Social Monitoring Report
Project Number: 44265-013 Semi-annual Report (January-June 2018) July 2018
VIE: Second Health Care in the Central Highlands Project
Prepared by the Ministry of Health, Central Project Management Unit for the Asian Development Bank.
This social monitoring 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.
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Abbreviations
ADB Asian Development Bank CHS Commune health stations CPC Commune People’s Committee CPMU Central Project Management Unit CRC Compensation and Resettlement Committee DNRE Department of Natural Resources and Environment DOF Department of Finance DPs Displaced Persons DPC District People’s Committee GOV Government of Vietnam ICP Inter-communal polyclinics LURC Land Use Right Certificate MOF Ministry of Finance MOH Ministry of Health SPS Safeguard Policy Statement PAH Project Affected Households PPC Provincial People’s Committee PPMU Provincial Project Management Unit PRB Provincial Resettlement Board RP Resettlement Plan RPF Resettlement Policy framework ToR Term of Reference USD US Dollar VND Viet Nam Dong
Content
ABBREVIATIONS
I. INTRODUCTION 1
1.1. Project Introduction 1 1.2. Introduction of Semi- annual social monitoring report 2 II. COMPENSATION AND REHABILITATION 3
2.1. Scope of land acquisition and Resettlement Implementation 3 2.2. Relocation and Resettlement compensation 7 III. EVALUATION OF PROJECT IMPACTS 9
3.1. Negative impacts from land acquisition and adverse effect from project 9 3.2. Compensation and livelihood recovery policies 10 IV. PUBLIC CONSULTATION AND INFORMATION DISCLOSURE 16
4.1. Public consultation 16 4.2. Results of public consultation and information dissemination 18 V. GRIEVANCE REDRESS MECHANISM 20
VI. EVALUATION ON SOCIAL SAFEGUARDS COMPLIANCE LEVEL 22
RECOMMENDATION 22
ANNEX 24
I. INTRODUCTION 1.1. Project Introduction The Second Health Care in the Central Highlands Project (HICH2, or the Project) was approved by the Asian Development Bank (ADB) on 30 September 2013 and became effective on 23 June 2014 in the 5 provinces (Dak Lak, Lam Dong, Gia Lai, Kom Tum and Dak Nong) of Viet Nam. The loan closing date will be on 31 December 2019. Project completion date will be on 30 June 2019. The project consists of an original loan amount of $70 million from ADB’s Special Fund resources, the Asian Development Fund (ADF), and Government counterpart funds equivalent to $6.6million.
The objective of the Project is to increase use of maternal and child health services in district hospitals, inter-communal polyclinics (ICPs) and commune health stations (CHSs) by: (i) building new, upgrading some CHSs, ICPs and district hospitals including WWTPs, (ii) providing medical equipment and HMIS at the central, provincial, district, commune and village levels, (iii) developing human health resources through long-term and short-term training courses in professional and managerial skills and (iv) service access support: The Project comprises the following components in the Target Provinces: – Component A: Improved Access and Quality of Community Health Care – Component B: Increased Access and Quality of Hospital Services – Component C: Strengthened Provincial Health System Management The project will support improved community health care with a focus on maternal and child care for the poor and ethnic groups in rural locations. With support from district health offices, at least 20% of the rural CHSs will be selected to work with surrounding villages to improve community health care through outreach services, including health and nutrition promotion and maternal and child care. The project builds on and expands earlier programs for improving basic health care using standard packages and quality assurance mechanisms and will help improve the health system and address gaps in resources.
The goal of the project is to support for the improvement of community health care with a focus on maternal and child care for the poor and ethnic minority groups in rural areas. The project supports the construction and rehabilitation of commune health stations and commune clinics to carry out primary health care for the people in the community including health care and nutrition and care for mothers and children. The project builds and expands previous programs to improve basic health care using standardized packages and quality assurance mechanisms, helping to improve the health system and gaps in resources for health care in the localities. According to the progress of the project, some subprojects under component 1 have started construction works. The land acquisition and handover of premises for construction works have been well implemented in the localities. Progress of land clearance and handover of land for construction of works is ensured, localities commit to hand over the ground for construction works in line with schedule of the project. The Project is implementing in the 5 provinces (Dak Nong, Dak Lak, Lam Dong, Gia Lai and Kon Tum) and the succeeding table shows the descriptions of sub-components related to construction and upgrading works, the locations of the 5 project provinces is shown in the Table 1.
Table 1. Description of construction and upgrading works of the Project.
No Province Description of subproject components 1 Dak Nong Construction and upgrading of 17 Commune Health Stations (CHSs): Upgrading Dak R’Lap District Hospital: Construction of a new treatment ward 2-storey building with an area of 300m2; Rehabilitation of an existing single storey house with the area of 120m2 2 Dak Lak Upgrading inter-communal polyclinic 719: Upgrading the main building: 2- storey building, Construction of a treatment ward: 2-storey building and a bridging house: 2-storey building Construction of Krong Buk District Hospital: Construction of a main building and ancillary works 3 Lam Dong Construction and upgrading of 3 District Health Centers and 9 inter- communal polyclinics. The works also include of constructing auxiliary facilities namely WC house, parking yard, incrinerator and service house 4 Kom Tum Construction and upgrade of 35 Commune Health Stations (CHSs) that are single-storey houses with 11 rooms and the minimum area of 150 m2 meeting the required standards of MOH for CHSs. The works also include of constructing auxiliary facilities namely WC house, parking yard, incrinerator and service house 5 Gia Lai Construction and upgrade of 3 District Health Centers and 5 Commune Health Stations (CHSs) that are single-storey houses with 11 rooms and the minimum area of 150 m2 meeting the required standards of MOH for CHSs. The works also include of constructing auxiliary facilities namely WC house, parking yard, incrinerator and service house
1.2. Introduction of Semi- annual social monitoring report
Semi- annual social monitoring report was prepared with objective to monitor and evaluate sub- project activities in accordance with the requirements of the social safeguard policy of the Vietnam Government and ADB. The report on Semi- annual social monitoring of project implementation phase is carried out with the scope of reviewing and evaluating factors affecting the positive and negative impacts of the
project on the people in the project area; Identification of potential factors and implementation of social safeguard policy in accordance with the regulations of the Government of Vietnam and ADB. Specific tasks include: - Review the situation of land acquisition and resettlement to assess and determine the impact of the project on involuntarily displaced households. - Evaluate project activities that meet the requirements of the social safeguards policy and identify factors that adversely affect the affected people, especially for ethnic minority people, the poor and near-poor in the project area to be able to access the benefits brought about by the project activities. - Evaluate consultative activities and stakeholder feedback mechanisms in orderto work out plans to minimize unwanted impacts from the project activities to the households in the project area.
II. COMPENSATION AND REHABILITATION 2.1. Scope of land acquisition and Resettlement Implementation
As of November 2017, 29 construction works have not completed the dossier for granting land use right certificates as prescribed. However, after the review of ground clearance and resettlement of the CPMU in November 2017, the project provinces have made great efforts to speed up the process of completing the land clearance dossiers and issue red books, hand over the site for construction works in accordance with project progress. According to the results of document review and field survey in the 5 Central Highlands provinces updated by June 2018, of the 73 projects involved in land acquisition and resettlement, all works have completed Procedure for land use certificates issuance by local authorities of the project provinces. Only Krong Buk Hospital is completing the site clearance and compensation process, and granting long-term land use right certificates for the construction of the hospital. Details are as followed:
Table 2: Land acquisition in the project area (m2) Land use situation
Have Area Province/ Red No Red acquired STT District Construction Name book Book (m2)
Kon Tum province
Dak Rơ Wa Commune 1 Health Stations (CHS) x 2,692 Kom Tum 2 City Doan Ket CHS x 1,510.4
3 Hoa Binh CHS x 1,184.6
4 Truong Chinh CHS x 463.7
5 Kroong CHS x 1,508
6 Ngo May CHS x 1,217
7 Dak Glei CHS x 1,000 Dak Glei 8 Ngoc Linh CHS x 455.9 District 9 Dak Man CHS x 1,286.4
10 Dak Xu CHS x 532.4
11 Ngoc Hoi Dak Nong CHS x 1,152.2 12 District Sa Loong CHS x 1,512.6
13 Dak Kan CHS x 2,598
14 Tu Mo Rong CHS x 1,200
15 Tu Mo Rong Te Xang CHS x 790.6 16 District Dak Sao CHS x 2,314.6
17 Dak To Kan CHS x 648
18 Dak To CHS x 932.4
19 Dak To Kon Đao CHS x 1,649.8 20 District Van Lem CHS x 1,329.9
21 Dak Rơ Nga CHS x 1,037.4
22 Tan Lap CHS x 760.8
23 Kon Ray Dak To Re CHS x 3,761.7 24 District Dak To Lung CHS x 940.5
25 Dak Coi CHS x 875
26 Ya Ly CHS x 2,220 Sa Thay 27 Sa Son CHS x 1,523 District 28 Sa Thay CHS x 2,127.8
29 Mo Rai CHS x 2,346
30 Ngoc Tem CHS x 1,926.6 Kon Plong 31 Dak Long CHS x 2,353.1 District 32 Po E CHS x 2,612.6
33 Đak Ui CHS x 1,431.5 Dak Ha 34 Dak Hà CHS x 1,445.5 District 35 Ngoc Wang CHS x 8,733
Total 58,560.4
Gia Lai Province
Chu Pa Chu Pah District Heatlh 36 District Center x 19,752
Chu Prong Chu Prong District Health 37 District Center x 1,5361,6
38 Ia Pa District Ia Broai CHS x 568.38
Chu Se District Health 39 Chu Se Center x 20,661.3 District 40 Ia Blang CHS x 3,092
Chu Puh 41 District Ia Le CHS x 1,140
Duc Co 42 District Ia Kla CHS x 1,350
Ia Grai 43 District Ia Pech CHS x 4,006.76
Total 65,931.9
Dak Nong Province
44 Dak R’lap Dak R’lap Hopital District x 31,773 District 45 Kien Duc Town Clinic x 2,490
46 Quang Tin CHS x 2,466.5
47 Nghia Thang CHS x 1,576.6
48 Kien Thanh CHS x 2,310.4
49 Tuy Duc Quang Tan CHS x 6,184 50 District Dak Buk So CHS x 2,591.5
51 Dak G’long Quang Hoa CHS x 6,649 52 District Quang Son CHS x 1,293.7
53 Duc An CHS x 1,599 Dak Song 54 Thuan Hanh CHS x 950.5 District 55 Truong Xuan CHS x 1,927
56 Krong No Dak Mam CHS x 1,807.7 57 District Duc Xuyen CHS x 1,905
Gia Nghia x 58 City Nghia Trung CHS 1,429.6
59 Cư Knia CHS x 1,250 Cu Jut 60 Nam Dong CHS x 2,536 District 61 EaT'ling CHS x 1,707
Total 72,446.5
Lam Dong Province
Da Hoai Da Huoai District Health x 62 District Center 14,264
Lam Ha Lam Ha District Health x 63 District Center 19,249
Lac Duong Da Nhim Inter-communal x 64 District Polyclinic (ICP) 6,364.4
Dam Rong x 65 District Phi Lieng ICP 3,000
66 Da Loan ICP x 11,150
Duc Trong x 67 District Ninh Gia ICP 5,121.4
Dan Duong x 68 District Ka Đon ICP 10,000
Bao Lam x 69 District Loc An ICP 2,117
Bao Loc x 70 District Loc Thanh ICP 1,127.4
71 Da Lat City Xuan Truong ICP x 1,696
Cat Tien x 72 District Phuoc Cat ICP 1,226
Total 75,314.2
Dak Lak Province
73 719 Hospital x
3200 m2 are implementing 74 Krong Buk District Hospital - compensation 26,000
Total of Project 49 25 298,253
The total area acquired for the construction of district health centers, regional polyclinics and commune health stations in the five Central Highlands provinces is 298,253 m2. 2.2. Relocation and Resettlement compensation
As a result of the updated progress of the project and in comparison with ADB's social safeguard policy, the project activities have met social safeguards and resettlement requirements. After 8 months of efforts of the project provinces (from November 2017 to June 2018), the construction works have completed procedures of land handover, granting land use certificates and no complaints from the people about the policy of compensation and resettlement.
All subprojects in the 5 province area Central Highlands has not relocated. There are 14 household was affected by acquisition the temporary farmland, but the impact is very small. In which, 7 household received compensation, 07 affected household in Krong Buk district are waiting for compensation according to the new compensation plans of Dak Lak PRB. Table 3: Situation of Affected Household by land acquisition of sub-projects Commune/ Area of ac No of No of Current land usage Compensated town acquistio affected household status amount (VND) n (m2) household with resettlement
Kon Tum province
1. Dak Ro Nga 1,037.4 1 0 Garden land has 83,334,020 commune been acquired and compensated, CPC has handed over the land
Dak Nông province
2. Quang Hoa 6,649 01 0 Agriculture 305,755,500 commune land,compensated
3. Duc An town 1,599 04 0 New planning 81,386,000 location, agricultural land, compensated
Dak Lak province
4. Krong Buk 3,315 07 0 Forest land and 125,321,483 hospital garden land, about 3240 m2of lanf is under agreement between households and project
Total 13.590,6 14 0 595,797,003
As for the construction of Krong Buk Hospital, up to June 2018, the People's Committee of Dak Lak province has issued a decision approving the new plan of compensation based on the current situation of land use of the affected people. According to the Decision No. 3899/ UBND- TH signed by the Vice Chairman of the provincial People's Committee on 17 May 2018, the compensation plan has been adjusted and added to the compensation cost of the project. According to the new plan, the total amount of compensation and support of the project from 12
million (according to the old plan in 2011) has increased to 353.7 million (new compensation plan submitted to the provincial People's Committee for approval and approved by the provincial People's Committee in terms of general direction). Compensation items have been calculated on the basis of the crop and property on the land and the legal right to use the land of the affected person in accordance with current Vietnamese legislation and also be in line with ADB social safeguards requirement.
III. EVALUATION OF PROJECT IMPACTS 3.1. Negative impacts from land acquisition and adverse effect from project
The guidelines for the Bank's Safeguard Policies are set out in the Safeguard Policy Statement 2009 (SPS). Negative factors affecting the project are identified in the Social Safeguard Framework. According to that, the implementation of the project must adhere to the social safeguard principles and procedures to compensate those who may be negatively affected by the project to ensure that they will be supported or assisted to improve or restore their standard of living, income and productivity or at least equal to those before the project.
2.1.1. Land acquisition scope
According to desk reviews and surveys in five provinces in the Central Highland, all of 75 schemes are related to land acquisition and involuntary resettlement, in which 74 are given red-books.
2.1.2. Project impact extend
Most of the health stations and clinics in the area, which have been issued with red books, are upgraded and expanded works. Therefore, there is no impact of the project on people living in the project area. With new construction projects, most of the selected works are located in the planning area of the commune administration and the commune center, hence there is not much impact on the households living in the adjacent neighborhood. Some new construction works are located in the planned area and the current status of the land is vacant to wait for construction. Of the 49 sub-projects, including the ones that have been issued with red books, the level of impact of the project on affected households is negligible Because the land area used to build the medical station is in the planning of new rural construction. Thus, the general assessment of the impact of land acquisition of 75 construction of clinics and regional polyclinics of the project to the households living in the area is not considerable. There are 25 CHS that have temporarily not completed the procedures for issuing red books, 20 health stations and regional polyclinics are located in the new planning area of the commune administrative
center, in which there are no households living and no agricultural farming, therefore there is no impact from land acquisition. Local authorities in charge of managing these projects are implementing the red book application process and completed in December 2018. There are 5 sub-projects that have to recover agricultural land. In which, 04 sub-projects have completed the payment of compensation, the APs have received compensation and handed over the site to the project before December 2016. Of the 4 sub-projects must be revovered agricultural land, up to May 20, 2018, 3 of these sub-projects (Duc An, Quang Hoa, Dak Ro Nga) have completed site clearance and compensation, compensation documents are available for households affected by the cultivation of cash crops on land and received compensation. The handover of the site for the construction works has been completed. The households did not complain about the compensation price and the progress of handing over the site to works. With the district general hospital project of Krong Buk in Dak Lak province, problems between 05 households with land recovery with the compensation plan of the District People's Committee have been resolved. In January 2018, the People's Committee of Krong Buk district has consulted affected households to pass the draft compensation plan and approved by the people. As of 20 June 2018, the People's Committee of Dak Lak and Krong Buk districts are trying to speed up the second consultation process and pay compensation to 5 households with land acquisition to soon hand over the land to the construction works. As of 20 June 2018, there was no conflict or new complaints for the construction of Krong Buk hospital between 05 affected households and the construction site. According to the results of the assessment of social safety for works with agricultural land acquisition of social consultants, as of June 20, 2018, the activities of land acquisition and ground clearance of the project has no impact on houses and structures on land recovered, nor have other impacts on ethnic minorities and livelihoods. The progress of land acquisition and site clearance has been urgently implemented in 5 provinces, ensuring the correct procedures in accordance with Vietnamese law and ADB's social safeguard policy. With four agricultural land acquisition works, the area of cultivation is mainly fruit and vegetable crops, which do not account for more than 10% of the total cultivated area of the household so there is no impact on affected household livelihoods. 3.2. Compensation and livelihood recovery policies
For affected households whose agricultural land must be taken by the project, the local authority and the project management units of the provinces have implemented in accordance with the process of implementation of compensation and resettlement according to regulationsof the
Government of Vietnam. After the PPMU has announced the list of clinics to be invested by the project, the district authorities have notified the communes that have a regional health clinic/station in the portfolio. Some localities have quickly identified new land allocation according to the socio-economic development plan of the commune and new rural construction planning. Regarding the process of compiling compensation dossiers, works with agricultural land acquisition have full dossiers of compensation. Through reviewing records and field checking of some works, the district level clearance boards of localities have fully implemented the process such as informing affected households, holding meetings in the community to inform the compensation price, conducting consulation with the affected households to inform the impact in detail, the compensation price and the level of compensation payment. Table 4. General Progress in Relocation
Project AHs (APs) component/Location
Total Number Number of % Progress of AHs (APs) AHs resettledc
Kon Tum Dak Rơ Wa 0 province Commune Health 1 Stations (CHS)
2 Doan Ket CHS 0 0
3 Hoa Binh CHS 0 0
4 Truong Chinh CHS 0 0
5 2 0 12.2017, Kroong CHS Completed
6 Ngo May CHS 0 0
7 Dak Glei CHS 0 0
8 Ngoc Linh CHS 0 0
9 Dak Man CHS 0 0
10 Dak Xu CHS 0 0
11 Dak Nong CHS 0 0
12 Sa Loong CHS 0 0
13 Dak Kan CHS 0 0
14 Tu Mo Rong CHS 0 0
15 Te Xang CHS 0 0
16 Dak Sao CHS 0 0
17 Dak To Kan CHS 0 0
18 Dak To CHS 0 0
19 Kon Đao CHS 0 0
20 Van Lem CHS 0 0
21 1 0 12.2017, Dak Rơ Nga CHS Completed
22 Tan Lap CHS 0 0
23 Dak To Re CHS 0 0
24 Dak To Lung CHS 0 0
25 Dak Coi CHS 0 0
26 Dak Ha Town 1 0 12.2017, Completed
27 Ngoc Wang 1 0 4.2018,
Completed
28 Mo Rai 0 0
29 Ya Ly CHS 0 0
30 Sa Son CHS 0 0
31 Sa Thay CHS 0 0
32 Ngoc Tem CHS 0 0
33 Dak Long CHS 0 0
34 Po E CHS 0 0
35 Dak Ui CHS 0 0
Gia Lai province 0 0
Chư Pah District 36 Heatlh Center
37 Chư Prong District 0 0 Health Center
38 Ia Broai CHS 0 0
39 Chư Se District 0 0 Health Center
40 Ia Blang CHS 0 0
41 Ia Le CHS 0 0
42 Ia Kla CHS 0 0
43 Ia Pech CHS 0 0
44 Chư Pah District 0 0 Heatlh Center
Dak Nong Dak R’lap Hopital 0 0 province District
45
46 Kien Duc Town 0 0 Clinic
47 Quang Tin CHS 0 0
48 Nghia Thang CHS 0 0
49 Kien Thanh CHS 0 0
50 Quang Tan CHS 0 0
51 Dak Buk So CHS 0 0
52 1 0 2016,
Quang Hoa CHS Completed
53 Quang Son CHS 0 0
54 4 0 2016,
Duc An CHS Completed
55 Thuan Hanh CHS 0 0
56 Dak Mam Town 0 0
57 Nam Dong 0 0
58 Duc Xuyen CHS 0 0
59 Nghia Trung CHS 0 0
60 Truong Xuan CHS 0 0
61 Ea Tling Town 0 0
62 Cư Knia CHS 0 0
Lam dong 0 0 province
Da Huoai District 63 Health Center
64 Lam Ha District 0 0 Health Center
65 Da Nhim Inter- 0 0 communal Polyclinic (ICP)
66 Phi Lieng ICP 0 0
67 Da Loan ICP 0 0
68 Ninh Gia ICP 0 0
69 Ka Don ICP 0 0
70 Loc An ICP 0 0
71 Loc Thanh ICP 0 0
72 Xuan Truong ICP 0 0
73 Phuoc Cat ICP 0 0
Dak Lak province 0 0
74 719 Hospital
75 Krong Buk District 5 0 On going Hospital
Total 15 0 -
As of 20 June 2018, out of 75 sub-projects in the five Central Highlands provinces, grounds of 74 sub-projects have been handed over and started construction works. As for the construction of Krong Buk Hospital, only 3,200m2 of the 26,000 square meters of land is waiting to be paid for compensation under the new plan which has been approved by the provincial People's Committee and will be handed over to the construction site by the end of 2018. Compared with the compensation and resettlement policy of the Government of Vietnam and ADB, three sub-project (Ngoc Wang, Dak Ha, Kroong in Kon Tum Province) the local peoples are borrowing short-term cultivation land for cultivation on public land already included in the local planning. These households have committed to voluntarilyreturn land to the project and compensation is not required. The land acquisition and handover for construction works in November 2017 are completed. The area of cash crops grown on borrowed land during constructionwaiting time is not the main source of income for the households, therefore it does not affect the livelihood of households.
In order to minimize the negative impact of the project to the households with land acquisition, project provinces have had positive solutions to assist affected households with less damage to crops, by informing them early about land acquisition, increase the compensation price at the highest level for some plants, crops on land in accordance with the regulations of the Government of Vietnam and the compensation policy of the provinces. In addition, a job and training supportive approach was also paid attention to by PPMUs and actively consulted with affected households to minimize the negative impacts of the project on their life and livelihoods. Of the 75 subprojects in the five Central Highlands provinces, 74 works have been issued with red books and handed over grounds for the purpose of using land for long-term medical facilities. Of the 05 projects subject to land reclamation, the level of impact of the project to the affected
households is small because the area under production is less than 10% of the total cultivated area of the households. In general, the level of impact of the project on land acquisition, site clearance and involuntary resettlement is small. There is no big impact on the relocation of houses, no damage to construction works on the area of land acquired. The acquired land area is mainly public land and a small part of agricultural land has been compensated in accordance with current policies and regulations of the Government of Vietnam and ADB.
IV. PUBLIC CONSULTATION AND INFORMATION DISCLOSURE 4.1. Public consultation
The following key measures were taken to ensure appropriate consultation: The dissemination activities and community consultation were implemented in two steps:
+ First step: Inform the district and commune people's committee of the proposed investment plan. Collaborate with district and commune people's committees to inform ethnic minority villages of the project implementation components. Collaborate with district and commune people's committees to organize consultation meetings on project implementation contents and plan and implement compensation plans (if any).
+ The second step: Direct consultation at the community, specifically consultation with poor and ethnic minority households must be conducted in the community.
Consultation is not only for affected households due to land acquisition but also to all ethnic minority people living in the project area.
Implementing the consultation process, the provinces in the project area have conducted the consultation activities as prescribed. The consultation place are identified as follows:
- People Committee and socio-political orgnization at commune/ward: Local authorities at commune/ward levels, associations, community organizations and users of project items play a very important role in the implementation of the project. People's committees of communes/wards are not only coordinating with the investor in disseminating project information to the people, implementing compensation and ground clearance activities; coordinating with contractors for the construction of the works but also plays an important role in coordinating with investor, and monitoring experts in the supervision of contractors’ activities and construction at the facility. People's committees
of communes / wards are also a place to get feedback from people on issues that disadvantage the people caused by the project. The role of commune/ward People's Committees is very important and indispensable in many activities implemented by the project. - Social associations: Associations and social organizations such as the Fatherland Front, the Women's Union, the Farmer's Association, the Youth Union, the Elderly's Association represent the aspirations and opinions of the people to reflect the issues related to project. Social organizations are closely monitoring the implementation of the project, especially during the land acquisition and resettlement period to ensure compliance with PAP and current regulations of Vietnamese law. Community-based organizations are the place to grasp the issues and feedback of people related to the project activities during the preparation, construction and putting into use. The monitoring of the social orgnizations in association with community groups in the community is important in helping investors and contractors timely adjust the design and construction activities to minimize the unwanted impact to the lives of people in the affected area. - Village/hamlet representative: Represent the voice of the people, reflect the issues raised during the preparation, construction and putting into use of the project items. Hamlet is the last place to implement information dissemination activities of the project to the people and is the first place to receive feedback from people related to the project. The role of village cadres is very important, objective and timely when reflecting the legitimate aspirations and proposals of the people to supervise the process of project implementation in order to minimize negative impacts of the project to the life of the people. In addition, feedback from the village staff also facilitates the development of more appropriate project items, bringing greater socio-economic benefits to the communities in the immediate benefit area. - Beneficiary/affected group: It is the entire households residing in the project area and related to the project items. The people in the affected area are also the direct beneficiaries of the project items. - Vulnerable groups: Vulnerable people are always focused on the implementation of development projects. Subjects such as the disabled, poor, widowed, and poor families, policy households (war invalids, martyrs, revolutionary workers), poor and in-hunger households, especially ethnic minority households. During consultations with the public, in particular consultations related to land acquisition and implementation of the construction of the clinics, regional polyclinics or district hospitals should
be informed to people in the project area, especially vulnerable groups, try to invite them to attend the consultations, provide them with sufficient information on the project and listen to their wishes. In cases where they are adversely affected, such as land acquisition, care should be taken to ensure that they restore their livelihood and income. Public consultation for subprojects include the following steps: + Inform the district and commune People's Committees of the proposed plan for the components to be implemented by the project. + Organize meetings with district stakeholders on the plan to deploy the component of the project in the area. + Consultation with leaders and representatives of socio-political organizations at commune level on the project implementation plan and compensation plan. + Direct consultation at the community, including poor and vulnerable households in the community
4.2. Results of public consultation and information dissemination
Based on the results of the monitoring in the provinces, the provinces have implemented a good public consultation process. Steps in coordination with local authorities at commune / ward level were well implemented in organizing meetings with government officials, representatives of socio- political organizations, representatives of village cadres and household representatives. According to the consultation process, in subprojects with agricultural land acquisition and implementation of compensation policy, the number of consultations was fully implemented in accordance with the regulations on the establishment of the site clearance committee and resettlement at district level, full consultation at commune and village level, providing project information to households in the project area. Field surveys of a number of sub-projects have been conducted; Subproject issues have been communicated to local people involved in the project with community participation; technical design of the subproject design file approved by the local authority. The project information has been fully provided to the local authorities and received consensus from all levels of government, mass organizations and especially health workers working at health facilities within the project scope. Basic information about the project has been provided to stakeholders since October 1, 2016, the date officially notified by local authorities to the households and always monitored since 2017. Consultation results at the health stations expected to be upgraded, renovated and newly constructed, indicated that the staff of the health station and local authorities at ward level have received sufficient information on the project and very interested, waiting for the project soon to be implemented.
"We know about the project so we are very happy, the old facility has been degraded and equipment is not enough to meet the initial needs for medical treatment of Gia Rai ethnic groups in the area. The Commune People's Committee will create the best conditions for the project to be implemented soon "(Mr. Ro Mah Nop, Secretary of Party Committee, IaKla Commune, Duc Co District, Gia Lai Province). "The project implemented in Kon Tum province is of great interest to many people, especially health workers at the clinics are being surveyed to upgrade or build new ones. Dak Ro Wa medical center will be built right next to the old one, we have been informed since 2016 and are waiting for the construction project "(Ms. Vu Phuong Mai, head of the Commune Health Station of Dak Rơ Wa, Kon Tum).
Information on the project has been publicly available at the commune/ward People's Committee office and was communicated to households in the project area, especially for sub-projects with land acquisition for the construction of the health station and the regional clinic in the new location. For subprojects with agricultural land compensation, the process of informing the area of land acquisition, compensation price and compensation policy of the province is publicly and fully disclosed to affected households.
According to the survey results by 20 June 2018, Krong Buk district has consulted affected households in January 2018. The district clearance committee has consulted people about the level of compensation and compensation plans. According to progress, Krong Buk district will continue to consult with households on specific compensation for each household and payment plan in July. A new compensation plan was prepared by the Krong Buk district to be submitted to the PPC for approval at the highest level of compensation, in accordance with the adjusted and supplemented compensation and resettlement regulations to ensure the interests of the people subject to land acquisition.
“Personally, I am very supportive of the project. My daughter in law have to go to hospital with 20 km to give birth and treatment. The Constructed of hospital will help our children and local people to have better healthcare, are very suitable for the wished of my family and relatives in the area. But we wouldlike make satisfactory compensation following the regular current law of Vietnam (Hoang Van Viet, Krong Buk, 11.2017). We agree and supporting to implement construction of the project. With the new compensation of Krong Buk DPC, the affected householf will be satisfied if the conpenstion amount complies with the current law of Vietnam GOV (Tran Thang Long, Krong Buk, 6.2018).
V. GRIEVANCE REDRESS MECHANISM
Grievance redress mechanism (GRM) in the project provinces are also implemented in accordance with the provisions of the social safeguards policy of the donor for subprojects with agricultural land acquisition.
In 04 sub-projects have to recover agricultural land (Dak Ro Nga, Duc An, Quang Hoa and Krong Buk), compensation plans have been implemented in accordance with Vietnamese law and ADB policy. Particularly for 3 sub-projects (Krong, Ngoc Wang, Dak Ha) do not implement compensation plan for households who have cultivated crops on the planned land area for health stations. The reason is that the local people have agreed to borrow land with local authorities and agree not to make compensation. Under this agreement, encroachers into the area expected to be affected after the date of planning notice and land acquisition will not be entitled to compensation and resettlement. They will have to destroy their structure or cut down trees or harvest crops to clear the ground for the project. In case of necessity, they will be forced to remove the structures/plants in the project area. However, they do not have to pay fines. Commitment dates and "no compensation for encroachers" were clearly stated at community meetings. For 03 communes without public land, the district people's committee has promptly notified the households whose land is to be acquired, set up land clearance boards at the district level and carry out survey and determination of location of land acquisition, compilation of compensation documents and payment of compensation and ground clearance. Up to September 30, 2017, 04
communes have completed the compensation and ground clearance works, of which one was constructed and put into use (Duc An Town Health Center, Dak Nong province). CPMU's social consultant has requested the provinces to fully implement the process of disclosure and settlement of complaints. Project information should be provided to the people and grassroots government officials. The documents of the project such as the decision approving the investment, the plan, the progress of the project related to the people and the community, the decision approving the plan of compensation for ground clearance, detailed compensation plan. site clearance must be posted publicly at the headquarters of the Commune People's Committee, village meeting/house, and publicly available at village meetings.
After the project information has been publicly disclosed, project staff should coordinate with local authorities to plan to receive feedback from project stakeholders. The following 4 steps are followed to receive feedback from people:
Step 1: Feedback of the affected people on the project or unexpected losses will first be provided verbally or in writing to the commune/ward level. Feedbacks can be discussed at an informal meeting between the people and the chairman of the ward/commune PC. People's committees of communes/wards will be responsible for resolving problems within 15 days of receipt.
Step 2: If villagers do not understand or reach an agreement, or do not have a response from the People's Committee of the ward/commune within 15 days, the villagers can petition to the Investor/Provincial Project Management Unit (PPMU) for solution within 1 month of receipt.
Step 3: If the people are not satisfied with the provincial/municipal decision or the PPMU's representative, the complaint shall be made to the provincial/municipal People's Committee. The People's Committee will issue a decision within 30 days of receipt.
Step 4: If the people are still not satisfied with the decision of the PPC or do not receive the response within the prescribed time, the APs may eventually file a lawsuit to the people's courts about their case.
The consultant has raised a number of questions to find out the people's opinions on the feedback mechanism mentioned above by the provincial investors in the compensation plan and the project implementation. Most respondents wished that the commune / ward would be the first place they
would like to aspire, be the mediator and would represent them on their behalf to reflect on their ideas to the higher level.
VI. EVALUATION ON SOCIAL SAFEGUARDS COMPLIANCE LEVEL
During the implementation of the project activities in the provinces, the CPMU consultants conducted training for PPMUs on relevant issues to ensure the implementation of the PAPs, particularly the methodologies and mechanisms for appraisal of compensation policy, the number of affected households, the project mitigation options, the community consultation process and information dissemination and consultation with ethnic minority people. By the time of reporting, the CPMU's consultants were continuing to instruct the project provinces to implement the social safeguard policy during the implementation of the project.
Regarding land clearance and compensation procedures, land acquisition sub-projects have involved stakeholders such as local authorities, provincial project management units and local authorities,people affected by the construction works of the project. The process of information disclosure and disclosure of compensation price is made publicly and transparently. Compensation rates are based on the latest regulations and tariffs updated to date in the compensation file. Therefore, compensation rates are in line with the land compensation and compensation policies of the provinces in the project area. As of November 30, 2017, affected households have received compensation and there are no questions or complaints.
RECOMMENDATION The Project of Health Care for the Central Highlands provinces is implementing on the second year of the project. Land acquisition and site clearance activities have basically been completed. The subprojects sites have been handed over to the PPMUs and the contractor by the local authorities. In some provinces such as Dak Nong, Dak Lak and Lam Dong provinces, the construction of medical clinics and regional clinics has started.
Regarding the level of impact of the project, the overall assessment is that the level of impact of the project to the people is small and negligible. There are only 5 sub-projects with agricultural land acquisition, with appropriate compensation policy. As of 20 June 2018, all construction works grounds have been handed over for the construction of health stations and hospitals. As for the construction of Krong Buk Hospital, there are still 3,000 m2 of unoccupied land awaiting clearance. Krong Buk district has made many efforts to adjust the compensation plan in line with the actual land use of the affected households and is awaiting approval of the PPC. It is expected that the payment of compensation and ground clearance in the land still disputed will be
implemented in August 2018 according to the commitment of the People's Committee of Krong Buk district.
The implementation of land acquisition and site clearance activities in subprojects within the project area is in accordance with the social safeguard policies of the Government of Vietnam and ADB. Public consultation, information disclosure, feedback mechanisms and complaints are well respected in the project provinces.
- The project provinces should improve procedures for issuing red books for CHS.
- Particularly for Krong Buk sub-project, Dak Lak province, it is necessary to make compensation plan soon and consultation with AHs in accordance with the project's compensation and resettlement policy
ANNEX
1. Summary matrix of the findings of LAR assessment of the projects’ component or subprojects Land acquisition results and impact levels
Level There are impact waiting for on the construction Level progress Province/ / is under Affect of the STT District Construction Name construction with AF project
Kon Tum province
Dak Rơ Wa Commune Health 1 Stations (CHS) x Non Non
2 Doan Ket CHS x Non Non
3 Kom Tum Hoa Binh CHS x Non Non City 4 Truong Chinh CHS x Non Non
5 Kroong CHS Non 2 AH Non
6 Ngo May CHS x Non Non
7 Dak Glei CHS x Non Non
8 Dak Glei Ngoc Linh CHS x Non Non District 9 Dak Man CHS x Non Non
10 Dak Xu CHS x Non Non
11 Dak Nong CHS x Non Non Ngoc Hoi 12 District Sa Loong CHS x Non Non
13 Dak Kan CHS x Non Non
14 Tu Mo Rong CHS x Non Non
15 Te Xang CHS x Non Non Tu Mo Rong 16 District Dak Sao CHS x Non Non
17 Dak To Kan CHS x Non Non
18 Dak To CHS x Non Non
19 Kon Đao CHS x Non Non
20 Dak To Van Lem CHS x Non Non District Yes (under 21 Dak Ro Nga CHS x 10%) Non
22 Tan Lap CHS x Non Non
23 Dak To Re CHS x Non Non Kon Ray 24 District Dak To Lung CHS x Non Non
25 Dak Coi CHS x Non Non
26 Ya Ly CHS x Non Non
27 Sa Son CHS x Non Non Sa Thay 28 District Sa Thay CHS x Non Non
29 Mo Rai CHS x Non Non
30 Ngoc Tem CHS x Non Non
31 Kon Plong Dak Long CHS x Non Non District 32 Po E CHS x Non Non
33 Dak Ui CHS X Non Non
34 Dak Ha CHS Non 1 AH Non Dak Ha 35 District Ngoc Wang CHS Non 1 AH Non
Gia Lai Province
Chu Pa 36 District Chu Pah District Heatlh Center x Non Non
Chu Prong Chu Prong District Health 37 District Center x Non Non
Ia Pa 38 District Ia Broai CHS x Non Non
x Non Non 39 Chu Se Chu Se District Health Center 40 District Ia Blang CHS x Non Non
Chu Puh 41 District Ia Le CHS x Non Non
Duc Co 42 District Ia Kla CHS x Non Non
Ia Grai 43 District Ia Pech CHS x Non Non
Dak Nong Province
44 Dak R’lap Dak R’lap Hopital District x Non Non District 45 Kien Duc Town Clinic x Non Non
46 Quang Tin CHS x Non Non
47 Nghia Thang CHS x Non Non
48 Kien Thanh CHS x Non Non
x Non Non 49 Tuy Duc Quang Tan CHS 50 District Dak Buk So CHS x Non Non
Yes x (under Dak G’long 51 District Quang Hoa CHS 10%) Non
52 Quang Son CHS x Non Non
Yes x (under
53 Dak Song Duc An CHS 10%) Non District 54 Thuan Hanh CHS x Non Non
55 Truong Xuan CHS x Non Non
x Non Non 56 Krong No Dak Mam CHS 57 District Duc Xuyen CHS x Non Non
Gia Nghia x 58 City Nghia Trung CHS Non Non
59 Cư Knia CHS x Non Non
60 Cu Jut Nam Dong CHS x Non Non District 61 EaT'ling CHS x Non Non
Lam Dong Province
Da Hoai Da Huoai District Health x 62 District Center Non Non
Lam Ha x 63 District Lam Ha District Health Center Non Non
Lac Dương Da Nhim Inter-communal x 64 District Polyclinic (ICP) Non Non
Dam Rong x 65 District Phi Lieng ICP Non Non
66 Da Loan ICP x Non Non
Duc Trong x 67 District Ninh Gia ICP Non Non
Don Duong x 68 District Ka Don ICP Non Non
Bao Lam x 69 District Loc An ICP Non Non
Bao Loc x 70 District Loc Thanh ICP Non Non
71 Da Lat City Xuan Truong ICP x Non Non
Cat Tien x 72 District Phuoc Cat ICP Non Non
73 719 Hospital x Non Non
Yes (under
74 Krong Buk District Hospital x 10%) Non
2. Some pictures from fieldwork
Deep Interview Mr.Thang Long, Affected Status of land for awaiting to clearance in Krong household in Krong Buk (15.6.2018) Buk
Deep- Interview Mr. Hoang Van Viet, Affected Consultation with women worker in Krong Buk household in Krong Buk
Consultation with building contractors in Krong Field work in Ka Don, Don Duong, Lam Dong Buk
Field work in Tumorong commune, Kon Tum Field work in Ia Pech Conmmune, Gia Lai