Health Communications and Community Mobilization Increased rainfall could affect road conditions and disrupt technical assistance. Low Accept risk for existing program implementation. Draft activity-level contigency plan to ensure weather and road conditions do not interupt service delivery. Procurement of Pharmaceuticals and Medical Supplies Increased Temperatures Low Carrier and storage of pharmaceuticals should be designed to meet required temperature. Employ renewable energy technologies in new designs. Changes in amount and duration of rainfall low Build supply chain facilities away from wetland and river shore. Infrastructure such as medical supply storage facilities maybe be damaged by storm surge if sited improperly in coastal areas, or flooding in other areas. HIGH Build pharmaceutical storage facilities to withstand storm and flood. Implement waste handling protocols. An engineer of record should screen construction design for climate risks prior to construction Relocating medical storage facilities away from areas of potential coastal storm surge increases the resilience of Liberia's health system and protects USG investments. Malaria Control and Prevention Rise in nighttime temperatures and shifting precipitation patterns may alter the range of malaria distribution, including increased incidence in highland areas or MODERATE Early warning systems designed to detect and respond to malaria outbreaks are es- sential in order to mediate the projected temperature and precipitation changes. Design of early warning system to detect and respond to malaria outbreaks.
area previously free of malaria. Small-Scale Health Facility Refurbishment Activities Increased Temperatures Low Health facilities designed with increased ventilation Employ renewable energy technologies in new designs. Changes in amount and duration of rainfall Low Build health facilities away from wetland. Consider mobile clinic in intervention. Sea level rise HIGH Relocate health facilities away from coastlines. Designate alternative classrooms or school sites. Program Monitoring, Learning, Assessment, and Evaluation Activities Accept risk for existing program implementation. Improved Provision of Sustainable Safe Water, Sanitation And Hygiene, including construction of municipal water systems in three cities Lack of raw water to extend water to new customers due to shifting precipitation patterns Low Support utility efforts to put in place infiltration wells in catchment areas. Establish Water Demand Management (WDM) plan. Reduce the energy intensity and/or employ renewable energy for water extraction (e.g. pumping), treatment (e.g. desalination, wastewater treatment), and distribution. Storm surge may damage utility infrastructure in coastal areas HIGH Work with utilities to survey infrastructure to fully assess risk Water Demand Management (WDM) to reduce need to access water from GHG-
consideration of climate change and its potential impacts on the location (siting), functionality and sustainability of resulting infrastructure and infrastructure services. Such analysis must include identification of relevant data sets and gaps, review of local building standards and codes for adequacy; and determination of safety factors or other measures of uncertainty that will be carried through design. The results of this analysis, including risks identified and how they are addressed, shall be documented." Technical Assistance for Health Systems Strengthening Increased rainfall could affect road conditions and disrupt technical assistance. Low Accept risk for existing program implementation. Draft activity-level contigency plan to ensure weather and road conditions do not interupt service delivery. Provision of Safe Quality Health Services, inlcuding Infrastructure or buildings such as pharmaceutical HIGH Engineering analysis should include consideration of climate An engineer of record should screen construction design for Relocating medical storage facilities away from areas of potential coastal
construction of a central pharmaceutical warehouse (PA 17) warehouses or medical supplies storage facilities maybe be damaged by storm surge if sited improperly in coastal areas, or flooding in other inland areas. change and its potential impacts on the location (siting), functionality, and sustainability of resulting infrastructure and infrastructure services. The following language can be included in the solicitation: "Engineering analysis preceding design activities must include consideration of climate change and its potential impacts on the location (siting), functionality and sustainability of resulting infrastructure and infrastructure services. Such analysis must include identification of relevant data sets and gaps, review of local building standards and codes for adequacy; and determination of safety factors or other measures of uncertainty that will be carried through design. The results of this analysis, climate risks prior to construction storm surge increases the resilience of Liberia's health system and protects USG investments.
including risks identified and how they are addressed, shall be documented." Increased air and water borne diseases due to flood and precipitation. MODERATE Social Behavior change communication (SBCC) should be enhanced at health facilities. Conduct assessment of how climate impacts diseases. Conduct assessment of how climate impacts diseases, or use existing studies to inform how this information can improve activity design. Employ proper sanitation and behavior change and communication into the basic package for health service. Increased vector activity that transmit diseases like malaria, dengue fever, yellow fever, etc. MODERATE Social Behavior change communication (SBCC) to enforce proper sanitation. Conduct assessment of how climate impacts diseases. Conduct assessment of how climate impacts diseases, or use existing studies to inform how this information can improve activity design. Separating and recycling (where possible) solid waste to reduce incineration throughout. Animal and Disease Surveillance Increased rainfall could affect road conditions and disrupt animal disease and surveillance. Low Accept risk for existing program implementation. Draft activity-level contigency plan to ensure weather and road conditions do not interupt service delivery.