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Initial Environmental Examination (Updated) July 2021 Philippines: Emergency Assistance for Reconstruction and Recovery of Marawi Output 3: Restoring Water Utilities and Health Infrastructure (Health Component) Prepared by the Department of Health, Government of the Philippines for the Asian Development Bank. This is an updated version of the draft originally posted in July 2020 available on https://www.adb.org/projects/documents/phi-52313-001-iee-0. CURRENCY EQUIVALENTS (as of 08 July 2021) Currency unit - Philippine Peso (PhP) PhP1.00 - $ 0.02006 $1.00 - PhP 49.85 ABBREVIATIONS ADB - Asian Development Bank CCC - Climate Change Commission CFC - chlorofluorocarbon CITES - Convention on International Trade in Endangered Species of Wild Fauna and Flora DENR - Department of Environment and Natural Resources DO - Department Order DOH - Department of Health ECA - Environmentally critical area ECC - Environmental Compliance Certificate ECP - Environmentally critical project EMB - Environmental Management Bureau EMP - Environmental Management Plan EMOP - Environmental Monitoring Plan GRC - Grievance Redress Committee GRM - Grievance Redress Mechanism IEE - Initial Environmental Examination INDC - Intended Nationally Determined Contribution LGU - Local government unit LLW - Lanao Lake Watershed NSWMC - National Solid Waste Management Commission PHIVOLCS - Philippine Institute of Volcanology and Seismology PIU - Project Implementation Unit PMC - Project Management Consultant POPS - Persistent Organic Pollutants ROW - Right -of-way SPS - ADB Safeguard Policy Statement 2009 TB DOTS - Directly observed treatment, short-course for tuberculosis TSeKaP - Tamang Serbisyo sa Kalusugan ng Pamilya UNCSD - Unitedt Nations Convention on Sustainable Development UNFCCC - United Nations Framework Convention on Climate Change UCCRTF - Urban Climate Change Resilience Trust Fund 2 WEIGHTS AND MEASURES dB (A) - A-weighted decibel ha - hectare km - kilometer km2 - square kilometer m - meter NOTE In this report, $ refers to US dollars. This initial environmental examination 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. 3 TABLE OF CONTENTS TABLE OF CONTENTS 4 LIST OF FIGURES 5 LIST OF TABLES 5 EXECUTIVE SUMMARY 7 I. INTRODUCTION 13 A. Project Background 13 B. Project Objectives 13 C. Purpose of the IEE Study 14 D. Extent of the IEE Study 14 E. Methods Used for the IEE Study 14 1. Site Assessment and Public Consultation 14 2. Primary and Secondary Data Collection 14 3. Other Tools, Additional Surveys and Studies 15 4. Assessment of Potential Impacts 15 5. Preparation of the Environment Management Plan 15 E. IEE Report Content 15 II. POLICY, LEGAL AND ADMINISTRATIVE FRAMEWORK 16 A. International Environmental Agreements 16 C. Regulatory Framework on Operationalization of Local Health Systems 24 D. Environmental Regulatory Framework Applicable to DOH 25 E. Regulatory Framework in Autonomous Region in Muslim Mindanao 25 F. Asian Development Bank Safeguard Policies 26 G. Other Applicable Regulations 27 III. DESCRIPTION OF THE PROJECT 28 A. Project Locations 28 B. Detailed Design 31 IV. DESCRIPTION OF THE ENVIRONMENT 41 V. IMPACT ASSESSMENT AND MITIGATING MEASURES 62 VI. CONSULTATION, PARTICIPATION AND INFORMATION DISCLOSURE 74 VII. GRIEVANCE REDRESS MECHANISM 79 VIII. ENVIRONMENTAL MANAGEMENT PLAN 81 IX. CONCLUSION AND RECOMMENDATION 96 BIBLIOGRAPHY 97 APPENDICES 98 Appendix 1. Certificates of Non-coverage 98 Appendix 2. Rapid Environmental Assessment (REA) Checklist 100 Appendix 3. Proof of Ownership Documents of City Health Unit (Marawi City) and Rural Health Unit (Lumbayanague) 106 Appendix 4. Summary of Meeting 111 Appendix 5. Site Assessment Report (18 December 2019) 114 Appendix 6. Site Assessment Report (28 – 29 May 2019) 117 Appendix 7. DOH Site Inspection Report (28-29 May 2019) 122 Appendix 8. Guidelines for Climate Change and Green House Resilience Design 128 Appendix 9. Laboratory Analyses 130 Appendix 10. Permit to Cut Trees 139 Appendix 11. Public Consultations 141 Appendix 12. Grievance Intake Form 143 4 LIST OF FIGURES Figure 1. Map of Lanao del Sur 27 Figure 2. City Engineering Office building, Government Center of Marawi 29 Figure 3. General Services Office building, Government Center of Marawi City 29 Figure 4. Master Development Plan of Government Center of Marawi, including the proposed City Health Unit 30 Figure 5. Proposed location of Lumbayanague RHU 30 Figure 6. Location Map 33 Figure 7. Vicinity Map 33 Figure 8. Site Development Plan 34 Figure 9.Perspective 34 Figure 10.Ground Floor Plan 35 Figure 11. Second Floor Plan 35 Figure 12. Location Map 37 Figure 13. Site Development Plan 38 Figure 14. Perspective 38 Figure 15. Ground Floor Plan 39 Figure 16. Second Floor Plan 39 Figure 17. Lake Lanao Watershed Reserve Area 40 Figure 18. Slope Map of Lake Lanao Watershed Reserve Area 42 Figure 19. Topographic Map of Lanao del Sur 42 Figure 20. Active Faults and Trenches in Mindanao 43 Figure 21. Landslide Susceptibility Map of Marawi City 44 Figure 22. Landslide Susceptibility Map of Lumbayanague 44 Figure 23. Modified Coronas Classification of Climate of the Philippines 46 Figure 24. Sampling locations for soil, Marawi City 47 Figure 25. Sampling locations for soil, Lumbayanague 48 Figure 26.Sampling locations for drinking water and receiving body of water, Marawi City 49 Figure 27. Sampling locations for drinking water and receiving body of water, Lumbayanague 49 Figure 28. Philippine Biogeography Zone, DENR (2002) 53 Figure 29. PAs and KBAs within the 10-km and 50-km buffer zone, Marawi City Health Unit 55 Figure 30. PAs and KBAs within the 10-km and 50-km buffer zone, Lumbayanague Rural Health Unit 56 Figure 31. Population Density of Lanao del Sur (Philippine Statistics Authority, 2015). 58 LIST OF TABLES Table 1. Summary of Environmental Legislations Applicable to the Proposed Project 19 Table 2. Project Thresholds for Coverage Screening and Categorization in Philippine EIS System 23 Table 3. Lot and Floor Areas Allotted for Health Facilities 31 Table 4. Floor Space Allocation for Marawi City Health Unit 31 Table 5. Floor Space Allocation for Lumbayanague Rural Health Unit 36 Table 6. Area by Slope Category 41 Table 7. Water Body Classification and Usage of Freshwater 45 5 Table 8. Details of Soil Sampling in Marawi and Lumbayanague 46 Table 9. Soil Analyses Result 47 Table 10. Details of Water Sampling in Marawi and Lumbayanague 48 Table 11. Drinking Water Result 50 Table 12. Receiving Body of Water Results 50 Table 13. Air Quality Sampling Results, Barangay Bubong, Saguiaran, Lanao del Sur 51 Table 14. Noise Level Sampling Results, Barangay Bubong, Saguiaran, Lanao del Sur 52 Table 15. IUCN Red List for Marawi (Mammals and Reptiles) 55 Table 16. IUCN Red List for Marawi (Birds) 56 Table 17. IUCN Red List for Lumbayanague (Mammals and Reptiles) 57 Table 18. IUCN Red List for Lumbayanague (Birds) 57 Table 19. Age Group for Marawi and Lumbayanague, 2015 58 Table 20. Highest Grade / Year Completed, Marawi City 59 Table 21. Major Occupation Group, Marawi City and Lumbayanague 59 Table 22. Morbidity Statistics in the Philippines 60 Table 23. Mortality Statistics, Marawi City and Lumbayanague 60 Table 24. Summary of VECs for the Proposed Construction of Health Units in Marawi City and Lumbayanague, Lanao del Sur 63 Table 25. Intensity, Duration and Scope Classification of Impacts 64 Table 26. Multi-criteria Analysis to Determine the Potential Environmental Impacts 64 Table 27. Matrix Showing the Relationship Between VECs and Project Components and Activities for the Construction of Health Units 65 Table 28. Analysis of Environmental Impacts 66 Table 29. Summary of Consultations with Relevant Agencies on May 28-29, 2019 73 Table 30. Summary of Consultations with Relevant Agencies on December 18, 2019 75 Table 31. Proposed Environmental Monitoring Plan 78 Table 32. Roles and Responsibilities of Offices in Project Implementation 81 Table 33. Organizational Set-up for Environmental Management Plan and Environmental Monitoring Plan Implementation 83 6 EXECUTIVE SUMMARY 1. This Initial Environmental Examination (IEE) was prepared for the health component of Output 3 of the Emergency Assistance for the Reconstruction and Rehabilitation of Marawi (ERRM)1 (the Project). Output 3 of the ERRM, which includes water supply and health components, will be financed by a $5 million grant under the Urban Climate Change Resilience Trust Fund (UCCRTF). UCCRTF, as a multi-donor trust fund was created to enhance resilience. 2. This is an updated IEE, incorporating the detailed design of the health units, COVID-19 health and safety guidelines, status of issuance of Certificates of Non-coverage (CNCs) from the Bangsamoro Autonomous Region in Muslim Mindanao – Ministry of Environment, Natural Resources, and Energy (MENRE), and further details on environmental management plan. The latest version prior to this updated IEE was disclosed in July 2020. 3. The Project will follow relevant provisions of the Safeguards Policy Statement (SPS) 2009 of Asian Development Bank