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51035-001: Health Services Sector Development Program

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51035-001: Health Services Sector Development Program Social Safeguards Due Diligence Report July 2020 PNG: Health Services Sector Development Program Subproject: Bitokara Community Health Post Prepared by the Department of Health for the Asian Development Bank. This social safeguards due diligence report is a document of the borrower. The views expressed herein do not necessarily represent those of ADB's Board of Directors, Management, or staff, and may be preliminary in nature. In preparing any country program or strategy, financing any project, or by making any designation of or reference to a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgments as to the legal or other status of any territory or area. Social Safeguards & Land Assessment Report Bitokara Community Health Post West New Britain Provincial Health Authority Health Services Sector Development Project National Department of Health 2 CURRENCY EQUIVALENTS (as of 17 June 2020) Currency unit – Kina (K) K1.00 = $0.29 $1.00 = K3.46 ABBREVIATIONS ADB – Asian Development Bank AP – Affected Persons CCHS – Catholic Church Health Services CEO – Chief Executive Officer CHP – Community Health Post (a level 2 health facility in NHSS) DDA – District Development Authority DDR – Due Diligence Report DHM – District Health Manager DH – District Hospital GRC – Grievance Redress Committee GRM – Grievance Redress Mechanism GoPNG – Government of PNG ha – Hectare HC – Health Centre HSSDP – Health Services Sector Development Project IPPF – Indigenous Persons Planning Framework LARF – Land Acquisition Resettlement Framework LLG – Local Level Government MOU – Memorandum of Understanding NDOH – National Department of Health NGO – Non Government Organisation NHIS – National Health Information System NHSS – National Health Service Standards OCR – Ordinary Capital Resources PFM – Public Financial Management PHA – Provincial Health Authority PMU – Project Management Unit PNG – Papua New Guinea RP – Resettlement Plan RPHSDP – Rural Primary Health Service Delivery Project SPS – Safequards Policy Statement WNBPHA – West New Britain Provincial Health Authority 3 NOTE{S} (i) In this report, "$" refers to United States. This Social Safeguards Due Diligence Report is a document of the borrower. The views expressed herein do not necessarily represent those of ADB's Board of Directors, Management, or staff, and may be preliminary in nature. Your attention is directed to the “terms of use” section of this website. In preparing any country program or strategy, financing any project, or by making any designation of or reference to a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgments as to the legal or other status of any territory or area. 4 TABLE OF CONTENTS I. INTRODUCTION ............................................................................................................ 7 II. ABOUT THE SUBPROJECT .......................................................................................... 8 III. LAND OWNERSHIP AND SOCIAL SAFEGUARDS ......................................................14 IV. COMMUNITY CONSULTATIONS .................................................................................15 V. GRIEVANCE REDRESS MECHANISM .........................................................................17 VI. POLICY FRAMEWORK .................................................................................................18 VII. MONITORING AND REPORTING .................................................................................20 VIII. CONCLUSION ..............................................................................................................20 Annexure Annex 1 Certificate Authorising Occupancy Annex 2 Memorandum of Understanding between the People of Bitokara and the Church Annex 3 Memorandum of Understanding between WNBPHA and CCHS and NDOH Annex 4 Indigenous Peoples Impact Screening Checklist 5 EXECUTIVE SUMMARY The Health Services Sector Development Project (HSSDP) is an initiative of the Government of Papua New Guinea (GoPNG) using a loan from the Asian Development Bank (ADB) and a grant from the Australian Government. The Project will enhance rural health service delivery through building new health facilities, provision of professional development for clinicians and managers, remodelling the medical supply and distribution system, improving clinical, corporate, and financial governance, and completing the delivery to all health facilities of the electronic health information system (eNHIS). This due diligence report (DDR) documents the HSSDP sub-projects compliance with the ADB Social Safeguards Policy (SPS), the Land Use and Resettlement Framework (LARF), the Indigenous Peoples Planning Framework (IPPF) and the Grievance Redress Mechanism (GRM). The sub-project is to build a new community health post at Bitokara in West New Britain Province in partnership with the West New Britain Provincial Health Authority (WNBPHA) and the Catholic Church Health Services Kimbe Diocese. An MOU has been signed between the WNBPHA, the NDOH and the Catholic Church Health Services who are providing the land and contributing funds towards the construction. The existing health facility dates from the 1950s and is structurally unsound due to white ant damage and age. All new buildings will be designed and constructed in accordance with the PNG National Health Service Standards (NHSS), the PNG Building Code, and comply with Seismic Zone 2 building requirements. Compliance with the ADB SPS and LARF were confirmed for the Bitokara CHP sub-project through viewing the Certificate Authorising Occupancy 012/017 (IR) in the name of the WNBPHA published in the PNG Government Gazette G774 Monday 2nd October 2017 in relation to Portion 306 Milinch Gurua Fourmil Talasea (Land File number 19108/0306). Community consultation was undertaken with users of the health service and descendants of the original customary land owners who agreed to provide their land for use by the Catholic Mission in 1924, reaffirmed in 1942, 1965, and most recently in 2014. A grievance redress mechanism (GRM) was established through adding this function to an existing active Mission Board Health Committee. The new health facility will be built on the same site as the previous facility which will be demolished. The land available for the health facility extension encompasses a small section of a regrowth disused garden. In compliance with the ADB SPS, no people will be forced to move or be displaced nor does any person rely on the dis-used garden for sustenance. 6 I. INTRODUCTION 1. The Health Services Sector Development Program (HSSDP) will improve the delivery of public health services to mostly rural populations in Papua New Guinea. HSSDP is expected to make health services affordable, accessible and equitable. It will provide high-quality health services for all citizens by ensuring adequate public expenditure for health, strengthening the subnational health system in PNG, and rehabilitating health care infrastructure, improving availability of medical supplies, building capacity in clinical governance, supporting new partnerships and strengthening information systems through digitalization. The majority of the rural population will be the main beneficiaries. Improved public health services in the rural areas will reduce the burden of disease and reduce maternal and infant mortality rate. These will significantly improve the health and economic conditions of the population particularly women. 2. The HSSDP will be implemented for a period of 7 years. The Program will cost $395 million equivalent with $375 million from ADB’s ordinary capital resources (OCR) and (ii) $20 million from ADB’s Special Funds resources. 3. The Health Services Sector Development Project, a project within the Program, will be implemented over a period of 7 years and commenced in July, 2018. HSSDP (Project) financing is structured on the Government of PNG investment of $9.5 million, a grant from the Australian Government of $38 million and the ADB loan of $95 million to support the following outputs: (i) national frameworks and Public Financial Management (PFM) enhanced, (ii) subnational health system management strengthened, and (iii) health service delivery components strengthened including upgrading of rural health infrastructures such as community health posts, health centres and district hospitals. 4. The Project’s planned investment component includes upgrading of up to 2 district hospitals, 7 health centres and 5 community health posts in selected sites during the program’s implementation. Each health facility, including staff housing, will require an area of between 2.0 ha to 6.0 ha of land. Similar to RPHSDP, and as one of the funding criteria, each of the proposed health infrastructure under HSSDP will be upgraded or constructed on land owned by the government or a long term Church lease. The Project is also not expected to cause land acquisition or resettlement impacts. The policy component of the program has also been assessed and confirmed that no involuntary resettlement impacts are associated with its policy actions. Hence, the program has been classified as Category C on involuntary resettlement within ADB’s safeguards policies. 5. A land acquisition and resettlement framework (LARF) has been developed with a focus on the project investment components to guide how screening and categorization of succeeding sub-projects will be undertaken and required
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