TURKEY EMERGENCY COVID-19 HEALTH PROJECT
Stakeholder Engagement Plan
DRAFT v1
April 8, 2020
1. Introduction/Project
Description
An outbreak of the coronavirus disease (COVID-19) caused by
the 2019 novel coronavirus (SARS-CoV-2) has been spreading rapidly across the
world since December 2019, following the diagnosis of the initial cases in
Wuhan, Hubei Province, China. Since the beginning of March 2020, the number of
cases outside China has increased thirteenfold and the number of affected
countries has tripled. On March 11, 2020, the World Health Organization (WHO)
declared a global pandemic as the coronavirus rapidly spreads across the
world. As of March 22, 2020, the
outbreak has resulted in an estimated 319,067 cases and 13,689 deaths in 188
countries.
Since its first COVID-19 case was detected on March 11, the
Government of Turkey has gradually introduced a range of public health measures
in line with WHO guidance. Measures have included moving from
hygiene guidance to the closure of major events, social venues, schools and all
major commercial outlets, and recommending physical distancing to curb
transmission. Most residents appear to
have followed Government guidance, with major metropolitan areas shut
down. The Government has also announced
an economic package totaling approximately TL 100 billion (US$15 billion) to
stem the impact on firms and targeted households, including deferral of social
security and payroll tax on the part of firms, increasing the minimum pension,
increased allocation for social assistance beneficiaries, and unspecified
provisions for strengthening social services for older persons.
The Ministry of Health (MoH) has been leading the Turkish
Government’s COVID-19 pandemic response.As part of detection and response capabilities, on March 18, the
MoH Emergency Health Services General Directorate (GD) put into practice the
Hospital Calamity and Emergency Action Plan (HAP). This plan grants Emergency
Health Services GD the responsibility of conducting any type of emergency plan
on behalf of the MoH. While Turkey has
adequate intensive care bed capacity for COVID-19 but lacks access to
protective equipment and ventilators. As per the recent MoH
Coronavirus Circular, all state and private health institutions meeting
criteria set by the Health Ministry were declared pandemic hospitals.
Therefore, MoH believes that all ICU bed capacity can be used to respond to COVID-19
outbreak; and that needs are concentrated in equipment and supplies for health
workers in the form of personal protective equipment, ventilators, and
medicines.
Turkey also hosts nearly four
million refugees and asylum-seekers who have been receiving health services
largely through donor-financed health facilities prior to the COVID-19 outbreak
and will likely require additional support during the pandemic. This
population includes 3.6 million Syrian nationals and close to 330,000
registered refugees and asylum-seekers of other nationalities, where Afghans
and Iranians are major groups. Over 98% of refugees live across Turkey’s 81
provinces. Syrians have access to health care through public hospitals, Migrant
Health Centers (providing primary health services) and units operating under
community health centers. Syrians who are not registered with the Government of
Turkey have limited access to primary or referral health care but are provided
with emergency care and essential public health services free-of charge, and
then referred for registration.
This
proposed Turkey Emergency COVID-19
Health Project responds to the Government of Turkey’s request to strengthen
its capacity to respond to urgent health complications associated with
COVID-19. The Turkish
health system is not sufficiently equipped to contain the spread of disease and
provide the necessary treatment without additional support. This project will
provide support to the resilience and capacity of the health sector. Follow on
operations to support economic recovery are also under preparation and will be
processed in parallel to this Project. The Project objectives are to prevent, detect
and respond to the threat posed by COVID-19 in Turkey. This objective is aligned to the results chain of the global COVID-19 Strategic Preparedness and Response Program (SPRP).
The project comprises the two components:
Component
1 Emergency COVID-19 Response comprises:
Sub-component
1.1. Strengthening testing and surveillance systems and procurement of
front-line equipment addressing the immediate health
system needs for medical equipment, supplies and training to diagnose and
triage cases affected by the COVID-19 emergency.
Sub-component 1.2. Supporting disease management and treatment will finance medical equipment and supplies required for diagnosis
and treatment of COVID-19 patients in intensive care, as well as limited
operating expenses. The hospitals in which ICUs to treat COVID-19 patients will
be established have been identified based on an assessment of existing service
availability and the need to expand the availability of relevant specialist
care in order to ensure equitable access.
Sub-Component 1.3. Enhancing Public Health Awareness and
Behavioral Change will expand and enhance
information and communication activities to increase the commitment of
government, private sector, and civil society to curbing the COVID-19 pandemic,
raise awareness and knowledge among the general population about the risk and
potential impact of the pandemic, and to develop multi-sectoral strategies to
address the pandemic.
Sub-Component 1.4. Upgrading
pandemic surveillance and response plans will finance an assessment, knowledge-exchange and capacity-building for enhancing the
national pandemic preparedness and response plan to address potential cyclical
future phases associated with COVID-19 or other pandemics, including the
capacity for immediate testing, screening, surveillance and monitoring and
information technology equipment and training to enhance the surveillance
system for outbreak detection,
rapid data collection, analysis, assessment and timely reporting. This
subcomponent will finance the updating of disaster emergency plans to incorporate
challenges associated with reducing the spread and management of the COVID-19
virus.
Component 2. Project Management, Monitoring and Evaluation
[US$2 million]
This component will support the administrative
and human resources needed to implement
the Project and monitor and evaluate progress.It will finance staff and consultant costs associated with project
management, procurement, financial management, environmental and social
safeguards, monitoring and evaluation, reporting and stakeholder engagment;
operating and administrative costs;
technical assistance to strengthen the Project’s emergency response
(e.g. development of testing, treatment, referral and discharge protocols); and
longer-term capacity-building for pandemic preparedness.
The MPA will include a monitoring and prospective evaluation
framework for the overall facility and for operations at the country and
sub-regional or regional levels. The
approach will include baseline assessments, benchmarking, rapid learning, and
multi-country analysis to inform tactical adaptations within and across
countries.
As per the World Bank Environmental and Social Standard (ESS) 10 --Stakeholders Engagement and Information
Disclosure-- the implementing agencies should provide stakeholders with timely,
relevant, understandable and accessible information, and consult with them in a
culturally appropriate manner, which is free of manipulation, interference,
coercion, discrimination and intimidation.
The overall objective of this Stakeholder
Engagement Plan (SEP) is to define a program for stakeholder engagement about
the Project, including public information disclosure and consultation,
throughout the entire project cycle. The SEP outlines the ways in which the project
team will communicate with stakeholders and
includes a mechanism by which people can raise concerns, provide feedback, or
make complaints about project and any activities related to the project. The
involvement of the local population is essential to the success of the project
in order to ensure smooth collaboration between project staff and local
communities and to minimize and mitigate environmental and social risks related
to the proposed project activities. In the
context of infectious diseases, broad, culturally appropriate, and adapted
awareness raising activities are particularly important to properly sensitize
the communities to the risks related to infectious diseases.
2. Stakeholder identification and analysis
Project stakeholders are defined as
individuals, groups or other entities who:
(i)
are impacted or likely to
be impacted directly or indirectly, positively or adversely, by the Project
(also known as ‘affected parties’); and
(ii)
may have an interest in the
Project (‘interested parties’). They include individuals or groups whose
interests may be affected by the Project and who have the potential to
influence the Project outcomes in any way.
Cooperation and negotiation with the stakeholders throughout the Project
development often also require the identification of persons within the groups
who act as legitimate representatives of their respective stakeholder group,
i.e. the individuals who have been entrusted by their fellow group members with
advocating the groups’ interests in the process of engagement with the Project.
Community representatives may provide helpful insight into the local settings
and act as main conduits for dissemination of the Project-related information
and as a primary communication/liaison link between the Project and targeted
communities and their established networks. Verification of stakeholder
representatives (i.e. the process of confirming that they are legitimate and
genuine advocates of the community they represent) remains an important task in
establishing contact with the community stakeholders. Depending on the
different needs of the identified stakeholders, the legitimacy of the community
representatives can be verified by checking with a random sample of community
members using techniques that would be appropriate and effective considering
the need to also prevent coronavirus (COVID19) transmission.
2.1 Methodology
In order to meet best practice
approaches, the project will apply the following principles for stakeholder
engagement:
· Openness and life-cycle
approach: public consultations for the project(s) will be arranged
during the whole life-cycle, carried out in an open manner, free of external
manipulation, interference, coercion or intimidation;
· Informed participation and
feedback: information will be provided to and widely distributed
among all stakeholders in an appropriate format; opportunities are provided for
communicating stakeholders’ feedback, for analyzing and addressing comments and
concerns;
· Inclusiveness and
sensitivity: stakeholder
identification is undertaken to support better communications and build
effective relationships. The participation process for the projects is
inclusive. All stakeholders are encouraged to be involved in the consultation
process, to the extent the current circumstances permit. Equal access to
information is provided to all stakeholders. Sensitivity to stakeholders’ needs
is the key principle underlying the selection of engagement methods. Special
attention is given to vulnerable groups, in particular women, youth, elderly
and the cultural sensitivities of diverse ethnic groups.
For the purposes of effective and
tailored engagement, stakeholders of the proposed project can be divided into
the following core categories:
· Affected Parties – persons, groups and other entities within the Project
Area of Influence (PAI) that are directly influenced (actually or potentially)
by the project and/or have been identified as most susceptible to change
associated with the project, and who need to be closely engaged in identifying
impacts and their significance, as well as in decision-making on mitigation and
management measures;
· Other Interested Parties – individuals/groups/entities that may not experience
direct impacts from the Project but who consider or perceive their interests as
being affected by the project and/or who could affect the project and the
process of its implementation in some way; and
· Vulnerable Groups – persons who may be
disproportionately impacted or further disadvantaged by the project(s) as
compared with any other groups due to their vulnerable
status[1],
and that may require special engagement efforts to ensure their equal
representation in the consultation and decision-making process associated with
the project.
2.2.Affected
parties
Affected Parties include local communities, community
members and other parties that may be subject to direct impacts from the
Project. Specifically, the following individuals and groups fall within this
category:
-
COVID-19
infected people in hospitals and their families & relatives
-
People
in quarantine/isolation centers and their families & relatives
-
Workers
in quarantine/isolation facilities, hospitals, diagnostic laboratories
-
Communities
in the vicinity of the project’s planned quarantine/isolation facilities,
hospitals, laboratories
-
Public/private
health care workers (Doctors, Nurses, Public Health Inspectors, Midwives, laboratory technicians/staff) and emergency personnel
-
Staff at medical and testing facilities, and public health
agencies engaged in the response
-
Staff of prisons/detention
facilities & security services
-
People at risk of contracting COVID-19 (e.g. returning
pilgrims, refugees and migrants, staff at temporary accommodation centers
(refugee camps), medical and other tourists, tour guides, hotels and &
their staff, associates of those infected, inhabitants of areas where cases
have been identified)
-
Ministry of Health; Turkey
Institutes of Health Administration (TÜSEB); Turkey Pharmaceuticals and Medical
Devices Agency (TİTCK);
-
Provincial, District, and Municipal government
administrations
-
Municipal Councils, Municipal waste collection and
disposal workers
-
Ministry of Health, Ministry of Health/Emergency Health
Services General Directorate (GD), Health Calamity Coordination Center (SAKOM) officials,
-
Staff and students of educational institutions (from
pre-school to higher education)
-
Staff and inhabitants at orphanages, elderly, children and
other care institutions and private service providers;
-
Airline and border control staff, law enforcement
authorities and their staff (e.g. Police, Army, Navy, Air Force etc.)
especially those deployed to search suspected cases and quarantine them.
-
Other public authorities (e.g. Turkey’s Civil Aviation
Authority, Department of Immigration and Emigration, Ministry of Defense etc.)
2.3. Other interested parties
The project stakeholders also include
parties other than the directly affected communities, including:
-
The public at large
-
Community based organizations, national civil society
groups and NGOs, etc.
-
Goods and service providers involved in the project’s wider
supply chain
-
Regulatory agencies (e.g. President’s Office, Ministry of
Interior, Directorate of
Religious Affairs, Ministry of Agriculture and Forestry, Ministry of Transport
and Infrastructure, Ministry of Youth and Sports, Ministry of Environment and Urban Planning, Ministry
of Family, Labor and Social Services, Social Services Directorates, Provincial
Councils, District and Municipal Councils etc.
-
Media
and other interest groups, including social media & the Government
Information Department
-
National
and international health organizations/associations (e.g. theTurkish Medical Association, TTB Specialist Associations, Public
Health Experts Association, Turkish Clinical Microbiology and Infectious Diseases Association,
Turkish Thoracic Society, and Turkish Intensive Care Association, Red Crescent Society,
WHO, Global Fund
-
Other donor organizations (ADB, EBRD,
IsDB, KfW, USAID, and GIZ);
-
Interested
international NGOs, Diplomatic mission and UN agencies (especially UNICEF, WHO), EU,
bilateral agencies and others
-
Academics
-
Private Sector
-
Schools, universities and other education institutions
closed down due to the virus
-
Mosques,
churches and other religious institutions
-
Transport
workers (e.g. cab/taxi drivers)
-
Businesses with international links; and
-
Public at large.
2.4.
Disadvantaged / vulnerable individuals or groups
It is
particularly important to understand whether project impacts may
disproportionately fall on disadvantaged or vulnerable individuals or groups,
who often do not have a voice to express their concerns or understand the
impacts of a project. It is similarly important to ensure that project-related awareness
raising and stakeholder engagement be adapted to take into account particular
constraints, concerns and cultural sensitivities of such groups and individuals
and to ensure their full understanding of project activities and benefits.The vulnerability may stem from person’s origin, gender,
age, health condition, current economic constraints and financial insecurity,
disadvantaged status in the community (e.g. refugees, minorities or marginal groups),
dependence on other individuals or natural resources, etc. Engagement with the
vulnerable groups and individuals often requires the application of specific
measures and assistance aimed at the facilitation of their participation in the
project so that their awareness of and input to the overall process are
commensurate to those of the other stakeholders.
Within the Project, the vulnerable or
disadvantaged groups include but are not limited to the following:
-
the elderly and people with chronic diseases and pre-existing
conditions
- People
with disabilities
-
Pregnant
women, infants and children
-
Refugees,
migrants, citizens with limited Turkish language abilities
-
People
living below poverty line
-
The unemployed
and homeless
-
Women-headed households and/or single mothers with underage children;
-
Extended low-income families;
-
Staff and residents of orphanages, elderly, children and
other care institutions and private service providers;
-
People under domestic violence risk;
Vulnerable groups in the population will
be further confirmed and consulted through dedicated means, as appropriate.
Description of the methods of engagement to be undertaken by the project is
provided in the following sections.
3. Stakeholder Engagement Program
3.1. Summary of stakeholder engagement done during project
preparation
Given the emergency nature of this operation and the
transmission dynamics of COVID-19, consultations during the project preparation
phase were limited to relevant government officials, health experts, hospital
administrators and others from institutions working in health sector. This
Stakeholder Engagement Plan as well as the Labor Management Procedures that
will be prepared under the project will be subject to disclosure and
consultation before their finalization. The Project includes considerable
resources to implement the actions included in the SEP. A more detailed account of these actions will be prepared as
part of the update of this SEP, which is expected to take place within 30
days after the project effectiveness date. The SEP will be continuously updated
throughout the project implementation period, as required.
3.2. Summary
of project stakeholder needs and methods, tools and techniques for stakeholder
engagement
Strong citizen and community engagement is a precondition
for the effectiveness of the Project.Stakeholder engagement under the project will be
carried out on two fronts: (i) consultations with stakeholders throughout the
entire project cycle to inform them about the project, including their
concerns, feedback and complaints about the project and any activities related
to the project; and to improve the design and
implementation of the project, which will happen through the SEP, and (ii) awareness-raising activities to sensitize
communities on risks of COVID-19 which is happening as part of project design.
In terms of consultations with stakeholders on
the project design, activities and implementation arrangements, etc., the
revised SEP, expected to be updated within 30 days after the project
effectiveness date as mentioned above, and continuously updated throughout the
project implementation period when required, will clearly lay out:
-
Type of Stakeholder to be consulted
-
Anticipated Issues and Interests
-
Stages of Involvement
-
Methods of Involvement
-
Proposed Communications Methods
-
Information Disclosure
-
Responsible authority/institution
With the evolving situation, as the Turkish Government
has taken measures to impose strict restrictions on public gatherings, meetings
and people’s movement, the general public has also become increasingly
concerned about the risks of transmission, particularly through social
interactions. Hence alternative ways will be adopted to manage consultations
and stakeholder engagement in accordance with the local laws, policies and new social norms in effect to mitigate prevention of the
virus transmission.
These
alternate approaches that will be practiced for stakeholder engagement will
include: having consultations in small groups if smaller meetings are
permitted, else making reasonable efforts to conduct meetings through online
channels (e.g. webex, skype etc.); diversifying
means of communication and relying more on social media, chat groups, dedicated
online platforms & mobile Apps (e.g. Facebook, Twitter, WhatsApp groups,
project weblinks/websites etc.); and employing traditional channels of
communications such TV, radio, dedicated phone-lines, sms broadcasting, public
announcements when stakeholders do not have access to online channels or do not
use them frequently.
For
the awareness-raising activities under Component
1.3. Enhancing
Public Health Awareness and Behavioral Change, will expand and enhance information
and communication activities to increase the commitment of government, private
sector, and civil society to curbing the COVID-19 pandemic, raise awareness and
knowledge among the general population about the risk and potential impact of
the pandemic, and to develop multi-sectoral strategies to address the
pandemic. Key activities to be financed
include: (a) training of additional health care personnel throughout health and
non-health care institutions (e.g. through schools, municipal facilities); (b)
information and communication activities to increase the attention and
commitment of above stakeholders to raise awareness, knowledge and understanding
of key public health and behavioral interventions specifically among the
at-risk population and among the general public.
WB’s ESS10 and the relevant national policy or strategy for
health communication & WHO’s “COVID-19 Strategic Preparedness and Response Plan --
Operational Planning Guidelines to Support Country Preparedness and Response”
(2020) will be the basis for the project’s stakeholder engagement. In
particular, Pillar 2 on Risk Communication and Community Engagement outlines
the following approach:
“It is critical to communicate to the public what is
known about COVID‑19, what is unknown, what is being done, and actions
to be taken on a regular basis. Preparedness and response activities should be
conducted in a participatory, community-based way that are informed and
continually optimized according to community feedback to detect and respond to
concerns, rumours and misinformation. Changes in preparedness and response
interventions should be announced and explained ahead of time and be developed
based on community perspectives. Responsive, empathic, transparent and
consistent messaging in local languages through trusted channels of
communication, using community-based networks and key influencers and building
capacity of local entities, is essential to establish authority and trust.”
Stakeholder engagement will be held during the entire
project period and special attention accorded to poor and vulnerable groups
such as women, refugees, youth, elderly, female headed households etc. Given
the linguistic diversity, language preferences have also been considered. All
efforts will be made to evince a feedback, record the same, and address as
appropriate.
Table
1: Stakeholder consultation plan related to COVID-19
Project
stage | Topic of
consultation / message | Method used
| Target
stakeholders | Responsibilities |
Preparation | ·
Need of the project? What does this mean? ·
planned activities ·
E&S principles, Environment and social risk and impact
management, ·
E&S plans prepared for this project: InInfection
Control and Medical Waste Management Plan (ICWMP), Stakeholder Engagement
Plan (SEP) and Labor Management Procedures (LMP) to address working
conditions, health and safety of workers in health sector as well as their
grievance arrangements ·
Grievance Redress mechanisms (GRM) ·
Health and safety impacts | ·
Phone, email, letters ·
One-on-one meetings ·
FGDs spell out ·
Outreach activities ·
Appropriate adjustments to be made to take into account the need for
social distancing (use of audio-visual materials, technologies such as
telephone calls, SMS, emails, etc.) | ·
Government officials from relevant line agencies at local level ·
Health institutions ·
Health workers and experts | Environment and Social Specialist PIU/or PMU or PMSU – please
update and make consistent throughout the SEP |
·
Need of the project ·
planned activities ·
Environment and social risk and impact management ·
Grievance Redress mechanisms (GRM) | ·
Outreach activities that are culturally appropriate and accessible in
languages of refugees/migrants and citizens with limited Turkish language (e.g.
Arabic, Persian) ·
Appropriate adjustments to be made to take into account the need for
social distancing (use of audio-visual materials, technologies such as
telephone calls, SMS, emails, etc.) | ·
Affected individuals and their families ·
Vulnerable groups ·
Refugees/immigrants | Environment and Social Specialist PIU |
Implementation | ·
Project scope and ongoing activities ·
SEP and project related grievance arrangements ·
Health and safety of public and health workers addressed in LMP and in
worker’s grievance arrangements ·
Environmental concerns under ICWMP | ·
Training and workshops ·
Disclosure of information through Brochures, flyers, website, etc. in
Turkish and other languages (Arabic, Persian) ·
Information desks at municipalities offices and health facilities ·
Appropriate adjustments to be made to take into account the need for
social distancing (use of audio-visual materials, technologies such as telephone
calls, SMS, emails, etc.) | ·
Government officials from relevant line agencies at local level ·
Health institutions ·
Health workers and experts | Environment and Social Specialist PIU |
·
Project scope and ongoing activities ·
SEP and project related grievance arrangements ·
Health and safety of public and health workers addressed in LMP and in
worker’s grievance arrangements ·
Environmental concerns under ICWMP | ·
Public meetings in affected municipalities/localities ·
Brochures, posters in Turkish and other relevant languages ·
Information desks in local government offices and health facilities
with translation facilities available for refugees/migrants as needed ·
Appropriate adjustments to be made to take into account the need for
social distancing (use of audio-visual materials, technologies such as
telephone calls, SMS, emails, radio, tv etc.) | ·
Affected individuals and their families ·
Local communities ·
Vulnerable groups | Environment and Social Specialist PIU |
3.3. Stakeholder Engagement Plan
As mentioned above, stakeholder engagement will be carried
out for (i) consultations with stakeholders throughout the entire project cycle
to inform them about the project, including their concerns, feedback and
complaints, (ii) information and communication activities to increase the
attention and commitment of above stakeholders to undertake awareness raising
activities to sensitize the at-risk population and the general public on risks
of COVID-19.
Table
2. Summary of stakeholder needs, and suggested notification means
Stakeholder
group | Key
characteristics | Expectations | Specific
communication needs (accessibility, large print, child care, daytime
meetings) | Language
needs | Engagement
method (email, phone, radio, letter) | |
Affected
Parties |
COVID-19
infected people; | Wide
range of people affected by COVID-19. High Risk as they can spread infections | Medical
examination and treatment in hospitals, ad-hoc financial support to
low-income households with infected family member(s) | Daytime
phone calls, text messages and emails | Turkish,
and also other languages as relevant ie Arabic, Persian,
English | SMS
and messaging, TV, radio, phone | |
People
under COVID-19 quarantine; | Diverse
range of people isolated from the community, different nationalities. High
Risk requiring psycho-social support | Favorable
conditions to stay in quarantine facilities | Daytime
consultations on transmission, self-care, risks/ complications | Turkish,
and also other languages as relevant ie Arabic, Persian,
English | SMS
and messaging, phone | |
Relatives
of COVID-19 infected people; | Frustrated
family members and unaware care-givers. Moderate
Risk requiring full information. | Large
print outs and disseminations, special instructions from health workers, hand
hygiene and PPEs | Special
instructions from health workers to prevent transmission | Turkish,
and also other languages as relevant ie Arabic, Persian,
English | Leaflets,
phone, | |
Relatives
of people under COVID-19 quarantine | Frightened
family members and concerned surrounding people. Low Risk.
Anxious and plan next steps | Reliable
information and educational materials regarding self-care and social
distancing | Information
and educational materials | Turkish,
and also other languages as relevant ie Arabic, Persian,
English | Print-outs,
social media group postings, phone calls, e-mails | |
Neighboring
communities to laboratories, quarantine centers, and screening posts | Concerned
residents of local communities and employees of local enterprises/ line
organizations. Moderate
Risk. Requiring full information. | Awareness
raising, waste management precautions, hand hygiene and PPEs; Special
sessions for parents with young children to avoid outbreaks | Daytime
phone calls to local community leaderships, distribution of leaflets | Turkish,
and also other languages as relevant ie Arabic, Persian,
English | Print
outs, information boards; Info
sessions by community leaders and local health worker | |
People
at COVID-19 risks | Discouraged
elderly 65+; suspecting people leaving with AIDS/HIV; people with chronic
medical conditions, such as diabetes and heart disease; travelers,
inhabitants of border communities. Low
Risk. Full awareness. | Behavior
instructions for people with chronic diseases, ad-hoc supportive treatment
for HIV/AIDS positive people, instructions on extra personal health safety,
awareness raising campaigns, hand hygiene and PPEs | Daytime
phone calls to their relatives, text messaging of the emergency hotline
contact numbers, accessibility problems | Turkish,
and also other languages as relevant ie Arabic, Persian,
English | Health
worker consultations and emergency contacts available, phones, print outs,
ads, radio | |
Public
health workers | Unprepared
managers, doctors, nurses, lab assistants, cleaners High
Risks. | Occupational
health and biosafety measures, PPEs, hands-on training programs, infection
control and risk management planning | Daytime
hands-on simulations, burn-out syndromes | Turkish,
and also other languages as relevant ie Arabic, | Trainings,
print outs, | |
Medical
waste collection and disposal workers; | Medical
nurses, cleaners, hospital incinerators’ workers, waste removal &
transfer workers in community or rural health houses High
Risk. | Occupational
health and safety (OHS) measures,
training, PPEs, waste management plans, safe waste transfer vehicles for
rural health facilities | Daytime
trainings and guidance | Turkish,
and also other languages as relevant ie Arabic, | Written
instructions, trainings | |
Employees
of large public places, like public markets, supermarkets | Managers,
salesmen, marketing specialists, workers, cashiers, security officers | OHS
measures, hand hygiene and PPEs, extra safety measures, like social
distancing | Distribution
of leaflets on extra safety measures in their workplaces | Turkish,
and also other languages as relevant ie Arabic, | Written
instructions from SSES, OHS trainings, social media platforms | |
Returning
pilgrims, refugees, labor migrants and laborers working on remote
construction sites | Frustrated
and forced to travel laborers with relatively mid income. Moderate
Risk. | Initial
epidemiological screening at aircrafts and airports, trains, busses and
train/bus stations, medical check-ups, placement in quarantine facilities and
continuous monitoring. | Internet
access, mobile telecommuting through their relatives and employers | Turkish,
and also other languages as relevant ie Arabic, Persian,
English | Social
media platforms, e-mails, letters to foreign contractors working in the
country | |
Point
of entry staff at airports and border control staff | At
risk employees working at the front lines with large amount of people High
Risk. | Emergency
risk management skills, improved working conditions, hand hygiene and PPEs | Emergency
risk management skills, information on referral mechanisms and algorithm of
their actions | Turkish,
and also other languages as relevant ie Arabic, English | Extra
OHS trainings, letters | |
Airlines
and other international transport businesses | Large
and diverse staff High
Risk. | Timely
notices on travel bans and relevant timely safety actions to be taken from
their side; increased safety measures, extra OHS and first medical aid
trainings for their staff | Timely
notices on travel bans and relevant timely safety actions to be taken from
their side; increased safety measures, extra OHS and first medical aid
trainings for their staff | Turkish,
English | Letters,
e-mails, alert notices at the MoTI, airline, train and bus company websites | |
Other
interested parties (Risks are Low to Moderate) | |
MoH
and its provincial & local branches | Implementing
agency and coordinating unit for COVID-19 emergency rapid response | Requires
financing for immediate emergency response needs (medical supplies,
equipment, staff preparedness capacity building, quality laboratories,
improved quarantine centers and screening posts, enough PPEs; effective
community engagement and outreach) | Risk
Communication Strategy and Action Plan to be developed/updated and
implemented in line with national pandemic plan, effective coordination of
the diverse stakeholder engagement activities | Turkish,
and also other languages as relevant ie Arabic, Persian,
English | Letters,
meetings, e-mails, VCs | |
MoH,
schools and educational facilities | The
policy makers and supervisors of a wide network of educational and social service
providers | Needs
information and educational materials on prevention measures, capacity
building of educators on prevention measures | Interagency
communication lines and guidance on relevant outreach to schools and colleges
| Turkish | Letters,
meetings, e-mails, VCs | |
Mass
media and journalists | National,
regional and local newspapers, online news agencies, local and national TVs
channels | Training
to improve knowledge and techniques to arrange for media coverage of COVID-19
related emergency response procedures | Training
to improve knowledge and techniques to arrange for media coverage of COVID-19
related emergency response procedures | Turkish,
and also other languages as relevant ie Arabic, Persian,
English | e-mails,
social media platforms, websites | |
Civil
society organizations | Non-for-profit
organizations on regional, national and local levels that pursue
environmental and socio-economic interests and may become partners of the
project | Donor
funding to contribute to emergency response procedures | Donor
funding to contribute to community outreach and emergency response procedures
| Turkish | e-mails,
social media platforms, websites | |
Social
media platforms users; | Users
of Facebook, Instagram, Twitter etc., active internet users | Reliable
information sources, timely updates on real current situation with COVID-19
in the country, online information on how to filter false information and
fake news | 24/7
communications, timely and reliable source information | Turkish,
and also other languages as relevant ie Arabic, Persian,
English | social
media platforms and groups, special COVID-19 website to be created and
maintained | |
Implementing
agencies for the WB-funded projects working in health, social protection,
water supply and sanitation sectors | Relevant
PIUs/PCUs, MoH | Timely
awareness and invitation for participation, joint action plan with their
emergency response contributions | Daytime
communications, timely awareness and invitation for participation, joint
action plan with their emergency response contributions | Turkish,
English | Letters,
meetings, e-mails, VCs, participation in multisectoral task force or
coordination meetings | |
Other
national, international health organizations, development
donors & partners | Red
Crescent Society, WHO, GIZ, Global Fund, UNICEF, UNDP, USAID, ADB, EBRD, IsDB
, EU | Frequent
donor coordination meetings to avoid duplication, mapping of donor
activities, synergies between donor-funded investments | Frequent
donor coordination meetings to avoid duplication, mapping of donor
activities, synergies between donor-funded investments | English | Letters,
DCC meetings, e-mails, VCs, list serves | |
Public
at large | Urban,
rural, peri-urban residents, expats and their family members residing in the
country | Updated
and reliable information on the current situation to reduce dissemination of
false rumors and panic | Daytime
communications, diverse communication channels, easy to understand tips,
large print-outs | Turkish,
and also other languages as relevant ie Arabic, Persian,
English | Mass
media, SMS messaging, information boards, social media, MoH website &
hotlines, COVID-19 website | |
Vulnerable
and disadvantage groups (Risks are Substantial) | |
Retired
elderly and people with disabilities | Aged
people of 65+, unable to work, physically and mentally disables people
staying | Economic
and social support from social workers and ad-hoc payments, home-based family
doctor consultations | Daytime
communications, accessibility problems, social worker assistance | Turkish | Frequent
social workers home visits, mahalla committee | |
Pregnant
women, infants and children; | Reproductive
age women, babies of 0-18-month age, children with weak immune system | Frequent
medical check-ups by family doctors, access to free hospital services and
free testing at labs | Daytime
communications, child care support during meetings | Turkish,
and also other languages as relevant ie Arabic, Persian,
English | Community
leaders, mahalla committee, family doctors, women’s associations (?) | |
Women-headed
households and/or single mothers with underage children; | Single
mothers, divorced, widows, abandoned wives | Economic
support to afford the prevention and treatment costs, access to free hospital
services and free testing at labs | Daytime
communications, child care support | Turkish,
and also other languages as relevant ie Arabic, Persian,
English | Community
leaders, mahalla committee, family doctors, women’s
associations (?) | |
Extended low-income families; | The
families have 6 or more members, many of them are underaged to work | Economic
support to afford the prevention and treatment costs, access to free hospital
services and no cost lab testing services | Daytime
communications | Turkish,
and also other languages as relevant ie Arabic, Persian,
English | Community
leaders, mahalla committee, family doctors | |
Unemployed | Laborers
with professional skills or unskilled workers | Economic
support to afford the prevention and treatment costs. Tuition
waivers to obtain vocational skills certificates | Large
print-outs, limited access to online resources | Turkish,
and also other languages as relevant ie Arabic, Persian,
English | Employment
agency leaflets, sms | |
Residents and workers
of public orphanages and elderly houses | Lonely
and abandoned people residing in boarding schools or houses, underpaid
workers | Need
funding to improve living conditions, in-house medical services and nutrition | Accessibility
problems | Turkish,
and also other languages as relevant ie Arabic, Persian,
English | Letters
to the Managers of Houses, site visit to assess their poor situation | |
3.4 Public awareness on COVID
19:
The Ministry of Health has already put in place a national
pandemic plan and has been executing all measures in line with the plan with
constant updates. The MoH has already in place a public health emergency
communication strategy in line with its national pandemic plan and will
strengthen its risk communication strategy under the project taking into
consideration the following steps and guidelines.
Table 3: For stakeholder engagement relating to public
awareness, the following steps will be taken:
Step 1: Design of communication strategy
-
Assess
the level of ICT penetration among key stakeholder groups by using secondary
sources to identify the type of communication channels that can be effectively
used in the project context. Take measures to equip and build capacity of stakeholder
groups to access & utilize ICT – as part of the Project? This seems to go
beyond what is being done in the Project.
-
Conduct
rapid behavior assessment to understand key target audience, perceptions,
concerns, influencers and preferred communication channels.
-
Update
the Risk Communication strategy for COVID-19 prepared
in line with national pandemic plan, including details of anticipated public
health measures.
-
Work with organizations supporting
people with disabilities to develop messaging and communication strategies to
reach them.
-
Prepare local messages and pre-test through
participatory process, especially targeting key stakeholders, vulnerable groups
and at-risk populations
-
Identity & partner with tele/mobile communication
companies, ICT service providers and trusted community groups (e.g., community-based organizations, community leaders,
religious leaders, health workers, community volunteers) and local networks to
support the communication strategy.
Step 2: Implementation of the Communication Strategy
-
Establish and utilize
clearance processes for timely dissemination of messages and materials in Turkish
and also in Arabic, Persian and English, where relevant, for timely
dissemination of messages and materials and adopt relevant communication
channels (including social media/online channels).
-
Project will
take measure to ensure that women and other vulnerable groups
are able to access messaging around social isolation, prevention methods and
government streamlined messaging pathways by radio, short messages to phones.
-
Specific messages/awareness targeting women/girls will
also be disseminated on risks and safeguard measures to prevent GBV/SEA spell
out in quarantine
facilities, managing increased burden of care work and also as female
hospital workers.
-
Engage
with existing health and community-based networks, media, local NGOs, schools,
local governments and other sectors such healthcare service providers,
education sector, defense, business, travel and food/agriculture sectors, ICT
service providers using a consistent mechanism of communication.
-
Utilize
two-way ‘channels’ for community and public information sharing such as
hotlines (text and talk), responsive social media, where available, and TV and
Radio shows, with systems to detect and rapidly respond to and counter
misinformation.
-
Establish
large-scale community engagement strategy for social and behavior change
approaches to ensure preventive community and individual health and hygiene
practices in line with the national public health containment recommendations.
Given the need to also consider social distancing, the strategy would focus on
using IT-based technology, telecommunications, mobile technology, social media
platforms, and broadcast media, etc.
Step 3: Learning and Feedback
-
Systematically
establish community information and feedback mechanisms including through
social media monitoring, community perceptions, knowledge, attitude, and
practice surveys, and direct dialogues and consultations. In the current
context, these will be carried out virtually to prevent COVID 19 transmission.
-
Ensure
changes to community engagement approaches are based on evidence and needs, and
ensure all engagement is culturally appropriate and empathetic.
-
Document
lessons learned to inform future preparedness and response activities.
This Stakeholder Engagement Plan as well as the Labor
Management Procedures and Infection Control and Medical Waste Management Plan
that will be prepared under the Project will also be consulted and disclosed.
The Project includes considerable resources to implement the above-mentioned
activities and actions. The details of this will be prepared during the update
of this SEP, expected to be updated within 30 days after the
project effectiveness date, and continuously updated throughout the project
implementation period when required.
3.4. Proposed strategy for information disclosure
Table 4: Information
Disclosure Proposed Methods during Implementation Stage
Project stage | Information to be
disclosed | Methods proposed | Timelines/ Locations | Target stakeholders | Percentage reached | Responsibilities |
National
level | Prevention
tips | Audio
reels Video
clips | National
radio and TV twice daily | Adults, adolescents, children | 99% of population | PIU
Social
Specialist |
Dos
and Don’ts | Printed
booklets Online
material embedded in distance learning | National
wide | Schools | 99% | MoE
school departments |
Dos
and Don’ts | Information
& educational materials | Social
media platforms | Internet users, youth | 99% of population | PIU
Social
Specialist |
Hotline | Phone
consultations | 24/7
MoH ALO 184 Information Center | Public at large | TBD | Health
professionals |
Quarantine
measures, travel bans | Leaflets,
e-news | List
serves, internet news, website news, info boards | Travelers | N/A | Airport
and border staff |
Regional
level | Prevention
tips | Audio
reels Video
clips | regional
radio and TV twice daily | Adults, adolescents,
children | 95% of each region | PIU
Social specialist Outreach
Officer through regional TV and Radio companies |
Helplines | Phone
consultations | 24/7
regional focal points at health facilities | People
at risk, infected, relatives of infected people | 95
% in each region | Medical
focal points at provincial level |
Quarantine
measures, travel bans | Leaflets | Info
boards | Travelers | N/A | International
and domestic airport and border staff |
WHO
COVID-19 guidance documents and protocols | Print-outs
and e-materials, trainings | Provincial
centers, quarterly | Medical staff | 100% | Provincial
health institutions managers |
District level | Treatment
protocols and practices | Print-outs
and e-materials, trainings | District
centers, quarterly | Medical staff | 100% | District
health institutions managers |
Prevention
tips Emergency
contact numbers | Posters
on info
board at health facilities entrances | District
centers, constantly | District center
population | 100% | District
authorities, hospitals managers, Health Centers |
Community level | Treatment
protocols and practices | Print-outs and e-materials, trainings | District
centers, quarterly | Medical
staff of rural health facilities and
PCH | | District
health institutions managers |
Prevention
tips Emergency
contact numbers | Posters
on info board at mosques and rural health facilities
entrances | Rural
health facilities, mosques, constantly | Local
communities | 100 % | Health
Facility managers, local Imams, |
Prevention
tips Emergency
contact numbers | In-house
outreach | Vulnerable
households | People
at risk | 100
% | Family
doctors, nurses, social workers |
The project will ensure that the different activities for
stakeholder engagement, including information disclosure, are inclusive and
culturally sensitive. Measures will also be taken to ensure that the vulnerable
groups outlined above will have the chance to participate and benefit from project
activities. This will include among others, household-outreach through SMS,
telephone calls, etc., depending on the social distancing requirements, in Turkish
and in other languages such as Arabic and Persian as relevant, the use of
verbal communication, audiovisuals or pictures instead of text, etc. Further,
while country-wide awareness campaigns will be established, specific
communications in at local & international airports, hotels, for schools,
at hospitals, quarantine centers and laboratories will be timed according to
the need, and also adjusted to the specific local circumstances.
Table
5: A preliminary strategy for information disclosure is as follows:
Project stage | Target stakeholders | List of information to be disclosed | Methods and timing proposed |
Preparation of social distancing
and risk communication strategy | Government entities; local communities; vulnerable groups;
NGOs and academics; health workers; media representatives; health agencies;
others | Project concept, E&S principles and obligations, documents,
Consultation process/SEP, Project documents- SEP, LMP, ICWMP, GRM procedure,
update on project development | Dissemination
of information via dedicated project website (is there a URL already?),
Facebook site, sms broadcasting (for those who do not have smart phones)
including hard copies at designated
public locations; Information leaflets and brochures; and meetings, including
with vulnerable groups while making appropriate adjustments to formats in
order to take into account the need for social distancing. |
Implementation
of public awareness campaigns | Affected parties, public at large, vulnerable groups,
public health workers, government entities, other public authorities | Update on project development; the social distancing and risk
communication strategy | Public
notices; Electronic publications via online/social media and press releases;
Dissemination of hard copies at designated public locations; Press releases
in the local media; Information leaflets and brochures; audio-visual materials,
separate focus group meetings with
vulnerable groups, while making appropriate adjustments to consultation formats in
order to take into account the need for social distancing (e.g., use of
mobile technology such as telephone calls, SMS, etc). |
During preparation of ICWMP, LMP | People under COVID-19 quarantine, including workers in the
facilities; Relatives of patients/affected people; neighboring communities;
public health workers; other public authorities; Municipal & Provincial
councils; District/Divisional Secretaries; civil society organizations,
Religious Institutions/bodies. | Project documents, technical designs of the isolation units
and quarantine facilities, SEP, relevant E&S documents, GRM procedure,
regular updates on Project development | Public
notices; Electronic publications and press releases on the Project web-site
& via social media; Dissemination of hard copies at designated public
locations; Press releases in the local media; Consultation meetings, separate
focus group meetings with vulnerable groups, while making appropriate
adjustments to consultation formats in order to take into account the need
for social distancing (e.g., use of mobile technology such as telephone
calls, SMS, etc). |
During
project implementation | COVID-affected persons and their families, neighboring
communities to laboratories, quarantine centers, hotels and workers, workers
at construction sites of quarantine centers, public health workers, MoH,
airline and border control staff, police, military, government entities, Municipal
councils; | SEP, relevant E&S documents; GRM procedure;
regular updates on Project development | Public
notices; Electronic publications and press releases on the Project web-site
& via social media; Dissemination of hard copies at designated public
locations; Press releases in the local media; Consultation meetings, separate
focus group meetings with vulnerable groups, while making appropriate
adjustments to consultation formats in order to take into account the need
for social distancing (e.g., use of mobile technology such as telephone
calls, SMS, etc). |
3.5.
Future of the project
Stakeholders will be kept informed as the project develops,
including reporting on project environmental and social performance and
implementation of the Stakeholder Engagement Plan and the grievance mechanism.
This will be important for the wider public, but equally and even more so for
suspected and/or identified COVID-19 cases as well as their families.
3.6 Proposed strategy to incorporate the views of vulnerable groups
The project will carry out
targeted consultations with vulnerable groups to understand concerns/needs in
terms of accessing information, medical facilities and services and other
challenges they face at home, at work places and in their communities. In addition to specific consultations with
vulnerable groups and women, the project will partner with other line
ministries and also source to private sector entities to engage children and
adolescents to understand their concerns, fears and needs. Some of the
strategies that will be adopted to effectively engage and communicate to vulnerable
group will be:
-
Women: ensure that community engagement teams (are these part of the
project design or an E&S response?) are gender-balanced and promote women’s
leadership within these, design online and in-person surveys and other
engagement activities so that women in unpaid care work can participate;
consider provisions for childcare, transport, and safety for any in-person
community engagement activities.
-
Pregnant women: develop education materials for pregnant women on basic
hygiene practices, infection precautions, and how and where to seek care based
on their questions and concerns.
-
Elderly and people with existing medical conditions: develop information
on specific needs and explain why they are at more risk & what measures to
take to care for them; tailor messages and make them actionable for particular
living conditions (including assisted living facilities), and health status; target
family members, health care providers and caregivers.
-
People with disabilities: provide information in accessible formats,
like braille, large print; offer multiple forms of communication, such as text
captioning or signed videos, text captioning for hearing impaired, online
materials for people who use assistive technology.
-
Children: design information and communication materials in a
child-friendly manner & provide parents with skills to handle their own
anxieties and help manage those in their children.
-
Refugees/migrants: provide information in relevant language (Arabic,
Persian, etc) with the support of YIMER-Directorate General of Migration
Management’s Communication Center as needed, and ensure that community
engagement teams have the requisite language abilities and are gender-balanced
to ensure outreach to women in these communities.
4. Resources and Responsibilitiesfor implementing
stakeholder engagement activities
4.1. Resources
The
Ministry of Health will be the implementing agency for the project. The same
Project Management and Support Unit (PMSU) under the Turkey Health Systems
Strengthening and Support Project (P152799) (HSSSP), will be utilized with an
additional support from one Environment and one Social specialist assigned to
the PMSU. The PMSU has the required experience and will be in charge of
implementing the stakeholder engagement activities in partnership with the Public
Health Directorate. There is a tentative budget allocated around 150.000 USD for
the implementation of SEP which is included under Sub-Component
1.3. Enhancing Public Health Awareness and Behavioral Change which
will be publicized after negotiations of the project.
4.2.
Management functions and responsibilities
The Project will be implemented by the MOH
through the existing Project Management and Support Unit (PMSU) that implements
the ongoing World Bank-financed Turkey Health System Strengthening Project. The PMU will support the MOH and
directly implement technical activities, including procurement of medical
supplies and equipment for activities under Component 1. Selected activities,
such as coordination, communication and training may be outsourced to third
parties through contract agreements if needed. The PMU will report regularly to
the Vice Minister of Health in charge of this operation and the ongoing Health
Systems Strengthening Project.
The
stakeholder engagement activities will be documented through project progress
reports, to be shared with the World Bank on a quarterly basis.
5. Grievance Mechanism
The main objective of a Grievance Redress Mechanism
(GRM) is to assist to resolve complaints and grievances in a timely, effective
and efficient manner that satisfies all parties involved. Specifically, it
provides a transparent and credible process for fair, effective and lasting
outcomes. It also builds trust and cooperation as an integral component of
broader community consultation that facilitates corrective actions.
Specifically, the GRM:
- Provides affected people with avenues for making a complaint or
resolving any dispute that may arise during the course of the implementation
of projects;
- Ensures that appropriate and mutually acceptable redress actions are
identified and implemented to the satisfaction of complainants;
- Supports
accessibility, anonymity, confidentiality and transparency in handling
complaints and grievances;
- Avoids the need to resort to judicial proceedings (unless as a last
resort).
5.1. Description of GRM
The client has also an existing GRM, also utilized
under the current World Bank project to enable stakeholders to raise their
concerns/ grievances/ comments/ suggestions, if any. Ministry of Health in
Turkey has a free hotline, by dialling 184 “Alo 184” managed through a call
center which is 7/24 available and accessible from everywhere in the country.
It serves both the health workers as well as the wider public on questions,
health emergency situation, grievances and other requests related with health services.
The hotline also provides translation support in 6 languages (English, German,
French, Arabic, Russian, and also includes specialized services for disabled
under the “Unimpeded Health Communication Center (ESIM)”. The ESIM provides
services 7/24 in sign language in order to ensure access of the disabled
citizens to the health services. Available free of charge on the mobile phones,
ESIM offers live interpreting services for the persons with hearing disorder
while calling 112 ambulance center, getting appointment from the Central
Appointment System and during medical examinations.
Grievances received by MoH’s GRM system, ALO 184,
are resolved no later than 14 days which is dictated under the Law of Right to
Information No 4982. The requests/inquiries/grievances related to the Project
will be tracked under a separate IT module which will be developed as part of
this Project under this existing GRM and reported every quarter to the World
Bank during implementation. The project will have a webpage under the MoH
website and will share information regularly on the activities and results. It
will also have an online complaint box inserted into the webpage in addition to
the national GRM. The SEP will be updated once the project specific web-page and
a project specific hotline will be assigned under the PMSU.
In updated version of the SEP, a fuller description of the
GRM will focus on typology of complaints and complainants to provide more
efficient management. Possible examples: the highly vulnerable, persons with
disabilities, people facing language barriers, disruptions in areas neighboring
facilities, etc.The contact information for the GRM will be provided
in the updated SEP which will be finalized 30 days after the project
effectiveness date.
Communities and individuals who believe that
they are adversely affected by a World Bank supported project may submit
complaints to existing project-level grievance redress mechanisms or the Bank’s
Grievance Redress Service (GRS). The GRS ensures that complaints received are
promptly reviewed in order to address project-related concerns. Project
affected communities and individuals may submit their complaint to the Bank’s
independent Inspection Panel which determines whether harm occurred, or could
occur, as a result of Bank non-compliance with its policies and procedures.
Complaints may be submitted at any time after concerns have been brought
directly to the World Bank's attention, and Bank Management has been given an
opportunity to respond. For information
on how to submit complaints to the Bank’s corporate Grievance Redress Service
(GRS), please visit: http://www.worldbank.org/en/projects-operations/products-and-services/grievance-redress-service.
For information on how to submit complaints to the World Bank Inspection Panel,
please visit www.inspectionpanel.org.
6.
Monitoring and Reporting
The SEP will be periodically revised
and updated as necessary in the course of project implementation in order to
ensure that the information presented herein is consistent and is the most
recent, and that the identified methods of engagement remain appropriate and
effective in relation to the project context and specific phases of the
development. Any major changes to the project related activities and to its
schedule will be duly reflected in the SEP. Quarterly summaries and internal
reports on public grievances, enquiries and related incidents, together with
the status of implementation of associated corrective/preventative actions,
will be collated by the designated GRM officer, and referred to the senior
management of the project. The quarterly summaries will provide a mechanism for
assessing both the number and the nature of complaints and requests for
information, along with the Project’s ability to address those in a timely and
effective manner. Information on public engagement activities undertaken by the
Project during the year may be conveyed to the stakeholders in two possible
ways:
-
Publication
of a standalone annual report on project’s interaction with the stakeholders.
-
Monitoring
of a beneficiary feedback indicator on a regular basis. The indicator will be
determined in the updated SEP and may include: number of consultations,
including by using telecommunications carried out within a reporting period
(e.g. monthly, quarterly, or annually); number of public grievances received
within a reporting period (e.g. monthly, quarterly, or annually) and number of
those resolved within the prescribed timeline; number of press materials
published/broadcasted in the local, regional, and national media.
Further details will be outlined in the updated SEP, to be
prepared and disclosed within 30 days after the project effectiveness date.