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DO

The DO stage concerns updating SHIRA and developing/updating and implementing the CHS management plan. These tasks require internal and external stakeholder engagement. The DO stage also covers CHS-related training and education for site staff.

Task 4 – Update SHIRA

Impacts and risks and the related controls identified in the impact/risk assessment task (see 4C.2 Task 3) should be included in the site SHIRA (see Section 3C).

For each health issue identified during the impact assessment, projects/sites should determine the level of impact and risk based on the consequence (scale, scope, remediability) and likelihood model. Impacts and risks with a higher consequence rating will require increased review, attention, management, and surveillance.

Where relevant for controls in the community (outside the fence) the proposed interventions should be presented to partner health authorities to involve and inform them of the potential impact, proposed intervention and to collaboratively identify and implement effective management measures.

Management actions are best developed based on engagements with local CHS experts, health authorities and affected communities, as these stakeholders may identify special community concerns or additional management measures that can be considered based on the local context or culture. In addition, local stakeholders may be able to assist in developing additional or specific measures that may be required to reach vulnerable groups. However, while input from affected and other key stakeholders is critical to developing practical measures that are locally implementable, it is essential to manage expectations at an early stage, including pointing out that not all suggested measures may be adopted for implementation by the site, or that some activities may be phased.

Some CHS impacts, risks and opportunities may be linked/related to other areas of social performance and/or environmental impacts; e.g. emissions, population influx, land access, displacement and resettlement, SED and contractor management, etc. Projects/sites should ensure that there is good understanding of the linkages and that the potential CHS impacts and risks captured in SHIRA are consolidated to avoid duplication, or having different ratings or controls for the same impacts or risks.  

Controls for CHS risks and impacts may include disease prevention; e.g. interventions that seek to reduce or eliminate the potential impacts, such as immunisation and use of treated bed nets to reduce risks from malaria; health promotion, such as hand-washing programmes and safe-sex awareness campaigns; and remedy, e.g. treatment intervention for road traffic accidents involving members of the community. Controls should be commensurate with impacts and risks, implementable, proven to work based on evidence, socially and culturally acceptable to the affected community, and cost-effective.

Recommendations for mitigation/management will focus on identification of measures that can be taken to reduce potential impacts to as low as reasonably practicable, both from a technical and financial perspective, ideally following the mitigation hierarchy of controls: avoid, minimise, mitigate, remediate and offset/compensate.

4C.2 Guidance | Do
4.Impact and risk prevention and management  |  4C Community health and safety management  |  4C.2 Guidance  |  Do