Due Diligence Report Project Number: 41509-013 November 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 BIARU CHP SITE Morobe Province November, 2016 1 INDEX Executive Summary Project and Community Health Post Description Biaru 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 Landowner meeting Annex Three: Signed Customary Land Transfer Agreement Annex Four: Land survey of site Annex Five: Land Investigation Report Annex Six: Certificate of Alienability Annex Seven: Valuation Report Annex Eight: Deed of Release & Sale & Transfer of Land Certificate. Annex Nine: Approved Layout Plan for Community Health Post Annex Ten: The image on the cover of this Report depicts the area upon which the proposed Biaru CHP will be constructed. 2 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. The civil works component of the Project (Output 4) involves construction of 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 those health facilities. The Community Health Post is deemed a Level 2 Health Facility under the PNG National Health Service “tadads, s ‘ole Delieatio Mati ad is euied to poide ateal ad hild pia 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 higher level facilities of critically ill liets. A odest Poedue ‘oo is poided to allo eege are 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 Biaru Community Health Post is expected to provide health services for up to forty (40) people each day. Biaru Village is located about sixty-five kilometres due south of Wau Station in the Bulolo District of Morobe Province. It is in the Wau Rural Local Level Government area and is accessible by road from Lae through Bulolo, the nearest township, and then on to Wau but can take up to six hours of travelling time by 4WD vehicle dependent upon prevailing weather conditions. The site is in a very remote and underserved area of the Bulolo District. The immediate catchment population for the proposed Biaru Community Health Post is 2963 persons which includes those people previously served by the Tauris and Wisini Aid Posts which are to be closed. Demand for maternal and child health services to be offered by the Community Health Post will mostly be derived from the 520 children less than 5 years of age and 640 women of child bearing age living in the area as identified through the 2011 Census. However, it is also anticipated that those living in other villages served only by dilapidated aid posts will also access the new Biaru Community Health Post and that the true catchment population will be closer to 7000 people once the facility is constructed and commissioned. The nearest Hospital is the Bulolo District Hospital which is up to six hours travelling time to the north but, because of its poor condition and lack of usable bed capacity, most medical evacuations are to the ANGAU Memorial General Hospital in Lae which is a further two hours away. Urgent obstetric cases are evacuated by chartered helicopter but other cases are transported by road. The site at Biaru, acquired for the State by the Morobe Provincial Government, satisfies all of the Pojets criteria required for construction of the proposed Community Health Post to proceed: The land is in Bulolo District of the Morobe Province The Provincial Health Adviser of Morobe Province 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 3 voluntarily offered land for the project in order to secure a Community Health Post within their village. The Poies “tategi Health “eie Deelopet Pla, 5-2020 eoeds construction of a Level 2 Community Health Post in the village of Biaru to serve the health needs of the people living in the immediate area who are presently served by the Tauris, Biaru and Wisini Aid Posts. That Plan has been endorsed by the Provincial Administration. The Provincial Administrator is prepared to enter a Memorandum of Agreement with the Secretary for Health confirming the availability of recurrent budget for operation of the facility The Provincial Health Adviser 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 24th October, 2016. The former customary owners of the land consented to sell their land to the State through the Land Investigation Report dated 26th August, 2015. The land offered has been cleared in the past but is now covered with low regrowth, is slightly sloping to the front and consists of well drained clay and loam. It is known locally as Kepis Koimbak and registered as Portion 427C Milinch of Kumbak (SW), Fourmil of Wau, Bulolo District, Morobe Province. The Lad Iestigatio ‘epot idiates that thee is sufficient land available and thus the oes a affod to sell the lad. The lad as oed ees of the Kepis Clan and had ee auied though inheritance. Thei ights to the lad ae ot otested. Mr. Koum Arua, Mr. Kump Etaman, Mr. Upi Karong, Mr. Kembai Namun, Mr. Wesley Jack, Mr Mapi Kai, Mr. Waup Kuyaip, Mr Sombiang Wata, Mr Waup Amua, Mr Jocky Kaya and Mr. Kasu Minai are aed i the “hedule of Oes, “tatus ad ‘ights to the Lad setio of the Lad Iestigatio Report as Agets possessig full ights as the lad oes and are nominated by the landowners to be their representatives and agents for the purpose of executing a transfer to the Provincial Administrator. They are authorised to accept on our behalf all money and considerations paid by the said Adiistatio i oetio ith the poposed tasfe/lease of the said 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 on 19th July, 2014 and is quantified at 2.09 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 Ilabu soeties spelled Elau, Kembaka, Taurins, Wandumi, Nako, Biawen, Wisini and other isolated villages further to the south and to the east whose villagers have limited access to other health services. It was also selected because of its proximity to the road leading to Wau and then on to Bulolo and Lae. The unimproved value of the land provided for the Community Health Post was assessed by the Valuer-General to be K73,150.00. 4 The Certificate of Alienability No. 10/3/2016 was issued by the Secretary of the Department of Provincial and Local Government Affairs on 7th of March, 2016. Payment of K73,150.00 was made to the authorised agents by the Morobe Provincial Government on behalf of the State in Biaru Village on 4th February, 2017. The Deed of Release and the Sale and Transfer documents were signed by the Agents in the presence of a Customary Lands Officer of DL & PP. 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.