INITIAL ENVIRONMENTAL EXAMINATION (IEE) Amendment No 2 FACE SHEET PROGRAM/ACTIVITY DATA: Program/Activity No: TBD FY14-18 CDCS Objective: DO3 – Increased Human Capital F Objectives: Investing in People Program Areas: 3.1 Health Country/Region: Nepal/Asia Region Program/Activity Title: USAID/Nepal’s Integrated Health Project (IHP) Project Begin Date: September 30, 2014 (including re-aligned on-going activities) Project End Date: September 30, 2020 LOP Amount: $250,000,000 Prepared by: Charles Llewellyn Amendment: Amendment No 2 Number of original IEE: Asia 15-068 IEE, USAID/Nepal’s IHP Date of Original IEE: May 06, 2015 Amendment 2 prepared by: Linda Kentro Date of Amendment: July 17, 2018 ENVIRONMENTAL ACTION RECOMMENDED: (Place X where applicable) Categorical Exclusion: __ X _______ Negative Determination (with conditions): _______ X ______
Tarai area of Nepal is most vulnerable to flooding and four out of five of the existing STRIDE PRCs are located in the Tarai. The prime implementing partner discussed this climate risk with all other PRCs and they took measures to remove particularly vulnerable storage to their upper floors and to engage in flood management discussions with their municipality. The below NPRA chart is to be added to Table 1 of the IHP IEE as an amendment: NPRA activities Expected Results Environmentally Sensitive Inputs Recommended IEE Provision of rehabilitation services and equipment, including TA to government and private service providers Rehabilitation services delivered, including prosthetic limbs and orthotic devices Surgery occasionally required at tertiary public hospital facilities Waste products from limb and device construction, including occasional sharps Negative Determination with Conditions (NDC) for disposal of medical waste and sharps. Provisions of IEE (reference: DCN: Asia with amendments: Asia 13-1 and MTF1 to 15-102) to be applied Procurement of equipment shall follow the guidance of the USG’s ADS Chapter 312. Training for knowledge and competent interaction with persons with disability Enhanced skills among health workers and caregivers in the community None Categorical exclusion Livelihood counseling and micro-grants Livelihood activities initiated None Categorical exclusion EVALUATION OF ACTIVITIES/PROGRAM COMPONENTS with NDC WITH RESPECT TO ENVIRONMENTAL IMPACT POTENTIAL Component a) with NDC: Provision of rehabilitation services and equipment at private specialized PRCs.
Table 2. Project or activity level Climate Risk Management Summary Table Defined or Anticipated Project Elements Climate Risks Risk Rating How Risks are Addressed at Project Level Further Analysis and Actions for Activity Design/ Opportunities to Strengthen Climate Resilience Provision of rehabilitation services and equipment, including TA to government and private service providers The five existing PRC are in theTarai and are somewhat vulnerable to flooding. The new PRC will be located in an existing public medical facility in the hills. Usually they are located in safe locations, but low vulnerability to landslide will be in the facility selection or acceptance criteria. Moderate The prime partner will be required to mentor it’s partners PRC on flood and landslide risks and provide support to develop mitigation measures to deal with flood, landslides and other natural disasters. Not applicable Opportunity to sensitize government and private service providers on climate change risk and its impact during their capacity building activities.
Training for knowledge and competent interaction with persons with disability No impact anticipated Low Not applicable Not applicable Not applicable Livelihood counseling and micro-grants No impact anticipated Low Not applicable Not applicable Opportunity to sensitize beneficiaries on climate change risk and its impact during counseling.