2.0 ENVIRONMENTAL ANALYSIS 2.1 Justification for Categorical Exclusion The activities under the Health Leadership Project are among the classes of actions listed in 22 CFR 216.2(c)(2) and have no foreseeable significant direct or indirect adverse effect on the environment. Therefore, under 22 CFR 216.2(c)(1), neither an IEE nor an EA will be required for these activities. Instead, a Categorical Exclusion is recommended for the projects/activities described above in Section 1.3 as follows: 2: Activity: Health Leadership Project Sub-Activities Recommended Determination for Categorical Exclusion Technical Assistance (TA) to the GOH for strategy implementation. TA to GOH and civil society to build capacity to advocate for health. TA to the GOH in options for resource mobilization, pooling, and allocation. Advising GOH on health finance, governance and human resources approaches that promote gender equity, covering priority health interventions for both men and women, boys and girls. TA to the GOH in establishing, fulfilling and monitoring core competencies for the health workforce. Institutionalizing health workforce professional development programs. Provide recommendations on organizational structures and processes for better management. Supporting the development of workforce policies and programs that challenge gender discrimination and transform gender relations. Support to strengthen coordination between public and non-state actors. TA towards development of National Health Workforce Accounts. §216.2(c)(2)(i) Education, technical assistance, or training programs except to the extent such programs include activities directly affecting the environment (such as construction of facilities, etc.) Providing shared-learning opportunities with MSPP, Ministry of Finance and others. Support health workforce labor market analyses for forecasting and planning workforce, coupled with collaboration with training institutions to help them meet demands. §216.2(c)(2)(iii) Analyses, studies, academic or research workshops and meetings TA to transfer workforce and service contracts from implementing partners to GOH management. §216.2(c)(2)(v) Document and information transfers Analysis of options for resource mobilization, pooling, and allocation. Investigate fraud and inefficiencies in the health system. §216.2(c)(2)(xiv) Studies, projects or programs intended to develop the capability of recipient countries to
rainfall, heavy storms, washed out roads. contingency plan related to unpredictable severe weather events. TA to GOH and civil society to build capacity to advocate for health. Analysis and technical assistance to the GOH in options for resource mobilization, pooling, and allocation. Counterparts inaccessible due to climate-related events and their effects - heavy rainfall, heavy storms, washed out roads. Low Rescheduling of activities as needed. Plan travel around known weather patterns. Define contingency plan related to unpredictable severe weather events. Work with GOH and IPs on defining Contingency Plan for upcoming activities. Assessing and monitoring approaches to ensure there is not a negative, unintended impact on women, girls, people with disabilities, people living in rural areas, or other vulnerable groups Counterparts inaccessible due to climate-related events and their effects - heavy rainfall, heavy storms, washed out roads. Low Rescheduling of activities as needed. Plan travel around known weather patterns. Define contingency plan related to unpredictable severe weather events. Work with GOH and IPs on defining Contingency Plan for upcoming activities. Increase in size and movement of vulnerable groups due to climate change - immediate and longer-term impacts such as severe weather events. Low Build in flexibility and consider climate impacts in design for groups living in areas especially prone to severe flooding and landslides. N/A Advising GOH on health finance, governance and human resources approaches that promote gender equity, covering priority health interventions for both men and women, boys and girls. Increase in size and movement of vulnerable groups due to climate change - immediate and longer-term impacts such as severe weather events. Low Build in flexibility and consider climate impacts in design for groups living in areas especially prone to flooding and landslides. Workshops and meetings planned use reusable and recyclable materials. Minimize printed materials. Minimize travel in gas-powered vehicles. Consider environmental impact from travel and use and waste of products and supplies for interventions promoting accessibility. Supporting the revision of related health policies and action plans to reflect approaches, objectives and concrete actions. Increase in size and movement of vulnerable groups due to climate change - immediate and longer-term impacts such as severe weather Low Build in flexibility and consider climate impacts in design for groups living in areas especially prone to severe flooding and landslides. Workshops and meetings planned use reusable and recyclable materials. Minimize printed materials. Minimize travel in gas-powered vehicles.
events. Providing opportunities with MSPP, Ministry of Finance and others. Counterparts inaccessible due to climate-related events and their effects - Heavy rainfall, severe storms, washed out roads. Low Rescheduling of activities as needed. Plan travel around known weather patterns. And define contingency plan related to unpredictable severe weather events Work with GOH and IPs on defining Contingency Plan for upcoming activities. TA to the GOH in establishing, fulfilling and monitoring core competencies for the health workforce. Institutionalizing health workforce professional development programs. Counterparts inaccessible due to climate-related events and their effects - heavy rainfall, severe storms, washed out roads. Low Rescheduling of activities as needed. Plan travel around known weather patterns. Define contingency plan related to unpredictable severe weather events. Work with GOH and IPs on defining Contingency Plan for upcoming activities. Increase in size and movement of vulnerable groups due to climate change - immediate and longer-term impacts such as severe weather events requires changes in workforce patterns. Low Build in flexibility and consider climate impacts in design for groups living in areas especially prone to severe flooding and landslides. Work with GOH and IPs on defining Contingency Plan for upcoming activities. Provide recommendations on organizational structures and processes for better management. Counterparts inaccessible due to climate-related events and their effects - heavy rainfall, severe storms, washed out roads. Low Rescheduling of activities as needed. Plan travel around known weather patterns. Define contingency plan related to unpredictable severe weather events Work with GOH and IPs on defining Contingency Plan for upcoming activities. Investigate fraud and inefficiencies in the health system. Counterparts a and IT systems inaccessible due to climate-related events and their effects - heavy rainfall, severe storms, washed out roads. Low Rescheduling of activities as needed. Plan travel around known weather patterns. Establish data backup standards in procedures. Work with GOH and IPs on defining Contingency Plan for upcoming activities. Collaborate with health actors to develop and implement a comprehensive plan for MSPP donor and interministerial Counterparts inaccessible due to climate-related events and their effects - heavy rainfall, severe Low Rescheduling of activities as needed. Plan travel around known weather patterns. Define contingency plan Work with GOH and IPs on defining Contingency Plan for upcoming activities.
coordination. storms, washed out roads. related to unpredictable severe weather events. Supporting the development of workforce policies and programs that challenge gender discrimination and transform gender relations. Counterparts inaccessible due to climate-related events and their effects - heavy rainfall, severe storms, washed out roads. Low Rescheduling of activities as needed. Plan travel around known weather patterns. Define contingency plan related to unpredictable severe weather events. Work with GOH and IPs on defining Contingency Plan for upcoming activities. Build-in conservation practices into workforce policies. TA to transfer workforce and service contracts from implementing partners to GOH management. Counterparts inaccessible due to climate-related events and their effects - heavy rainfall, severe storms, washed out roads. Low Rescheduling of activities as needed. Plan travel around known weather patterns. Define contingency plan related to unpredictable severe weather events. Work with GOH and IPs on defining Contingency Plan for upcoming activities. Increase in size and movement of vulnerable groups due to climate change - immediate and longer-term impacts such as severe weather events requires changes in workforce patterns. Low Build in flexibility and consider climate impacts in design for groups living in areas especially prone to flooding and landslides. Work with GOH and IPs on defining Contingency Plan for upcoming activities. Support to strengthen coordination between public and non-state actors. Counterparts inaccessible due to climate-related events and their effects - heavy rainfall, severe storms, washed out roads. Low Rescheduling of activities as needed. Plan travel around known weather patterns. Define contingency plan related to unpredictable severe weather events. Work with GOH and IPs on defining Contingency Plan for upcoming activities. Responding to the GOH needs for support to ensure pre-service education quality assurance. Counterparts inaccessible due to climate-related events and their effects - heavy rainfall, storms, washed out roads. Low Rescheduling of activities as needed. Plan travel around known weather patterns. Define contingency plan related to unpredictable severe weather events. Work with GOH and IPs on defining Contingency Plan for upcoming activities. Increase in size and movement of vulnerable groups due to climate change - immediate and Low Build in flexibility and consider climate impacts in design for groups living in areas especially prone to flooding and
longer-term impacts such as severe weather events requires changes in workforce patterns. landslides. Support health workforce labor market analyses for forecasting and planning workforce, coupled with collaboration with training institutions to help them meet demands. Counterparts inaccessible due to climate-related events and their effects - heavy rainfall, severe storms, washed out roads. Low Rescheduling of activities as needed. Plan travel around known weather patterns. Define contingency plan related to unpredictable severe weather events. Work with GOH and IPs on defining Contingency Plan for upcoming activities. Increase in size and movement of vulnerable groups due to climate change - immediate and longer-term impacts such as severe weather events requires changes in workforce patterns. Low Build in flexibility and consider climate impacts in design for groups living in areas especially prone to flooding and landslides. TA towards development of National Health Workforce Accounts. Counterparts a and IT systems inaccessible due to climate-related events and their effects - Heavy rainfall, severe storms, washed out roads. Low Rescheduling of activities as needed. Plan travel around known weather patterns. Establish data backup standards in procedures. Work with GOH and IPs on defining Contingency Plan for upcoming activities. *Climate Risk Ratings are defined as: No Risk/ Not Low applicable. Not applicable. HSS RCE Page 7 Low climate risk: Climate change is unlikely to significantly' impact achievement of development outcomes relative to other stressors and development challenges. Moderate or high climate risk: Climate change is likely or highly likely to significantly impact achievement of development outcomes. NOTE: Low climate risk does not require the development of specific plans to address climate risk. Moderate to high climate risk requires appropriate consideration and response to the risk and therefore require an IEE is required. In some cases, the program may decide to accept the risk. 3.0 LIMITATIONS OF THE CATEGORICAL EXCLUSION The categorical exclusions recommended in this document apply only to the Health Leadership Project Activity and sub-activities described herein. Other projects/activities that may arise must be subject to an environmental analysis and the appropriate documentation prepared and approved, whether it be a new Request for Categorical Exclusion, an amendment, or other type of 22CFR216 document.