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 Rural Primary Health Services Delivery Project

DUE DILIGENCE REPORT TUKUSENDA COMMUNITY HEALTH POST SITE

Enga Province

JULY 2016

1 INDEX

Executive Summary 3 Project and Community Health Post Description 4 Tukusanda Community Health Post Site - Description and Area 11 Scope of Land Use/Purchase 12 Socioeconomic Information 14 Information Disclosure, Consultations and Participation 16 Grievance Redress Mechanism 17 Applicable Policies and Laws 18 Agreements on Land Use 21 Compensation and Benefits 22 Budget and Sources of Funds 24 Institutional Arrangements 24 Implementation Schedule 25 Monitoring and Reporting 26 Annex One: Minutes & Reports of Community Consultation/Engagement 27 Annex Two: Signed Customary Land Transfer Agreement 54 Annex Three: Land Survey 55 Annex Four: Land Investigation Report 56 Annex Five: Valuation Report 71 Annex Six: Certificate of Alienability 75 Annex Seven: Sale & Transfer of Land 76 Annex Eight: Deed of Release 79 Annex Nine: Approved Layout Plan for Community Health Post 81

2 TUKUSANDA COMMUNITY HEALTH POST

A. EXECUTIVE SUMMARY

Tukusanda, soeties spelled Tukuseda o Tukuseta, Village is located at the head of the Lai River and immediately north of Lake Surunki in Lagaip-Porgera District of Enga Province and within the Lagaip Rural Local Level Government area. It lies approximately ten (10) kilometres north of the to Porgera Road and the Surunki Government Station and approximately fifty (50) kilometres northwest of the Provincial capital, Wabag. Travel time to Wabag is about one hour by all-weather road.

The anticipated catchment population for the proposed Community Health Post to be built at Tukusanda is 6180 based upon an extrapolation of the population living in the immediate area according to the 2011 Census. Of that population 1825 are women of child bearing age,

1. Two (2) representatives of the Kulyapan Sub Clan of the Mulapine Clan living in and around Tukusanda village signed a Customary Land Transfer Agreement on 15th March, 2013 with the Enga Provincial Administration to authorising construction of a Community Health Post on their land. The Agreement was a demonstration of good intent by the parties on the understanding that the parcel of land for the Community Health Post, known locally as Tukusanda, would eventually be alienated to the State and that the customary owners would be compensated for its unimproved capital value and the replacement value of any structures, trees or crops once surveying once Provincial Government and Department of Lands and Physical Planning processes were completed.

2. The land offered as the site for construction of the Community Health Post is now described as Portion 264C Milinch of Laiagam, Fourmil Wabag, Lagaip-Porgera District, Enga Province and is deemed suitable and sufficient (0.70 hectares) for the construction of a Community Health Post and three staff houses.

3. The signing of the Customary Land Transfer Agreement on 15th March, 2013 was witnessed by two (2) local Ward Councillors, together with the Provincial Administrator, the District Administrator, the Provincial Lands Officer, the Provincial Director of Health and a Commissioner of Oaths.

4. The landowners specifically nominated in the Schedule of Owners in the Land Investigation Report are the families of Mr. Abraham Pia (Pyakali) and Mr Etami Iuk (Yuk). The ae ees of Kulapa soeties spelled Kulapaie “u Cla of the Mulapine Clan. The Customary Land Transfer Agreement of 25th March, 2013 is signed by M. Aaha Pii Pia ad soeties Pakali and Mr. Etami Pemen (Son)

3 5. The customary owners were willing to provide early voluntary access to the land in consideration of the benefits of having a Community Health Post in their community. The catchment population of 6180 is presently required to travel to the nearest District Hospital in Laiagam for serious ailments or, more likely, to the Wabag General Hospital which is up to one (1) hours travel time.

6. Officers of the Provincial Administration and Provincial Health Authority and the Rural Primary Health Service Delivery Project 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.

7. The process of obtaining the Title on behalf of the State has been completed. The Certificate of Alienability was issued by the Secretary, Department of Provincial and Local Government Affairs on 26th February, 2016 and the landowners epesetaties were paid K49,100.00 for their land and improvements with funds made available by the Enga Provincial Health Authority on 3rd June, 2016.

8. The Deed of Release was signed on 3rd June, 2016 by Mr. Etami Yuk and Mr. Pyakali Patrick (Abraham) who were identified in the Land Investigation Report as the Agents for the actual owners of the land. The Deed has also been signed by Mr. Make (Mark) Ambram (Abraham) and Mr. Peman Etami who are sons of the former signatories. The Deed of Release acknowledged receipt by the customary landowners of K49,100.00 in line with the Valuer-Geeals aluatio of the lad, fee for past occupancy, structural improvements and planted improvements thereon. Formal exchange of title will occur twenty-one (21) days thereafter when the period for objections expires.

9. The Project has proceeded with preparation of design and specification of the Community Health Post and three (3) staff houses. Tender processes will proceed with once ADB approval of the safeguards processes are completed.

B. PROJECT AND COMMUNITY HEALTH POST DESCRIPTION

Background

10. The Rural Primary Health 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 , Enga, Milne Bay, Western Highlands, West New Britain, Morobe and the Autonomous Region of Bougainville.

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11. 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 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 deeed a Leel Health Failit ude the PNG Natioal Health “eie “tadads, s Role Delineation Matrix and is required to provide maternal and 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 efeal to highe leel failities. A odest Poedue ‘oo is also provided to allow emergency 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. The Tukusanda Community Health Post is expected to provide health services for up to forty (40) persons per day.

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 Health Islads faeok.

Output 6 - Project monitoring, evaluation and management: The Project has established a Project Support Unit (PSU) as part of the National Department of Health, which will be used by the National Department of Health as part of its health system strengthening activities.

5 12. Enga Provincial Health Authority has selected Tukusanda in the head waters of the Lai River in Lagaip-Porgera District as one of the sites to construct a new Community Health Post under Output 4 of the Project. The facility will have two (2) postnatal beds and four (4) general beds which are deemed sufficient to provide Level 2 health services to the catchment population of 6180 persons.

13. Sites selected by the Provinces, are required to satisfy the following criteria:

(i) The facility or site is located in a participating Province and participating District and will serve a predominantly rural dwelling population;

(ii) The proposed works have been identified and designed by the relevant implementing agency in a participatory manner with input from the community;

(iii) Community consultation for selection of the site has been conducted;

(iv) The proposed works are integrated into a comprehensive provincial health plan;

(v) The proposed facility/site has available/earmarked budget for recurrent cost from the health functional grant;

(vi) The proposed facility/site has sufficient human resources/staff and supervision capacity;

(vii) Institutional and financial arrangements for construction, operation and maintenance of the facility and access to the facility have been agreed upon by the Partnership Committee/Provincial Health Authority Board;

(viii) The proposed works comply with all requirements of relevant National laws and regulations and ADB's Safeguard Policy Statement (2009), the Environment Management Plan, Environment Assessment and Review Framework, and Land Assessment Framework;

(ix) the Independent State of through the Enga Provincial Health Authority has clear and unencumbered access to the associated land portion on which the Community Health Post is to be located, without claims of third parties, and the Province has supplied adequate written confirmation of the same from the relevant authorities and community participants, as applicable, including a relevant Customary Land Transfer Agreement.

(x) Access to and from the site and proposed facility for vehicles or other means of transport to the site is in place.

14. Within each participating Province, the Districts to participate in the Project were required to satisfy the following criteria:

6 (i) The District is selected with a view to maximizing the delivery of health services for rural populations that are most underserved at the outset of the Project such as the percentage of the population accessible to health facilities within 2 hours traveling time.

(ii) The District is selected with due consideration for the ability to absorb and utilise the proposed investment of resources, taking into account levels of security, law and order, governance, and administrative capacity.

15. Each of the sites chosen for the construction of a new Community Health Post requires less than one hectare of land to accommodate the health facility and three staff houses. In the case of the Tukusanda site 0.70 hectares was provided so as to allow retention of the existing Aid Post for other community uses after the new Community Health Post is constructed. The boundaries are clearly and permanently marked with survey pegs.

16. The Pojets ipat is liited to opesale loss of lad use, a eistig structures on the site and, where applicable, crops and trees. The acquisition of small plots of land for the Community Health Posts is based on the laws, regulations, and poliies of the Goeet of PNG ad the ADBs “afeguad Poli “tateet 9.

17. The Project will not finance Community Health Post construction that involves compulsory land acquisition and/or involuntary resettlement impacts. Where possible the Project is building on State land or church leased land. In the case of Tukusanda the State has formally acquired the land and compensated the customary owners in accordance with the Valuer-Geeals deteiatio.

18. The landowners and local communities are expected to benefit from improved access to health services and short-term employment opportunities from infrastructure construction and maintenance

19. The site at Tukusanda acquired by the State on behalf of Enga Provincial Health Authority specifically for the construction of a Community Health Post and three (3) staff houses by the Rural Primary Health Service Delivery Project satisfies all of the abovementioned criteria:

 Tukusanda is in Lagaip-Porgera District of the Province  Landowners of the area have been consulted extensively about their healthcare needs and voluntarily offered land for the project. They initially agreed to alienation of the site without recompense in order to secure replacement of their existing Aid Post with a Community Health Post within their village.  The Poies “tategi Health “eie Deelopet Pla, eoeds construction of a Level 2 Community Health Post at Tukusanda to serve the health needs of the 6180 people living in the area. That Plan has been endorsed by the

7 Board of the Provincial Health Authority.  The Chief Executive Officer of the Enga Provincial Health Authority has endorsed the concept plan, the site plan and the final design of the Community Health Post after consulting with the local communities that it will serve. Copies of the design and site plan were provided to the community and are displayed at the existing Aid Post.  The Chief Executive Officer has entered a Memorandum of Agreement with the Secretary for Health confirming the availability of recurrent budget for operation of the facility.  The Chief Executive Officer has nominated the three staff members to be assigned to the facility and those staff have undergone extensive upskilling in maternal and child health service provision. The nominated Officer in Charge has completed the Rural Health Facility Management Course delivered by Divine Word University.  The Community Health Post design has been certified by the Manager, Health Facilities Branch as consistent with the National Health Service Standards, 2011  The Environmental Management Plan was endorsed by the relevant officers of the Asian Development Bank on 14th August, 2014  The original owners of the land now registered as Portion 264C Milinch of Laiagam, Fourmil Wabag, Lagaip-Porgera District, Enga Province, consented to early commencement of construction of the proposed Community Health Post through a Customary Land Transfer Agreement entered on 15th March, 2013 in the presence of the Provincial Administrator, the District Administrator and the Director of Health for Enga Province.  They have subsequently accepted compensation of K49,100.00 for transfer of title for the land to the State.

ENGA PROVINCE – GEOGRAPHY, POPULATION DISTRIBUTION, ACCESS TO SERVICES

The following maps of Enga Province are derived from the PNG Rural Development Handbook of 2001 developed by LW Hansen, BJ Allen, RM Bourke and TJ McCarthy and published by the Land Management Group, Department of Human Geography of the Australian National University. The depiction of occupied and unoccupied lands remains accurate and clearly indicates the concentration of the population in the arable valleys of the Province. Income levels and access to services have not improved significantly since the time of publication.

8 Image 1: Map of Enga Province depicting Occupied/Unoccupied Land and the location of Tukusanda

TUKUSANDA

20. Enga Province occupies 11,800 square kilometres in the PNG highlands. Altitude varies from 400m above sea level at the Yuat River in the northeast of the Province to over 3700m above sea level along the Central Range. More people live above 2000m in Enga than in any other Province and these environments are prone to frost and disruptions to subsistence food production. The upper limit for consistent agricultural production is 2800m and, in 1997 and again during August, 2015, heavy frosts destroyed most of the crops in areas down to 1800m creating major food shortages and necessitating the airlifting of nonperishable foods into those areas.

21. The total Provincial population reported at the time of the 2011 National Census was 432045 with the population heavily concentrated in the Lagaip and Lai valleys which are some of the most densely populated and intensively cultivated areas in PNG. The following images depict the areas of greatest population density and the intensity of agricultural production in the abovementioned Valleys.

9 Image 2: Population Density in Enga Province, PNG

TUKUSANDA

Image 3: Intensive subsistence farming in the Lagaip Valley, Enga Province PNG

22. The following map depicts the difficulty of accessing services for most people of Enga Province. However, it also demonstrates that the people of Tukusanda enjoy comparatively good access to the Provincial capital.

10 Image 5: Access to services for people of Enga Province.

TUKUSANDA

TUKUSANDA CHP SITE: DESCRIPTION AND AREA

23. Tukusanda village is located in the head waters of the Lai Valley of Enga Province in the Lagaip-Porgera District. It is about fifty (50) kilometres northwest of Wabag, the Provincial capital and can be reached via a track which leaves the northern side of the Wabag-Porgera Road 40 kilometres northwest of Wabag at Surunki Station. Travelling time to Wabag is 45-60 minutes dependent upon weather conditions. The village is well established with many permanent buildings including churches, a Primary and an Elementary School. In the immediate vicinity there are two other Elementary Schools and a top up Pia “hool.

24. The land provided for the Community Health Post at Tukusanda and now registered as Portion 264C, Milinch of Laiagam is that currently occupied by the existing Aid Post and was formerly owned by members of the Kulyapan Sub Clan of the Mulapin Clan. It had been inherited from their forefathers. The landowners specifically nominated in the Schedule of Owners in the Land Investigation Report are the families of Mr. Abraham Pia (Pyakali) and Mr Etami Iuk (Yuk).

25. They are also two (2) of five (5 Representatives ad Agets oiated i the Land Investigation Report as authorized by Clan ees fo the pupose of eeutig a transfer/Lease to the administrator over that piece of land known as Tukusanda. They ae also authoised to accept on behalf all moneys and considerations paid by the said

11 Adiistato i oetio ith the poposed Tasfe/Lease of the said piee of lad.

26. The Land Investigation Report affirms that the land holders of land contiguous with the land known as Tukusanda recognise the Kulyapan Sub Clan as the owners and that the Kulyapan clan have sole rights by native custom to dispose of that lad.

27. The majority of the site had been cleared, levelled and well maintained by local landowners since the 1960s when the existing Aid Post was constructed. The area set aside for new staff housing will require removal of some sweet potato growing mounds and levelling. The value of those mounds was considered by the Valuer-General when assessing the compensable value of the land.

C. SCOPE OF LAND USE/PURCHASE

28. The lad fo the Couit Health Post as fistl the sujet of a Custoa Lad Tasfe Ageeet siged the paties o 5th March, 2013 in the presence of the Provincial Administrator and the Director of Health. This effectively conferred consent for the continuing use of the land for the provision of health services. However, in September, 2013 the Government of PNG determined to acquire land for the State wherever publicly funded state infrastructure was to be constructed. This necessitated acquisition of the land through negotiated consent ad the poess of alieatio as commenced.

29. The land was surveyed on 20th July, 2014 and registered by the Surveyor General on 22nd January, 2016 as Portion 264C Milinch of Laiagam, Fourmil Wabag, Lagaip- Porgera District, Enga Province.

30. The extent of the site was determined by the customary owners and owners of contiguous land in the company of the Surveyor, Mr. Lionel Jarigi, prior to survey and is quantified at 0.70 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.

31. 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 the State in the early 1960s for the establishment of the existing Aid Post.

32. The value of the land provided for the Community Health Post was assessed by the Valuer-General to be K49,100.00 inclusive of improvements valued at K15,700.00, crops valued at K6,400.00 and compensation for past occupancy of K19,300.00.

33. The Secretary of the Department of Provincial and Local Government Affairs issued

12 a Certificate of Alienability for Portion 264C, Tukusanda on 26th February, 2016.

34. The Enga Provincial Health Authority paid the customary owners the sum of K49,100.00 for the land on 3rd June, 2016 and obtained a Deed of Release to the State in return.

35. The eistig Aid Post as estalished i the eal 9s at a tie he a othes of similar design and construction materials were being established throughout Enga Province. The image on the front cover of this document depicts the present dilapidated condition of the exterior and the following images depict another external view of facility and the present delivery room and consultation clinic. The existing building has been deemed beyond economic repair.

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D. SOCIOECONOMIC INFORMATION

The people of Enga Proie ae of Austoesia oigi. The loal laguage is Enga and is spoken throughout the Province and parts of Western Highlands Province. Most Engans are also fluent in Tok Pisin and many younger people also speak English. However, literacy rates, at just 35.0%, are the lowest in the country.1

36. The people of Enga are generally poor with average annual cash incomes of less than K200 per person. Unlike most other Provinces, officially there are no enclaves where average annual cash incomes exceed K200 per person. There are some people living in the western part of the Province around Porgera who are believed to derive significant income from alluvial gold mining but their incomes are neither reported nor referred to in any official documents.

1 National Health Plan 2011-2020, Volume 2

14 Image 4: Average Annual Cash Income per capita for people living in Enga Province.

TUKUSANDA

Subsistence agriculture is the main source of sustenance in the Province. Some people living in close proximity to Wabag, Laiagam and Wapenamanda derive modest cash incomes from the sale of coffee beans to roving seasonal processors from other Provinces and from fresh foods sales at local roadside markets. However, most people living in the Tukusanda area are supported by subsistence gardening of eglish potatoes, sweet potatoes, corn, cabbage and broccoli. Some local vending is undertaken by women of the villages but transport to markets in Wabag and elsewhere is difficult and costly due to road conditions and therefore uneconomic. Tapioca, taro and bananas grow readily in the area and are consumed locally as they have little commercial value. Generally, average cash incomes for the people of the area are very low. The Land Investigation Report confirms that the customary landowners of the Community Health Post site have sufficient other land to be able to maintain their agricultural production.

There are only small areas of land in the Province which are considered to have high agricultural potential and most of the fertile land in the Province is already under strong or very strong agricultural pressure. Continuing population growth since 2001 has increased the pressure with fallow periods necessarily reducing.

The soil in the Tukusanda area is heavy loam and sufficiently fertile for farmers to plant 3-4 times consecutively before a fallow period of similar duration.

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Local farmers also raise pigs, goats and chickens for local consumption to provide the majority of their protein requirements.

Image 5: Pressure on Agricultural Production – Enga Province

TUKUSANDA

E. INFORMATION DISCLOSURE, CONSULTATIONS, AND PARTICIPATION

There have been extensive and on-going consultations and meetings between officers of the Rural Primary Health Service Delivery Project team, Enga Provincial Health Authority, the Enga Provincial Administration, the Lagaip-Porgera District Administration and the people of Tukusanda and surrounding Wards regarding the proposed new Community Health Post. The main consultations are outlined below:

 On 15th March, 2013 five (5) original owners of the proposed Community Health Post site siged a Custoa Lad Tasfe Ageeet fo the site i the presence of local Ward Councillors, the Provincial Administrator, the District Administrator, the Provincial Lands Officer and the Director of Health.   A team led by Mr. John Esson, Project Safeguards and Environmental Health Officer of the Enga Provincial Health Authority Officers visited Tukusanda between 25th and 30th August, 2013 to conduct awareness with local people and those of

16 neighbouring Wards about the Community Health Post concept and to conduct a eeds aalsis of their health issues and health service requirements.  Couit osultatio, aaeess ad health eeds aalsis as udetake in Yomondi, Kusi and Kiatele Council Wards on 28th August, 2013. A total of 340 community members participated consisting of 79 women of child bearing age, 98 men, 43 adolescent girls, 54 adolescent boys and 66 school aged children.  Couit osultatio, aaeess ad a health eeds aalsis was undertaken at Pipigungus Aid Post on 27th August, 2013 involving people from Pipigungus and Paindako Wards. An estimated 300 community members participated consisting of 55 women of child bearing age, 62 men, 23 adolescent girls and 37 adolescent boys and about 120 school aged children.  On 20th July, 2014 Mr. Lionel Jarigi, Consultant Surveyor, visited the site and conducted cadastral and topographic surveys with the assistance of local customary landowners who identified the proposed boundaries and extent of the land to be provided for the Community Health Post.  On 20th and 21st April, 2015 Mr. Romalo Bapu, District Administrator and Lands Officer visited the site and met with customary landowners in order to prepare the Land Investigation Report after further consultation with local people and confirmation of their genealogy. Other matters such as the Grievance Redress Mechanism were explained.

37. Communities and affected people visited by the Project staff have been encouraged to discuss any issues of concern to them. Questions were asked about how the construction would be tendered and whether local firms were eligible to bid. All staff working on the various components have stressed that the tender and contracting process will be conducted in an open and transparent way, so that all eligible firms can bid for the work, if they qualify according to the tender criteria.

F. GRIEVANCE REDRESS MECHANISM (GRM)

38. The Project will establish a GRM, which will be accessible (considering literacy levels), predictable (known procedures, within a set timeframe), and transparent. The Provincial Safeguards Officer (PSO), Mr. John Esson, will be the grievance redress focal point to address Project related concerns that may arise during implementation. Through public meetings, communities and affected people have been informed by the Rural Primary Health Service Delivery Project that they have a right to grievance resolution, and are told how they can have access to the GRM. Complaints and grievance procedures will be based on those outlined in the Land Assessment Framework. These ensure communities are easily able to register any complaints at the local level, and that there is a publicly acceptable forum to deal with them. A Grievance Registration book will be established to be held and administered by the local Health Facility Management Committee which has been formed. Anyone can approach this Committee to lodge a complaint or grievance. After the tender is awarded and before construction starts the

17 Rual Pia Health “eie Delie Pojets health promotion and gender team will visit communities to conduct HIV/AIDS awareness training for community members and contracting staff. During this, the Grievance Registrar will be identified and trained as part of the Health Committee.

39. The Grievance Registration book will record who is making the complaint, the substance of the complaint, to whom it has been referred for action, and the date. Grievance procedures may address benefits, contractor compliance, social and environmental concerns and other issues, apart from disputes relating to legally contestable land ownership rights. These will be referred to the District or Provincial Land Officers, who will institute a process to resolve land disputes and grievances based on accepted procedures of mediation. As required, the participation of appointed and traditional leaders will be facilitated to achieve a satisfactory resolution of any land issues at the local level. Every attempt will be made to ensure that women as affected persons, irrespective of traditional constraints, are included in the mediation processes. Any disputes arising over alienated land or compensation will follow procedures set out in the Land Disputes Settlement Act 2000, (explained in Section G, paragraph 35), and if mediation fails, will be referred to an appropriate court of law.

40. The Grievance Registrar in the village will, in the first instance, contact the Provincial Safeguards Officer, whose key function in relation to the GRM is (i) to record, categorize and prioritize the grievances and inform the Project Support Unit; (ii) in consultation with the Project Coordinating Committee and complainant, settle the grievances; (iii) to inform the aggrieved parties about the solution or, if a solution is not found (iv) to forward unresolved cases to the ‘ual Pia Health “eie Delie Pojets Project Manager or to higher authorities.

41. The Grievance Registrar will forward any complaint to the Provincial Safeguards Officer within five days of receiving it. The Provincial Safeguards Officer will discuss with the Project Coordinating Committee members and endeavor to find a solution within two weeks of receiving the complaint. For unresolved complaints, the Project Manager will consider the complaint and within one month will convey a decision to the Affected Persons. The Project Support Unit staff, along with local health officials, will assist the Project Manager in reviewing and addressing the complaint. If the Affected Person(s) are not satisfied with the Pojet “uppot Uits decision, they may then take the grievance to the PNG judicial system.

G. APPLICABLE POLICIES AND LAWS

42. The PNG Constitution adopts customary law as part of the underlying law of the country and recognizes the property rights attached to customary land. According to the 2000 Underlying Act, customary law comprises the rules, rights and obligations pertaining to an individual or group by custom and tradition. Customary law applies and the courts recognize it where it is not inconsistent with written law. The Constitution also guarantees

18 the right of the citizens to protection from unjust deprivation of property. No land or interest in land may be acquired compulsorily by the Government, except as it is required for public purposes or other justifiable reasons. In the event of expropriation of land, just compensation must be made, by the expropriating authority.

43. While the Constitution does allow for compulsory acquisition for building infrastructure for health, the Rural Primary Health Service Delivery Project has stipulated that o lad ill e auied ithout the ladoes full ageeet. Moeoe, this agreement must be secured through a transparent process following the FPIC principles (free, prior and informed consent). To ensure that these principles are adhered to, the Project Safeguards staff have made joint field visits with the Department of Lands and Physical Planning staff to the proposed CHP sites. The Government has recently introduced a new policy requiring that all land for building new state infrastructure should be bought outright, rather than, as in the past, being built on gifted customary land, or through leasing land from landowners.

44. The Land Act (1996) deals with ownership and use rights of customary land.2 It also sets out the procedures for the government to acquire customary land required for public purposes. The key provisions of the Act are (i) the government may acquire land, including improvements on land; (ii) usually the government negotiates agreements with the customary landowners for purchase of required land, but it can also compulsorily acquire the land; and (iii) the acquisition process involves several steps, including initial investigation, land survey, land investigation report (including genealogies of owner groups), determination of compensation value of land and any improvements, payment of compensation, registration of land for state ownership and transfer of title.

45. This process is being followed by the Rural Primary Health Service Delivery Project, working closely with the Department of Lands and Physical Planning, who are required to do the initial investigation including documenting genealogies of clans, valuing the land and its assets, registering the surveys and providing file numbers. Once this is done and approved, the file is sent to the Department of Provincial and Local Government so that a Certificate of Alienability can be issued for the title to be registered as state land. At the same time as the Government land acquisition process is proceeding, the Project is preparing standard safeguard documents for ADB approval.

46. The Land Disputes Settlement Act (2000) sets out the procedures for resolution of

2 The customary land includes land owned, used or occupied by a person or community in accordance with current customary usage. Access to land and resources is embedded in social relationships and expressed as customary land rights to utilize resources. Small clan-based groups live in the villages, managing their own resources, and exercising the right to utilize them. These groups (matrilineal or patrilineal clans which are composed of sub-clans, lineage groups, and at the lowest level extended households) are typically made up of “primary rights holders” – the recognized traditional leaders of the group – who collectively have the authority to allocate secondary use rights through their spokesperson(s). Different cultures have different ways of allocating land between primary and secondary rights holders.

19 disputes involving customary land. The Act provides for a land disputes committee at provincial level and land courts at local, district and provincial levels. The committee can appoint land mediators. The Act promotes resolution of disputes through mediation based on the principles of traditional dispute settlement. If mediation fails, it is followed by appeal to the courts. The registration of customary landowners as an Incorporated Land Group (ILG) has been used a lot in private sector projects in PNG. While it is not a mandatory requirement for acquisition of land in case of public sector projects, registration of ILGs may be helpful in dispute resolution and negotiation with landowners. On the other hand, ILGs in the past have often been fraudulently used for the interests of a small group, rather than the whole clan. The Rural Primary Health Service Delivery Project will not insist on registration of landowners into an ILG, unless there is a specific reason why it may be necessary to secure land.

47. The Fairness of Transaction Act of 1993 relates to the effect of certain transactions, to ensure that they operate fairly without causing undue harm to, or imposing too great a burden on, any person, and in such a way that no person suffers unduly because he is economically weaker than, or is otherwise disadvantaged in relation to, another person. The purposes of this Act are to (a) ensure the overall fairness of any transaction which (i) is entered into between parties in circumstances where one party is for reasons of economic or other advantage predominant and the other is not able to exercise a free choice; or (ii) for one reason or another, without attaching any evil design or bad faith, appears to be manifestly unfair or not to be genuinely mutual; and (b) allow for the re- opening and review of any transaction irrespective of fault and validity, enforceability or effect of any agreement; and (c) ensure the fair distribution and adjustment of rights, benefits, duties, advantages and disadvantages arising out of a transaction. Transaction means any contract, promise, agreement, dealing or undertaking of an economic or commercial nature whether supported by consideration or not entered into between parties, and includes (a) an informal, complete or incomplete transaction; and (b) a transaction governed by customary law.

48. Land Group Incorporation (Amendment) Act (2009) and Land Registration (Amendment) Act (2009). These Acts were brought into effect in 2011, following recommendations from the National Land Development Taskforce. The Acts recognize the corporate nature of customary groups and allow them to hold, manage and deal with land in their customary names, and for related purposes. These also facilitate the oluta egistatio of ustoa lad, to e ko as egisteed la lad, ad makes that land available for development through the use of Incorporated Land Groups (ILGs). These laws encourage (a) greater participation by local people in the national economy by the use of the land; (b) better use of such land; (c) greater certainty of title; (d) better and more effectual settlement of certain disputes; (e) legal recognition of the corporate status of certain customary and similar groups, and (f) conferring on them, as corporations, of power to acquire, hold, dispose of and manage land, and of ancillary powers; and (g) encouragement of the self-resolution of disputes within such groups.

20 49. As noted above, the Rural Primary Health Service Delivery Project does not require landowners to register as an ILG, but may negotiate with these groups, where they exist, or encourage groups to register if they want to further develop their land in future.

H. AGREEMENTS ON LAND USE

The series of consultations, which were held with landowners and affected people regarding the land at Tukusanda has been described in Section E. The teams visiting emphasised the benefits the community would gain by having a fully functioning Level 2 health service in the area, in return for providing land to the State. Environmental and social impacts were discussed and the measures to control these were explained.

50. The process to acquire the land followed that laid out in the Land Assessment Framework which consists of the following steps for land purchase through negotiated agreement3:

 National Department of Health/Project Support Unit requested the Department of Lands and Physical Planning to issue an official land file number for the site to be purchased  The Project Support Unit commissioned Consultant Surveyor, Mr. Lionel Jarigi of Northstar Surveyors, to undertake both cadastral and topographic surveys to identify the boundaries, location and area of the land to be purchased in consultation with customary landowners. The cadastral survey was then lodged with the Office of the Surveyor-General for registration and the topographic survey was provided to the Project Support Unit to allow preparation of site plans and structural design.  Once the surveys were lodged the Provincial Health Authority and the Project Support Unit requested the Valuer-Geeals Offie to sed a egisteed Value to alue the land and any improvements such as garden crops, food trees, timber trees, and structures. Ms. Lepei Dagaea of the Valuer-Geeals Offie isited the site i Jul, 2015 and her report was sent directly to the Office of the Valuer-General.  The Provincial Health Authority and Project Support Unit concurrently requested the District Lands Officer to prepare a Lands Investigation Report including ownership genealogy, rights and interest held in the land, and, estimated value of improvements to land in consultation with the landowners.  The Land Investigation Report was then endorsed by the Provincial Administrator and forwarded to the Department of Lands and Physical Planning on 7th May, 2015 to progress the process to obtain a Certificate of Alienability as a prerequisite for purchase by the State.  The Department of Lands and Physical Planning prepared a comprehensive file consisting of the Land Investigation Report, Valuation and Cadastral Survey and forwarded it to the Secretary, Department for Provincial and Local Level Government

3 Land Assessment Framework (Revised), 11 September 2013, PNG: Rural Primary Health Services Project, prepared by the National Development of Health, GoPNG, p.11

21 Affairs (DPLLG) who issued a Certificate of Alienability confirming that there was no impediment to land purchase.  The Certificate of Alienability was issued by the Secretary, Department of Provincial and Local Government Affairs on 26th February, 2016 and returned to the Department of Lands and Physical Planning to prepare the purchase documents including the Deed of ‘elease to e siged, upo eeipt of the puchase funds, by the customary landowners.  The Enga Provincial Government set aside funds to compensate the customary owners for their land once the Certificate of Alienability was issued and the valuation established and payment was made to the landowners on 3rd June, 2016

The project at Tukusanda includes construction of the standard six-bed design for a Community Health Post and will include provision of equipment, drugs and allocation of three (3) staff. The Province has committed to providing the required staff, and the Project has ensured that they have received the relevant training to ensure that the facility operates at the required standards for Level 2 health facilities in PNG. A plan of the proposed CHP is attached.

The land acquisition process has been reviewed and verified by an independent third party consultant contracted by the Project Support Unit for this purpose. She has provided verification that (i) the local community and landowners support the Community Health Post construction and have agreed to provide their land; (ii) consultations and negotiations with landowners have been undertaken meaningfully, freely and in good faith and the landowners have made informed decisions on use of the land, and (iii) terms and conditions of the agreements have been explained to and understood and agreed by the landowners. A copy of the verification report is appended.

I. COMPENSATION AND BENEFITS

46. The Tukusanda landowning families believed that the site of the existing Aid Post was already State owned since it had been offered to the State in 1962. Once they were advised that the transfer had not been formalized they agreed initially to give their land voluntarily for the building of the Community Health Post. However, ultimately, permanent use of the land was obtained through negotiated purchase following the Land Act and Land Assessment Framework. Once the Government of PNG land acquisition process had been completed and the title transferred to the Enga Provincial Health Authority representing the State the landowners received compensation from the State for both the value of the land and the replacement cost for improvements and plantings. Affected landowners and land users were consulted according to the Land Assessment Framework requirements, and the costs were calculated by a registered Valuer from the Department of Lands and Physical Planning using the Department of Lands and Physical Plaigs Valuation Schedule (2013) taking into account the replacement value. This was then reviewed and approved by the Valuer-General. The valuation of land and other productive assets by Department of Lands and Physical Planning was based upon

22 accepted replacement costs which include (i) adequate information about any recent land transactions in the area; (ii) land value by types; (ii) cropping patterns and crop production; and, (iv) availability of land in the sub-project areas. The Valuer-General ensures that any compensation is based on prevailing market rates or replacement cost principles.

47. Affected persons at Tukusanda will benefit by having access to some short-term employment opportunities, mainly unskilled work, as a result of the project during the construction phase. The requirement to hire local labour, where possible, will be part of the otatos otatual oligatios. While suh eploet oppotuities o thei own do not ensure sustainable livelihoods, being paid at least the minimum wage, and enjoying working conditions as per ILO Core Labour Standards (a recognized requirement for ADB financing of the Project), Project Management is confident that affected persons will be slightly better off financially as a result of the project, and certainly better off in terms of health services.

48. The Rural Primary Health Services Delivery Project recognizes that gender considerations apply to all public infrastructure projects. In conducting this due diligence exercise, women who will be affected by this project have been consulted, both in mixed groups with men and exclusive groups of women. Measures proposed to ensure gender equitable practices and outcomes include:

 Iterative consultations with women throughout all stages of the project cycle when preparing for and constructing the CHP  That women clan members be recorded in the Land Investigation Report and valuation processes conducted by the Valuer-Geeals Offie ad iluded i a subsequent benefits  Women being informed about how they can lodge grievances with the Project (and ultimately ADB) if they are dissatisfied with any aspects of the Project  Ensuring that women affected persons are offered priority waged employment during construction, and are afforded equal pay and opportunities  Addressing concerns women affected persons might have with safety and security issues, in contexts where they have to relocate their gardening activities  Ensuring that all socio-economic data collected for the project is gender disaggregated in order to analyse the differential impacts at intra-household, intra-inter clan, and community level.  Social risks associated with HIV/AIDS and other STIs will be mitigated to a large extent by employing as many local people on construction activities as possible and by awareness and prevention programmes designed to empower women and inform both women and men of the risks. All contracted staff will undertake a Rural Primary Health Service Delivery Project course designed for the purpose.

23 J. BUDGET AND SOURCES OF FUNDS

49. The Government of PNG has declared its intention to increase the proportion of lad oed the “tate though its Visio pla ad has a aual udget to pa for the land needed for public service infrastructure. The Government therefore funds all land acquisition activities involving landowner compensation, while the Project finances consultant services to oversee the land acquisition and monitoring of land activities. In the case of Tukusanda project the State paid for the land through the Enga Provincial Health Authority.

K. INSTITUTIONAL ARRANGEMENTS

50. The National Department of Health is the Executing Agency for this Project and the participating Provinces are the Implementing Agencies. The day-to-day implementation activities related to land acquisition are undertaken by the Province with support from the Project Support Unit of the Rural Primary Health Service Delivery Project. These activities include:

 Collaboration with and assistance to the Provincial/District Land Officer at the Community Health Post site to undertake their work and comply with Goeet poedues, the Pojets poliies ad ADB euieets

 Provision of resources to allow Provincial staff to accompany Project Support Unit (PSU) safeguards staff to sites

 Collaboration with and assistance to the Provincial/District Land Officer, Provincial Safeguards Officer, and PSU Safeguards consultants in consulting and negotiating agreements with affected landowners and users

 Facilitation of consultations with Ward Development Councils and affected communities and ensuring that all stakeholders are informed about the Project, its policies and procedures

 Ensuring the requirements concerning public disclosure of the provisions for land acquisition and compensation are followed

 Informing communities about the grievance redress mechanism, and overseeing and monitoring the process

 Signing a Memorandum of Agreement with the National Department of Health agreeing to manage, operate, support, staff, and provide budgets and supplies for the new facility.

24  Ensuring that cadastral land surveys and Land Investigations Reports are completed and registered with the Surveyor-General and Department of Lands and Physical Planning in a timely manner.

51. Provincial Safeguards Officers, and other Government staff who are involved in ipleetig the Pojets lad poliies hae ee poided ith taiig i the ADBs social safeguard policies and procedures

52. The Provincial Safeguards Officer is also responsible for monitoring of land acquisition activities, and will be the focal point for the Grievance Redress Mechanism. He is assisted ad suppoted the Pojet “uppot Uits “afeguads “peialists.

L. IMPLEMENTATION SCHEDULE

53. The implementation schedule for land access and facility design processes at Tukusanda was as follows:

LAND ACCESS/ACQUISITION/DESIGN PROCESSES DATE

Community Consultation/Community Health Post and GRM 19th, 20th and 21st advocacy completed August, 2013

Voluntary Land Use Agreement entered with Landowners 15th March, 2013

Cadastral and Topographic Surveys undertaken with 20th July, 2014 Landowner participation and endorsement Land Portion Number issued by Department of Lands & 22nd January, 2016 Physical Planning Land Investigation Report and Valuation completed and 7th May, 2015 subsequently Lodged Poiial Adiistatos ‘eoedatio fo Alieailit 7th May, 2015

Certificate of Alienability Issued 26th February, 2016

Sale & Transfer of Land signed by Customary Owners 3rd June, 2016

Deed of Release signed by Customary Owners 3rd June, 2016

Concept Design endorsed by Provincial Health authorities August,2013

Geotechnical Survey completed April, 2014

25 Detailed Design completed and endorsed by Health Facilities June, 2014 Branch Building Board approval and Permit received September, 2014

M. MONITORING AND REPORTING:

54. The ‘ual Pia Health “eie Delie Pojets “afeguads staff hae suitted all Land Screening, Environmental Management Plans and Due Diligence reports to ADB detailing the land acquisition processes. The Provincial Safeguards Officer will be responsible for on-going monitoring of the land activities, supported by Project Support Unit staff, including assisting in the monitoring of contractor compliance with the Environmental Management Plan. The Project Support Unit will prepare semi-annual progress reports for ADB as part of project performance monitoring. An external consultant has been appointed to undertake third-party monitoring and verification of the land acquisition processes.

ANNEXURES (Available Upon Request)

Annex One: Minutes and Reports of Community Consultations Annex Two: Signed Customary Land Transfer Agreement Annex Three: Land survey of site Annex Four: Land Investigation Report Annex Five: Valuation by the Office of the Valuer-General Annex Six: Certificate of Alienability Annex Seven: Sale & Transfer of Land Annex Eight: Deed of Release Annex Nine: Approved Layout Plan for Community Health Post

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