8. RFP Attachment J.5 IEE1.pdf

AFR/GHANA/HEALTH IEE AMENDMENT 5

SIMPLIFIED AMENDMENT TEMPLATE VERSION 3.1

SIMPLIFIED IEE AMENDMENT

PROJECT/ACTIVITY DATA

Project/Activity Name: USAID/Ghana Health Sector Portfolio (DO 3: Equitable Improvements in Health Status)

Geographic Location(s) (Country/Region): Ghana/West Africa Amendment (Yes/No), if Yes indicate # (1, 2...): Yes (#5) Implementation Start/End Dates (FY or M/D/Y): February 1, 2021 to January 31, 2022 If Amended, specify New End Date: January 31, 2022 Solicitation/Contract/Award Number(s): N/A Implementing Partner(s): N/A Bureau Tracking ID: USAID/Ghana Health IEE Amendment 5 https://ecd.usaid.gov/document.php?doc_id=53012 Tracking ID of Related RCE/IEE: Parent:

https://ecd.usaid.gov/document.php?doc_id=39522 IEE Amendment 1:

https://ecd.usaid.gov/repository/pdf/51065.pdf Amendment 2 https://ecd.usaid.gov/document.php?doc_id=52284 Amendment 3:

Amendment 4:

Tracking ID of Other, Related Analyses: Integrated Vector Management Programs For Malaria Vector Control (2012 Update) PEA:

https://ecd.usaid.gov/repository/pdf/39185.pdf

ORGANIZATIONAL/ADMINISTRATIVE DATA

Implementing Operating Unit(s):

(e.g. Mission or Bureau or Office)

Ghana

Other Affected Operating Unit(s):

Lead BEO Bureau: AFR Funding Operating Unit(s):

(e.g. Mission or Bureau or Office)

Ghana

Funding Account(s) (if available): N/A Original Funding Amount: $410 million If Amended, specify funding amount:

If Amended, specify new funding total:

Prepared by: Daniel Baako Date Prepared: 1/15/2021

ENVIRONMENTAL COMPLIANCE REVIEW DATA

Analysis Type: ☒Initial Environmental Examination Amendment ☐Request for Categorical Exclusion Amendment https://ecd.usaid.gov/document.php?doc_id=53012 https://ecd.usaid.gov/document.php?doc_id=39522 https://ecd.usaid.gov/repository/pdf/51065.pdf https://ecd.usaid.gov/document.php?doc_id=52284 https://ecd.usaid.gov/document.php?doc_id=52284 https://ecd.usaid.gov/repository/pdf/39185.pdf

Environmental Determination(s): ☐Categorical Exclusion(s) ☒Negative ☐Positive ☐Deferred (per 22 CFR 216.3(a)(7)(iv))

IEE Expiration Date (if applicable): January 31, 2022 Additional Analyses/Reporting Required:

Climate Risks Identified (#): Low ___0__ Moderate ___0___ High ___0___ Climate Risks Addressed (#): Low ___0___ Moderate ___0___ High ___0__

1.0 PURPOSE OF THE AMENDMENT

The purpose of this amendment is to update the compliance record for all USAID/Ghana Health Sector Portfolio activities from February 1, 2021 to January 31, 2022 by which time new Portfolio level 22 CFR 216 analyses would have been generated and a new IEE would be in place.

The parent IEE was amended in July 2018, October 2019, June 2020, and August 2020. The July 2018 IEE Amendment (Amendment 1) provided a no-cost time extension for all Health Sector activities enumerated in the USAID/Ghana Health Sector Portfolio IEE expiring September 30, 2018.

The October 2019 IEE Amendment (Amendment 2), increased the Health portfolio ceiling to $74 million and provided a six-month extension of the Health Sector Portfolio which was set to expire in July 2020. Amendment 3, finalized in June 2020, extended the IEE until July 31,2020.

Amendment 4, finalized in August 2020, extended the expiration date of the parent analysis until January 31, 2021 in support of continued activities under the Health Sector Portfolio until such time as a new 22 CFR Regulation 216 analysis can be conducted.

The purpose of this amendment (Amendment 5), is to extend the expiration date of the parent analysis until January 31, 2022 in support of continued activities under the Health Sector Portfolio, by which time new Portfolio level 22 CFR 216 analyses would have been generated and a new IEE would be in place.

This amendment also requires the project to adhere to the COVID-19 conditions listed below.

There are no funding changes associated with this amendment.

BEO SPECIFIED CONDITIONS OF APPROVAL

In order to reduce COVID-19 transmission during the implementation of these activities, USAID managers must:

• Ensure all activities addressed by this IEE adhere to current, applicable COVID-19 guidelines. Refer to the AFR COVID-19 PIEE (attached and linked here --https://ecd.usaid.gov/document.php?doc_id=52754) for links to U.S. and international guidance on appropriate measures to reduce COVID-19 transmission.

Such measures may include, but are not limited to social distancing, use of personal about:blank about:blank about:blank about:blank about:blank protective equipment, limiting the size of gatherings and travel, and effective disinfection.

• Share with the partner:

o Applicable COVID-19 guidance from the USAID Mission or U.S. Embassy;

o Applicable COVID-19 guidance from local authorities;

o The following Agency-wide “COVID-19 GUIDANCE FOR IMPLEMENTING

PARTNERS” page on the USAID website: https://www.usaid.gov/work-usaid/resources-for-partners/covid-19-guidance-implementing-partners.

• Ensure that partners have appropriate training, authorization, and resources to meet the expectations of the applicable guidance while implementing these activities.

2.0 CERTIFICATION OF COMPLIANCE

● All other aspects of the project design/activities and geographic scope remain unchanged from previous environmental analyses.

● The implementation of a number of Activities under the Health Portfolio were determined would have adverse effects on the environment. For those mitigation and monitoring plans were developed and implemented. Annual Work Plans have been verified to undertake only those activities originally proposed, and all reporting requirements have been adhered to and remain unchanged. This project is in compliance.

3.0 REVISIONS

Per 22 CFR 216.3(a)(9), when ongoing programs are revised to incorporate a change in scope or nature, a determination will be made as to whether such change may have an environmental impact not previously assessed. If so, this environmental analysis will be amended to cover the changes. Per ADS 204, it is the responsibility of the USAID A/COR to keep the MEO/REA and BEO informed of any new information or changes in the activity that might require revision of this amendment and environmental determination.

SIMPLIFIED AMENDMENT TEMPLATE VERSION 3.1

USAID APPROVAL OF /IEE AMENDMENT

PROJECT/ACTIVITY NAME: USAID/Ghana Health Sector Portfolio (DO 3: Equitable Improvements in Health Status) - USAID/Ghana Health P-IEE Amendment 5

Bureau Tracking ID: https://ecd.usaid.gov/document.php?doc_id=53012

Approval: Cleared by Janean Davis 01/28/2021 On behalf of Sharon L. Cromer, Mission Director Date

Clearance: Cleared 01/25/2021 Janean Davis, Deputy Mission Director Date

Clearance: Cleared 01/21/2021 Kevin Brown, Supervisory Program Officer Date

Clearance: Cleared 01/21/2021 Keisha Effiom, CO/AO Date

Clearance: Cleared 01/21/2021 Stephen Dzisi, Acting HPN Office Director Date

Clearance: Cleared 01/15/2021 Daniel Baako, Deputy Mission Environmental Officer Date

Clearance: Cleared 01/21/2021 Henry Aryeetey, Regional Environmental Advisor Date

Clearance: Cleared 01/19/2021 Ronald Wietecha, Regional Legal Officer [as appropriate] Date

Concurrence: 02/11/2021 Brian Hirsch, Bureau Environmental Officer Date

DISTRIBUTION:

https://ecd.usaid.gov/document.php?doc_id=53012