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Second Health Care in the Central Highlands Project

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Second Health Care in the Central Highlands Project 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. In preparing any country program or strategy, financing any project, or by making any designation of or reference to a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgments as to the legal or other status of any territory or area. 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
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