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PNG: Rural Primary Health Services Delivery Project (Loan 2785 and Grant 0259)

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PNG: Rural Primary Health Services Delivery Project (Loan 2785 and Grant 0259) Due Diligence Report Project Number: 41509-013 February 2017 PNG: Rural Primary Health Services Delivery Project (Loan 2785 and Grant 0259) Prepared by the Department of Health for the Asian Development Bank. This 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 judgements as to the legal or other status of any territory or area. Papua New Guinea Rural Primary Health Services Delivery Project DUE DILIGENCE REPORT MUSAVE CHP SITE Eastern Highlands Province February 2017 INDEX EXECUTIVE SUMMARY PROJECT AND COMMUNITY HEALTH POST DESCRIPTION MUSAVE COMMUNITY HEALTH POST SITE – DESCRIPTION AND AREA SCOPE OF LAND USE/PURCHASE SOCIOECONOMIC INFORMATION INFORMATION DISCLOSURE, CONSULTATIONS AND PARTICIPATION GRIEVANCE REDRESS MECHANISM APPLICABLE POLICIES AND LAWS AGREEMENTS ON LAND USE COMPENSATION AND BENEFITS BUDGET AND SOURCES OF FUNDS INSTITUTIONAL ARRANGEMENTS IMPLEMENTATION SCHEDULE MONITORING AND REPORTING ANNEXURES (Available Upon Request) Annex One: Reports of Community Consultations Annex Two: Land survey of site Annex Three: Land Investigation Report Annex Four: Valuation by the Office of the Valuer-General Annex Five: Certificate of Alienability Annex Six: Sale & Transfer of Land Annex Seven: Deed of Release Annex Eight: Approved Layout Plan for Community Health Post MUSAVE COMMUNITY HEALTH POST A. EXECUTIVE SUMMARY Musave, soeties spelled Musabe, Village is located about eighteen (18) kilometres southwest of Kainantu Township in the Kainantu District of Eastern Highlands. It is accessible by road but can take up to 1 hour and 45 minutes travelling time dependent upon prevailing weather conditions. The road is unformed in places and in poor condition. The catchment population of the proposed Musave Community Health Post is derived from 14 separate villages and hamlets in the area known collectively as the Izevinonta community with a total population in excess of 7,600 at the time of the 2011 National Census. About 40% of this population living in the eastern area is served by an Aid Post at Sonofi or the Onamuga Health Centre. However, it is estimated that there were 4620 people living in the immediate Musave area and to its west at the end of 2013. Some of those live across the District border in Henganofi District but access Kainantu Township via the road which passes through Musave. It is estimated that there were 1650 infants and children under the age of 15 years and 1350 women of child bearing age i.e. 15-44 years living in the immediate catchment area. The population in the Kainantu District is growing at a faster rate than that of any other rural District in PNG. The site at Musave, acquired for the State by the Hon Johnson Tuke, Member for Kainantu, for the construction of the Community Health Post and three (3) staff houses satisfies all of the criteria required for construction to proceed. The former customary owners of the land, registered as Portion 340C Milinch of Okapa, Fourmil of Markham, Kainantu District, Eastern Highlands Province and known locally as Yauvifante, consented to sell their land to the State through an agreement dated 9th August, 2016 through the Land Investigation Report dated 9th August, 2016.) The area of the land acquired is 2.40 hectares which had been used in the past for production of vegetable crops. The entire area on which the Community Health Post and staff houses are to be constructed has been cleared of significant trees for many years. The land was owned by members of the Irafo and Kampefona Clans and had been inherited by them through Clan membership. The Clans are aed i the “hedule of Oes, “tatus and Rights to the Lad setio of the Lad Iestigatio ‘epot as haig elusie ights as the land owners. They have nominated Mr. Ken Keriba, Mr Fugonto Nae, Mr Jovaka Beafa, Mr. Joseph Silliyuo, Mr. Folken Tobofa, Mr. Ontobura Korepe, Mr. Koni Tomave and Mr. Arimpa Antene to be their representatives and agents for the purpose of executing a Transfer to the Administrator over that piece of land known as Yauifate Potio C containing approximately 2.40 hectares and situated near Kainantu Town in the District of Kainantu of Easte Highlads. The futhe authoised the above agents to accept, on behalf all, moneys and considerations paid by the said Administrator in connection with the proposed Transfer of the said piee of lad. The extent of the site was determined by the customary owners and the owners of adjoining land in the company of the Surveyor, Mr. Damake Murio, prior to survey. The boundaries are clearly marked and are consistent with the decision of the local landowners. The owners of contiguous land have also declared that they have no interest in or rights by native custom to the surveyed land. The site was selected by the customary owners because it is central to the surrounding villages of Benega, Una, Kafe, Katipro, Taaku, Avaninofiu, Namo and Sisimega which have no other health facilities and because of its proximity to the road leading to Kainantu Township. The value of the land provided for the Community Health Post was assessed by the Valuer- General to be K490,000.00 inclusive of planted crops and two derelict houses which had been removed following the survey but prior to the valuation assessment. The Certificate of Alienability No. 5/5-2017 was issued by the Secretary of the Department of Provincial and Local Government Affairs. Payment of K100,000 was made to the authorised agents by the member for Kainantu, Hon. Johnson Tuke on behalf of the State in Musave Village on 24th March, 2017. This was accepted as full and final payment and a Deed of Release and Sale and Transfer documents were signed by the Agents and witnessed by an Officer of the Customary Lands Division of the Department of Lands & Physical Planning and the CEO of the Kainantu District Development Authority. The process of obtaining the Title on behalf of the State is now complete and tenders have been invited for construction of the proposed Community Health Post. Officers of the Provincial Health Authority, the Eastern Highlands Provincial Administration and the Rural Primary Health Service Delivery Project have followed both Government of PNG and standard ADB safeguards processes including extensive consultation with the local community, use of applicable National land laws and regulations, and due diligence to ensure that local people would not experience significant adverse impacts by relinquishing this land. B. PROJECT AND COMMUNITY HEALTH POST DESCRIPTION Background 1. The Rural Primary Health Services Delivery Project will strengthen the rural health system in PNG by increasing the coverage and quality of primary health care in partnership with State and non-state service providers by supporting the Government of PNG to implement the National Health Plan 2011-2020 as it relates to rural health. The Project operates in two districts in each of the following eight Provinces nominated by the Government of PNG: Eastern Highlands, East Sepik, Eastern Highlands, Milne Bay, Morobe, Western Highlands, West New Britain and the Autonomous Region of Bougainville. 2. The Project will make health service improvements on both the supply and demand sides and strengthen the policy and legal framework for health services at all levels. The Project has six (6) clearly articulated outputs: Output 1 – National policies and standards: assisting the National Department of Health in developing policies, standards, and strategies for new Community Health Posts, and human resource strengthening of the rural health sector. This will result in the development of Provincial health service development plans, and improvements in the health information systems. Output 2 – Sustainable partnerships between provincial governments and non-state actors: Partnership Committees have been established to improve coordination and efficiency among providers, (churches and NGOs) and to increase consistency and accountability. Partnership arrangements have been formalized through Memoranda of Agreement with most non-state health service providers. Output 3 – Human resource development in the health sector. The Project will increase the skills of health personnel in rural communities, focusing on the existing workforce. It will help Provinces to address staff performance and retention issues. Output 4 – Community health facility upgrading: The Project will build thirty-two (32) new Community Health Posts, with ninety-six (96) staff houses as well as providing medical equipment and small vehicles (cars, boats or motorbikes). It will also install or upgrade sanitation facilities, provide waste management facilities, and establish renewable energy supplies for those health facilities. The Community Health Post is deemed a Level 2 Health Facility under the PNG National Health “eie “tadads, s ‘ole Delieatio Mati ad it oe functions are to provide maternal and child primary health clinics within the facility and through outreach to communities within the catchment area. Provision is also made for birthing and postnatal inpatient care, short term paediatric and adult inpatient services and for triage and stabilisation of critically ill patients prior to referral to higher level facilities. A modest Poedue ‘oo is poided to allo eege ae of taua o seious edial conditions prior to referral to a health facility of higher clinical capability. Discrete consultation rooms are provided to ensure privacy for clients seeking care or advice for their conditions. The Musave Community Health Post is expected to provide outpatient consultation services for up to fifty (50) persons per day and to supervise up to 100 births per annum.
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