WHY THIS PRESENTATIONWHY THIS PRESENTATION

THE REGIONAL INITIATIVE ON HEALTH, GENDER AND CAPITAL PROJECTSTHE REGIONAL INITIATIVE ON HEALTH, GENDER AND CAPITAL PROJECTS

COUNTRY PROGRESSCOUNTRY PROGRESS

LESSONS LEARNTLESSONS LEARNT

OPPORTUNITIES FOR INNOVATIVE FINANCING FOR HEALTH THROUGH OPPORTUNITIES FOR INNOVATIVE FINANCING FOR HEALTH THROUGH ENVIRONMENTAL ASSESSMENTSENVIRONMENTAL ASSESSMENTS

CONCLUSIONS AND RECOMMENDATIONSCONCLUSIONS AND RECOMMENDATIONS

At the AWA Consultative Expert Committee Meeting organised by the African At the AWA Consultative Expert Committee Meeting organised by the African Union Commission on 27–28 May 2014 in Nouakchott, Mauritania, Union Commission on 27–28 May 2014 in Nouakchott, Mauritania, recommended that recommended that ““countries take advantage of the current unprecedented countries take advantage of the current unprecedented expansion of infrastructural development taking place in Africa, and ensure that expansion of infrastructural development taking place in Africa, and ensure that Environmental Assessments (EA) contribute to expanding access to HIV, TB, Environmental Assessments (EA) contribute to expanding access to HIV, TB, malaria and gender interventions and mobilize additional resources to contribute malaria and gender interventions and mobilize additional resources to contribute to domestic health financingto domestic health financing””

To provide country progress and how EAs are being strengthened to contribute to To provide country progress and how EAs are being strengthened to contribute to expanding access to health (HIV) and gender interventions in the 14 implementing expanding access to health (HIV) and gender interventions in the 14 implementing countries and, countries and,

To propose emerging options which could be further explored by implementing To propose emerging options which could be further explored by implementing countries to contribute to domestic health financing. countries to contribute to domestic health financing.

THEREFORE, THE PURPOSE OF THIS PRESENTATION IS:THEREFORE, THE PURPOSE OF THIS PRESENTATION IS:

INITIATIVE FOR INTEGRATING HEALTH AND GENDER EQUALITY IN INFRASTRUCTURE INVESTMENTS WITH EA AS AN ENTRY POINT

MAINGOALS

AwarenessAwareness: : capital projects can negatively affect the broader health of capital projects can negatively affect the broader health of workers, women and girls within project sites.workers, women and girls within project sites.

CapacityCapacity of officials who manage the EA process to mainstream health and of officials who manage the EA process to mainstream health and gender equality issues in EAs gender equality issues in EAs

PartnershipsPartnerships of EA practitioners with others to consider health, gender, of EA practitioners with others to consider health, gender, occupational health and safety and rights as integral part of EAs.occupational health and safety and rights as integral part of EAs.

Management and Regulatory systems Management and Regulatory systems strengthened for net benefits in health, strengthened for net benefits in health, gender and rights impacts.gender and rights impacts.

OVERALL EXPECTED

OUTCOMES OF THE

ABOVE BY 2016

Trained key Government officials and CSOS; Revised Trained key Government officials and CSOS; Revised EIA EIA guidelines, Policies and laws; Set agreed indicators for guidelines, Policies and laws; Set agreed indicators for MonitoringMonitoring

Organised in the areas of: Organised in the areas of: skills enhancement, skills enhancement, EA policy reviews/revision, CSO engagement in the EA process, EA policy reviews/revision, CSO engagement in the EA process, strengthening monitoring systems, high level advocacy strengthening monitoring systems, high level advocacy and fostering partnerships.and fostering partnerships.

ENHANCING ENHANCING SKILLS OF EA SKILLS OF EA STAKEHOLDERS STAKEHOLDERS

POLICY POLICY REVIEWS REVIEWS

AND REVISIONAND REVISION

STRENGTHENING STRENGTHENING

M&E TO M&E TO

IMPROVE IMPROVE

IMPLEMENTATION IMPLEMENTATION

OF MITIGATION OF MITIGATION

PLANS PLANS

NATIONAL NATIONAL ADVOCACY ADVOCACY

AS THE ENTRY AS THE ENTRY POINT TO INFLUENCE POINT TO INFLUENCE

CURRENT EA PRACTICE CURRENT EA PRACTICE

PARTNERSHIPS PARTNERSHIPS BUILDING BUILDING WITHIN WITHIN AND AMONG AND AMONG COUNTRIES AND COUNTRIES AND CASE STUDY CASE STUDY FOLLOW UPS FOLLOW UPS

FOSTERING FOSTERING CSO ENGAGEMENT CSO ENGAGEMENT

GHANA

ZAMBIA

NAMIBIA

BOTSWANA

SOUTH AFRICALESOTHO

SWAZILAND

ZIMBABWE

MOZAMBIQUE

MALAWI

1.1. INTEGRATIONINTEGRATION OF HEALTH, HIV AND GENDER ISSUES IN OF HEALTH, HIV AND GENDER ISSUES IN EAs EAs

IS KEYIS KEY

2. MORE 2. MORE ADVOCACYADVOCACY REQUIRED IN EA PROCESSES OF REQUIRED IN EA PROCESSES OF CAPITAL CAPITAL PROJECTSPROJECTS

3. 3. CAPACITYCAPACITY OF THE REGULATOR ON SOCIAL IMPACTS AND OF THE REGULATOR ON SOCIAL IMPACTS AND PARTNERSHIPS BUILDING IS CRUCIALPARTNERSHIPS BUILDING IS CRUCIAL

4. 4. LOCAL LEVEL DATA LOCAL LEVEL DATA ON HEALTH, HIV AND GENDER ON HEALTH, HIV AND GENDER REQUIRED REQUIRED FOR EFFECTIVE ASSESSMENTSFOR EFFECTIVE ASSESSMENTS

5. A 5. A COMPREHENSIVE PACKAGE COMPREHENSIVE PACKAGE OF HIV, HEALTH AND OF HIV, HEALTH AND GENDER GENDER INTERVENTIONS FOR EMPINTERVENTIONS FOR EMP

6. 6. EAs CAN BE A SUSTAINABLE INSTRUMENT FOR EAs CAN BE A SUSTAINABLE INSTRUMENT FOR CONTRIBUTING CONTRIBUTING TO DOMESTIC HEALTH FINANCINGTO DOMESTIC HEALTH FINANCING

EXPERIENCE IN SUPPORTING THE ROLL OUT OF THE INITIATIVE SUGGESTS THAT ENVIRONMENTAL ASSESSMENTS WITH THEIR ENVIRONMENTAL MANAGEMENT PLANS OFFER FIVE KEY OPTIONS WHICH WHEN FULLY EXPLORED COULD SIGNIFICANTLY CONTRIBUTE AND PASS AS AN INNOVATIVE TOOL IN CONTRIBUTING TO FINANCING FOR HEALTH

THAT CAN CONTRIBUTE TO SUSTAINABLE DOMESTIC FINANCING FOR HEALTH

ACHIEVING EFFICIENCY

GAINS THROUGH

EVIDENCED BASED EAs AND EMPs

IMPROVING MONITORING

OF FUNDS ALLOCATED

FOR HEALTH, HIV AND GENDER RELATED

INTERVENTIONS

THE PERCENTAGE

FORMULA FOR ALLOCATION OF

RESOURCESRING-FENCING

AN ALLOCATION OF BETWEEN

0.5-1 % OF CAPITAL PROJECT FUNDING

ADVOCATING FOR

INCREASED HEALTH

INVESTMENTS THROUGH CORPORATE

SOCIAL RESPONSIBILI

TY

PROMOTING IMPACT

INVESTMENTS

I.E. BUILD, OPERATE & TRANSFER

(BOT)

1 2 3 4 5

DIVERSIFIED, BALANCED AND SUSTAINABLE FINANCING IT IS RECOMMENDED THAT THE AUC AND RECs PARTNER WITH DEVELOPMENT PARTNERS TO WORK SYSTEMATICALLY WITH

MEMBER STATES TO:

ACHIEVING EFFICIENCY

GAINS THROUGH EVIDENCE BASED EAs AND EMPs

RECOMMENDATION 1 RECOMMENDATION 2 RECOMMENDATION 3 RECOMMENDATION 4 RECOMMENDATION 5

benjamin.ofosu-koranteng@undp.org

rosemary.kumwenda@undp.org

Prepared for the AWA Consultative Experts Meeting of AUC , Vic Falls, Zimbabwe.

4-5 May 2015

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