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Due Diligence Report Project Number: 41509-013 July 2016 PNG: Rural Primary Health Services Delivery Project (Loan 2785 and Grant 0259) Prepared by the Department of Health for the Asian Development Bank. This 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 judgements as to the legal or other status of any territory or area. Papua New Guinea Rural Primary Health Services Delivery Project DUE DILIGENCE REPORT KASI CHP SITE Enga Province JULY, 2016 INDEX Executive Summary 3 Project and Community Health Post Description 4 Kasi Community Health Post Site - Description and Area 7 Scope of Land Use/Purchase 11 Socioeconomic Information 12 Information Disclosure, Consultations and Participation 13 Grievance Redress Mechanism 14 Applicable Policies and Laws 15 Agreements on Land Use 17 Compensation and Benefits 18 Budget and Sources of Funds 19 Institutional Arrangements 19 Implementation Schedule 21 Monitoring and Reporting 21 Annex One: Reports of Community Consultation/Engagement 23 Annex Two: Minutes of Aid Post Committee Meetings 30 Annex Three: Signed Customary Land Transfer Agreement 35 Annex Four: Land Survey 36 Annex Five: Land Investigation Report 37 Annex Six: Valuation Report 51 Annex Seven: Approved Layout Plan for Community Health Post 53 Annex Eight: Certificate of Alienability 54 Annex Nine: Deed of Release 55 Annex Ten: Sale & Transfer of Land 57 2 KASI COMMUNITY HEALTH POST A. EXECUTIVE SUMMARY Kasi soeties spelled Kassi Village is located in the Ambum River Valley of Enga Province in the Kompiam-Ambum District. It is about fifty (50) kilometres northeast of Wabag, the Provincial capital, and is most easily reached by travelling east of Wabag on the Kompiam Road and then directly northwest through the Ambum Valley. It can take up to one (1) hour travelling time from Wabag to reach Kasi dependent upon weather conditions. 1. Enga Provincial Health Authority has selected Kasi as one of the localities in which to construct a new Community Health Post under Output 4 of the Project. The site provided for the Community Health Post was identified by the customary owners because it is central to the surrounding Wards and because of its proximity to the feeder road leading to the Wabag-Kompiam Road. It is also the site of the existing Aid Post. 2. The facility will have two (2) postnatal beds and three (3) general beds which are deemed sufficient to provide Level 2 health services to the immediate catchment population. The new Community Health Post will replace the existing dilapidated Aid Post and is expected to provide outpatient health services for up to fifty (50) persons per day and supervision of 3-4 births each week. 3. The catchment population is derived from the Kasi, Kaiap, Kumbin, Porealyalin, Malipin and Kaimagun Council Wards. There were 8855 people living in the area according to the 2011 National Census. Of those, 960 were under the age of five (5) years and 2180 were women of child bearing age i.e. 15-44 years. The people of the area are currently required to walk for up to eight (8) hours to reach the Anditale Health Subcentre or the Yampu Health Centre when seeking more complex health care. It is anticipated that the new facility will also be accessed by some residents of neighbouring Wabag District as there is a concentration of population on the western side of the Ambum River which has better access to Kasi than to health facilities within their own District. 4. The land was owned by three families of the Lapukai Sakarawan Clan and had been inherited from their forefathers. The Laripin, Kamberan and Magapikali families are represented by Mr. Leo Laripin, Mr Michael Kamberan and Mr. Paeo Paul Magapikali respectively. There has been an Aid Post on the site since 1976. 5. The land for the Community Health Post was firstly the subject of a Custoa Lad Tasfe Ageeet siged the paties o th Mah, i the pesee of the Poiial Adiistato and the Director of Health. It was surveyed on 18th July, 2014 and registered by the Surveyor General on 22nd January, 2016 as Portion 627C Milinch of Wapenamanda, Fourmil Wabag, Kompiam-Ambum District, Enga Province. It is ko loall as Kasi. 6. The extent of the site was determined by the customary owners and the owners of contiguous land in the company of the Surveyor prior to survey and is quantified at 1.49 hectares by him. The boundaries are clearly marked and are consistent with the decision of the local landowners. The owners of contiguous land have also declared that they have no interest in or rights by native custom to the surveyed land. This declaration is contained in the Land Investigation Report. 7. Whilst this is more land than is required for the construction of the new Community Health Post, incinerator and generator sheds, a public ablutions block and three (3) staff houses, the customary owners identified the original boundaries used when the land was first made available to 3 the State in 1973 for the establishment of the existing Aid Post which was completed in 1976. They consider that the land was already given to the State. At the time of survey the dilapidated Aid Post and two staff houses were the only capital improvements on site. 8. The land, the improvements thereon, the planted crops and the fees payable for past occupancy ee alued offies of the Value Geeals Offie at K95,700.00. 9. A Certificate of Alienability was certified by the Secretary, Department of Provincial and Local Government Affairs on 26th February, 2016 and the land was formally acquired through purchase on 4th June, 2016. A Deed of Release was signed by the former owners and/or their Agents on the same date. 10. Officers of the Provincial Health Authority, the Enga Provincial Administration and the Rural Primary Health Service Delivery Project have followed both Government of PNG and standard ADB safeguards processes including extensive consultation with the local community, use of applicable National land laws and regulations, and due diligence to ensure that local people would not experience significant adverse impacts by relinquishing this land. 11. The Project has proceeded with preparation of design and specification of the Community Health Post and three (3) staff houses. 12. The process of obtaining the Title on behalf of the State is complete and, in the expectation of an early conclusion, tenders have been invited and evaluated for construction of the proposed Community Health Post. B. PROJECT AND COMMUNITY HEALTH POST DESCRIPTION Background 13. The Rural Primary Health Care Services Delivery Project will strengthen the rural health system in PNG by increasing the coverage and quality of primary health care in partnership with State and non-state service providers by supporting the Government of PNG to implement the National Health Plan 2011-2020 as it relates to rural health. The Project operates in two districts in each of the following eight Provinces nominated by the Government of PNG: Eastern Highlands, East Sepik, Enga, Milne Bay, Western Highlands, West New Britain, Morobe and the Autonomous Region of Bougainville. In Enga Province the two participating Districts are Kompiam-Ambum and Lagaip- Porgera. 14. The Project will make health service improvements on both the supply and demand sides and strengthen the policy and legal framework for health services at all levels. The Project has six (6) clearly articulated outputs: Output 1 – National policies and standards: assisting the National Department of Health in developing policies, standards, and strategies for new Community Health Posts, and human resource strengthening of the rural health sector. This will result in the development of Provincial health service development plans, and improvements in the health information systems. Output 2 – Sustainable partnerships between provincial governments and non-state actors: Partnership Committees have been established to improve coordination and efficiency among providers, (churches and NGOs) and to increase consistency and accountability. Partnership arrangements have been formalized through Memoranda of Agreement with most non-state health 4 service providers. Output 3 – Human resource development in the health sector. The Project will increase the skills of health personnel in rural communities, focusing on the existing workforce. It will help provinces to address performance and retention issues. Output 4 – Community health facility upgrading: The Project will build thirty-two (32) new Community Health Posts, with ninety-six (96) staff houses as well as providing medical equipment and small vehicles (cars, boats, or motorbikes). It will also install or upgrade sanitation facilities, provide waste management facilities, and establish renewable energy supplies for selected health facilities. The Community Health Post is deemed a Level 2 Health Facility under the PNG National Health “eie “tadads, s ‘ole Delieatio Mati ad is euied to poide ateal ad child primary health clinics. Provision is also made for birthing and postnatal inpatient care, short term paediatric and adult inpatient services and for triage and stabilisation of critically ill patients prior to referral to higher level facilities. A odest Poedue ‘oo is poided to allo eege care of trauma or serious medical conditions prior to referral and discrete consultation rooms are provided to ensure privacy for clients seeking care or advice for their conditions. Output 5 – Health promotion in local communities: The Project will support village health olutees, ad iease oes ioleet ad ouit egageet i delieig health seies ased o the Healthy Islads faeok.