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Initial Environmental Examination Health Services Sector Development Program – Additional Financing (RRP PNG 51035-004) Initial Environmental Examination Document Stage: Draft Project Number: 51035-004 Grant No.: 51035-004-PNG April 2019 Papua New Guinea: Health Services Sector Development Program – Additional Financing Kopiago Health Center, Hela Province Prepared by Department of Treasury for the Asian Development Bank This initial environmental examination is a document of the borrower. The views expressed herein do not necessarily represent those of the 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 ADB 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 . PNG: Health Services Sector Development Program Additional Financing – Initial Environmental Examination CONTENTS ABBREVIATIONS ii EXECUTIVE SUMMARY iv I. INTRODUCTION 1 A. Background and Rationale 1 B. Objective, Scope and Methodology of the IEE 5 II. POLICY, LEGAL AND ADMINISTRATIVE FRAMEWORK 6 A. PNG Country Safeguard System Requirements 6 B. ADB Policies 7 C. Administrative Arrangements 8 III. PROJECT DESCRIPTION 8 A. Nature, Size and Location of Subproject Facilities 8 B. Subproject Location 9 C. Proposed Works and Activities 11 IV. DESCRIPTION OF THE ENVIRONMENT 14 A. Physical Resources 15 B. Ecological Resources 19 C. Socio-economic and Cultural Resources 20 V. ANTICIPATED ENVIRONMENTAL IMPACTS AND MITIGATION MEASURES 28 A. Impacts and Mitigation Measures during Design and Pre-Construction Phase 28 B. Impacts and Mitigation Measures During Construction Phase 30 C. Impacts and Mitigation Measures During Operation Phase 37 VI. CONSULTATION AND INFORMATION DISCLOSURE 38 A. Stakeholder and Community Consultations 38 B. Information Disclosure 39 VII. ENVIRONMENTAL MANAGEMENT PLAN 40 A. Institutional Arrangements and Responsibilities 40 B. Grievance Redress Mechanism 42 C. Mitigation Measures 44 D. Monitoring and Reporting 44 VIII. CONCLUSIONS AND RECOMMENDATIONS 55 REFERENCES 56 APPENDICES Error! Bookmark not defined. Appendix 1: PNG Water Quality Standards 58 Appendix 2: List of Key international agreements Signed by PNG 60 Appendix 3: The Australasian Health Facility Guidelines 61 Appendix 5: Grievance Intake Form 62 Appendix 6: Outline of an Environmental Monitoring Report 63 Appendix 8: Guidelines for incinerator use and Health Care Waste Management 65 Page | i PNG: Health Services Sector Development Program Additional Financing – Initial Environmental Examination ABBREVIATIONS ADB - Asian Development Bank BCD - bid and contract documents BOQ - bill of quantities CCP communication and consultation plan (of the Program) CEMP - construction environmental management plan (of the contractor) CEPA - Conservation and Environment Protection Authority CSS - country safeguards system DSC - design and supervision consultant EARF - environmental assessment and review framework (of the Program) EHSO - environmental, health and safety officer (of the contractor) EMP - environmental management plan EP - environmental permit EPAR - Environmental (Prescribed Activities) Regulation 2002 EPH - environment permit holder (under EPAR) ESO - environmental safeguards officer (in the PMU) GRM - grievance redress mechanism IES - international environmental specialist (in the DSC) IEE - initial environmental examination LLG Local Level Government NDOH - National Department of Health NGO - non-government organization NHP - National Health Policy PBSO - Province-based safeguards officer PCR - physical cultural resources PHA - Provincial Health Authority PNG - Papua New Guinea PMU - Project Management Unit (for the Program) PSC - Program Steering Committee QPR - Quarterly Progress Report RPHSDP - Rural Primary Health Services Delivery Project SPS - Safeguard Policy Statement 2009 (of ADB) WHO World Health Organization Page | ii PNG: Health Services Sector Development Program Additional Financing – Initial Environmental Examination WEIGHTS AND MEASURES dB(A) – A-weighted decibel ha – hectare km – kilometre µg – microgram m – meter CURRENCY EQUIVALENTS (as of 22 March 2019) Currency Unit – Kina (K) K1.00 = $0.291 $1.00 = K3.305 NOTE In this report, "$" refers to US dollars unless otherwise stated. Page | iii PNG: Health Services Sector Development Program Additional Financing – Initial Environmental Examination EXECUTIVE SUMMARY 1. Background to the Program . The Government of Papua New Guinea (the government) requested financing from the Asian Development Bank (ADB) for implementation of the Health Services Sector Development Program (the Program). The Program supports: (i) critical public finance management (PFM) reforms (fiscal policy, financial management, public expenditure); and (ii) strengthening of the health system to improve service delivery (including physical and non-physical interventions and investments). 2. In line with the Country Partnership Strategy 2016-2020 between ADB and the Government, the Program will help Papua New Guinea (PNG) convert its resource wealth into higher human capital to drive inclusive and sustainable economic growth thereby supporting the Development Strategic Plan (2010–2030). 3. Rationale for additional financing . The Program was approved by the Board of the ADB on 30 May 2018 and combines a $104.5 million policy-based operation and a $95 million project investment to support whole-of-government and sector policy reforms with health sector investments. The project duration is seven years and expected to close in 30 May 2025. Two additional policy-based loans of $100 million each will be processed separately in 2019 and 2020. 4. The existing Program investment is on track with both the project manager and project finance and procurement specialist recruited together with key experts. The Program Steering Committee has identified the locations for two district hospitals and six health centers for upgrading under the Program. The first two health centers are expected to be contracted in 2019 along with the consulting firms for medical supplies and digital health. 5. Additional financing for the Program will be provided by the Government of Australia through a co-financed $38 million grant from DFAT to expand the scope of the investment. The DFAT co-financing will support greater institutional strengthening, capacity building, and investments across all three project outputs. The expansion of the project to include additional civil works, expanded health workforce training and technical assistance would be much more efficient than implementing these separately, both in terms of administration, as the NDOH is already familiar with ADB’s project administration arrangements, and because the current project management unit have the skills in construction monitoring, supervision and training. 6. Implementation arrangements. The implementation arrangements will remain the same as the original Program with the executing agency being the Department of Treasury and the National Department of Health (NDOH) through a project management unit (PMU) as the implementing agency. The PMU is supported by a design and supervision consultant (DSC) which includes safeguards specialists – including international and national environmental specialists – on its team. 7. Impact, outcome and outputs . There is no change to the impact statement of affordable, accessible, equitable and high-quality health services for all citizens developed in alignment with the vision of the National Health Plan 2011-2020. The outcome of more sustainable and efficient health care system achieved will also remain unchanged. The additional financing will expand the scope of the Program which comprises three outputs: (i) Output 1 - national frameworks and public financial management enhanced; (ii) Output 2 - subnational health system management strengthened; and (iii) Output 3 - health service delivery components strengthened. 8. Safeguards due diligence . During preparation of the additional financing the site for one investment under output 3 has been identified and this initial environmental examination (IEE) has been prepared. Page | iv PNG: Health Services Sector Development Program Additional Financing – Initial Environmental Examination 9. As per the original Program, sites for the remaining investments will only be confirmed during implementation and the environmental assessment and review framework (EARF) prepared for the original Program has been updated for the additional financing. The EARF sets out the process and procedures to be followed to comply with PNG’s Environment Act 2000 (and regulations) and ADB’s Safeguard Policy Statement 2009 (SPS). Following approval, the additional financing—in addition to the Program—will be subject to safeguards requirements, however, it is output 3, which includes the civil works activities and which will follow the procedures set out in the EARF and this IEE. 10. This report summarizes the findings and results of the environmental assessment— IEE—for the subproject to upgrade the existing Kopiago Health Center, Hela province. The subproject has been classified as category B for environment as per ADB’s SPS. The rehabilitation and upgrading of existing small health facilities are not defined in the PNG’s Environment (Prescribed Activities)
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