Bank-funded health projects are very often focusing on the 'soft' side of health system reforms and capacity building, both of which have very few direct environmental and social impacts.
When Bank-funded health projects result in the construction or the major upgrading of health-care related buildings, they are likely to create the same environmental effects than other types of infrastructure development projects and they should be treated the same.
Specific concerns in health projects include:
- procurement of large quantities of pesticides for vector control, and
- adequate management of the health care system waste such as sharp objects and needles in, among others, projects related to HIV/AIDS prevention and management.
These concerns are addressed in a current Environmental Assessment review of 'good practices' in health care systems waste which will be made available on this site upon completion.
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