Due Diligence Report Project Number: 41509-013 June 2016 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 FOR ACQUISITION of the AMAIRA CHP SITE Eastern Highlands Province June 2016 INDEX Executive Summary Project and Community Health Post Description Amaira 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: Minutes of Aid Post Board meetings Annex Three: Signed Customary Land Transfer Agreement Annex Four: Land survey of site Annex Five: Land Investigation Report Annex Six: Valuation Report Annex Seven: Approved Layout Plan for Community Health Post Annex Eight: Environmental Management Plan Annex Nine: Certificate of Alienability Annex Ten: Deed of Release EXECUTIVE SUMMARY The Rural Primary Health Service Delivery Project (RPHSDP) is a collaboration between the Government of PNG represented by its National Department of Health and the Asian Development Bank, Australian Department of Foreign Affairs and Trade, the OPEC Fund for International Development, the World Health Organisation, the Japanese International Cooperation Agency and UNICEF. The Project is operating in two (2) Districts of each of eight (8) Provinces and plans to build thirty-two (32) new Community Health Posts, ninety-six (96) new staff houses as well as providing medical equipment and small vehicles (cars, boats, or motorbikes) to support their operation. It will also install or upgrade sanitation facilities, provide waste management facilities and establish renewable energy supplies for selected 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 is euied to poide ateal ad child primary health clinics. Provision is also made for birthing and postnatal inpatient care, short term paediatric and adult inpatient services and for triage, stabilisation and referral to highe leel failities of itiall ill liets. A odest Poedue ‘oo is poided to allo emergency care of trauma or serious medical conditions prior to referral and discrete consultation rooms are provided to ensure privacy for clients seeking care or advice for their conditions. The Amaira Community Health Post is expected to provide health services for up to forty (40) people per day. Amaira Village is located about thirty (30) kilometres directly east of Okapa Station in the Okapa District of Eastern Highlands on the border with Obura Wonenara District. It is accessible by road from Kainantu, the nearest township, but can take up to one hour of travelling time dependent upon prevailing weather conditions. The immediate catchment population for the proposed Amaira Community Health Post is 3248 persons. Demand for maternal and child health services to be offered by the Community Health Post will be derived from the 568 children less than 5 years of age and 698 women of child bearing age living in the area as identified through the 2011 Census. However, it is also anticipated that those living in villages further to the west will also access the new Amaira Community Health Post and that the true catchment population will be closer to 8000 people once the facility is constructed and commissioned. Their nearest Hospital is the run down Okapa District Hospital which can only be reached by walking 30 kilometres in a westerly direction. They do have more timely access to the Kainantu District Hospital provided that they have access to a vehicle but there are very few vehicles operating in the immediate area due to poor road conditions. The site at Amaira, acquired for the State by the Okapa District Development Authority, satisfies all of the Pojets criteria required for construction of the proposed Community Health Post to proceed: The land is in Okapa District of the Province The Chief Executive Officer of the Eastern Highlands Provincial Health Authority has endorsed the concept plan, the site plan and the final design of the Community Health Post after consulting with the local communities that it will serve. Landowners of the area have been consulted extensively about their healthcare needs and voluntarily offered land for the project in order to secure a Community Health Post within their village. The Poies “tategi Health “eie Deelopet Pla, eoeds construction of a Level 2 Community Health Post in the village to serve the health needs of the 3248 people living in the immediate area. That Plan has been endorsed by the Board of the Provincial Health Authority. The Chief Executive Officer has entered a Memorandum of Agreement with the Secretary for Health confirming the availability of recurrent budget for operation of the facility The Chief Executive Officer has nominated the three staff members to be assigned to the facility and those staff have undergone extensive upskilling in maternal and child health service provision. The nominated Officer in Charge has completed the Rural Health Facility Management Course delivered by Divine Word University. The Community Health Post design has been certified by the Manager, Health Facilities Branch of the National Department of Health as consistent with the National Health Service Standards, 2011 The Environmental Management Plan was endorsed by the relevant officers of the Asian Development Bank on 10th June, 2016. The former customary owners of the land consented to sell their land to the State through the Land Investigation Report dated 27th February, 2015. The land offered is cleared, steeply sloping in opposite directions and well drained clay and loam. It is registered as Portion 336C Milinch of Okapa, Fourmil of Markham, Okapa District, Eastern Highlands Province. The Land Investigation Report indicates that there is sufficient land available and thus the oes a affod to sell the lad. The land was owned by members of the Kafiamapa (Avia) Clan and had been acquired through eeship of the Cla. Their rights to the land are not contested. Mr. Korofe Muratai, Mr. Nuato Sandafe, Mr. Gilbert Kawa Muratai, Mr. Joseph Autua and Mr, Apse Ais ae aed i the “hedule of Oes, “tatus ad ‘ights to the Lad setio of the Lad Iestigatio ‘epot as haig full ights as the lad oes. They have nominated Mr. Korofe Muratai, Mr. Nuato Sandafe, Mr. Gilbert Kawa Muratai, Ms. Hellen Gilberty Muratai and Mr. Yato Yarike Waina to be their representatives and agents for the purpose of executing a transfer to the Provincial Administrator. They futhe authoised the aoe agents to accept, on behalf of all, moneys and considerations paid by the said Administrator i oetio ith the poposed tasfe 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 prior to survey and is quantified at 1.33 hectares by him. 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 Avia, Waisana, Nankona, Ponampa, Sinkura 1 and 2 and Waifina whose villagers have limited access to other health services and because of its proximity to the road leading to Kainantu. The value of the land provided for the Community Health Post was assessed by the Valuer- General to be K93,000.00 and there are no capital improvements or planted crops on the site. The Certificate of Alienability No. 28/11-2015 was issued by the Secretary of the Department of Provincial and Local Government Affairs on 30th November, 2015. Payment of K93,000 was made to the authorised agents by the Okapa District Development Authority on behalf of the State in Amaira Village on ----------- . The Deed of Release and the Sale and Transfer documents were signed by ----------------------- in the presence of X other people. 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. A. PROJECT AND COMMUNITY HEALTH POST DESCRIPTION Background 1. The Rural Primary Health Service 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, Enga, Milne Bay, Western Highlands, West New Britain, Morobe 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.