41509-013: Rural Primary Health Services Delivery Project
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Due Diligence Report Project Number: 41509-013 October 2016 PNG: Rural Primary Health Services Delivery Project (Loan 2785 and Grant 0259) Prepared by the Department of Health for the Asian Development Bank. This due diligence report is a document of the borrower. The views expressed herein do not necessarily represent those of ADB’s Board of Directors, Management, or staff, and may be preliminary in nature. Your attention is directed to the “terms of use” section of this website. In preparing any country program or strategy, financing any project, or by making any designation of or reference to a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgements as to the legal or other status of any territory or area. Papua New Guinea Rural Primary Health Services Delivery Project DUE DILIGENCE REPORT FOR ACQUISITION of the YAMAYA CHP SITE Morobe Province October 2016 1 INDEX Executive Summary Project and Community Health Post Description Yamaya 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: Report of Land Consultations Annex Two: Report of Community Consultations/Health Needs Analyses Annex Three: Registered Cadastral Land survey of site dated 26/02/2016 (Map) Annex Four: Land Investigation Report dated 2/09/2015 Annex Five: Valuation by the Office of the Valuer-General dated 3/02/2015 Annex Six: Certificate of Alienability dated 26/02/2016 Annex Seven: Environmental Management Plan Annex Eight: Sale & Transfer of Land Annex Nine: Deed of Release Annex Ten: Approved Layout Plan for Community Health Post The image on the cover of this Report depicts a helicopter parked on the site of the proposed CHP. Duig the ost of the et seaso Yaaa is ol aessile heliopte ad eege evacuations of labouring women are mostly effected by this means as the road trip to the nearest referral centre can take as much as eight (8) hours. 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 selected health facilities. The Community Health Post is deemed a Level 2 Health Facility under the PNG National Health Service Standards, 201s ‘ole Delieatio Mati ad is euied to poide ateal ad hild pia health clinics. Provision is also made for 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 liets. A odest Poedue ‘oo is poided to allo eege ae of taua o seious medical conditions prior to referral and discrete consultation rooms are provided to ensure privacy for clients seeking care or advice for their conditions. The Yaaa soeties spelled Yaaia Community Health Post is expected to provide health services for up to forty (40) people per day. Yamaya Village is located about fift kiloetes oe ad a half das alk southeast of Menyamya Station in the Menyamya District of Morobe Province. It is accessible by road from Lae and from Bulolo, the nearest township, but can take up to eight hours of travelling time dependent upon prevailing weather conditions. The site is adjacent to the Yamaya/Kapu access road but in a very remote and underserved area of the Menyamya District. The immediate catchment population for the proposed Yamaya Community Health Post is 2521 persons. Demand for maternal and child health services to be offered by the Community Health Post will mostly be derived from the 368 children less than 5 years of age and 542 women of child bearing age living in the area as identified through the 2011 Census. However, it is also anticipated that those living in other villages served only by dilapidated aid posts will also access the new Yamaya Community Health Post and that the true catchment population will be closer to 7000 people once the facility is constructed and commissioned. The nearest Hospital is the Bulolo District Hospital which is five to eight hours travelling time to the northeast but, because of its poor condition and lack of usable bed capacity, most medical evacuations are to the ANGAU Memorial General Hospital in Lae. Urgent obstetric cases are evacuated by chartered helicopter but other cases are transported by road. The site at Yamaya, acquired for the State by the Hon. Benjamin Phillip, Member for Menyamya, satisfies all of the Pojets criteria required for construction of the proposed Community Health Post to proceed: The land is in Menyamya District of the Province The Provincial Health Adviser of Morobe Province 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. Landowners of the area have been consulted extensively about their healthcare needs and 3 voluntarily offered land for the project in order to secure a Community Health Post within their village. The Poies “tategi Health “eie Deelopet Pla, 5 -2020 eoeds construction of a Level 2 Community Health Post in the village to serve the health needs of the 2521 people living in the immediate area. That Plan has been endorsed by the Provincial Administration. The Provincial Administrator is prepared to enter a Memorandum of Agreement with the Secretary for Health confirming the availability of recurrent budget for operation of the facility The Provincial Health Adviser 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 of the National Department of Health 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 8th March, 2016. The former customary owners of the land consented to sell their land to the State through the Land Investigation Report dated 2nd June, 2015. The land offered is cleared, slightly sloping and well drained clay and loam. It is known locally as Paiatai and registered as Portion 44C Milinch of Menyamya, Fourmil of Wau, Menyamya District, Morobe Province. The Lad Iestigatio ‘epot idiates that thee is suffiiet lad aailale ad thus the oes a affod to sell the lad. The lad as oed ees of the Angumthia Clan ad had ee auied though eeship and patrilineal descendency. Their rights to the land are not contested. Mr. Alex Ben, Mr. Nawai Isaiah, Mr. Jemecks Heslon, Mr. Bingano Philimon, Mr. Owen Kusa and Mr. Jerry Kusa ae aed i the “hedule of Oes, “tatus ad ‘ights to the Lad setio of the Lad Investigation Report as Agets possessig full ights as the lad oes and are nominated by the landowners to be their representatives and agents for the purpose of executing a transfer to the Provincial Administrator. They are authorised to have complete right to transfer/lease to the Administration and to execute any documents and to accept payment in connection with such lease/transfer on behalf of the owners to the rights in that land and any improvements thereon. 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 and is quantified at 0.76 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. The site was selected by the customary owners because it is central to the surrounding villages of Kwatongoia, Keango, Papatia and other isolated villages further to the south and to the east whose villagers have limited access to other health services and because of its proximity to the road leading to Bulolo and Lae. The unimproved value of the land provided for the Community Health Post was assessed by the Valuer-General to be K27,000.00 with a further K22,400.00 for capital improvements and K2,400.00 for planted improvements on the site. 4 The Certificate of Alienability No. 5/3/2016 was issued by the Secretary of the Department of Provincial and Local Government Affairs on 26th February, 2016. Payment of K52,000.00 was made to the authorised agents by the Hon. Benjamin Phillips, Member for Menyamya on behalf of the State in Yamaya Village on 7th October, 2016. The Deed of Release and the Sale and Transfer documents were signed by the Agents in the presence of an estimated 200 other people and a Customary Lands Officer of DL & PP.