Greater Mekong Subregion Capacity Building

Social Monitoring Report

Semestral Report (January 2019 to June 2019) August 2019

Myanmar: Greater Mekong Sub-region (GMS) Capacity Building for HIV/AIDS Prevention Project

Prepared by the Project Management Unit of the Ministry of Health and Sports for the Republic of the Union of Myanmar and the Asian Development Bank.

ABBREVIATIONS

ADB Asian Development Bank DOPH Department of Public Health EMPs Environment Management Plans GAP Gender Action Plan HSMP Health and Safety Management Plan IOM International Organization for Migration MoHS Ministry of Health and Sports PMU Project Management Unit RPs Resettlement Plans SEMP Social and Environmental Management Plan UNOPS United Nations Office for Project Service

NOTE

In this report, "$" refers to US dollars.

This social monitoring report is a document of the grant recipient. The views expressed herein do not necessarily represent those of ADB's Board of Directors, Management, or staff, and may be preliminary in nature.

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 Executive Summary ...... iii Project Overview, General safeguard matters ...... 1 A. Project Overview...... 1 B. Project Progress ...... 1 C. Safeguard Plans Implementation Arrangements ...... 6 D. Updated EMPs and RPs, Incorporation of Safeguards Requirements into Project Contractual Arrangements ...... 8 Environmental Performance Monitoring ...... 8 E. Status of Environmental Management Plan (EMP) implementation (Mitigation Measures) ...... 8 F. Health and Safety ...... 10 G. Environment Effect Monitoring ...... 11 Involuntary Resettlement Performance Monitoring ...... 13 Indigenous People Performance Monitoring ...... 15 Public consultation, Information Disclosure, Capability Building ...... 16 Field Visits ...... 18 Public Consultations and meetings ...... 18 Training ...... 18 Grievance Redress Mechanism ...... 19 Conclusion ...... 19 Attachments ...... 20 Appendix 1. Summary of Monitoring Trip Report ...... 20 Photographs ...... 22

Executive Summary

Summary of Social and Environmental Management Plan (SEMP)/ Resettlement Plan (RPs)

Social Environmental Management Plan (SEMP) has been prepared and implementation of the SEMP is also ongoing for all the construction activities. The project will not involve any involuntary resettlement impacts. Therefore RP is not applicable for this project since this project is involved only in small scale construction activities on the pre-designated lands by MoHS and there are no any prevailing users for any other purposes. The project falls under Category C as per ADB guidelines. UNOPS SEMP was presented to the ADB midterm review team on 15th to 17th November 2018.During this reporting period, UNOPS presented and gave an update on the status of implementation of SEMP together with work progress to ADB review mission team on 06th June. Further to that, Site monitoring mission was conducted to 2 sites in Hpa-an and Mawlamyine DCC on 08 to 09 June 2019. Description of monitoring activities carried out

UNOPS engineers are based in the field and their assigned task is to closely monitor the day-to-day construction activities related to SEMP and Health & Safety. The site engineer is doing Social and environmental and Health and Safety inspections at work sites on a monthly basis and records and report the findings. In addition, UNOPS team from Yangon, which comprises of International Engineers and Public Health Specialist, will have frequent visits to the construction sites. A core team from UNOPS Myanmar office has visited all the sites 8 times within this reporting period. MOHS representatives were involved during the site selection and design phase of the project as well as monitoring mission to the sites to inspect construction activities. Out of 33 targeted health facilities, 27 sites are completed and conducted joint inspection with MOHS.

Two Healths, Safety, Social and Environmental (HSSE) training was conducted for the representatives of the contractors and UNOPS engineers who engaged with this project. UNOPS HQ HSSE officers also visited few sites in Mon and Kayin State and trained UNOPS engineers on ground. Key issues, any corrective actions already taken, and any grievances

No any major issue was observed during this reporting period. Minor issues on the environment were either corrected or mitigated as necessary during the site selection, design and implementation phases. Key activities planned in the next reporting period

Regular field visit will be carried out to monitor an effective implementation of SEMP and Safe guard policies. Field based training will also be conducted for the contractor’s

iii

personnel to enhance the awareness about the SEMP and Health & safety policies. Monthly HSE inspections will be carried out by UNOPS construction supervisors. Recommendations

Safeguard policies should be applied and are closely monitored throughout the project implementation phase for the other remaining construction sites.

Project Overview, General safeguard matters A. Project Overview 1. In 2014, the Government of the Union of Myanmar received a grant from the Asian Development Bank (ADB) to fund a project titled ‘Greater Mekong Sub-region Capacity Building for HIV/AIDS Prevention’, which is funded by the Japan Fund for Poverty Reduction and administered by ADB. The project aimed to increase coverage and quality of HIV/AIDS services, support health system strengthening, and contributed to a better functioning health system through staff training, improved information flow and reporting, and improved procurement and supply management at central and township level. The geographical focus of the project is in the 5 townships of: Myawaddy, Hpa-an, Kawkareik (Kayin State), Mawlamyine (Mon State), Tarchileik (Shan State).

2. The project has 4 key outputs: output 1, implemented by UNAIDS aims to strengthen the planning and management capacity of the NAP at national, state and township levels to effectively deliver evidence informed HIV responses. This will be achieved through supporting policy development, organizational strengthening and capacity development.

3. Output 2, to implement by IOM will improve the capacity of service providers to ensure the delivery of a continuum of services including prevention, treatment and care. In addition, it will support the expansion of coverage to underserved populations through government–NGO partnerships for improved service delivery.

4. IOM has also being contracted to implement output 3, the key activity is to support the delivery of outreach services to initiate and sustain changes in behaviour to reduce the incidence of HIV and other health risks, including STIs, tuberculosis, in the targeted populations including the key affected populations, mobile and migrant populations among local groups and minor ethnic communities along the economic corridors and in cross-border areas.

5. Finally, output 4, which falls under the leadership of the NAP, will be implemented by the project management unit (PMU). The PMU is responsible for monitoring and managing the projects implementation. The PMU with the assistance of specialist consultants also coordinates the financial management and procurement requirements of the project.

B. Project Progress 6. Progress on Output 1: UNAIDS is implementing Output 1 and progress is calculated at 15.70% as of 30 June 2019, against a weighted index of 18.00% in the project’s weighted

progress indicator. UNAIDS commenced the main elements of the Institutional Capacity Development and Operations Plan (ICD-OP) in January 2017. In August 2017 UNAIDS completed a planning and management training with NAP managerial staff from the townships; the training will need to be supplemented with an operationalization of the skills learnt during the training. This will be delivered during, which is scheduled for 2018- 2019. The UNAIDS Cooperation agreement with ADB has been extended to 30 June 2020. UNAIDS revised its implementation plan for the project extension period, inclusive of a budgeted workplan. In support of the implementation plan, UNAIDS will be developing, along with NAP, a list of technical assistance matters for completion during the extension.

7. Progress for Output 2: With the DoPH’s signing of a contract with UNOPS, significant progress has been made in output 2, which is estimated at 34.80% as of 30 June 2019. This compares to 29.80% reported at the end of December 2018. DoPH’s contract with UNOPS has 2 parts: the first is for civil works, valued at $3,782,911; and the second is for the procurement of medical equipment to support project activities valued at $606,852. The confirmed list of civil works includes 33 new health facility buildings in five townships within three states. The majority of these facilities will be built in Kayin State. Under the MOHS- UNOPS agreement, the total design and construction period for the whole of the civil works is estimated at 21 months, comprising 6 months of design, bidding and subcontracting with civil works firms and a 15 months construction period.

8. Additionally, in output 2, IOM was contracted with MOHS (Nov 2018 to March 2020), mentioned as phase 2, based on HIV-related technical trainings were targeted at health service providers deployed in project areas including basic health staff at township and village levels such as hospital HIV staff, midwives, nurses, counsellors; ethnic health workers working with ethnic health organizations (EHOs) in insurgent areas, and health providers engaged by other international and local NGOs. Training were conducted on the following topics: (i) basic HIV counseling training; (ii) adherence counselling and defaulter tracing training; (iii) peer educator and outreach training; and (iv) HIV testing counselling training. By June 2019, IOM has provided HIV-related technical trainings to 84 targeted health care providers in project areas, thus achieving the target. Referral system is in placed from field or outreach in communities to public facilities which starts from screening of STI/HIV cases from field or community outreach to the AIDS/STD team for further continuum of care. Referral mechanism is in place for transferring patients across townships (e.g. migrants) and also across borders. Tarchileik and Myawaddy AIDS/STD teams continue engage in such referral services with Thai providers. IOM and the PMU have begun the process required for phase 2 which will be directly contracted

with MOHS. Although the contract was signed in Nov 2018, the approval of the work plan was processed during the reporting period.

9. UNOPS has reported that all medical equipment has been delivered except one Biochemical Analyzer. 2 sites of civil works which faced with security issue was replaced with another sub-centers. Of the 33 civil works buildings to be completed, to date 6 are currently under construction while 27 are finished and joint inspection with State Public Health Department was conducted.

10. Progress for Output 3: Further progress has been made for this output, as of quarter 2 2019 the weighted progress was 11.80% against a weighted index of 15% in the project’s weighted progress indicator. This is an increase from the 4nd quarter, 2018 weighted average of 9.99%. Details of UNOPS agreement and the IOM contract are noted under output 2 above. The activities under output 3 will be completed over a 2 year period, which will be possible due to an approved project extension. HIV prevention activities are continuing by IOM in closed cooperation with NAP teams among five townships with the financial support of ADB. Quarterly work plan was developed and activities are implemented accordingly with an exponential increase in health education session, per outreach at the community level, coordination meetings with the NAP. IOM also began to collaborate with the Department of Health and Welfare, Karen State and there are plans in place to work collaboratively to address HIV prevention needs of ethnic communities. A service provision plan was also completed by IOM, which outlines the delivered services through the project: outreach activities delivered by outreach health workers and peer educators; HIV diagnosis scale up using community led testing with collaboration with NAP team leader, covering of transportation costs for HIV testing, and HIV awareness campaigns; and support to the treatment and care programme by assisting in ART case referral, in-patient support, home-based-care and community mobilization

11. Progress for Output 4: Acceptable progress of 16.30% has been made for this output against a weighted index of 22% in the project’s weighted progress indicator. The MOHS and the IA are managing 100% of the project funds with the ADB recently approving the request from the PMU to increase the PMUs ceiling fund from $150,000 to $500, 000. Updates against all proposed activities are provided each quarter as part of the projects quarterly progress report. UNAIDS had recruited the gender specialist and in March 2019.

12. Full list of contracts (name of contractor, Engineer, Project Supervision Consultant)

All health facilities has been awarded as summarized below;

Table 1: List of Health facilities and contractors Name of the Sr No Health Facility Name UNOPS Engineer contractor 1 Kyar Inn Su Sub RHC - Kawkayeik PSA Con. Co., Ltd Completed 2 Taung Kyar Inn RHC- Kawkayeik 3 Yae Kyaw Gyiand SRHC-Kawkareik Kyaw Tamarhte Co., 4 Kawt Mi SRHC-Kawkareik Completed Ltd 5 Min Ywar SRHC-Kawkareik 6 Kyon Doe RHC -Kawkareik Phoe Shwe La Co., Completed 7 Nan Kaw Toe Sub- RHC: Kawkareik Ltd. Kyaw Tamarhte Co., 8 Kawt Go SRHC-Kawkareik Completed Ltd Me Htaw Tha Lay Sub- RHC Accommodation- 9 Myawaddy 10 Min Lat Pan RHC Accommodation-Myawaddy PSA Con. Co., Ltd Completed 11 Hpa Lu Sub-RHC Accommodation-Myawaddy Thin Gan Nyi Naung RHC Accommodation- 12 Myawaddy 13 Ah Twin Kwin Ka Lay SRHC-Myawaddy PSA Con. Co., Ltd Completed 14 Me Pa Leit RHC Accommodation-Myawaddy 15 Hti Char Yar Sub-RHC-Myawaddy 16 Koke Ko Sub-RHC Accommodation-Myawaddy PSA Con. Co., Ltd Completed 17 Htee War Pa Law Sub-RHC- Myawaddy 18 Khe Tauk Sub-RHC-Hpa An 19 Wea Gyi Sub-RHC-Hpa An War War Soe Co., Ltd Completed 20 Mi Kayin Sub-RHC-Hpa An 21 Hla Kar SRHC -Hpa An Shwe Man Yan Gyi Completed 22 Ku Seik SRHC- Hpa An Aung Con Co., Ltd. 23 Ka Doe RHC-Mawlamyine War War Soe Co., Ltd Completed Best 5 Engineering 24 Mong Par Liao RHC-Tarchileik Completed Cons. Co., Ltd DTMS Cons. And 25 Laboratory-Tarchileik Completed Surveying Co., Ltd

26 Store-Mawlamyine Protag Co., Ltd Completed

27 Disease Control Centre-Kawkareik Excellent Unity Co., Ltd Ko Ko Win

28 Disease Control Centre-Myawaddy Excellent Unity Co., Ltd Zin Linn Htet Myat Su Yee 29 Disease Control Centre-Hpa An Ye Tun Co., Ltd Win/Thwet Thwet Aye 30 Disease Control Centre-Mawlamyine Ye Tun Co., Ltd Nyein Ei San

Name of the Sr No Health Facility Name UNOPS Engineer contractor Shwe Man yan Gyi 31 Khon Phe Sub-RHC-Hpa An Completed Aung Co., Ltd Holistic Myanmar Co., 32 Wah Khee Sub-RHC-Myawaddy Pyae Phyoe Min Ltd Phoe Shwe Lar Co., 33 Paw Law Sub-RHC-Myawaddy Hein Htut Win Ltd 13. Status of contract awarding,

Package 1- Construction of RHCs& SRHCs: tendering process for all 21 sites completed and contracts were awarded. Package 2- Construction of accommodations: The tendering process for 6 sites completed and contract awarded. Package 3- Lab & ware house: Contract awarded Package 4-Construction of DCC: Contract awarded for all 4 Disease Control Centres

Table 2: Summary of Milestone achieved against the work package

Work Package No Assessment Design Tendering Tendering of Completed Completed Completed Ongoing HFs

Package 1- Construction of RHCs& SRHCs 21 21 21 21 0

Package 2-Construction of Accommodations 6 6 6 6 0

Package 3- Lab & ware house 2 2 2 2 0

Package 4-Construction of DCC 4 4 4 4 0

Total 33 33 33 33 0

14. Status of contract implementation

Contracts have been awarded for all 21 sites under package-1. 19 facilities completed. The work is ongoing on 2 sites at different construction. Under the package-2, completed all 6 sites. The construction work under the package-3: store at Mawlamyine and lab at Tarchileik completed. The contractors have started work under the package-4 and all DCCs are in different stages of construction. The summary of the progress achieved against each work packages is given in the table below.

Table 3: Summary of milestones achieved against health facilities

No of Under Work Package Completed Remarks HFs Construction

Package 1- Construction of RHCs& SRHCs 21 2 19

Package 2-Construction of accommodations 6 6

Package 3- Lab & ware house 2 2

Package 4-Construction of DCC 4 4 0

Total 33 6 27

Table 4: Project Overview, Snapshot of Project Progress Project Number and JFPR 9176-MYA: Greater Mekong Subregion (GMS) Capacity Building for Title: HIV/AIDS Prevention Project Category C The project will support the construction, rehabilitation, and operation of health facilities, Environment including improved water, sanitation, and waste management systems. No significant impact on environment is expected. Category B The project includes a significant proportion of ethnic groups among its beneficiaries in the targeted townships. The project has written up an Ethnics Groups Plan. Indigenous Peoples The ethnic groups’ plan ensures analyses of ethnic Safeguards Category peoples’ needs and their participation in and access to benefits of the project. The project’s design gives high priority to including ethnic minority people in training and community-based activities, as well as ensuring that HIV prevention services reach these populations and are culturally appropriate. Category C The project will not involve any involuntary resettlement impacts. Health facilities will be Involuntary constructed on government land that is Resettlement unencumbered or free from any temporary users (not used for residential, business, or productive purposes). Reporting period: Jan. to June 2019 Last report date: December 2018 1. Contract awarding: 100% completed Key sub-project 2. Progress of Work (% physical completion) :30% physical progress activities since last achieved report: 3. Status of Safeguard Approvals / Permits / Consents Sai Kyaw Han Report prepared by: National Project Management and M&E Specialist

C. Safeguard Plans Implementation Arrangements 4. Social and Environmental Management Plan, Health and Safety Management Plan and Gender Action Plan have been prepared and shared with ADB together with the

first quarter report of 2018. Subproject’s Safeguards (Environment and Involuntary Resettlement) Screening Checklists were prepared for all the proposed 33 sites with MoHS and ADB. The proposed subprojects are not expected to cause adverse environment impacts. Mitigation measures for identified impacts related to design, construction and operation have been incorporated in the environment management plans (EMPs).

5. The Health and Safety and Social and Environmental management plans are part of the construction contracts and will be implemented in the construction of health facilities. Gender mainstreaming is considered both in the design of the health facilities and construction of the project. Necessary trainings for the HSSE were given to both contractors personals and UNOPS engineers

6. At the site level, Contractors will be obliged to adhere all the requirement as specified for the Health and Safety and Social and Environmental management plan. UNOPS site engineer will report all site specific data related to above and proper remedial action will be taken if any issues arise.

7. All contractors were highly encouraged to employ at least 30% female workforce. It was observed that some sites has already deployed considerable number of female at site, but some sites still need improvement. To enhance the awareness within the contractors in regards to above gender mainstreaming, workshop was carried out on 11th July by the gender specialist from the UNOPS HQ. Moreover, all UNOPS personnel in the project were also trained for the same.

8. In addition, prevailing ADB, Myanmar1 and UNOPS guidelines for the environmental categorization of project was compared. Based on the result, we found that same approaches are followed by all.

9. All contractors were given in depth explanation about the UNOPS’s Health and Safety(H&S), environmental and Quality control/Quality assurance procedures during the contracts commencement meeting. As well as, UNOPS site engineers will give on job training to the contractor’s key personnel about all the aspects and procedures of the H&S, Environmental, gender etc. UNOPS team from Yangon which comprises international quality assurance engineer and public health specialist will have frequent site visits to the construction sites. All insurance policies (All risks, staff insurance and

1 Environmental Impact Assessment Procedure, The Government of the Republic of the Union of Myanmar, Ministry of Environmental Conservation and Forestry http://www.myanmar-responsiblebusiness.org/pdf/2015-06-Myanmar-EIA-Procedures.pdf

equipment/vehicle) as per the contractual requirement were requested from the contractors.

D. Updated EMPs and RPs, Incorporation of Safeguards Requirements into Project Contractual Arrangements 10. The Health and Safety and Social and Environmental Management plans are part of the construction contracts and will be implemented in the construction of health facilities. 19 trainings session on Health and Safety and Social and Environmental Management plans were conducted to all contractors before commencement of any site work at ground. UNOPS site engineer maintain all the records on Health and Safety and Social and Environmental at site on daily basis and summary report will be compiled at the end of each month. On the job training the contractor’s key personnel are trained on all aspects and procedures of the H&S, Environmental, gender etc.

11. Contractor were strictly advised to deploy local labors specially from the local ethnic groups

Environmental Performance Monitoring E. Status of Environmental Management Plan (EMP) implementation (Mitigation Measures) 12. Social and Environmental Management Plan, Health and Safety Management Plan and Gender Action Plan have been prepared and shared with ADB together with the first quarter report of 2018. Subproject’s Safeguards (Environment and Involuntary Resettlement) Screening Checklists were prepared for all the proposed 33 sites and shared with MoHS and ADB. The proposed subprojects are not expected to cause adverse environment impacts. Mitigation measures for identified impacts related to design, construction and operation have been incorporated in the environment management plans (EMPs).

Table 5: Compliance with EMP Requirements (Environmental Performance) Comment or Compliance Status Issues for Further EMP Requirements Reasons for Non- (Yes, No, Partial) Action Compliance Use environmental Use EMP list as impact as main basis for heading and EMP as rating/evaluating listing (see example compliance (see below) example below) Provide proper slope Where ever there is Cutting and filling of protection works for sloppy ground, sloppy grounds: Complied the sloppy grounds- slope protection

YES works and proper

Comment or Compliance Status Issues for Further EMP Requirements Reasons for Non- (Yes, No, Partial) Action Compliance slope angles were provided Ensure the contactors do not Wherever, there is compete for Resource use shortage of water, resources with the conflicts especially contractor are local community by Complied for water resources drilling tube wells for providing alternatives the sole use of the like drilling tube wells construction for the specific sites- YES Septic tanks located Construction of at a distance of 30m septic tanks and All septic tanks are or more from soak pits placed at least 30 m underground water complied with inappropriate away from proposed sources, like distance to water tube well location boreholes or hand sources dug wells- YES Encourage contractor Resource depletion to buy from legally by using sand, Contractor should registered and Aggregate, Bricks, use legal materials complied environmental Blocks, timber suppliers friendly suppliers- products YES Provide containments made of impervious materials to collect leakages from Use of generator and generators and This is an ongoing concrete mixer concrete mixers and process whereby Partial (ongoing during the wastes from such contractors should Process) construction facilities to be fitted use interceptors with oil interceptors. Design measures for handling spills - PARTIAL

Table 6: Issues for Further Action Responsibility and Issue Required Action Resolution Timing Old Issues from Previous Reports List of EMP measures or activities not N/A N/A N/A completed (last column of previous table) No Issue N/A N/A N/A

New Issues from This Report The proposed DCC This was a trench plot at Myawaddy is abandoned during the located in a civil war and all the swampy/marshy pond waste water from the area. The waste water surrounding were from the nearby area Pile foundation was accumulated in it. It is UNOPS,DOPH, State is discharged into this carried out and not a wet land. The site Health Department has been reclaimed by land by the super structural work (Hpa-an) MOHS and was made community. The is on progress current depth of water ready for the in the plot ranges construction. Environmental from 6-14 feet. screening report is Therefore, Pile also attached in Annex foundation was 3 designed

F. Health and Safety 13. UNOPS HSSE specialist visited Mawlamyine DCC site on 05 June 2019 and their finding on the HSSE are listed below.

Table 7: Health and Safety Issues Responsibility and Issue Required Action Resolution Timing Old Issues from Previous Reports N/A N/A N/A N/A

New Issues from This Report • Housekeeping at the • Ensure that all • UNOPS, by 19 June • These issues have site should be personnel on site 2019 been addressed and improved. have appropriate closed within 2 Inadequate edge PPE, Any hazardous weeks after the protection for materials should be inspection by Scaffoldings. appropriately UNOPS team. labelled and stored. Water dispenser and cups to avoid use of single use plastics in

Responsibility and Issue Required Action Resolution Timing place, Metal containers designed specifically for fuel should be used.

• Some of the • It should be checked temporary electrical by a competent installations were not person, some to a standard. personnel at site did not have appropriate to protection

G. Environment Effect Monitoring 14. Monitoring plan. UNOPS had its own M and E Plan.

15. Monitoring activities in the reporting period. All contractors were given in depth explanation about the UNOPS’s Health and Safety, environmental and Quality control/ Quality assurance procedures during the contracts commencement meeting. As well as, UNOPS site engineers will give on job training to the contractor’s key personnel about the all aspects and procedures of the H&S, Environmental, gender etc. UNOPS team from Yangon which comprises international quality assurance engineer and public health specialist will have frequent site visits to the construction sites. All insurance policies (All risks, staff insurance and equipment/vehicle) as per the contractual requirement were requested from the contractors. Summary of monitoring report are in Appendix 1.

16. Eight pre-bid meetings involving 106 representatives from 54 companies were conducted. The representatives of the companies were provided with in-depth information about the scope of works, explanation and clarification on the terminologies of the bidding documents, technical instructions of the bidding documents, including how to prepare a bid and how to complete the returnable schedules. Immediately after the briefing, clarifications with the bidders were made during Q&A session, which was followed by a hands-on session for technicalities of the UNOPS e-souring system.

17. Gender mainstreaming training “Gender in Infrastructure” was conducted and 22 UNOPS project personnel and 30 contractor’s personnel were trained.

18. Procurement awareness training was conducted for 34 representatives from 18 companies on 14 November 2018.

19. All the successful bidders were trained with regards to the UNOPS Social and Environmental Management, H&S, Quality etc. during the project commencement meeting. UNOPS’s construction supervisors and staff of the contractors will be given

on-the-job training as well. Health, safety, Social and Environmental awareness training was conducted in Yangon on 11 March 2019 and 39 representatives from contractors were attended.

Involuntary Resettlement Performance Monitoring There are no involuntary resettlements in this project. Customized environment and involuntary resettlement screening checklist was developed and assessed by the UNOPS team. The detail finding for each site was attached.

Table 8: Summary of Compliance with Resettlement Performance Requirements Comment or Reasons for Compliance status Compliance, Partial Issues for Further RP Requirements Yes/No/Partial Compliance/Non- Action Compliance Establishment of Yes Chan Nyein: National personnel in PMU/PIU Procurement Specialist Yes 2 sites were replaced with another sub-centers (Kyone Phe and Pawlaw) by MoHS Public consultation and and Kayin State Government. socialization process 1 site (Warkhee) was accepted by the community after public consultation. Land area to be acquired Yes As above is identified and finalized Resettlement plan(s) Not applicable updated after detailed design Land acquisition Not applicable completed Establishment of Not applicable Resettlement Site(s) Compensation payments Not applicable for affected assets is completed Transport assistance for Not applicable relocating affected households Additional assistance to Not applicable vulnerable affected household Income Restoration Not applicable Program Temporary impacts have Not applicable been addressed (affected properties restored to at least pre-project conditions) Capacity building Not applicable activities

Table 9: Issues for Further Action Responsibility and Issue Required Action Resolution Timing Old Issues from Previous Reports List of RP activities not completed (last column of previous table) N/A N/A N/A N/A

New Issues from This Report

N/A N/A N/A N/A

Indigenous People Performance Monitoring

Table 10: Summary of Compliance with IP Requirements Comment or Reasons Compliance status for Compliance, Partial Issues for Further IP Requirements Yes/No/Partial Compliance/Non- Action Compliance Establishment of Yes Chan Nyein: National

personnel in PMU/PIU Procurement Specialist Yes 2 sites were replaced with another sub- centers(Kyone Phe and Pawlaw) by MoHS and Public consultation and Kayin State

socialization process Government. 1 site (Warkhee) was accepted by the community after public consultation. IP plan(s) updated after N/A

detailed design IP plan implementation N/A

specifics N/A Capacity building activities

Table 11: Issues for Further Action Responsibility and Issue Required Action Resolution Timing Old Issues from Previous Reports List of IP activities not completed (last column of previous table) N/A N/A N/A N/A

New Issues from This Report

N/A N/A N/A N/A

Table 12: Compliance with safeguards related project covenants Para Remarks/Issues Schedule Covenant No. (Status of Compliance) N/A N/A N/A N/A

Public consultation, Information Disclosure, Capability Building

Meeting Place of Date Participant Remarks Type/Objective Meeting 6.11.2018 Ad-Hoc meeting 1. Dr. Thandar Meeting Room to discuss on the Lwin, Deputy (1st Floor), Director issues at General, Office No. 47, Myawaddy DCC Disease Control Public Health Department., MOHS, Naypyitaw 2. Dr. Thaung Hlaing, Deputy Director General, Public Health 3. Dr. Thanlwin Tun, Director, Health Promotion 4. Dr. Kyaw Soe Min, Director (Procurement), Medical Services 5. Dr. G Sai Taung, Director, Administration 6. Dr. Tun Nyunt Oo, Project Manager/Deputy Director, HIV/AIDS 7. Dr. Hnin Pa Pa Khine, Deputy Director 8. Dr. Zaw Lin, State Public Health Director, Hpa-an Township 9. Dr. Myint Kyaw, State Public Health Director, Kyaing Tong Township 10. Dr. Naing Naing Tun, Deputy State Public Health Director, Hpa-an Township

Meeting Place of Date Participant Remarks Type/Objective Meeting 11. Dr. Yan Naing Oo, District Public Health Officer, Myawaddy 12. Dr. Zaw Zaw Aung, Assistant Director, HIV/AIDS 13. Dr. Khine Nyein Chan, Assistant Director

14. Dr. Zayar Moe, Medical Officer 15. Daw Yin Nyein Aye, SAE, Basic Health

16. Dr. Than Lwin, Public Health Specialist, UNOPS 17. Mr. Nishantha M.M, Contracts Engineer, UNOPS 18. U Kyaw Win Maw, Design/Structure Engineer, UNOPS 19. Ms. Daisy Valence, International Financial Management Specialist, PMU 20. U Chan Nyein, National Procurement Specialist, PMU 21. Dr. Sai Kyaw Han, M & E Specialist, Project Management Unit 22. U Chan Nyein, National Procurement Specialist, PMU 23. Daw Khine Kyi Nyein, National Financial Management Specialist, PMU

Meeting Place of Date Participant Remarks Type/Objective Meeting 24. U Shwe Hla Oo, Project Coordinator, PMU 18.12.2019 Non formal 1. Dr. Than Htun meeting; Request Aung, Acting for approval of Director General, wall Plaque Department of design, letter Public Health, Ministry of Health and Sports, Nay Pyi Taw 04.05.2019 Site monitoring 1. Dr. Si Thu Aung Myawaddy mission with all Yar,Director(DC), stakeholders MOHS 2. Dr. Tun Nyunt Oo, Project Manager/Deputy Director, HIV/AIDS 3. 3.Khaing Mar Soe, UNOPS Please refer attached capacity building data table in Annex 1 Field Visits 7 site visits were carried out with the MOHS representatives for the monitoring of the construction activities during this reporting period. In addition, 23 joint inspection was carried out with MOHS representatives to handover the completed 23 facilities.

Public Consultations and meetings Public consultation was done during the site assessment and design phase as well as it is being practiced for the implementation stage. Following major consultation meetings were conducted with the MOHS and other project stakeholders.

Training Eight pre-bid meetings involving 106 representatives from 54 companies were conducted. The representatives of the companies were provided with in-depth information about the scope of works, explanation and clarification on the terminologies of the bidding documents, technical instructions of the bidding documents, including how to prepare a bid and how to complete the returnable schedules. Immediately after the briefing, clarifications with the bidders were made during Q&A session, which was followed by a hands-on session for technicalities of the UNOPS e-souring system.

All the successful bidders were trained with regards to the Social and Environmental Management, H&S, Quality etc. During the project commencement meeting, UNOPS’s

construction supervisors and staff of the contractors have been given on-the-job training as well.

1. Press/Media Releases: Not Applicable 2. Material development/production (e.g., brochure, leaflet, posters): Not applicable 3. Information disclosure: Not Applicable

Grievance Redress Mechanism There is no mechanism in the project.

Table 13: Grievance Redress Mechanism Details Required Action, (Date, person, Type of Grievance Responsibility and Resolution address, contact Timing details, etc.) Old Issues from Previous Reports

N/A N/A N/A N/A

New Issues from This Report

N/A N/A N/A N/A

Conclusion Regular field visits will be carried out to monitor the effective implementation of EMP and safeguard policies. Field based training will also be carried out for the contractor’s personnel to enhance the awareness about the EMP and Health & safety policies.

It is recommended that safeguard policies should be applied and closely monitor throughout the project period.

Attachments Appendix 1. Summary of Monitoring Trip Report Date of Date of Reviewer's completion ID Deliverable Method HSSE Result name / title of HSSE review review 1 Construction Monitoring Nishantha 1/30/2019 2/1/2019 Visited Mong Par Liao RHC activities of the mission M.M. and Tarchileik Lab. No HSSE health facilities in issue on lab site, There were Mon and Kayin minor issue on HSE at RHC State site and contractor was advised to compliant with UNOPS requirement 2 Construction Monitoring Yoga Baral, 2/20/2019 2/22/2019 Visited 4 DCC sites, 2 RHCs( activities of the mission Nishantha Ka Doe and Kyon Doe RHCs) health facilities in M.M., Khaing and 2 SRHCs( Hti Char Yar Mon and Kayin Mar Soe SRHC, Paw Law SRHC) and 1 State RHCA (Thin Gan Nyi Naung RHCA). Observed no PPE for all workers, meetings were conducted and advised contractor to stricly adhere the UNOPS standards

3 Construction Monitoring Delelegn 3/27/2019 3/31/2019 Visited 4 DCC sites, 1 RHC activities of the mission Mulat, Kyaw (Taung Kyar Inn and Kyone health facilities in Win Maw, Doe RHCs) and 2 Mon and Kayin Khaing Mar Soe SRHCs(Kyone Phe and Ah State Twin Kwin Kalay SRHCs) Observed some minor HSE issues, meetings were conducted and advised contractor to stricly adhere the UNOPS standards, Conducted HSEE training for UNOPS engineers and Contractor's personnel

4 Construction Monitoring Khaing Mar Soe 4/3/2019 4/5/2019 Visited 1 SRHCA, 1 RHC and activities of the mission 3SRHCs with MoHS team health facilities in and no HSE issues Mon and Kayin State 5 Construction Monitoring Kyaw Win Maw 5/1/2019 5/2/2019 Met Piling and main activities at mission structural contractors and Myawaddy DCC informed them to improve HSE at site

Date of Date of Reviewer's completion ID Deliverable Method HSSE Result name / title of HSSE review review 6 Construction Monitoring Yoga Baral, 5/29/2019 5/31/2019 Visited 4 DCC sites and 1 activities of the mission Delelegn SRHC ( Kyon Phe SRHC). health facilities in Mulat, Khaing Observed minor HSE issues Mon and Kayin Mar Soe at DCCs, meetings were State conducted and advised contractor to stricly adhere the UNOPS standards

7 Construction Monitoring Delelegn 6/5/2019 6/6/2019 Visited 1 DCC site ( activities of the mission Mulat, Khaing Mawlamyine) and 1 SRHC ( health facilities in Mar Soe Kyon Phe SRHC). No HSSE Mon and Kayin issues State 8 Construction Monitoring Yoga Baral, 6/8/2019 6/9/2019 Visited completed 1 SRHC ( activities of the mission Nishantha Ku Siek SRHC), 2 DCCs sites ( health facilities in M.M., Khaing Hpa An and Mawlamyine) Mon and Kayin Mar Soe and 1 SRHC ( Kyon Phe State SRHC) with ADB and MoHS team. ADB team expressed their satisfaction on the quality and HSSE.

Photographs

Kyar Inn Su SRHC, Kawkareik Township Taung KyarInn RHC, Kawkareik Township

Me Htaw Tha Lay SRHCA, Myawaddy Township Min Lat Pan RHCA, Myawaddy Township

Hpa Lu SRHCA, Myawaddy Township Khe Tauk SRHC, Hpa An Township

Wae Gyi SRHC, Hpa An Township Mi Kayin SRHC, Hpa An Township

Ka Doe RHC, Mawlamying Township Yae Kyaw Gyi SRHC, Kawkareik Township

Kawt Mi SRHC, Kawkareik Township Min Ywar SRHC, Kawkareik Township

Kyon Doe RHC, Kawkareik Township Nan Kaw Toe SRHC,Kawkareik Township

Hla Kar SRHC, Hpa An Township Ku Seik SRHC, Hpa An Township

Thin Gyan Nyi Naung RHCA , Myawaddy Township Ah Twin Kwin Ka Lay SRHC , Myawaddy Township

Me Pa Leit SRHCA , Myawaddy Township Hti Char Yar SRHC, Myawaddy Township

Koke Ko RHCA , Myawaddy Township Htee War Pa Law SRHC , Myawaddy Township

Kawt Ko SRHC, Kawkareik Township Mong Par Liao RHC, Tarchileik Township

Laboratory, Tarchileik Township Store, Mawlamying Township

Kyone Phe SRHC, Hpa an Township War Khee SRHC, Myawaddy Township

Paw Law SRHC, Myawaddy Township Site Inspection at Paw Law SRHC, Myawaddy Township

DCC, Myawaddy Township DCC, Myawaddy Township

DCC, Mawlamying Township Quality Inspection at DCC, Mawlamying Township

DCC, Kawakareik Township Site Inspection at DCC, Kawakareik Township

DCC, Hpa An Township Site Inspection at DCC, Hpa An Township

Meeting with Contractor at DCC, Kawkareik Township Female Labors at DCC, Kawkareik Township

Meeting with Minister of MoHS on 29.04.2019 Site Visit with MoHS Team on 04.05.2019

Site Visit with MoHS Team on 04.05.2019 Meeting with Minister of MoHS and ADB Team on 06.06.2019

Site Visit with ADB Review Mission Team on 08.06.2019 Site Visit with ADB Review Mission Team on 08.06.2019

MINUTES OF MEETING ADB/GMS Project

Date: June 12 2018 Time: 1:00 to 2:30 PM Venue: Meeting Room of State Public Health Department, Kayin State Chaired by: State Public Health Director ADB JFPR 9176 Coordination Meeting

Pha-an , Kayin State Date: 12/6/2018

No. Name Organization Designation Sign 1. Dr. Tun Min MOHS State Public Health Director 2. Eh. Kah Shwe Oo KDHW Director 3. Dr. Eh Marte KDHW/EHO SEO 4. Dr. Khaing Zandar Aung SPHD DD/(Diseases Control) 5. Dr. Aung Pye Nyein NAP/SPHD Team Leader 6. Khin Lei Lei Win UNOPS Operations Assistant 7. Khaing Zin Win Tun UNOPS Construction Supervisor 8. Hein Htut Win UNOPS Construction Supervisor 9. Ko Ko Win UNOPS Construction Supervisor 10. Delelegn A. Mulat UNOPS QA Engineer 11 M. M. Nishantha UNOPS Contracts Engineer 12. Kyaw Win MAW UNOPS Design Engineer 13. Yoga Nanda UNOPS Head of Infrastructure Unit, UNOPS 14. Dr. Htun Nyunt Oo MOHS (NAP) Program Manager 15. Cristina Radu UNOPS Infra. Specialist

1. State Public Health Director - Opened the meeting and briefed about the purpose of meeting. He emphasized that 3 sites which are not accessible due to the security issues are on hold and taking timely decision is much important to meet the project time lines. Those 3 sites: Ta Tan Ku and Mi Phar Le in Kawkareik Township and War Khee in Myawaddy Township are located near to the area of ethnic force group control. He suggested that local companies should be engaged for the construction work of these 3 sites. 2. UNOPS Infrastructure Manager expressed his appreciation for organizing the meeting among SHD, EHO and UNOPS to discuss about contentious issues on the above 3 sites. He explained about the request letter to have this coordination meeting was sent to the SHD in the month of February 2018. He further explained that construction of health facilities would be highly benefited to the villages as well as local companies would also get the opportunities to engage with work of the project. 3. Head of Kayin Department of Health gave thankyou word and he explained that this is for the people and stated that if the health facilities have being provided in ethnic health organization area, it would be much more convenience to implement, run and operate those health facilities by themselves and manage by their own. 4. UNOPS Infrastructure Manager shared some important points discussed during the meeting with ADB and PMU in NPT. According to the above discussion points, He explained that his understanding is “there is no problem when the health facilities completed, those facilities can be run by ethnic health organization”. 5. Head of Kayin Department of Health said that it is depend on State Health Department. 6. State Public Health Director explained that there are existing SRHCs and staff for those 3 health facilities. After health facilities completed, there will not be any problem if health staff from both sides use those facilities and work together. Since those 3 sites are adjacent to the KNU control area, both sides of health department (KNU and Government) need to make agreement. He further exaggerated that it is important to start the construction work of these health facilities since the construction of other health facilities are already started under ADB/GMS project. He also suggested to have list of recommended companies and information within the locality. After completion of building construction, MW can give health services to the community, as well as health workers from EHO can also give health services. He mentioned that those health facilities are benefit to Kayin people and 80% of government health staffs in the area are Kayin National. He explained that the first priority is to complete these 3 health facilities construction and the decision on the who to use and how to manage can be taken later. 7. Kayin Department of Health: Since there are adjacent area, the area of government administration, union administration and mix area with ethnic group, the coordination between those parties is required. He mentioned that working for health development, there are existing health structure and activities like they have village health workers, malaria program. In those 3 area, Ta Tan Ku village is other side of main road and closed to Kawt Nwe village. He stated based on local people saying and discussion that there are more people in Kawt Nwe village, thus it is better to provide health facility there. About Mi Phar Le, different people call different name of village. In Naung Kai village, there is self-help clinic in the village. He said that the renovation of existing building is suitable. If the new building construct close to existing one, they will manage both building appropriately. War Khee in Myawaddy, there is no building and only the reserved land for new building. The new health facility construction is needed. He quoted the word gave by Head of Kayin Department of Health, to hand over these 3 health facilities after construction complete. 8. State Public Health Director: No authority to decide to hand over forever. He stated that those health facilities are for Kayin people and let health staff from both sides to use. Those projects are granted by union budget through the ministry of finance and parliament. If there are changes in those proposed sites, it is needed to inform the parliament. 9. ADB/GMS Project Manager (MOHS): Briefed about the project. Explained about the project started in 2012 and focus area on migration workers in 5 townships of Greater Mekong Sub Region: 3 Townships in Kayin State, Mawlamyine in Mon State and Tarchileik in Shan East. The project cost is 10 million USD for HIV/AIDS prevention in the area. RHCs, SRHCs and other health facilities were proposed to construct under the project with the budget of 50 to 60% of the grant 8.1 million USD. The list of the RHCs and SRHCs where there is no construction and building in those 5 townships was collected from Naypyitaw DoPH. Detail list of health facilities was selected by respective TMOs. The list of health facilities was sent to parliament in 2015 and approved by parliament in 2016. There was 6 to 8 months delay to get approval from parliament for the design changes. The original grant period is ending in 2018 June 30. The grant was extended to 2019 December. It was confirmed for the location of RHCs and SRHCs. 10. State Public Health Director: The main important thing is the construction of those health facilities needs to be completed. Since those are all public buildings, the main thing is health service. The health service can be provided by both sides. 11. Kayin Department of Health: Central Executive Committee member has more voice. More coordination and discussion is needed for the place of mix area situation. For the construction, whoever or whatever company builds doesn’t matter. But it will be easier if the construction has been done by local area organization and companies. Will the project stop if the construction of SRHCs in those 3 villages are not implemented? 12. ADB/GMS Project Manager (MOHS): There were requests for project time extension and design changes in past. It will take time to change location since it is needed to submit to parliament and higher level for approval. 13. Kayin Department of Health: The project run by them means getting capacity building for local company, the same as local administration and local empowerment. Today meeting discussion point to share to CEC meeting next week. Wait for 1 week for the decision.

HSSE Register

Greater Mekong Sub-region (GMS) Capacity Building Project Title for HIV/AIDS Prevention Project ID 20832-001

Country Office Myanmar

Project Manager Yoga Baral

Date of Date of HSSE review ID WBS ID Deliverable Method Reviewer's name / title completion of Result HSSE review

Visited Mong Par Liao RHC and Tarchileik Lab. No HSSE issue on Construction activities of the health lab site, There were minor issue on 1 Monitoring mission Nishantha M.M. 30/01/2019 01/02/2019 facilities in Mon and Kayin State HSE at RHC site and contractor was advised to compliant with UNOPS requirement

Visited 4 DCC sites, 2 RHCs( Ka Doe and Kyon Doe RHCs) and 2 SRHCs( Hti Char Yar SRHC, Paw Construction activities of the health Yoga Baral, Nishantha M.M., Law SRHC) and 1 RHCA (Thin Gan 2 Monitoring mission 20/02/2019 22/02/2019 facilities in Mon and Kayin State Khaing Mar Soe Nyi Naung RHCA). Observed no PPE for all workers, meetings were conducted and advised contractor to stricly adhere the UNOPS standards

Visited 4 DCC sites, 1 RHC (Taung Kyar Inn and Kyone Doe RHCs) and 2 SRHCs(Kyone Phe and Ah Twin Kwin Kalay SRHCs) Construction activities of the health Delelegn Mulat, Kyaw Win Maw, Observed some minor HSE issues, 3 Monitoring mission 27/03/2019 31/03/2019 facilities in Mon and Kayin State Khaing Mar Soe meetings were conducted and advised contractor to stricly adhere the UNOPS standards, Conducted HSEE training for UNOPS engineers and Contractor's personnel Visited 1 SRHCA, 1 RHC and Construction activities of the health 4 Monitoring mission Khaing Mar Soe 03/04/2019 05/04/2019 3SRHCs with MoHS team and no facilities in Mon and Kayin State HSE issues Met Piling and main structural Construction activities at Myawaddy 5 Monitoring mission Kyaw Win Maw 01/05/2019 02/05/2019 contractors and informed them to DCC improve HSE at site

Visited 4 DCC sites and 1 SRHC ( Kyon Phe SRHC). Observed minor Construction activities of the health Yoga Baral, Delelegn Mulat, 6 Monitoring mission 29/05/2019 31/05/2019 HSE issues at DCCs, meetings were facilities in Mon and Kayin State Khaing Mar Soe conducted and advised contractor to stricly adhere the UNOPS standards Visited 1 DCC site ( Mawlamyine) Construction activities of the health 7 Monitoring mission Delelegn Mulat, Khaing Mar Soe 05/06/2019 06/06/2019 and 1 SRHC ( Kyon Phe SRHC). No facilities in Mon and Kayin State HSSE issues Visited completed 1 SRHC ( Ku Siek SRHC), 2 DCCs sites ( Hpa An and Mawlamyine) and 1 SRHC ( Kyon Construction activities of the health Yoga Baral, Nishantha M.M., 8 Monitoring mission 08/06/2019 09/06/2019 Phe SRHC) with ADB and MoHS facilities in Mon and Kayin State Khaing Mar Soe team. ADB team expressed their satisfaction on the quality and HSSE. GMS: Capacity Building for HIV/AIDS Prevention Project (Grant JFPR-9176 MYA) Subproject’s Safeguards (Environment and Involuntary Resettlement) Screening Checklist

Name of Health Facility: Myawaddy Disease Control Centre

Township: Myawaddy State: Kayin

A. Screening Questions for Environment

Screening Questions (Environment) Yes No Due Diligence Findings A. Project Siting Is the project area ▪ Densely populated? Yes ▪ Heavy with development activities? No Adjacent to or within any environmentally sensitive areas? ▪ Cultural heritage site No ▪ Protected Area No ▪ Wetland No ▪ Mangrove No ▪ Estuarine No ▪ Buffer zone of protected area No ▪ Special area for protecting biodiversity No ▪ Bay No B. Potential Environmental Impacts Will the Project cause… ▪ Poor sanitation and solid waste disposal in construction Yes Contractors will be advised to camps and work sites, and possible transmission of implement the proper solid waste communicable diseases (such as STI's and HIV/AIDS) management plan during the from workers to local populations? construction. ▪ Deterioration of water quality as a result of contamination No of receiving waters by leachate from land disposal system? ▪ Degradation of aesthetic and property value loss? No ▪ Generation of wastewater during construction or Yes Waste water generation will be operation? minimum, But it will be control with proper environmental mitigation measures. ▪ Use of chemicals? No ▪ pollution of surface and ground water from leachate No coming from sanitary landfill sites or methane gas produced from decomposition of solid wastes in the absence of air, which could enter the aquifer or escape through soil fissures at places far from t ▪ Creation of temporary breeding habitats for diseases No such as those transmitted by mosquitoes and rodents? ▪ nuisance to neighboring areas due to foul odor and influx No of insects, rodents, etc.? ▪ Noise and vibration due to project construction or Yes During the construction, no heavy operation? machineries use, Therefore, minimum noise and vibration ▪ Increased air pollution due to project construction and No operation? ▪ Deterioration of surface water quality due to silt runoff Yes Allocated land area is 100x100ft and and sanitary wastes from worker-based camps and minimum disruption to the ground chemicals used in construction? ▪ Alteration of surface water hydrology of waterways Yes Excavation limited only for the resulting in increased sediment in streams affected by construction of structures increased soil erosion at construction site? ▪ Disturbance to precious ecology (e.g. sensitive or No protected areas)? ▪ Generation of solid waste and/or hazardous waste? Yes Proper solid waste management plan will be in placed ▪ Contamination of air quality from incineration? No ▪ Requirements for disposal of fill, excavation, and/or spoil No materials? ▪ Generation of dust in sensitive areas during No construction? ▪ Impacts on the sustainability of associated sanitation and No solid waste disposal systems? Screening Questions (Environment) Yes No Due Diligence Findings ▪ Long-term impacts on local hydrology as a result of No building hard surfaces in or near the building? ▪ temporary silt runoff due to construction? Yes Proposed area is flat surface and not much soil erosion during the construction ▪ Long-term impacts on groundwater flows as result of No needing to drain the project site prior to construction? ▪ emission of potentially toxic volatile organics from land No disposal site? ▪ loss of deep-rooted vegetation (e.g. tress) from landfill No gas? ▪ explosion of toxic response from accumulated landfill gas No in buildings? ▪ inadequate buffer zone around landfill site to alleviate No nuisances? ▪ impacts associated with transport of wastes to the No disposal site or treatment facility ▪ Accident risks associated with increased vehicular traffic, No leading to loss of life? ▪ Involuntary resettlement of people? (physical No displacement and/or economic displacement) ▪ Disproportionate impacts on the poor, women and No children, Indigenous Peoples or other vulnerable groups? ▪ Large population influx during project construction and No operation that causes increased burden on social infrastructure and services (such as water supply and sanitation systems)? ▪ Dislocation or involuntary resettlement of people? No ▪ road blocking and/or increased traffic during construction No of facilities? ▪ risks and vulnerabilities related occupational health and No safety due to physical, chemical, biological, and radiological hazards during project construction and operation? ▪ Risks to community health and safety due to the No transport, storage, and use and/or disposal of materials such as explosives, fuel and other chemicals during construction and operation? ▪ hazards to public health due to inadequate management No of landfill site caused by inadequate institutional and financial capabilities for the management of the landfill operation? ▪ Risks to community safety caused by fire, electric shock, No or failure of the buildings safety features during operation? ▪ Encroachment on historical/cultural areas? No ▪ Impairment of historical/cultural areas; disfiguration of No landscape or potential loss/damage to physical cultural resources? ▪ land use conflicts? No ▪ Social conflicts if workers from other regions or countries No are hired?

B. Screen Questions for Involuntary Resettlement

Screening Questions (Involuntary Yes No Due Diligence Findings Resettlement)

Has the proposed subproject’s site had land No expropriation in the history? *

Will it require permanent and/or temporary No involuntary land acquisition? *

Is the ownership status and current usage of Yes The proposed land is owned by the MOHS land to be acquired known? **

Will there be loss of shelter and residential land No due to land acquisition? *

Will there be loss of agricultural and other No productive assets due to land acquisition? *

Will there be losses of crops, trees, and fixed No assets due to land acquisition? *

Will there be loss of businesses due to land No acquisition? *

Will there be loss of income sources and No means of livelihoods due to land acquisition? *

Will people lose access to natural resources, No communal facilities and services? *

If land use is changed, will it have an adverse No impact on social and economic activities? *

Will access to land and resources owned No communally or by the state be restricted? *

Will the proposed subproject involve the No transfer, reallocation or use of assets/ resources owned/managed/ used by ethnic minority or vulnerable groups (poor, female- heads of households, or vulnerable to poverty risks) in the project site? *

* If yes, the civil works or infrastructure upgrading is not eligible for project financing and must be dropped from the list of proposed projects. ** If no, further clarification of the owner of the land is required.

Other Comments: The proposed building is located 100m from Myawaddy District Hospital compound. ______

Summary of Impacts After reviewing the answers above, PMU Team confirm that the assigned/proposed subsection/section is Has environment or involuntary resettlement (IR) (negative) impact, the proposed civil works or infrastructure upgrading is ineligible for project financing. Has neither environment nor involuntary resettlement (IR) (negative impact, the proposed civil works or infrastructure upgrading is eligible for project financing.

Prepared by:

Signature: ______Name: Nishantha M.M. Position: Contracts Engineer Organization: UNOPS, Myanmar Date: 2 May 2018

Verified by:

Signature: ______Name: Yoga Nanda Baral Position: Infrastructure Manager Organization: UNOPS, MMOC Date: 2 May 2018