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 Recommended IEE Sensitive Inputs Provision of Rehabilitation Surgery occasionally Negative Determination rehabilitation services delivered, required at tertiary with Conditions (NDC) for services and including prosthetic public hospital disposal of medical waste equipment, limbs and orthotic facilities and sharps. Provisions of IEE including TA to devices (reference: DCN: Asia government and Waste products from with amendments: Asia private service limb and device 13-1 and MTF1 to 15-102) to providers construction, be applied including occasional Procurement of equipment sharps shall follow the guidance of the USG’s ADS Chapter 312. Training for Enhanced skills None Categorical exclusion knowledge and among health competent workers and interaction with caregivers in the persons with community disability Livelihood Livelihood activities None Categorical exclusion counseling and initiated micro-grants 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.
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.
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