Social Safeguards Due Diligence Report February 2021 PHI: Emergency Assistance for the Reconstruction and Recovery of Marawi Output 3: Restoring Water Utilities and Health Infrastructure Health Component Prepared by Department of Health for the Asian Development Bank ABBREVIATIONS ADB – Asian Development Bank APs – Affected Persons BMCRRP – Bangon Marawi Comprehensive Rehabilitation and Recovery Program BOL – Bangsamoro Organic Law CAP – Corrective Action Plan CHO – City Health Office DDR – Due Diligence Report DENR – Department of Environment and Natural Resources DPWH – Department of Public Works and Highways EA – Executing Agency EAL – Emergency Assistance Loan EM – Ethnic Minority EO – Executive Order ERRM Emergency Assistance for Reconstruction and Recovery of Marawi GOP – Government of the Philippines GRM – Grievance Redress Mechanism IA – Implementing Agency IDPs – Internally Displaced Persons IP – Indigenous Peoples IPHO – Integrated Provincial Health Office IPRA – Indigenous Peoples Rights Act LGU – Local Government Unit MOA – Memorandum of Agreement NTH – Non-Title Holder PAP – Project Affected Person PCNA – Post Conflict Needs Assessment RA – Republic Act RHU – Rural Health Unit SPS – Safeguards Policy Statement TFBM – Task Force Bangon Marawi UCCRTF – Urban Climate Change Resilience Trust Fund This social safeguards 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 judgments as to the legal or other status of any territory or area. ii TABLE OF CONTENTS ABBREVIATIONS ................................................................................................................ ii TABLE OF CONTENTS ...................................................................................................... iii I. INTRODUCTION .................................................................................................................1 A. Background ......................................................................................................................1 B. Project Description ...........................................................................................................2 II. SOCIAL SAFEGUARDS DUE DILIGENCE ..........................................................................6 A. Objectives of the Due Diligence ........................................................................................6 B. Methodology Used ...........................................................................................................6 III. SUMMARY OF FINDINGS AND FIELD OBSERVATIONS ...............................................7 A. The City Health Unit Site in Marawi City ...........................................................................9 B. The Rural Health Unit Site in Lumbayanague, Lanao del Sur ......................................... 10 C. Land Tenure Practices in Marawi and Surrounding Areas ........................................... 13 1. Designated Lot in Marawi City .................................................................................... 13 2. Designated Lot in Lumbayanague, Lanao del Sur ....................................................... 13 IV. GRIEVANCE REDRESS MECHANISM.......................................................................... 14 V. CONCLUSION ................................................................................................................... 14 FIGURES Figure 1: Location of the proposed city health unit in Marawi City Error! Bookmark not defined. Figure 2: Location of the Proposed City Health Unit in Lumbayanague, Lanao del Sur ...............3 Figure 3:Discussion with Marawi CityOfficials on the proposed CHU site ....................................9 Figure 4: Discussions with key government oficials .....................................................................9 Figure 5: The overall master plan of the Marawi City Hall CompoundError! Bookmark not defined.0 Figure 6: Measuring the location of the new proposed CHU site ............................................. 110 Figure 7: The Lumbayanague Municipal Hall and elementary school building ......................... 132 Figure 8: Proposed location of the Lumbayanague RHU……………………………………………13 Figure 9: The current Lumbayanague Rural Health Unit, which is located in an old house near the municipal hall…………………………………………………………………………………………… 14 iii I. INTRODUCTION A. Background 1. The Government of the Philippines has requested ADB to provide emergency assistance combining a $400 million Emergency Assistance Loan (EAL) and $8 million in grants to support the reconstruction of Marawi. The Emergency Assistance for Reconstruction and Recovery of Marawi (ERRM) is structured to provide the Government of the Philippines with immediate and flexible financing to implement programs, projects and activities (PPAs) included in the Bangon Marawi Comprehensive Rehabilitation and Recovery Program (BMCRRP).1 The ERRM is comprised of four outputs: (i) fiscal support to meet new public spending needs arising from the government’s recovery program; (ii) reestablishing connectivity in Marawi by building back better public infrastructure; (iii) restoring water utilities and health infrastructure; and (iv) improving social services and livelihoods to affected persons. 2. Output 3 of the ERRM, restoring water utilities and health infrastructure, will be financed by a $5 million grant under the Urban Climate Change Resilience Trust Fund (UCCRTF). 2 It will include a water supply component and a health component, both identified as critical for the recovery of the city. 3. The water component will involve the reconstruction and rehabilitation of water supply infrastructure in a portion of the existing water supply system comprising 19 barangays currently served by Marawi City Water District (MCWD). It also includes the development of a comprehensive water supply, septage/sewerage, and drainage master plan for the city. The new infrastructure will provide 24-hour water service with a minimum pressure of 10 psi. The project will be based on the 2018 study, Diagnosis and Modeling of Marawi City Water Supply System, conducted by Maynilad Water Services Inc. with support from the International Committee of the Red Cross (ICRC). 4. The health component will include the construction of two local health units, procurement of medical transport vehicles, and institutional and operational support. The health units will consist of a city health unit (CHU) in Marawi City and a rural health unit in the town of Lumbayanague, Lanao del Norte.3 The health units will meet or exceed national standards. They will incorporate climate resilience measures including solar powered refrigeration, be well equipped, with birthing facilities and provisions for water supply and sanitation.4 The grant will also finance the procurement of medical transport vehicles that include, two ambulances, two patient transport vehicles and two monitoring vehicles. This will enable the restoration of essential health services, including reproductive health services, to Marawi City through the City Health Office, and surrounding areas hosting internally displaced persons (IDPs) through the Integrated Provincial Health Office.5 5. As a UCCRTF grant, the design of the proposed interventions will incorporate climate change and disaster resilience features including transformative elements (i.e. building back better). The grant will also provide institutional and related operational support. 1 Government of the Philippines, National Economic and Development Authority-Regional Development Office. 2018. Bangon Marawi Comprehensive Rehabilitation and Recovery Program. Manila. 2 All UCCRTF supported interventions are expected to be completed by Q4 2021 due to the fund’s operational closure. 3 Both health units will utilize the Department of Health standard design for rural health units. 4 The two health units will be equipped to meet four crucial service delivery requirements, comprising (i) Tamang Serbisyo sa Kalusugan ng Pamilya (Tsekap), a primary health care package under the Philippine Health Insurance Corporation); (ii) the maternal care package; (iii) directly observed treatment, short-course for tuberculosis (TB-DOTS) and (iv) animal bite services. 5 The mobile health facilities will cover Marawi city as well as the first and second congressional district areas of Lanao Del Sur province (refer to Attachment 4). 1 6. For the water component, a separate safeguard document, a Resettlement and Ethnic Minority Development Plan (REMDP), will be prepared. For the health component, this due diligence report (DDR) serves as the appropriate safeguard document focusing on the two local health units. The procurement of medical transport vehicles, and institutional and operational support have no social safeguard impacts. B. Project Description 7. Location. The proposed city health unit site is within the government center compound in Marawi City, where government buildings, including the city hall and Integrated Provincial Health Office (IPHO) are located. The site has an area of about 580-square meters.