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41509-013: Rural Primary Health Services Delivery Project

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41509-013: Rural Primary Health Services Delivery Project Due Diligence Report Project Number: 41509-013 January 2017 PNG: Rural Primary Health Services Delivery Project (Loan 2785 and Grant 0259) Prepared by the Department of Health for the Asian Development Bank. This due diligence report is a document of the borrower. The views expressed herein do not necessarily represent those of ADB’s Board of Directors, Management, or staff, and may be preliminary in nature. Your attention is directed to the “terms of use” section of this website. In preparing any country program or strategy, financing any project, or by making any designation of or reference to a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgements as to the legal or other status of any territory or area. Papua New Guinea Rural Primary Health Services Delivery Project DUE DILIGENCE REPORT FOR ACQUISITION of the WAKO CHP SITE West New Britain Province January, 2017 1 INDEX Executive Summary Project and Community Health Post Description Wako Community Health Post Site - Description and Area Scope of Land Use/Purchase Socioeconomic Information Information Disclosure, Consultations and Participation Grievance Redress Mechanism Applicable Policies and Laws Agreements on Land Use Compensation and Benefits Budget and Sources of Funds Institutional Arrangements Implementation Schedule Monitoring and Reporting ANNEXURES (Available Upon Request) Annex One: 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 Report Annex Six: Certificate of Alienability Annex Seven: Sale & Transfer of Land, Deed of Release and Cheque payment Annex Eight: Approved Layout Plan for Community Health Post Annex Nine: Third Party Verification of Land Acquisition Process The image on the cover of this Report depicts the partially cleared area upon which the proposed Wako CHP will be constructed. It is adjacent to the existing Aid Post. 2 EXECUTIVE SUMMARY The Rural Primary Health Service Delivery Project (RPHSDP) is a collaboration between the Government of PNG represented by its National Department of Health and the Asian Development Bank, Australian Department of Foreign Affairs and Trade, the OPEC Fund for International Development, the World Health Organisation, the Japanese International Cooperation Agency and UNICEF. The Project is operating in two (2) Districts of each of eight (8) Provinces. The civil works component of the Project (Output 4) involves construction of thirty-two (32) new Community Health Posts, ninety- six (96) new staff houses as well as providing medical equipment and small vehicles (cars, boats, or motorbikes) to support their operation. It will also install or upgrade sanitation facilities, provide waste management facilities and establish renewable energy supplies for those health facilities. The Community Health Post is deemed a Level 2 Health Facility under the PNG National Health Service Standards, 2011 and is required primarily to provide maternal and child primary health services to remote rural populations. Provision is also made for supervised birthing and postnatal inpatient care, short term paediatric and adult inpatient services and for triage, stabilisation and referral to higher level facilities of critically ill clients. A odest Poedue ‘oo is poided to allo eergency 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 West New Britain Provincial Health Authority has prioritised Wako as one of the localities in which to construct a new Community Health Post under Output 4 of the Project. Wako Village is located on the southwest coast of the West New Britain in the Kandrian Gloucester District and is inaccessible by road from the Provincial capital, Kimbe. Motorised dinghies are the most common form of transport in the area. Wako is in the Kandrian Coastal Rural Local Level Government (LLG) area. The nearest Health Centre for the Wako Couity Health Posts efeals is the Health Centre at Pililo which is located on an island 63 kilometres west along the coast. The nearest functioning Hospital is the Kimbe Provincial Hospital which is on the north coast and up to 24 hours away by motorised dinghy dependent upon weather and sea conditions. Critical medical evacuations from the proposed Wako Community Health Post are likely to be effected by chartered helicopter. Wako Community Health Post is expected to serve up to 8000 people living in the near vicinity. The present Wako Aid Post had a projected catchment population of 4356 at the end of 2013 based upon an extrapolation of the 2011 Census and it is expected that people presently accessing other nearby Aid Posts will seek their future health care needs from the new CHP at Wako. Demand for maternal and child health services to be offered by the Community Health Post will mostly be derived from the estimated 636 children less than 5 years of age and 937 women of child bearing age living in the immediate area. The proposed site for the Community Health Post is known locally as Wakoand is registered as Portion 399C, Milinch of Mio, Fourmil of Arawe, Kandrian Gloucester District, West New Britain Province. It consists of 1.398 hectares. It is desied i the Lad Iestigatio ‘epot as flat and undulating with rivers restricting the range. An image of the site is included on the cover of this report. 3 The site was selected by the customary owners as most of the Portion has been used for many years as the site of the existing Aid Post. Therefore, the immediate effects on households are insignificant and potential losses from selling the land are not a significant proportion of their livelihoods. Apart from minor disturbances to the environment during construction there are unlikely to be any adverse environmental or socio-economic impacts on the nearby households and they will benefit from the land payments made for the purchase of clan land. The extent of the site was determined by the customary owners and the owners of adjoining land in the company of the Surveyor prior to survey on 12th June, 2015. 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. The land was formerly owned by members of the Pairap and Karumbrumung Clans and 4 sub Clans of Samot, Adim, Ulaino and Ouying. The four sub Clans migrated to the area from inland areas many years ago. They happily coexist with the members of the two (2) original Clans and their rights to the land are not contested. The Clan members consented to sell this land to the State through the Land Investigation Report dated 13th February, 2016. Mr. Michael Romoio of the Pairap Clan and Mr. Thomas Yapong of the Karumbrumong Clan are nominated to e ou representatives and agents for the purpose of executing a Transfer/Lease to the Administrator over that piece of land known as Wako containing approximately 1.398 hectares and situated in the District of Kandrian Province of West New Britain and we do authorise(d) the above agents to accept on our behalf all moneys and consideration paid by the said Administrator i oetio ith the poposed Tasfe/Lease of the said piee of lad. The value of the land, improvements and compensation for past occupancy was assessed by the Valuer-General to be K61,700.00. The Certificate of Alienability No. 22/9-2016 was issued by the Secretary of the Department of Provincial and Local Government Affairs on 19th September, 2016. Payment of K61,700.00 was made to the authorised agents by the West New Britain Provincial Administration on behalf of the State in Wako Village on 14th December, 2016. The Deed of Release and the Sale and Transfer documents were signed by the Agents in the presence of Village residents and a Customary Lands Officers of the District and the National Department of Lands & Physical Planning. A Due Diligence Review confirms that the site at Wako eets the Pojets eligiility iteia fo development of a Community Health Post in that: The land is in Kandrian Gloucester District of the Province Landowners of the area have been consulted extensively about their healthcare needs and voluntarily offered land for the project in order to secure a Community Health Post within their village. The Poies “tategi Health “eie Deelopet Pla, - eoeds construction of a Level 2 Community Health Post in the area to serve the health needs of the 4356 persons living in the immediate area. That Plan has been endorsed by the Provincial Administration. The Chief Executive Officer of the Provincial Health Authority has endorsed the concept plan, 4 the site plan and the final design of the Community Health Post after consulting with the local communities that it will serve. The Provincial Health Authority 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 of the Provincial Health Authority 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 for the construction site was endorsed by the relevant officers of the Asian Development Bank on 22nd June, 2016. The process of obtaining the Title on behalf of the State is now complete and tenders have been invited for construction of the proposed Community Health Post.
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