Environmental and Social Management Plan provides the basis for managing the environmental and social issues involved with the implementation of the project activities. ESMP will suffice as the instrument to meet World Bank safeguards policy requirements. The Environmental safeguards activities associated with the pre and post process of Immunization/vaccination under child Wellness Grant (CWG), mitigation/ safety measures and handling of the pre and post vaccination and medical waste management are essential components of TDP-ERP.