RSAB Harapan Kita Construction and Integration of Three Diamond Hospitals Project

OBJECTIVE

To enhance the availability, accessibility and quality of healthcare services at three national referral hospitals specializing in maternal and child health, cardiovascular diseases, and cancer care.

DESCRIPTION

�The Project encompasses the reconstruction of the Rumah Sakit Anak Bunda Harapan Kita (Mother and Child Hospital) (RSAB Harapan Kita), upgrade of medical equipment at Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita (Cardiovascular Hospital) (RSJPD Harapan Kita) and improvements to the connectivity and integration among RSAB Harapan Kita, RSJPD Harapan Kita, and Rumah Sakit Kanker Dharmais (Cancer Hospital) (RSKD).The Project will increase the total bed capacity of RSAB Harapan Kita from 271 to 550 beds, provide specialized medical equipment and integrate (physically, digitally and operationally) the three hospitals into an integrated healthcare complex to enhance service coordination and overall patient care. A central feature of the Project is the introduction of digital infrastructure, which will support digitalization of hospital operations and enable the adoption of cutting-edge medical technologies, such as telemedicine. The upgraded medical equipment and service integration will allow the hospitals to adapt to shifting demographics and emerging disease patterns, including aging populations, non-communicable diseases (NCDs), and climate-sensitive health conditions as tertiary care and national level referral hospitals. The construction and infrastructure upgrades will follow a green healthcare model incorporating climate mitigation and adaptation measures while prioritizing energy efficiency. Further, the structural design will incorporate measures reducing the risk of future earthquake damages to save lives and ensure their continued operation.

ENVIRONMENTAL AND SOCIAL INFORMATION

Applicable Policy and Categorization. The Project is governed by the AIIB Environmental and Social Framework which, amongst others, is also comprised of the Environmental and Social Policy (ESP). The ESP includes certain specified environmental and social requirements and standards namely: the Environmental and Social Exclusion List (ESEL), Environmental and Social Standard (ESS) 1: Environmental and Social Assessment and Management, and ESS 2: Land Acquisition and Involuntary Resettlement and ESS 3: Indigenous Peoples. However, the Project does not trigger ESS 3: Indigenous Peoples, as there are no Indigenous Peoples within the Project area. The Project has been assigned a Category B classification due to its environmental and social (ES) risks and impacts, which are site-specific, temporary, reversible, and not unprecedented.

Environmental and Social Instruments. In line with the requirement of Bank’s ESP, an Environmental and Social Impact Assessment (ESIA) will be prepared, incorporating a social and gender assessment, a Stakeholder Engagement Plan (SEP), and an Environmental and Social Management Plan (ESMP). Abbreviated Resettlement Action Plan (ARAP), addressing land acquisition and resettlement impacts.

Environment Aspects: The key environmental risks and impacts identified include dust and fugitive emissions, noise and vibration from construction works and waste management challenges from hospital operation. This includes risks to public health and safety while hospital services remain operational during construction and demolition works, and management of hazardous waste during the operation. Mitigation measures will be detailed in the ESMP, ensuring that the construction and operation activities are managed responsibly to minimize their impact on the environment and surrounding communities.

Social Aspects: The Project is expected to provide significant social benefits, including enhanced hospital infrastructure and equipment, improved healthcare services, and job creation for local communities during the construction and operational phases. However, the Project may also generate certain social risks and impacts including economic displacement, which will be addressed through specific mitigation measures proposed by the ESMP/ARAP.

Gender Aspects. A gender assessment will be conducted, as part of the ESIA, to better understand the specific needs, priorities, and challenges faced by women, including vulnerable groups, in accessing hospital services. This assessment will identify their barriers and bottlenecks that limit equitable access and participation. The findings will inform the development of a Gender Action Plan (GAP), ensuring that the Project design, including capacity-building activities, addresses gender disparities and supports inclusive outcomes.

Occupational Health and Safety and Community Health and Safety: Risks include noise, dust, and pollution from demolition and construction activities, which could affect hospital staff, patients, and nearby communities. The ESMP will outline measures to mitigate these risks. Additional attention will be given to the working conditions of health professionals and construction workers, ensuring compliance with occupational health and safety standards.

Labor Influx and Gender-Based Violence: The presence of construction workers in the Project area may lead to risks such as gender-based violence (GBV) or social tensions. Mitigation measures, including a Code of Conduct for workers and community awareness programs, will be implemented to address these risks.

Stakeholder Engagement, Consultation, and Information Disclosure: A SEP, included within the ESIA, will assess stakeholder interests and concerns and outline a strategy for engaging and consulting with them inclusively and effectively. The ESIA and the ARAP will be disclosed timely in English, with an executive summary provided in Bahasa Indonesia, ensuring accessibility for local stakeholders. These documents will be published on both the Borrower’s and AIIB’s websites.

Project Grievance Redress Mechanism (GRM): As part of the Project's ESIA and ARAP, a GRM will be developed at the Project level. In addition, a separate worker-specific GRM will be established to address concerns and complaints from construction and hospital workers. The information of established GRMs and AIIB’s Project-affected People’s Mechanism (PPM) will be timely disclosed in an appropriate manner.

Monitoring and Reporting Arrangement. The PMU will oversee the management of ES risks and impacts associated with the Project. A dedicated Project Director will support the PMU Head, ensuring comprehensive and timely supervision. AIIB will conduct periodic monitoring and evaluation aligned with prepared ESMP/ARAP, ensuring compliance with ESP and international good practices. Detailed monitoring and reporting arrangement will be discussed and determined with the borrower during appraisal.