Djibouti - Additional Financing for Improving Health Sector Performance Project : environmental assessment
Faye, Mbaye Mbengue
The development objective of the Improving Health Sector Performance Project of Djibouti is to improve the quality of sustainable health services in order to reduce maternal and infant mortality. This will be achieved by: (a) improving maternal health services and child, (b) improving the availability and quality paramedical staff (c) improving the availability of drugs in structures health, (d) increasing the capacity of Government to implement reforms. The negative environmental impacts of the project will come mainly: (i) during the preparation and implementing the extension, construction and infrastructure rehabilitation of health units; nutrition rehabilitation units and administrative buildings; (ii) from the acquisition of certain equipment; (iii) while in operation, health facilities, including waste from health-care, fight against AIDS and TB. In construction phase, adverse impacts on the most significant are: Temporary unavailability of birthing rooms; noise, dust pollution by debris from site; risks of accidents for staff and population; risk of soil erosion and loss of vegetation; risk of proliferation of mosquito breeding and disease vectors (malaria, etc.) During the commissioning of infrastructure, potential negative impacts relate to the risk of infection and accidents owing to poor management of biomedical waste (syringes, placentas) and the risks inherent with hygienic health delivery associated with placentas of women who gave birth.
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