Environment and Social Specialist at Ministry of Health

DEPARTMENT Environmental Health
JOB TITLE Environment and Social Specialist
PROJECT Southern Africa Tuberculosis and Health Systems Support Project
RESPONSIBLE TO SATBHSS Coordinator & Environmental Health Head
DATE OF ISSUE 5th December, 2017


A. Project & Broad Objectives

Lesotho is one of the 30 high TB burden countries in the world with an estimated annual incidence of 788 TB cases per every 100,000 population. Seventy four percent of TB cases are co-infected with HIV. TB treatment success rate has not gone beyond 74%, TB case fatality ratio is high and only a small proportion of TB re-treatment cases are offered testing for drug resistant TB bacilli. The mortality rate in TB/HIV co-infected TB patients is 223 per 100,000 population. Additionally, MDR-TB is on the rise with 3.2% and 6.8% of new and retreatment respectively TB cases are estimated to have MDR-TB. Despite Lesotho’s high burden of TB, TB/HIV and MDR-TB cases, the TB case detection rate is 49% which means more than half TB are not diagnosed and treated.

The Kingdom of Lesotho is among four countries participating in the Southern Africa Tuberculosis and Health Systems Support Project funded by the World Bank. This is a five year project with overall objectives to: (i) improve coverage and quality of TB control and occupational lung disease services in targeted geographic areas of the participating countries; and (ii) strengthen regional capacity to manage the burden of TB and occupational diseases. The project will target underserved populations with a high TB and/or TB/HIV burden, including mining communities, transport corridors and cross -border areas. Even though the main focus of the proposed project is on strengthening the health sector response to TB, there will be selective support for joint multi-sectoral activities to enhance overall impact. The proposed operation includes three components: (i) Innovative interventions supporting prevention, detection and treatment of TB and occupational health; (ii) Regional capacity strengthening for enhanced disease surveillance, diagnostics and management of TB and occupational lung diseases; and (iii) Learning, knowledge and innovation at national and regional levels. The project will target (i) mining and peri-mining communities; (ii) high TB burden “hot spots” areas; (iii) border districts with high levels of movement of people and goods; (iv) transport corridors; (v) labor sending areas and (vi) areas of high incidence of poverty in order to significantly impact the burden of TB in Lesotho


During preparation of the project, the Government of Lesotho prepared

  • Environmental and Social Management Framework (ESMF) for management of environmental and social impacts of civil works and
  • Infection Control and Waste Management Plan (ICWMP), to identify and address the environmental and social impacts associated with health services.

The Government is obligated to implement the project in full compliance with the requirements under both documents.


  1. Objective of Assignment

The SATBHSS project is now hiring an Environment and Social (E&S) Specialist to coordinate and manage the implementation of the ESMF and ICWMP over the project lifetime.

C. Scope of Work

The responsibilities of the Environment and Social Specialist include, but not limited to, coordinating, monitoring and reporting on all aspects of the ESMF and ICWMP

Under the ESMF, these responsibilities include:

  1. Conduct screening of project sites in accordance with ESMF\
  2. Preparation of site-specific Environment and Social Management Plans (ESMPs)
  3. Undertaking consultations of ESMPs with relevant stakeholders and maintaining documentation of such consultation
  4. Getting the ESMPs approved by relevant authorities
  5. isclosing all ESMPs publicly upon final approval
  6. Ensuring the inclusion of ESMP requirements and Chance Find procedures into contractor documents
  7. Undertaking regular field visits to all sites to supervise and monitor ESMP implementation during construction;
  8. Preparing regular supervision and monitoring reports on implementation of ESMF, including field visit reports and photographic evidence
  9. Reporting of ESMF compliance and ESMP implementation of all sites
  10. Promote environmental and social enhancements, and better green designs, where possible through ongoing discussion
  11. Documenting and reporting on any observed cases of any non-compliance with the ESMF and ESMP, ensure implementation of mitigation measures
  12. Conduct regular meetings with Environmental Health and Ministry of Environment authorities and relevant stakeholders including communities to resolve issues and problems
  13. Document good practice case studies regarding the Environment and Social Safeguards for the SATBHSS project
  14. Commission an end-line independent environmental audit of ESMP implementation upon completion


Under the ICWMP, these responsibilities include

  • Evaluate the present ICWM practices and suggest improvements
  • Review present procurement plans for equipment and consumables needed for implementation of ICWM
  • Monitoring of ICWM practices during field visits
  • Identify gaps in laws and policies related to Infection control and waste management (ICWM)
  • Review technical guidelines for HCWM
  • Coordinate the setting up of institutional mechanism for the implementation and monitoring of ICWM at various levels
  • Evaluate the present ICWM training plan for health workers and commission update
  • Review and update the present training plan for rolling out training for healthcare workers and commission update
  • Evaluate the present training modules for health workers and commission update
  • Coordinate the implementation of training for all healthcare workers
  • Develop a public awareness strategy and implement the awareness activities
  • Maintain Coordination with other relevant ministries and agencies
  • Explore opportunities for private sector involvement in ICWM
  • Ensure budget line for continued ICWM is included in MOH budget in year 4, for continuation after project closure
  • Prepare Reporting Formats, Checklists and Guidelines, as necessary to facilitate monitoring and reporting
  • Undertaking regular field visits to healthcare centers to supervise and monitor ICWMP implementation;
  • Preparing regular supervision and monitoring reports on implementation of ICWMP, including field visit reports and photographic evidence
  • Reporting ICWMP implementation in healthcare centers, including completion of training, procurement of consumables etc.
  • Commission an independent assessment of ICWMP implementation in year 4 of project
  • Supervise



  • The tenure of appointment shall be full-time for 2 year during implementation of civil works.


A Post Graduate in Environmental Sciences or Environmental Engineering;

Background in civil works/waste management and/or Health Care Waste Management is an asset

At least 8 years hands-on experience related to environmental and social project management

Experience working with the World Bank projects on Environment and Social Safeguards or other donor funded organization will be an added advantage

  1. Compensation:

A competitive salary will be offered as per Kingdom of Lesotho norms for public officers and World Bank guidelines


  1. Application Instructions

Interested and suitability qualified candidates should email or hand deliver their applications indicating the advertisement and position on the subject line of letter and envelope together with detailed curriculum vitae indicating work experience, current remuneration and copies of testimonials (day time telephone contacts, names and telephone contacts of 3 referees to reach the undersigned not later than 21st December, 2017 ) to:

Procurement Unit, Ground Floor, Room G03,Ministry of Health, Corner Constitution & Linare Roads, Kingdom of Lesotho, Enquiries for applications contact Mokhoabo Moeketsi tel: (+266) 6247 4316 (During Office Hours 0800 to 1630hour), mokhoabomoeketsi7@gmail.com

Only shortlisted and successful candidates will be contacted.