MOH Transforming Health Systems for Universal Care Project Vulnerable and Marginalised Groups Planning Framework 2016

This VMGPF for the project has been prepared based on the OP 4.10 of the World Bank and the applicable laws and regulations of the Government of Kenya. The OP 4.10 is triggered when it is likely that groups that meet criteria of OP 4.10 “are present in, or have collective attachment to, the project area”. It is to guide the preparation of subprojects that may affect Vulnerable and Marginalised Groups (VMGs) in the proposed project areas.

OP 4.10 ‘contributes to the Bank's mission of poverty reduction and sustainable development by ensuring that the development process fully respects the dignity, human rights, economies,

and cultures of Indigenous Peoples. For all projects that are proposed for Bank financing and affect Vulnerable and Marginalised Groups (VMGs), the Bank requires the borrower to engage in a process of free, prior, and informed consultation leading to broad community support. The Bank provides project financing only where free, prior, and informed consultation results in broad community support to the project by the affected vulnerable and marginalised groups’. Such Bank-financed projects include measures to;

1. Avoid potentially adverse effects on the Indigenous Peoples’ communities; or
2. When avoidance is not feasible, minimize, mitigate, or compensate for such effects;
3. Ensure that the vulnerable and marginalised people receive social and economic

   benefits that are culturally appropriate and gender as well as inter-generationally inclusive; and that the VMGF is based on free, prior and informed consultations with indigenous peoples leading to broad community support.

The objectives of the policy are to avoid adverse impacts on vulnerable and marginalised groups, secure broad community support for the project and to provide Vulnerable and Marginalized Groups (VMGs) with culturally appropriate benefits.