The objectives of the AF are aligned with that of the parent project, which is to support the Government of Mozambique in the acquisition and deployment of COVID-19 vaccines and to strengthen its immunization capacity. [...] The National Directorate for Monitoring and Evaluation of the Ministry of Economy and Financing (MEF) has been the Coordination Authority responsible for coordinating the implementation of the COVID-19 emergency activities under the Immediate Response Mechanisms, in close coordination with the Ministry of Health (MISAU) and the National Social Assistance Institute (INAS) under the Ministry of Gend [...] These activities have the potential to bring about environmental risks and impacts regarding: (a) medical and pharmaceutical waste management issues related to waste handling and collection, transportation and disposal of hazardous and infectious healthcare and laboratory waste; (b) occupational health and safety issues (infections from COVID-19, injuries and accidents during civil works and deplo [...] Other relevant social risks and impacts include the potential of incidents and reprisals and retaliations, especially against healthcare workers and researchers during the project implementation lifecycle, and the limited capacity of MISAU to manage environmental and social risks and impacts. [...] General Assessment ESS1 Assessment and Management of Environmental and Social Risks and Impacts Overview of the relevance of the Standard for the Project: Nov 09, 2021 Page 7 of 16 Public Disclosure The World Bank COVID-19 Strategic Preparedness and Response Project Additional Financing (P178068) Similar to the parent project, ESS1 is relevant for the AF.