & re-packaging and food fortification Analytical and Operational Support Extreme weather events could likely affect/delay data collection exercises Low N/A Plan for field-based data collection during seasons with no extreme weather events like floods Activities with a Components At this point, the project element only involves provision of technical assistance, training, health insurance and sub-grants Low N/A Conduct climate risk screening for activities that will receive sub-grants Health Care Waste Management Infrastructure Extreme weather events could likely affect infrastructure Low Ensure proper siting of infrastructure e.g. away from flood-prone sites. Build strong infrastructure that will resist damage by extreme weather events
XXXX Environmental Review Form for XXX Program subprojects/subgrants Follow, but do not submit, the attached instructions. A. Applicant information Organization Parent grant or project Individual contact and title Address, phone & email (if available) Proposed subproject /subgrant (brief description) Amount of funding requested Period of performance Location(s) of proposed activities B. Activities, screening results, and findings Screening result (Step 3 of instructions) Findings (Step 6 of instructions. Complete for all moderate/unknown and high-risk activities ONLY) Proposed activities (Provide DESCRIPTIVE listing. Continue on additional page if necessary) Very Low Risk High-Risk* Moderate or unknown risk* significant adverse impacts are very unlikely With specified mitigation, significant adverse impacts are very unlikely Significant Adverse impacts are possible 1. 2. 3. 4. 5. 6. 7. 8.
ANNEX C: Climate Risk Screening and Management Tool for Health Systems Strengthening Project Design OUTPUT MATRIX: CLIMATE RISKS, OPPORTUNITIES, AND ACTIONS for HSS PAD * = A required element, according to the Mandatory Reference # Project elements may include Purpose / Sub-purpose, Areas of Focus, or Activities / Mechanisms, etc. 1.1. (a) Project Element 1.1. (b) Activities 1.2: Time frame 1.3: 2: Climate Risks* 3: Adaptive Capacity 4: Climate Risk Rating* 5: Opportunities 6.1: Climate Risk Management Options 6.2: How Climate Risks Are Addressed in the Project* 7: Next Steps for Activity Design* 8: Accepted Climate Risks* Health Management Information Systems SITES, UGHSS, analyses, Nutrition surveillance, WHO PIO for TB catastrophic survey, EQUIP 0-20 years National Extreme weather events could likely affect/delay data collection exercises The information capacity to prepare for climate risks exists, based on local knowledge of seasons Low Most data is collected in-house from health units, not from the households. It is then transmitted on-line. This minimizes climate risk N/A N/A N/A N/A Activities with a Component UGHSS (SDS follow-up), PHS, CHC, ABH 0-5 years National Limited/none. The project element involves provision of technical assistance, training, N/A Low N/A Conduct climate risk screening for activities that will receive sub-grants Conduct climate risk screening for activities that will receive sub-grants N/A
health insurance, and sub-grants Human Resources for Health SHRH, UGHSS 0-15 years National Limited/none. This component involves HR planning, workforce management, performance improvement N/A Low N/A N/A N/A N/A N/A Supply Chain Systems GHSC, UGHSS, UG health supply chain, Fid. Agent, ERP, RUTF, STOP TB/ Global Facility 0-5 years Both regional (SW, C, EC, E, Mid-N, Mid-W, W/Nile, K’ja) and national levels None as this component only involves international procurement processes N/A Low for An IT-based system is used for ordering and management of procurement processes ERP- Automated system to optimize supply chain management – builds in contingency planning N/A Extreme weather events ( heavy rains, floods, heat) could adversely Limited capacity to collect and use climate information related to climate risks in Moderate for storage Standards exist that must be observed before a facility can be accredited to store and handle medical supplies Climate-proofing the storage systems by installing AC, ensuring the rooms are well ventilated, using Standards to protect commodities, TA for proper handling & storage (climate proofing, pallets, Integrate the identified climate risk management options into project design narrative and N/A
affect stored supplies this sector. Some financing allocated to address some climate risks during storage & handling the pallet and shelve system, installing temperature readers, standby refrigerators for cold chain, installing back-up generators, ensure no leaking roofs, etc. AC, Cold chain, shelves, back-up generators implementation plans Extreme weather events (heavy rains, floods, heat) could damage roads and commodities, disrupt cold chain, etc. Not within financial and human capacity of the project to address road damage resulting from extreme weather events Moderate for Distribution trucks are designed to withstand weather conditions Ensure distribution plans are based on weather forecasts, stocks delivered should adequately cover long periods of 3 months and above; and the delivery trucks should be built to withstand weather conditions (e.g. refrigerated for cold chain, 4-wheel drive, etc.) Contingency planning to include weather trend data/ link to climate factors & distribution channel interruptions; TA, ensure vehicles are climate-proofed Integrate the identified climate risk management options into project design narrative and implementation plans N/A Health Service Delivery ASSIST, CHC, UGHSS, Private health support, food 0-10 years National Extreme weather events could adversely Limited capacity to collect and use climate Low The fortified foods are stored together with the medicines. Similar standards Use weather forecasts to inform storage. N/A
governance & leadership Health for healthy communities, Advocacy for better health 0-15 years National Limited/none. This component only involves through various mass media Inadequate dissemination and use of climate information on climate risk in the health sector Low Presents opportunity to include awareness raising on climate risk mainstreaming and management in planned health communication activities Analytical and Operational Support Cross-cutting analytics and program operations support Extreme weather events could likely affect/delay data collection exercises The information capacity to prepare for climate risks exists, based on local knowledge of seasons Low Most data is collected in-house from health units, not from the households. It is then transmitted on-line. This minimizes climate risk Plan for field-based data collection during seasons with no extreme weather events like floods N/A N/A N/A