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44265-013: Second Health Care in the Central Highlands Project

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44265-013: Second Health Care in the Central Highlands Project Social Monitoring Report Project Number: 44265-013 Semi-annual Report (July-December 2018) February 2019 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. CONTENTS I. INTRODUCTION AND PROJECT BACKGROUND 5 II. LEGAL AND POLICY FRAMEWORK 6 III. POLICY ON LAND ACQUISITION AND COMPENSATION OF PROJECT 9 IV. LAND ACQUISITION AND INVOLUNTARY RESETTLEMENT 11 4.1. Land acquisition scope and resettlement 11 4.2. Current status of land usage at sub-projects 15 4.3. Situation of sub-projects affected by land acquisition 20 4.4. Impact level of the project 21 VI. PUBLIC CONSULTATION AND INFORMATION DISCLOSURE 24 5.1. Public consultation 24 5.2. Results of public consultation and information dissemination 25 VI. GRIEVANCE REDRESS MECHANISM 27 VII. EVALUATION ON SOCIAL MONITORING COMPLIANCE LEVEL 29 VIII. CONCLUSION 32 APPENDICES 33 a. Safeguard monitoring Form S.1: Social Impacts 33 b. Summary matrix of the findings of LAR assessment of the projects’ component or subprojects 36 c. Maps, photos or sketch of the subproject areas with LAR issues indicated 40 d. List of the person met during the assessment/ survey activities 44 Abbreviations and Acronyms ADB Asian Development Bank ADF Asian Development Fund CHSs Commune health stations CPC Commune People’s Committee CPMU Central Project Management Unit CRC Compensation and Resettlement Committee DMS Detailed Measurement Survey DNRE Department of Natural Resources and Environment DOF Department of Finance DPs Displaced Persons DPC District People’s Committee GOV Government of Vietnam ICPs Inter-communal polyclinics LURC Land Use Right Certificate MOF Ministry of Finance MOH Ministry of Health SPS Safeguard Policy Statement PAHs Project Affected Households PPC Provincial People’s Committee PPMU Provincial Project Management Unit RPF Resettlement Policy framework ToR Term of Reference USD US Dollar VND Viet Nam Dong 3 DEFINITION OF TERMS Vulnerable Groups Separate groups who could be adversely affected by the relocation (Poor households, ethnic minority groups, handicapped people...) Resettlement is the general term related to land acquisition and compensation for loss of asset whether it involves actual relocation, loss of land, shelter, assets or other means of livelihood. Compensation/supportFinancial/materialized compensation for PAH, including cost estimate and loss redress. Income restoration is the process to recover income, production activities and living standard for long time. Resettlement Plan Completion of Action Plan with fully timetable and detailed budget for developing resettlement strategy, objectives, rights, actions, responsibilities, monitoring and evaluation. Replacement Cost is the necessary amount of money to replace lost assets basing on their actual/market values including transaction cost. This cost is calculated basing on the respective norm as regulated. Living Standard Supplement of compensation for assuring DP who suffer seriously from Recovery loss of production material, loss of income/job or means of livelihood to have an equally or better living standard. 4 I. INTRODUCTION AND PROJECT BACKGROUND 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 is expected to 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 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. 5 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 Project outputs. The project will have three key outputs: (i) improved access and quality of community health care, (ii) increased access and quality of hospital services, and (iii) strengthened provincial health system management. The project will provide support in the five provinces of the Central Highlands, in particular, for activities to improve health care for the poor, ethnic groups, and women and children living in remote communities. II. LEGAL AND POLICY FRAMEWORK 2.1. ADB’s Policy Framework The Safeguard Policy Statement (SPS) is designed to promote the sustainability of project outcomes by protecting the environment and people from potential adverse effects of the project. The activities of the project should avoid negative impacts of the projects on the environment and affected people, if possible; mitigating, minimizing, compensating for negative impacts on the environment and affected people; while helping people to strengthen their protection systems and develop their capacity to manage environmental and social risks. 6 This semi-annual social monitoring report has been prepared in accordance with the ADB Safeguard Policy Statement (SPS, 2009). Accordingly, safety measures need to be taken to avoid or mitigate the impacts of the project activities on affected households and the vulnerable group. Safeguard policies also require the project to ensure that the rights of people affected by the projects are supported, compensated for damages or unwanted effects to ensure they have a stable life, at least must be equal to before they were affected by the project. The ADB safeguard Policy framework includes: (i) Carry out meaningful consultations with affected persons, host communities, and concerned non-governmental organizations. Inform all displaced persons of their entitlements and resettlement options. Ensure their participation in planning, implementation, and monitoring and evaluation of resettlement programs. Pay particular
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