J.1+RCE_REACH_Malaria_FINAL.pdf

REQUEST FOR CATEGORICAL

EXCLUSION

PROJECT/ACTIVITY DATA

Project/Activity Name: Reaching Every At-Risk Community and Household with Malaria Services (REACH Malaria)

Geographic Location(s) (Country/Region): Global Amendment (Yes/No), if Yes indicate # (1, 2...): No Implementation Start/End Dates (FY or M/D/Y):

June 2023 - May 2028

If Amended, specify New End Date:

Solicitation/Contract/Award Number(s):

Implementing Partner(s):

Bureau Tracking ID: GH-22-10756 Tracking ID of Related RCE/IEE (if any):

Tracking ID of Other, Related Analyses:

ORGANIZATIONAL/ADMINISTRATIVE DATA

Implementing Operating Unit(s):

(e.g. Mission or Bureau or Office)

GH/ID/MAL

Other Affected Operating Unit(s):

Lead BEO Bureau: Global Health

Funding Operating Unit(s):

(e.g. Mission or Bureau or Office)

GH/ID/MAL and Missions

Funding Account(s) (if available): HL.3 Malaria Original Funding Amount: $220 million

If Amended, specify funding amount:

If Amended, specify new funding total:

Prepared by: Shawn Kerry Date Prepared: 23 March 2022

ENVIRONMENTAL COMPLIANCE REVIEW DATA

Analysis Type: X Request for Categorical Exclusion ☐Deferral

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

RCE Expiration Date (if applicable):

Additional Analyses/Reporting Required:

Climate Risks Identified (#): Low ___12___ Moderate ___0___ High ___0___ Climate Risks Addressed (#): Low ___12___ Moderate ___0___ High ___0___

GH/ID/MAL - REACH MALARIA

RCE TEMPLATE VERSION 3.1

THRESHOLD DETERMINATION AND SUMMARY OF FINDINGS

PROJECT/ACTIVITY SUMMARY

The purpose of this contract is to provide implementation support services and technical assistance to countries to accelerate progress in comprehensive planning, delivery and monitoring of facility and community-based malaria services, including malaria case management, prevention of malaria in pregnancy (MiP), seasonal malaria chemoprevention (SMC), and other malaria prevention interventions. To complement these activities, this contract will increasing the quality and use of data for decision-making and monitoring of progress and impact; high quality Ministry of Health policies and malaria programs, documents and activities;

strengthening in-country capacity to plan and execute malaria activities; increasing service delivery resilience to withstand shocks and adapt to emerging threats; and increased financial, management and technical support to local partners.

ENVIRONMENTAL DETERMINATIONS

Upon approval of this document, the determinations become affirmed, per Agency regulations

(22 CFR 216).

TABLE 1: ENVIRONMENTAL DETERMINATIONS

Projects/Activities Categorical Exclusion Citation (if applicable)

Deferral1

Activity 1: Strengthen implementation of quality malaria service delivery at the community and facility level.

§216.2(c)(2)(i) §216.2(c)(2)(viii)

Sub-activity 1.1: Provide technical/implementation support to strengthen countries’ malaria case management system at public health facilities, at the community level through integrated Community Case Management (iCCM) or other community-based platforms, and in the private sector, with a specific focus on unreached populations.

§216.2(c)(2)(i) ☐

Sub-activity 1.2: Implement training, supervision, and quality assurance on malaria diagnosis and treatment and prevention of malaria in pregnancy.

§216.2(c)(2)(i) ☐

Sub-activity 1.3: Provide technical assistance and/or implementation support to tailor deployment, strengthen delivery and support uptake of WHO-recommended vaccines and drug-based interventions, including seasonal malaria chemoprevention, mass drug administration in appropriate settings, and active/reactive case detection in pre-elimination/elimination

§216.2(c)(2)(i) ☐

1 Deferrals must be cleared through an Amendment to this RCE prior to implementation of any deferred activities.

areas.

Activity 2: Provide support to make health systems stronger and more resilient.

§216.2(c)(2)(i) §216.2(c)(2)(viii)

Sub-activity 2.1: Assist Ministries of Health with development and updating of malaria strategies, policies, guidelines, and training materials and support their dissemination.

§216.2(c)(2)(i) §216.2(c)(2)(xiv)

Sub-activity 2.2: Provide technical support to health facilities and community health programs to strengthen collection, analysis, use, and dissemination of surveillance and programmatic data for decision-making.

§216.2(c)(2)(i) ☐

Sub-activity 2.3: Provide administrative, operational, and financial management assistance to subcontracted local organizations.

§216.2(c)(2)(i) §216.2(c)(2)(xiv)

Sub-activity 2.4: Strengthen health system capacity to detect threats, withstand shock, and adapt to emerging threats.

§216.2(c)(2)(i) ☐

Sub-activity 2.5: Design, conduct, evaluate and use results from operational research or studies to address bottlenecks and expand access to high-quality malaria case management, malaria in pregnancy services, and WHO-recommended drug-based prevention interventions.

§216.2(c)(2)(iii) ☐

Activity 3: Provide effective global malaria leadership.

§216.2(c)(2)(vi) ☐

Sub-activity 3.1: Contribute to the global knowledge base on best practices in malaria service delivery and drug-based approaches via participation in conferences and publication of peer-reviewed articles.

§216.2(c)(2)(iii) §216.2(c)(2)(vi)

Sub-activity 3.2: Participate in global meetings and document drafting on standards in malaria service delivery and drug-based approaches.

§216.2(c)(2)(iii) §216.2(c)(2)(vi)

CLIMATE RISK MANAGEMENT

A Low Climate Risk rating is recommended for all planned activities under the REACH Malaria award, per ADS 201mal Section 3. Climate risks are not expected to materially affect the implementation or outcomes of any planned activities. Annex 1 provides more detailed information on expected risks and planned mitigation measures.

BEO SPECIFIED CONDITIONS OF APPROVAL

IMPLEMENTATION

In accordance with 22 CFR 216 and Agency policy, the conditions and requirements of this document become mandatory upon approval. This includes the relevant limitations, conditions and requirements in this document as stated in Section 3 of this RCE and any BEO Specified Conditions of Approval.

USAID APPROVAL OF INITIAL ENVIRONMENTAL EXAMINATION

PROJECT/ACTIVITY NAME: Reaching Every At-Risk Community and Household with Malaria Services (REACH Malaria)

Bureau Tracking ID: __________GH-22-10756____________

Approval: APPROVE 04/05/2022 Paul Mahanna, GH/ID Office Director Date

Clearance: CLEAR 4/1/2022 Meera Venkatesan, GH/ID/MAL Acting Division Chief Date

Clearance: CLEAR 4/1/2022 Natalia Machuca, COR Date

Clearance:

Dennis Durbin, Climate Integration Lead Date

Concurrence:

Dennis Durbin, Global Health Bureau Environmental Officer Date

DISTRIBUTION:

● Environmental Compliance Database: environmentalcompliancesupport@usaid.gov

● Dennis Durbin, GH BEO: ghcompliancesupport@usaid.gov

● Brian Hirsch, BEO Africa: AFRBEO-Support@icf.com

GH/ID/MAL - REACH MALARIA

RCE TEMPLATE VERSION 3.1

Dennis W Durbin (affiliate)

Digitally signed by Dennis W Durbin (affiliate) Date: 2022.04.06 15:34:25 -04'00'

Dennis W Durbin (affiliate)

Digitally signed by Dennis W Durbin (affiliate) Date: 2022.04.06 15:35:08 -04'00'

1.0 PROJECT AND ACTIVITY DESCRIPTION

1.1 PURPOSE OF THE RCE

The purpose of this document is to establish that all proposed projects/activities belong to classes of actions eligible for Categorical Exclusions as set out in Agency regulations (22 CFR 216.2(c)) and that there are no foreseeable significant direct or indirect impacts that would preclude them from receiving a Categorical Exclusion. Upon approval of this document, the Categorical Exclusions are affirmed for the project/activity. This analysis also documents the results of the project/activity level Climate Risk Management process in accordance with USAID policy (specifically, ADS 201 mandatory reference 201mal).

This RCE is a critical element of USAID’s mandatory environmental review and compliance process meant to achieve environmentally sound activity design and implementation.

1.2 PROJECT/ACTIVITY OVERVIEW

The past two decades have seen extraordinary progress in malaria control efforts. The scale-up of proven, cost-effective malaria interventions – such as effective case management and prevention of MiP – has contributed to substantial progress in malaria control and prevention.

The World Health Organization’s (WHO) 2021 World Malaria Report estimates that more than

10.6 million malaria deaths and 1.7 billion malaria cases were averted worldwide between 2000 and 2020. During that same time period, many countries made notable progress towards subnational or national malaria elimination.

These results are due, in part, to significant contributions from the United States Government (USG) – including through the President’s Malaria Initiative (PMI) – in scaling up effective case management. Since PMI’s launch, the Initiative has recognized that effective case management and drug-based prevention and treatment for pregnant women are cornerstones of malaria prevention and control. Over the past 15 years, PMI has supported the scale-up of diagnostic testing for malaria at the health facility and community levels to ensure that all patients with malaria are properly identified and receive a quality-assured and recommended antimalarial.

PMI has also supported the rollout of integrated community case management (iCCM) at the community level for malaria, pneumonia, and diarrhea. As a result, rapid diagnostic tests (RDTs) and artemisinin-based combination therapies (ACTs) are now widely available, and thousands of health workers and community health workers have been trained in their use in PMI focus countries. The proportion of suspected malaria cases confirmed with a laboratory test and treated with a recommended antimalarial has increased in nearly every PMI focus country and most countries are also scaling up quality assurance systems for case management.

While incredible achievements have been reached in the fight to end malaria, progress has been uneven and has fallen short of global goals. The COVID-19 pandemic has further threatened this progress, resulting in excess malaria cases and deaths due to COVID-19 service disruptions. WHO reported that there were an estimated 241 million new cases of malaria and approximately 627,000 malaria-attributed deaths worldwide in 2020 alone. The vast majority of these cases and deaths occurred among young children in sub-Saharan Africa where malaria infection during pregnancy also contributes to maternal and newborn morbidity and mortality. Additionally, factors such as climate change, genetic mutations that compromise test and treatment effectiveness, and conflict and violence in malaria-affected communities further complicate global malaria efforts.

The overall purpose of the REACH Malaria award is to strengthen implementation of quality malaria service delivery with a focus on unreached populations, to improve resiliency of health systems from the national to the community level, and to provide effective global leadership in service delivery. This activity will build off of the success of previous PMI case management awards, most recently Impact Malaria. Specifically, the scope includes technical assistance and implementation support for improved access, uptake, and quality of malaria case management;

strengthened quality of community health systems (from the clinic to community level) that support the delivery of community case management; improved quality and uptake of malaria in pregnancy (MiP) services; high coverage of and adherence to seasonal malaria chemoprevention (SMC); and tailored deployment of existent and new prevention and control interventions for maximal impact as agreed to with partner countries and PMI.

To complement these activities, the scope also includes technical and implementation support for increasing the quality and use of data for decision-making and monitoring of progress and impact; developing of high quality Ministry of Health policies and malaria programs, documents and activities; strengthening in-country capacity to plan and execute malaria activities;

increasing service delivery resilience to withstand shocks and adapt to emerging threats; and increasing financial, management and technical support to local partners supporting malaria services. This critical in-country work will be complemented by global leadership to increase the contribution of PMI lessons, knowledge, and learning to global policy, resources and implementation guidance and increased the generation and dissemination of malaria service delivery implementation knowledge and evidence.

1.3 PROJECT/ACTIVITY DESCRIPTION

TABLE 2: DEFINED OR ILLUSTRATIVE PROJECTS/ACTIVITIES AND SUB-ACTIVITIES

Activity 1 — Strengthen implementation of quality malaria service delivery at the community and facility level.

Sub-activity 1.1: Provide technical/implementation support to strengthen countries’ malaria case management system at public health facilities, at the community level through integrated Community Case Management (iCCM) or other community-based platforms, and in the private sector, with a specific focus on unreached populations.

Sub-activity 1.2: Implement training, supervision, and quality assurance on malaria diagnosis and treatment and prevention of malaria in pregnancy.

Sub-activity 1.3: Provide technical assistance and/or implementation support to tailor deployment, strengthen delivery and support uptake of WHO-recommended vaccines and drug-based interventions, including seasonal malaria chemoprevention, mass drug administration in appropriate settings, and active/reactive case detection in pre-elimination/elimination areas.

Activity 2 — Provide support to make health systems stronger and more resilient.

Sub-activity 2.1: Assist Ministries of Health with development and updating of malaria strategies, policies, guidelines, and training materials and support their dissemination.

Sub-activity 2.2: Provide technical support to health facilities and community health programs to strengthen collection, analysis, use, and dissemination of surveillance and programmatic data for decision-making.

Sub-activity 2.3: Provide administrative, operational, and financial management assistance to subcontracted local organizations.

Sub-activity 2.4: Strengthen health system capacity to detect threats, withstand shocks, and adapt to emerging threats.

Sub-activity 2.5: Design, conduct, evaluate and use results from operational research or studies to address bottlenecks and expand access to high-quality malaria case management, malaria in pregnancy services, and WHO-recommended drug-based prevention interventions.

Activity 3 – Provide effective global malaria leadership.

Sub-activity 3.1: Contribute to the global knowledge base on best practices in malaria service delivery and drug-based approaches via participation in conferences and publication of peer-reviewed articles.

Sub-activity 3.2: Participate in global meetings and document drafting on standards in malaria service delivery and drug-based approaches.

2.0 ENVIRONMENTAL ANALYSIS

2.1 JUSTIFICATION FOR CATEGORICAL EXCLUSION

The activities under the REACH Malaria award are among the classes of actions listed in 22 CFR 216.2(c)(2) and have no foreseeable significant direct or indirect adverse effect on the environment. Therefore, under 22 CFR 216.2(c)(1), neither an IEE nor an EA will be required for these activities. Instead, a Categorical Exclusion is recommended for the projects/activities described above in Section 1.3 as follows:

TABLE 3: RECOMMENDED DETERMINATION FOR CATEGORICAL EXCLUSION

Project/Activity and Sub-Activity #

Recommended Determination for Categorical Exclusion

Activity 1;

Sub-activity 1.1;

Sub-activity 1.2;

Sub-activity 1.3;

Activity 2;

Sub-activity 2.1;

Sub-activity 2.2;

Sub-activity 2.3;

Sub-activity 2.4

§216.2(c)(2)(i) Education, technical assistance, or training programs except to the extent such programs include activities directly affecting the environment (such as construction of facilities, etc.)

§216.2(c)(2)(ii) Controlled experimentation exclusively for the purpose of research and field evaluation which are confined to small areas and carefully monitored

Sub-activity 2.5 Sub-activity 3.1 Sub-activity 3.2

§216.2(c)(2)(iii) Analyses, studies, academic or research workshops and meetings

§216.2(c)(iv) Projects in which USAID is a minor donor to a multi-donor project and there is no potential significant effects upon the environment of the United States, areas outside any nation's jurisdiction or endangered or threatened species or their critical habitat §216.2(c)(2)(v) Document and information transfers

Activity 3;

Sub-activity 3.1;

Sub-activity 3.2

§216.2(c)(2)(vi) Contributions to international, regional or national organizations by the United States which are not for the purpose of carrying out a specifically identifiable project or projects §216.2(c)(2)(vii) Institution building grants to research and educational institutions in the United States such as those provided for under section 122(d) and Title XII of Chapter 2 of Part I of the FAA (22 USCA §§2151 p. (b) 2220a. (1979))

Activity 1 Activity 2

§216.2(c)(2)(viii) Programs involving nutrition, health care or population and family planning services except to the extent designed to include activities directly affecting the environment (such as construction of facilities, water supply systems, waste water treatment, etc.)

§216.2(c)(2)(ix) Assistance provided under a Commodity Import Program when, prior to approval, USAID does not have knowledge of the specific commodities to be financed and when the objective in furnishing such assistance requires neither knowledge, at the time the assistance is authorized, nor control, during implementation, of the commodities or their use in the partner country §216.2(c)(2)(ix) Assistance provided under a Commodity Import Program when, prior to approval, USAID does not have knowledge of the specific commodities to be financed and when the objective in furnishing such assistance requires neither knowledge, at the time the assistance is authorized, nor control, during implementation, of the commodities or their use in the partner country §216.2(c)(2)(x) Support for intermediate credit institutions when the objective is to assist in the capitalization of the institution or part thereof and when such support does not involve reservation of the right to review and approve individual loans made by the institution §216.2(c)(2)(xi) Programs of maternal or child feeding conducted under Title II of Pub. L. 480 §216.2(c)(2)(xii) Food for development programs conducted by food recipient countries under Title III of Pub. L. 480, when achieving USAID's objectives in such programs does not require knowledge of or control over the details of the specific activities conducted by the foreign country under such program §216.2(c)(2)(xiii) Matching, general support and institutional support grants provided to private voluntary organizations (PVOs) to assist in financing programs where USAID's objective in providing such financing does not require knowledge of or control over the details of the specific activities conducted by the PVO

Sub-activity 2.1;

Sub-activity 2.3;

§216.2(c)(2)(xiv) Studies, projects or programs intended to develop the capability of recipient countries to engage in development planning, except to the extent designed to result in activities directly affecting the environment (such as construction of facilities, etc.)

§216.2(c)(2)(xv) Activities that involve the application of design criteria or standards developed and approved by USAID

2.2 CLIMATE RISK MANAGEMENT

This section summarizes the methodology used and findings of the CRM Screening (see Annex 1). The project design team, in consultation with the CIL, considered the potential effect of climate risks/stressors on the sustainability of the project (changing precipitation patterns, rising temperature, floods, droughts, fires, landslides, etc.) in addition to the impact of project activities on the climate (increased greenhouse gas emissions, land use changes, etc.). See Annex 1 for the complete CRM table.

It is acknowledged that certain climate threats such as increased temperature, increased rainfall, and changes to climatic zones (e.g., high temperature at elevation) may result in changes to the distribution of malaria or increased breeding and bite frequency. The increased activity of vectors and their distribution thereby potentially increases the need for malaria services. Increased incidence of malaria is not discussed further because the activities themselves seek to improve service delivery and treatment of malaria.

Climate-related extreme weather events may have a deleterious effect on the provision of malaria service delivery and treatment by impacting telecommunications connectivity, access to malaria drugs and other health commodities, and travel for procurement/distribution and training. These effects may lead to secondary impacts on the award’s implementation of therapeutic efficacy studies and operational research studies. Suitable mitigation measures include forecasting of potentially deleterious weather events, contingency planning for travel and communications disruption, close collaboration with supply chain partners and increased quality control of health commodities.

Due to the low probability and low impact of these potential disruptions, as well as the ready availability of mitigating measures and alternative planning, the design team recommends a Low Climate Risk rating per ADS 201mal Section 3 for ALL activities planned under the REACH Malaria award. Climate risks are not expected to materially affect the implementation or outcomes of these activities. Annex 1 provides more detailed information on expected risks and planned mitigation measures.

3.0 LIMITATIONS OF THE CATEGORICAL EXCLUSION

The categorical exclusions recommended in this document apply only to projects/activities and sub-activities described herein.

Other projects/activities that may arise must be subject to an environmental analysis and the appropriate documentation prepared and approved, whether it be a new Request for Categorical Exclusion, an amendment, or other type of 22 CFR 216 document.

It is confirmed that the projects/activities described herein do not involve actions normally having a significant effect on the environment, including those described in 22 CFR 216.2(d).

3.1 MANDATORY INCLUSION OF ENVIRONMENTAL COMPLIANCE REQUIREMENTS IN

SOLICITATIONS, AWARDS, BUDGETS, AND WORK PLANS

USAID will ensure the environmental compliance requirements are incorporated into solicitations, awards, budgets, and work plans, including relevant limitations of Section 3 above.

In addition, climate risk management requirements will also be incorporated.

3.2 GENERAL IMPLEMENTATION & MONITORING REQUIREMENTS (IF APPLICABLE)

USAID will ensure that the following requirements are met:

● Provide briefings for Implementing Partner (IP) on environmental compliance responsibilities

● Ensure integration of compliance responsibilities in prime and sub-awards and grant agreements;

● Ensure compliance with applicable partner country requirements

● Annual review of project activities to ensure that scope is still covered by Categorical

Exclusion

ATTACHMENTS:

Annex 1: Climate Risk Management Summary Table for REACH Malaria Activity

A N

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Tr ai ni ng a nd ca pa ci ty

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Lo ca tio n of a ct iv iti es

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, a dv is in g, c on su lti ng

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s) m ay b e ex po se d to c lim at e ris ks

, p ar tic ul ar ly cl im at e-re la te d ex tre m e ev en ts (e

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, a ffe ct in g th e st ru ct ur al in te gr ity o f b ui ld in gs a nd te le co m m un ic at io ns in fra st ru ct ur e (i.

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th e ab ilit y fo r p ar tic ip an ts , s ta ff, a nd tra in er s to c om m un ic at e)

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E va lu at e te le co m m un ic at io ns re so ur ce s an d ne ed s fo r a ll pa rti ci pa tin g fa ci lit ie s/ si te s.

T he p ar tn er m us t p re pa re p la ns fo r r es ch ed ul in g tra in in gs in th e ev en t o f co m m un ic at io ns d is ru pt io ns

S up po rt th e de ve lo pm en t o f st an da rd o pe ra tin g pr oc ed ur es fo r fa ci lit ie s in th e ev en t o f a b la ck ou t or o th er w ea th er

-re la te d is su es

S up po rt th e in cl us io n of d is as te r pr oj ec tio n pl an ni ng in to th e fo re ca st in g of c om m od ity pr oc ur em en t n ee ds

, u si ng av ai la bl e da ta a s ap pr op ria te

C lim at e-re la te d ev en ts s uc h as fl oo ds

, l an ds lid es , a nd er os io n m ay p re ve nt p ar tic ip an ts fr om re ac hi ng tr ai ni ng ac tiv iti es a nd m ay c re at e ha za rd ou s tra ve l c on di tio ns fo r st af f a nd tr ai ne rs

Lo w

M on ito r w ea th er p at te rn s to fo re ca st po te nt ia l e ffe ct s on s af e tra ve l t o tra in in g lo ca tio ns . T he p ar tn er m us t pr ep ar e pl an s fo r r es ch ed ul in g tra in in gs in th e ev en t o f u ns ui ta bl e tra ve l c on di tio ns

C lim at e-re la te d ex tre m e w ea th er e ve nt s m ay le ad to a su rg e in in ju rie s;

w at er

-b or ne il ln es se s su ch a s ch ol er a, ty ph oi d, a nd h ep at iti s;

a nd m al ar ia it se lf, w hi ch c an p ut ex ce ss iv e bu rd en o n he al th p ro vi de rs a nd fa ci lit ie s.

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S up po rt fa ci lit ie s to p ro cu re

/s to ck en ou gh m al ar ia th er ap eu tic s an d ot he r re le va nt h ea lth c om m od iti es to p re pa re fo r p ot en tia l s ur ge s in th e ev en t o f ex tre m e w ea th er e ve nt s.

Tr ai ni ng a nd ca pa ci ty

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(C H

W s)

Lo ca tio n of a ct iv iti es

(e .g m ee tin g / g at he rin g

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, p ar tic ul ar ly cl im at e-re la te d ex tre m e ev en ts (e

.g flo od s, e xt re m e ra in fa ll ev en ts , a nd s to rm s ur ge s)

, a ffe ct in g th e st ru ct ur al in te gr ity o f b ui ld in gs a nd te le co m m un ic at io ns in fra st ru ct ur e (i.

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th e ab ilit y fo r p ar tic ip an ts , s ta ff, a nd tra in er s to c om m un ic at e)

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E va lu at e te le co m m un ic at io ns re so ur ce s an d ne ed s fo r a ll pa rti ci pa tin g fa ci lit ie s/ si te s.

T he p ar tn er m us t p re pa re p la ns fo r r es ch ed ul in g tra in in gs in th e ev en t o f co m m un ic at io ns d is ru pt io ns

S up po rt th e de ve lo pm en t o f st an da rd o pe ra tin g pr oc ed ur es fo r fa ci lit ie s in th e ev en t o f a b la ck ou t or o th er w ea th er

-re la te d is su es

S up po rt th e in cl us io n of d is as te r pr oj ec tio n pl an ni ng in to th e fo re ca st in g of c om m od ity pr oc ur em en t n ee ds

, u si ng av ai la bl e da ta a s ap pr op ria te

C lim at e-re la te d ev en ts s uc h as fl oo ds

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D es cr ib e op po rtu ni tie s to a ch ie ve m ul tip le d ev el op m en t o bj ec tiv es b y in te gr at in g cl im at e re si lie nc e or m iti ga tio n m ea su re s

D es cr ib e ho w ri sk s ha ve b ee n ad dr es se d in a ct iv ity d es ig n an d/ or a dd iti on al s te ps th at w ill b e ta ke n in im pl em en ta tio n.

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C lim at e-re la te d ex tre m e w ea th er e ve nt s m ay le ad to a su rg e in in ju rie s;

w at er -b or ne il ln es se s su ch a s ch ol er a, ty ph oi d, a nd h ep at iti s;

a nd m al ar ia it se lf, w hi ch c an p ut ex ce ss iv e bu rd en o n he al th p ro vi de rs a nd fa ci lit ie s.

Lo w

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-s up po rti ng fa ci lit ie s to pr oc ur e/ st oc k en ou gh m al ar ia th er ap eu tic s an d ot he r r el ev an t h ea lth co m m od iti es to p re pa re fo r p ot en tia l su rg es in th e ev en t o f e xt re m e w ea th er ev en ts

Th er ap eu tic e ffi ca cy st ud ie s (T

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C lim at e-re la te d ev en ts s uc h as fl oo ds

, l an ds lid es , a nd er os io n m ay p re ve nt s ta ff fro m re ac hi ng re se ar ch s ite s an d m ay c re at e ha za rd ou s tra ve l c on di tio ns fo r s ta ff an d tra in er s.

Lo w

M on ito r w ea th er p at te rn s to fo re ca st po te nt ia l e ffe ct s on s af e tra ve l t o re se ar ch s ite s.

T he p ar tn er m us t pr ep ar e pl an s fo r a lte rn at e si te v is it da te s in th e ev en t o f u ns ui ta bl e tra ve l co nd iti on s.

A s ap pr op ria te , s up po rt th e ad op tio n of m or e re si lie nt te ch no lo gi es to a dd re ss p ot en tia l di sr up tio ns d ue to w ea th er ev en ts

, s uc h as s at el lit e te le ph on es

E xt re m e w ea th er

-re la te d di sr up tio ns to te le co m m un ic at io ns in fra st ru ct ur e m ay d is ru pt d at a co lle ct io n an d an al ys is , a nd d is se m in at io n of re su lts

Lo w

E va lu at e te le co m m un ic at io ns re so ur ce s an d ne ed s fo r a ll si te s in vo lv ed . R es ea rc h de si gn s ho ul d in cl ud e a bu ffe r t o ac co un t f or p ot en tia l de la ys d ue to w ea th er e ve nt s.

S ea so na l M al ar ia

C he m op re ve nt io n (S

M C

) d ep lo ym en t

C lim at e-re la te d ev en ts s uc h as fl oo ds

, l an ds lid es , a nd er os io n m ay p re ve nt s ta ff fro m re ac hi ng re se ar ch s ite s an d m ay c re at e ha za rd ou s tra ve l c on di tio ns fo r s ta ff an d ot he r p ar tic ip an ts

Lo w

M on ito r w ea th er p at te rn s to fo re ca st po te nt ia l e ffe ct s on s af e tra ve l t o re se ar ch s ite s.

T he p ar tn er m us t pr ep ar e pl an s fo r a lte rn at e si te v is it da te s in th e ev en t o f u ns ui ta bl e tra ve l co nd iti on s.

A s ap pr op ria te , s up po rt th e ad op tio n of m or e re si lie nt te ch no lo gi es to a dd re ss p ot en tia l di sr up tio ns d ue to w ea th er ev en ts

, s uc h as s at el lit e te le ph on es

E xt re m e w ea th er

-re la te d di sr up tio ns to te le co m m un ic at io ns in fra st ru ct ur e m ay d is ru pt d at a co lle ct io n an d an al ys is , d is se m in at io n of re su lts , a nd re al -ti m e de ci si on

-m ak in g.

Lo w

E va lu at e te le co m m un ic at io ns re so ur ce s an d ne ed s fo r a ll si te s in vo lv ed . C am pa ig n pl an ni ng s ho ul d in cl ud e a bu ffe r t o ac co un t f or p ot en tia l de la ys d ue to w ea th er e ve nt s.

O pe ra tio na l R es ea rc h st ud ie s

(O R

C lim at e-re la te d ev en ts s uc h as fl oo ds

, l an ds lid es , a nd er os io n m ay p re ve nt s ta ff fro m re ac hi ng re se ar ch s ite s an d m ay c re at e ha za rd ou s tra ve l c on di tio ns fo r s ta ff an d tra in er s.

Lo w

M on ito r w ea th er p at te rn s to fo re ca st po te nt ia l e ffe ct s on s af e tra ve l t o re se ar ch s ite s.

T he p ar tn er m us t pr ep ar e pl an s fo r a lte rn at e si te v is it da te s in th e ev en t o f u ns ui ta bl e tra ve l co nd iti on s.

A s ap pr op ria te , s up po rt th e ad op tio n of m or e re si lie nt te ch no lo gi es to a dd re ss p ot en tia l di sr up tio ns d ue to w ea th er ev en ts

, s uc h as s at el lit e te le ph on es

E xt re m e w ea th er

-re la te d di sr up tio ns to te le co m m un ic at io ns in fra st ru ct ur e m ay d is ru pt d at a co lle ct io n an d an al ys is , a nd d is se m in at io n of re su lts

Lo w

E va lu at e te le co m m un ic at io ns re so ur ce s an d ne ed s fo r a ll si te s in vo lv ed . R es ea rc h de si gn s ho ul d in cl ud e a bu ffe r t o ac co un t f or p ot en tia l de la ys d ue to w ea th er e ve nt s.

E ng ag em en t w ith gl ob al m al ar ia co m m un ity

C lim at e-re la te d ef fe ct s on re se ar ch a nd d at a co lle ct io n as o ut lin ed a bo ve m ay im pa ct ti m el y dr af tin g an d pu bl is hi ng o f s tu di es a nd m an us cr ip ts

Lo w

Ti m el in e fo r r es ea rc h, a na ly si s, d ra fti ng an d pu bl is hi ng s ho ul d in cl ud e a bu ffe r to a cc ou nt fo r p ot en tia l d el ay s du e to w ea th er e ve nt s.

N /A

G

H

/ID

/M A

L

- R

E A

C H

M A

LA

R

IA

R C

E T

E M

P

LA

TE

V

E R

S

IO

N

Ta sk s/ D ef in ed o r Ill us tr at iv e In te rv en tio ns

C lim at e

R is ks

R is k R at in g3 H ow R is ks a re

A dd re ss ed

O pp or tu ni tie s to

St re ng th en C lim at e R es ili en ce

C lim at e-re la te d di sr up tio ns o f t el ec om m un ic at io ns in fra st ru ct ur e m ay im pa ct in -c ou nt ry s ta ff’ s an d ho st -c ou nt ry o ffi ci al s’ p ar tic ip at io n in g lo ba l f or a an d ev en ts

Lo w

W he n po ss ib le , e nc ou ra ge in -c ou nt ry pa rti ci pa tio n fro m fa ci lit ie s w ith th e m os t r ob us t t el ec om m un ic at io ns in fra st ru ct ur e.

P ro pe r c le an up a nd di sp os al o f g en er al an d ha za rd ou s m ed ic al w as te

C lim at e-re la te d di sr up tio ns to m un ic ip al s er vi ce s m ay pr ev en t t im el y co lle ct io n of w as te fr om p ar tic ip at in g fa ci lit ie s.

Lo w

E ns ur e pa rti ci pa tin g fa ci lit ie s ha ve a pr oc ed ur e fo r i nt er na l m an ag em en t o f w as te in th e ev en t o f d is ru pt ed m un ic ip al s er vi ce s.

P ro vi de te ch ni ca l as si st an ce a s ne ce ss ar y.

N /A

G

H

/ID

/M A

L

- R

E A

C H

M A

LA

R

IA

R C

E T

E M

P

LA

TE

V

E R

S

IO

N

ANNEX 2. ACTIVITY GREEN MEETING CHECKLIST

Environmentally aware meetings and events are those planned in such a way as to eliminate, reduce, or recycle waste. This Checklist is intended to heighten the environmental consciousness of event planners and demonstrate the advantages of conducting environmentally aware events. This Checklist was adopted from the US Environmental Protection Agency recommendation of the Green Meeting Industrial Council (GMIC), http://www.epa.gov/oppt/greenmeetings/pubs/basic.html.

PREVENTING AND REDUCING WASTE

◻ Focus on reducing waste, given limited in-country recycling facilities.

◻ Use double-sided printing, recycled content -where available- for promotional materials and handouts.

◻ Avoid mass distribution of handouts. Allow attendees to request copies or provide digital copies via CD, thumb drive, or website.

◻ Provide reusable name badges.

◻ Purchase large volume plastic bottles of water to dispense into glasses at each table, instead of individual sized plastic bottles

◻ Other actions:

RECYCLING AND MANAGING WASTE

◻ Where facilities exist, collect paper and recyclable beverage containers in meeting areas.

◻ Collect cardboard and paper in exhibit areas.

◻ Collect cardboard, beverage containers, steel cans, and plastics in food vending areas.

◻ Separate out organic waste for composting, Provide composting guidelines for conference venues.

◻ If reusable containers are not used, encourage use of recyclable beverage containers.

◻ Other actions:

CONSERVING ENERGY AND REDUCING TRAFFIC

◻ Seek naturally lighted meeting and exhibit spaces.

◻ Provide shuttle service from hotels to the event site.

◻ Choose meeting sites that have on-site housing.

◻ Other actions:

CONTRACTING FOOD SERVICE AND LODGING

◻ Plan food service needs carefully to avoid unnecessary waste.

◻ Consider use of durable food service items instead of disposables.

◻ Donate excess food to charitable organizations, including planning ahead via SOW/contract with the conference venue to ensure this happens.

◻ Work with non-replacement of linens, soaps, etc.

◻ Other actions:

BUYING ENVIRONMENTALLY AWARE PRODUCTS

◻ Use recycled paper for promotional materials and handouts, where available.

◻ Consider selling or providing refillable containers for beverages.

◻ Provide reusable containers for handouts or samples (pocket or file folders, cloth bags).

◻ Where reusable items are not feasible, select products that are made from recovered materials and that also can be recycled.

◻ Other actions:

EDUCATING PARTICIPANTS AND EXHIBITORS

◻ Request the use of recycled and recyclable handouts or giveaways.

◻ Request that unused items be collected for use at another event.

◻ Encourage participants to recycle materials at the event.

◻ Reward participation by communicating environmental savings achieved.

OTHER ACTIONS: