41509-013: rural primary health services delivery project

Social Monitoring Report

This social monitoring 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. 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.

Project Number: 41509-013 December 2015

Papua New Guinea: Rural Primary Health Services Delivery Project

Prepared by National Department of Health for the Government of Papua New Guinea and the Asian Development Bank.

RURAL PRIMARY HEALTH SERVICES DELIVERY PROJECT

PAPUA NEW GUINEA

SEMI ANNUAL SAFEGUARDS MONITORING REPORT DECEMBER 2015

The Project is a

collaborative initiative of

the Government of Papua

New Guinea, the Asian

Development Bank,

Australian Aid, OPEC Fund

for International

Development, Japanese

International Cooperation

Agency, World Health

Organisation and UNICEF.

It will contribute to

improved health for the

rural population of PNG by

expanding the coverage

and quality of primary

healthcare in partnership

with State and non-state

health service providers.

2

INDEX

1) Introduction 3

i) Report Purpose 3

ii) Project Aims & Objectives 3

iii) Arrangements for Project Management & Implementation 6

iv) Arrangements for Environmental Management 6

v) Arrangements for Land tenure and access 10

2) Monitoring Activities 14

i) Monitoring Methodology and Frequency 14

ii) Water Quality Monitoring 14

iii) Due Diligence Reporting of Land Process 14

3) Monitoring Results and Actions Required 14

i) Compliance

ii) Corrective Actions

4) Summary and Conclusions 16

5) Attachments

1. Extract from civil works Bidding Document

2. Decision of Conservation & Environmental Protection Authority

3. Permit to extract groundwater

4. Approved Construction Environment Management Plan – example

5. Voluntary Land Use Agreement - example

6. Weekly Progress Monitoring Report – example

7. Environmental Compliance Checklist

8. Memorandum of Agreement – Water Aid

9. Tok Pisin Brochure

3

RURAL PRIMARY HEALTH SERVICES DELIVERY PROJECT

SEMI ANNUAL SOCIAL SAFEGUARDS MONITORING REPORT FOR PERIOD ENDED

31st

DECEMBER, 2015

INTRODUCTION

The Rural Primary Health Service Delivery Project is a collaborative initiative of the Government of

Papua New Guinea, the Asian Development Bank, Australian Aid, OPEC Fund for International

Development, Japanese International Cooperation Agency, World Health Organisation and UNICEF.

It aims to contribute to improved health for the rural population of PNG by expanding the coverage and

quality of primary healthcare in selected rural areas in partnership with State and non-state health

service providers with an emphasis on maternal and child health.

REPORT PURPOSE

This Report has been compiled by Officers of the National Department of Health for the Asian

De elop e t Ba k the Ba k i o plia e ith the e ui e e ts of the various Agreements entered

by the parties on 15th March, 2012 when the Rural Primary Health Service Delivery Project the P oje t

was established.

The purpose of the Report is to disclose the extent of monitoring activities and compliance with the

P oje t s app o ed E i o e t Assess e t a d ‘e ie F a e o k, La d Assess e t F a e o k a d the Ba k s Safeguard Policy Statement by the Project Management Unit, Provincial agents and

Contractors engaged in civil works on behalf of the PNG National Department of Health through the

Project. The report covers the six month period ended 31st December, 2015.

PROJECT AIMS & OBJECTIVES

The Rural Primary Health Services Delivery Project (RPHSDP) is an eight (8) year Project, jointly

supported by the Government of PNG, the Asian Development Bank (ADB), Australian Aid, OPEC Fund

fo I te atio al De elop e t OFID , Wo ld Health O ga isatio WHO , U ited Natio s Child e s Fund (UNICEF) and the Japanese International Cooperation Agency (JICA).

A total of US$81.2 million of funds or contributions in kind have been committed to implement the

Project between 2011 and 2019. Development Partner funds for the Project are held by and disbursed

f o ADB s Head Offi e i Ma ila, Philippi es.

The Project has been designed to contribute to improved health for the rural population of PNG in those

Districts where the Project will be implemented by expanding the coverage and quality of primary

4

health care in partnership with both State and non-State health service providers. In so doing, the

Project will assist the National Department of Health to implement the National Health Plan, 2011-2020

as it relates to primary health service delivery in rural areas. Particular emphasis will be directed to

o e s a d hild e s health services.

The agreed areas of operation for the Project are;

Auto o ous ‘egio of Bougai ille s Ce t al a d South Bougai ille ‘egio s. East Sepik P o i e s We ak a d Map ik Dist i ts Easte Highla ds P o i e s Okapa a d Kai a tu Dist i ts E ga P o i e s Laiaga a d Ko pia -Ambum Districts

Mil e Ba P o i e s Ki i i a-Goodenough and Alotau Districts

Mo o e P o i e s Bulolo a d Me a a Dist i ts, West Ne B itai P o i e s Talasea a d Ka d ia -Gloucester Districts and

Western Highlands P o i e s Mul-Baiyer and Tambul Nebilyer Districts

The P oje t has si ajo deli e a les, efe ed to as Outputs i the P oje t do u e tatio . The a e:

1. National Policies and Standards.

The Project will assist the National Department of Health to develop and implement policies,

standards and strategies for development of the Community Health Post initiative and the

human resource capacity required to successfully operate and maintain them. The National

Health Plan envisages that Community Health Posts will eventually replace the present Aid Posts

and Sub Health Centre facilities for delivery of primary health care in remote areas with

scattered catchment populations of up to 10,000 persons.

The Project will also support improvements to health information systems and implementation

of the Natio al Health Pla s Pe fo a e Assess e t F a e o k i o po ati g the use of information and communication technology (ICT) and geographic information systems (GIS) into

data collection and reporting of clinical activity in the target Districts. The applicability of mobile

telephone technology to support clinical practice will also be further explored in those Districts.

As the timeliness and reliability of activity reporting improves the available data will be used to

establish and rollout facility based budgets for all rural health facilities.

2. Sustainable Partnerships

The Project will assist Provincial Governments and Provincial Health Authorities to develop and

formalise new partnerships with non-state providers of health services in their areas.

Partnership Committees will be established to formalise existing arrangements and to assist in

negotiating and implementing future agreements for integrated planning, coordinated health

service delivery and development of public/private partnerships for health service delivery

within Districts and Provinces.

5

3. Human resource development in the health sector

The Project will increase the skills of health service personnel working in rural communities by

focusing on retraining of existing staff whilst Government, in conjunction with Development

Partners, focuses on undergraduate training of health professionals. The Project will focus on

upgrading the clinical skills required for safe obstetric care, management of common paediatric

illnesses, appropriate referrals and clinical supervision and the skills required to manage the

local workforce and other resources including facility maintenance.

Incentives such as provision of adequate staff numbers and improved housing will be provided

to aid recruitment and retention of health workers in rural health facilities.

4. Community health facility upgrading

The Project will provide, subject to the existence of health partnership agreements and

assurances with respect to staffing levels and recurrent funding, two new Community Health

Posts in each of the sixteen (16) target Districts and new or refurbished health staff housing in

those communities. Funding will be available for medical equipment and furniture, small

vehicles, sanitation facilities, waste destruction infrastructure and for renewable energy supply

systems. Vehicles may be provided to facilitate clinical outreach activities and the retrieval and

evacuation of clients of the facilities.

5. Health Promotion in local communities

The P oje t ill suppo t health p o otio p og a s, i ease o e s i ol e e t i all aspects of health service delivery at the community level, support village health volunteers and

engage local communities in planning for their health care needs. Health promotion activities

ill follo the Health Isla ds odel a d othe e isti g health p o otio st ategies. The fo us will be on improved sanitation, primary health, maternal and child health and HIV/AIDS

awareness, gender equity and prevention of gender based violence. The Project is classified by

ADB as Gender Category 1 with gender mainstreamed through all components and outcomes.

6. Project monitoring, evaluation and management.

The Project has established a Project Support Unit (PSU) to support Project administration,

planning, reporting, coordination with development partners and monitoring and evaluation

activities. An independent contractor has been engaged to provide formative evaluation of the

P oje t s i ple e tatio . P oje t p og ess is o ito ed a d epo ted o thl to the Se eta fo Health, the P oje t s fi a ie s a d the eight CEOs of the pa ti ipati g P o i es. Full reporting is provided to the Project Steering Committee at its regular six monthly meetings.

Monthly financial reports are provided the Departments of Health, Finance, Treasury and

National Planning and Monitoring.

6

ARRANGEMENTS FOR PROJECT MANAGEMENT & IMPLEMENTATION

The Project officially commenced on 18th June, 2012 and is governed by a Project Steering Committee

comprised of the Secretaries of the National Department of Health (Chair), the Department of Treasury,

the Department of Finance and the National Department of Planning and Monitoring, the Provincial

Health Adviser for Morobe Province and the Chief Executive Officer of Western Highlands Provincial

Health Authority. The Secretary for Health is the Project Director. The Project is managed on a day-to-

day basis by a Project Manager, Deputy Project Manager and Finance & Procurement Specialist.

The Project Steering Committee meets in January and July of each year or as otherwise determined by

the Committee. Meetings are attended by representatives of the Asian Development Bank, Australian

Aid, World Health Organisation, UNICEF and JICA as observers but are invited, at the discretion of the

Chairperson, to contribute to discussions.

The National Department of Health is the Executing Agency and the eight (8) Provinces are

Implementing Agencies.

The participating Provinces contribute to implementation of the Project by appointing and resourcing a

local Project Coordinator and support team, by providing technical supervision of the construction

projects underway within their respective Districts and by releasing existing nursing and community

health worker staff for training. Provincial staff have conducted feasibility studies, designed and

supervised the construction of water supply systems for those construction sites where necessary.

The Provinces have also prioritised, within agreed guidelines, those locations where primary health

services are to be enhanced. Health facilities available to the general public and operated by Churches,

Non-Government Organisations and Civil Society Organisations are eligible for upgrading through the

Project and a significant number of non-State facilities were initially nominated by the Provinces.

The Project is implemented in full consultation with members of affected communities and their active

involvement is welcomed. Bidding documents promote the engagement of local labour. The relevant

Section of the bidding document is appended as Annex 1 for information.

ARRANGEMENTS FOR ENVIRONMENTAL MANAGEMENT

A i itial E i o e t Assess e t a d ‘e ie F a e o k was developed during Project design.

On 21st October, 2013 prior to embarking upon the design of new health facilities the Project requested

an interpretation of the application of the PNG Environment Act, 2000 and its Regulations with respect

to the Proje t s p oposed o st u tio a ti ities i u al a eas. O th November, 2013 the Delegate of

the Chief Executive Officer of the Conservation and Environmental Protection Authority advised that,

following a visit to proposed construction sites in Milne Bay Province and a comprehensive review of the

desig do u e ts, the P oje t s a ti ities e e assessed as Le el O e A ti ities a d the efo e e e pted f o the eed to o tai E i o e tal Pe its fo i di idual p oje ts. A op of that ad i e is appended to this Report as Annex 2.

The P oje t s Environment Assessment and Review Framework was subsequently endorsed by the

Secretary for Health and relevant Officers of the Asian Development Bank a d is posted o the P oje t s website.

7

However, it has since been established that individual permits are required whenever ground water is to

be extracted from wells or bores for use in the proposed health facilities and an example is appended as

Annex 3. To date only the project sites at Sinaketa and Kaduwaga in the Trobriand Islands, Milne Bay

Province, have required acquisition of such permits. Those sites are located on coral based Islands

where no rivers or creeks exist. The permit for both sites was granted by the CEO of the Conservation

and Environmental Protection Authority upon application.

Environment and Health

The Participatory Health Needs Assessments completed with the communities that make up the

catchment populations of the thirty two (32) proposed Community Health Posts consistently revealed

that water, sanitation, hygiene and maintenance of a clean environment are well recognised by

rural populations as contributors to their health status. They consistently identified water

associated diseases such as typhoid, diarrhoea, gastroenteritis and malaria as their most prevalent

preventable diseases. This is consistent with the morbidity data available from nearby health facilities,

the District Health facility and health issues prioritised in the National Health Information System data.

In response the Project has now funded provision of community water supplies in nine (9) of the project

sites and will fund others as feasibility studies demonstrate viability. The present drought conditions

being experienced throughout PNG are highlighting the long term need for access to reliable, clean and

secure water supplies.

Other environmental issues contributing to morbidity such as sanitation and vector control are being

add essed th ough Co u it A tio Pla s de eloped consultatively with each willing community and

supported through the Health Promotion (Output 5) component of the Project.

Site Selection

Prior to endorsement of specific sites nominated by the Provinces for the construction of new health

fa ilities the P oje t s E i o e tal Safegua ds Specialist undertakes a comprehensive site assessment

to identify any risks of adverse impacts which might arise from both the construction phase and the

ongoing operation of the new health service. To date no sites have been disqualified on these bases.

As far as possible, sites closely adjacent to water courses, ground water supplies used for human

consumption or steeply sloping sites in high rainfall areas have been avoided due to the risk of

contaminating water supplies used by immediate and downstream communities.

Clearing of vegetation, particularly of mature trees, is avoided as far as is possible to minimise soil

erosion. Wherever excavation is required extensive retaining walls are specified to ensure containment

of disturbed soil. Careful attention is also paid to stormwater containment during the design phase and

specifically tailored solutions are engineered for each site.

Environmental Management Planning

Follo i g assess e t of ea h site the P oje t s E i o e tal Safegua ds Spe ialist site specific

Environment Management Plans (EMP) are developed and form part of the bidding documents when

tenders are invited for construction. Following contract award the successful bidder is required to

su it a Co struction Environment Management Pla (CEMP) proposing management strategies to

8

address each of the specific risks identified in the Environment Management Plan. In preparation for the

development of that Plan the successful Contractor and his staff are oriented to the site and the local

community and then mentored to develop the site specific Construction Environment Management Plan

the P oje t s E i o e tal Safegua ds Specialist.

Site orientation includes a walk around the boundary together to clearly establish the extent of the site

and to identify any significant features such as burial sites, trees and/or existing structures to be

preserved and to establish the present site drainage points.

The contractor and his site supervisor/s are introduced to community leaders at which time any

concerns/expectations of either of the parties are discussed. The Grievance Resolution Mechanism is

also explained at this time.

Site orientation for tradesmen and other incoming staff includes site specific sessions on cultural,

workplace health and safety and gender issues and awareness of HIV and other communicable diseases.

Guidance provided by the Environmental Safeguards Specialist for the preparation of the Construction

Environment Management Plan includes:

Acceptable mitigation measures and strategies for sediment control

Measures for the safe handling, transport, storage and use of chemicals, fuel and oil brought to

the site. Containment measures for management of spills are specified.

Acceptable handling, storage and disposal practices for any waste generated during the

construction phase

A general induction regarding workplace health and safety and security obligations of the

Contractor.

They are also trained on the monitoring and reporting obligations required to be specified in the Plan.

The Plan is then e ie ed the P oje t s E i o e tal Safegua ds Specialist and must be endorsed

before commencement of construction is authorised. An example of an approved CEMP is appended as

Annex 4.

The following photographs depict the extent of stone retaining walls and preparation of stormwater

drains specified for the Bubuleta site.

9

Image 1: Retention walls under construction at the Bubuleta, Milne Bay site.

Image 2: Storm water drains under construction at Bubuleta, Milne Bay site.

Following commissioning and commencement of service delivery from the health facilities waste

containment and destruction will be managed with the provision of compliant rural medical waste

incinerators at each site with the ash contained in sealed pits. Incinerators are located having regard to

prevailing wind conditions to minimise the impact of emissions upon people occupying surrounding

houses and public places. General waste will be buried in pits that have been fenced to prevent access

by domestic animals. Waste water and effluent will be handled through septic systems/absorption

trenches approved individually for each site by the relevant Provincial Building Board. Every care is taken

during site planning and design to ensure that raw waste water cannot escape into natural

watercourses.

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ARRANGEMENTS FOR LAND TENURE AND ACCESS

During the preparation of the Project design it was assumed that all thirty two (32) new Community

Health Posts would be constructed either upon State owned land, land already occupied for health

facilities, land held by the Christian churches under long term leasing arrangements or that customary

la d ould e a essed th ough Volu ta La d Use Ag ee e ts a d Ce tifi ates of O upa issued by the Department of Lands and Physical Planning following negotiation of long term leases with

customary owners. Provision for voluntary acquisition was made but not expected to be required.

The Provinces, as the Implementing Agencies, have been able to secure Voluntary Land Use Agreements

for twenty seven (27) of the proposed sites. Such agreements are not required for those already owned

by the State and one site which is held by the Lutheran Church of PNG through a long term lease

arrangement with customary owners. Until September, 2013 the Project was proceeding on the basis of

those agreements with no intention of acquiring title to customary land on behalf of the State.

However, the Government of PNG then determined that it would acquire customary land for the

development of new State owned infrastructure through voluntary acquisition using the provisions of its

La ds A t, to the e te t p oposed i its lo g te Visio St ategi Pla . As a pa tiall Government funded Project this determination was applied by the Department of Lands and Physical

Planning to all customary sites on which the Provinces and the Project propose to build new health

infrastructure.

The Project s Land Assessment Framework was revised accordingly, endorsed by the Secretary for

Health and relevant Officers of the Asian Development Bank in September, 2013 and is posted on the

P oje t s e site. It is o siste t ith the Ba k s Safegua d Poli State e t.

The Land Assessment Framework requires that any land acquisition must be voluntarily negotiated with

the usto a o e s a d a oid, as fa as possi le, i olu ta esettle e t of affe ted pe so s . Whe e esettle e t is e essa a affe ted pe so s should ha e thei li i g sta da ds esto ed to pre-project levels and that, as far as possible, living standards for the poor and other vulnerable groups

should be improved through the implementation of Project activities.

To i i ise isk to the P oje t s I ple e tatio S hedule through delays attributed to these

requirements the Project Steering Committee determined that no inhabited land or land where

customary ownership is disputed will be acquired and, therefore, it is not envisaged that any

resettlement of displaced persons will be necessary. A Me o a du of U de sta di g as egotiated

and entered between the Secretaries of the National Department of Health and the Department of

Lands and Physical Planning to work collaboratively to process the acquisition of customary land in

accordance with PNG legislation.

Generally, in those locations where there has been no existing health facility, communities have freely

offered land for the construction of the infrastructure required to establish a health service. Those

offe s ha e ee o fi ed th ough the e t of Volu ta La d Use Ag ee e ts VLUA o Cla La d Use Ag ee e ts CLUA hi h i fo the la d a uisitio p o ess of the La d A t, . Si ila l , o those sites where an Aidpost had been previously established without formal acquisition by the State

such Agreements have been obtained. An example of those documents is appended as Annex 5 of this

Report.

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The Volu ta La d Use Ag ee e t/Cla La d Use Ag ee e t has been used as the authority to

p o eed ith adast al a d topog aphi su e s, o pilatio of La d I estigatio ‘epo ts a d aluatio s a autho ised Value i p epa atio fo a uisitio . The La d I estigatio ‘epo t o piled autho ised P o i ial o Dist i t La d Offi e s aptu es detail of the usto a o e s

genealogy and rights to the land through inheritance and identifies those leaders who have been

nominated to act on the Clan or o e s ehalf. It also e ui es affi atio adjoi i g usto a owners that they recognise and agree to the boundaries of the surveyed land and that they make no

claims to contested ownership of the surveyed portion of land.

In most cases the amount of land required for construction of the CHP, three (3) staff houses, generator

and incinerator sheds and an external ablution facility is less than 0.5 hectares. In some cases the

communities have offered more land, particularly where land was made available in the past for

establishment of the Aid Posts which are now to be replaced by the Community Health Post.

The following Table 1 provides detail of those consultations and land identification activities.

Table 1: Community Consultation and Engagement Activities undertaken as at 31st

December, 2015

PROVINCE SITE DATE PARTICIPANTS VLUA/CLUA SIGNED

Male Female Enga Monokam 03/2013 237 231 16/03.2013

Tukusenda 03/2013 531 523 15/03/2013

Kassi 03/2013 380 444 14/03/2013

Porea 09/2015 115 98 21/04/2015

Western Highlands Alkena 09/2013 146 139 Lutheran Church Land

Sanap 07/2013 200 147 28/06/2013

Tsinsipai 10/2013 311* 27/06/2013

Kanimareta 11/2013 20 12 01/12/2013

Eastern Highlands Yasubi 09/2013 60 44 State Land

Amaira 11/2013 200 282 07/03/2014

Jafa 08/2013 115 112 03/03/2014

Tingifeo 08/2015 42 30 16/05/2015

East Sepik Naramko 08/2013 80 117 15/07/2015

Brigiti 02/2014 50 90 11/04/2014

Taul 09/2015 TBA TBA 18/02/2015

Balam 05/2015 80 80 19/02/2015

Morobe Umba 07/2014 TBA TBA 31/08/2014

Yamaya 11/2013 TBA TBA 02/09/2014

Garasa 11/2014 246 360 05/12/2014

Biaru 02/2014 TBA TBA 19/07/2014

Milne Bay Bubuleta 04/2014 15 44 State Land

Gurney N/A N/A N/A State Land

Sinaketa 05/2013 77 68 28/03/2014

Kaduwaga 06/2013 56 42 23/04/2014

West New Britain Baea 05/2015 87 180 12/05/2015

Vatukele 06/2013 TBA TBA 27/08/2013

Akonga 06/2013 170 152 07/08/2013

Wako 06/2013 TBA TBA Yet to be signed

Bougainville Ioro/Orami 08/2013 123 123 16/09/2013

Karato 09/2014 TBA TBA 22/09/2014

Kodora 03/2015 TBA TBA 16/10/2014

Kakusida 07/2015 39 48 16/10/2014

* Not sex disaggregated

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The Asian Development Bank also requires that, where land title is to be acquired, no construction

works can proceed until the customary owners have been fully compensated for the loss of their land

and any improvements thereupon. As a consequence, Project management has been obliged to

negotiate sources of funding for that compensation since the use of Project funds to compensate

customary landowners is prohibited by the Loan and the Grant Agreements which govern Project

activities. Provincial Governments, Provincial Health Authorities and Members of Parliament have

pledged financial support for acquisition of most sites and the costs of those sites already acquired

through negotiated agreement have been fully met by one or other of those parties.

Project Management and Consultants have worked closely with Provincial Lands Officers, Surveyors and

Valuers to ensure that preparation for voluntary acquisition is conducted fairly and with due respect for

the rights of customary owners. They accompany Department of Lands and Physical Planning officers on

field trips to o du t su e s, gathe the ate ial e ui ed fo p epa atio of La d I estigatio ‘epo ts a d to e su e that a i p o e e ts, st u tu al o pla ted, a e take a ou t of he valuations are prepared.

The following photographs depict some of the consultation activities underway at various sites.

Image 3: Community at Kanimareta, WHP Image 4: Community at Yasubi, EHP

The following Table 2 records the progress of the voluntary acquisition and purchase processes as at 31st

December, 2015.

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Table 2: Progress with Voluntary Land Acquisition as at 31st

December, 2015 PROVINCE SITE OWNERS CURRENT USE AREA

(Ha)

VALUATION ACQUISITION PAID BY WHOM DUE DILIGENCE

REPORTING

3rd

PARTY

VERIF N

Enga Monokam Customary Aid Post 0.834 Pending Pending Enga P.G. Pending

Tukusenda Customary Aid Post 0.700 Pending Pending Enga P.G. Pending

Kasi Customary Aid Post 1.495 Pending Pending Enga P.G. Pending

Porea Customary Gardens 3.100 Pending Pending Enga P.G. Pending

Western Highlands Alkena Lutheran Church Grazing & Crops 9.130 N/A N/A N/A N/A N/A N/A

Sanap Customary Gardens 0.835 K53000 20/03/15 12/3/15 Member 09/2015 Pending

Tsinsipai Customary Gardens 0.770 K45000 20/03/15 13/3/15 Member 09/2015 Pending

Kanimareta Customary Aid Post 1.360 K99500 20/03/15 12/3/15 Member 09/2015 Pending

Eastern Highlands Yasubi State Vacant 0.390 N/A N/A N/A N/A N/A N/A

Amaira Customary Vacant 1.330 Pending 30/11/15 Member

Jafa Customary Gardens 0.760 Pending 30/11/15 Member Pending

Tingifeo Customary Forest 0.500 Pending Pending Member

East Sepik Naramko Customary Aid Post 0.794 K54600 Pending Member Pending

Brigiti Customary Aid Post 0.887 Pending Pending Member Pending

Taul Customary Light Forest 1.120 K53400 Pending Member Pending

Balam Customary Small Scale Cocoa 2.360 K63000 Pending Member Pending

Morobe Umba Customary Aid Post 1.300 K62200 Pending Morobe P.G. Pending

Yamaya Customary Forest 0.760 K52000 Pending Morobe P.G. Pending

Garasa Customary Vacant Grassland 0.840 Pending Pending Morobe P.G. Pending

Biaru Customary Incomplete Aid Post 2.090 Pending Pending Morobe P.G. Pending

Milne Bay Bubuleta State Vacant 0.612 N/A N/A N/A N/A N/A N/A

Gurney State Aid Post 0.730 N/A N/A N/A N/A N/A N/A

Sinaketa Customary Aid Post 0.342 K23000 16/12/2014 15/7/15 PHA 09/2015 Pending

Kaduwaga Customary Aid Post 0.508 K34000 16/12/2014 16/7/15 PHA 09/2015 Pending

West New Britain Baea Customary Forest 1.335 K31078 Pending WNB P.G. Pending

Vatukele Customary Vacant 1.119 K34932 Pending WNB P.G. Pending

Akonga Customary Vacant 0.758 K20000 Pending WNB P.G. Pending

Wako Customary Aid Post 1.398 Pending Pending WNB P.G.

Bougainville Ioro/Orami Customary Vacant 0.310 Pending Pending TBC

Karato Customary Aid Post 1.290 Pending Pending TBC

Kodora Customary Small Scale Cocoa 0.630 Pending Pending TBC

Kakusida Customary Gardens 0.350 Pending Pending TBC

MONITORING ACTIVITIES

Monitoring Methodology & Frequency

Contractors are required to submit weekly monitoring reports as part of their overall progress

reporting. A copy of such a report is appended as Annex 6.

Compliance checks with the requirements of the Construction Environment Management Plan are

conducted by Safeguards Officers of the respective Provincial Health Authorities when visiting the

sites and compliance is also assessed at the ti e of site isits the P oje t s Co st u tio Ma age s when assessing progress payment entitlements.

Check lists have been developed to enable a structured and consistent review of compliance

whenever Project staff visit the sites. An example is appended as Annex 7.

Water Quality Monitoring

Where it has been necessary to select sites closely adjacent to water sources for human

o su ptio aseli e ate ualit testi g has/ ill e o du ted to e if the uality/safety of the

water supply prior to commencement of construction works. Those sites are identified in Table 3.

It is planned to conduct the same tests at the conclusion of the construction phase and again six (6)

months after commencement of service delivery to assess any impact upon water quality/safety

which might be attributable to Project activities.

A Memorandum of Agreement with Water Aid was negotiated for independent assessment of water

quality and is appended to this Report as Annex 8.

Due Diligence Reporting of Land Process

The land acquisition processes for customary land are subject to due diligence reporting by the

P oje t s So ial Safegua ds Co sulta t and then to independent third party verification completed by

a Legal Officer familiar with PNG land legislation. The Third Party Verifier has accompanied Project

Consultants/Specialists and Provincial Officers on field visits to some project sites to verify the

processes.

All Due Diligence Reports and Third Party Verifications are then submitted to the Asian Development

Bank for further review and analysis.

MONITORING RESULTS AND ACTIONS REQUIRED

Whilst five Due Diligence Reports have been completed and verified by the independent Third Party

Verifier final approval from the Asian Development Bank is still pending.

As of 31st December, 2015 there have been no environmental compliance failures observed by

Project Officers and/or agents of the Project or reported by any contractor.

The following Table 3 depicts progress with environmental matters at each of the building sites

where construction has been approved as of 31st December, 2015.

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Table 1: Environmental Requirements

PROVINCE SITE WATER EXT N

PERMIT RQD

EMP

APPROVED

BASELINE WATER

TEST

CONTRACTOR

ORIENTATION

CEMP

APPROVED

CONSTRUCTION

COMMENCED

COMPLIANCE

ISSUES

Milne Bay Bubuleta No 04/2014 Not Required January, 2015 February,2015 February, 2015 Nil

Gurney No 04/2014 Not Required December,2015

Sinaketa Yes 05/2015 May, 2015

Kaduwaga Yes 05/2015 May, 2015

Eastern Highlands Yasubi No 04/2014 Not Required June, 2015 July,2015 July, 2015 Nil

Amaira No Not Required

Jafa No 10/2015 Not Required

Tingifeo No Not Required

Morobe Umba No Not Required

Yamaya No Not Required

Garasa No

Biaru No

East Sepik Naramko No 08/15

Brigiti No 09/15

Balam No Not Required

Taul No Not Required

West New Britain Vatukele No

Baea No Not Required

Akonga No Not Required

Wako No Not Required

Western Highlands Alkena No 07/2014 June, 2015 June, 2015 July, 2015 July, 2015 Nil

Tsinsibai No 06/2015

Sanap No 06/2015

Kanimareta No 06/2015

Enga Monokam No 06/2015

Kasi No 10/2015

Tukusenda No 09/2014

Porea No 10/2015

A.R. of Bougainville Karato No

Ioro No 12/2015

Kodora No Not Required

Kakusida No

16

SUMMARY AND CONCLUSIONS

The Project is being implemented in an environment of changing legal requirements for dealing with

customary owned land in PNG and the need to adapt to those changes has required a flexible approach

to so e aspe ts of the P oje t s o igi al desig . I ple e tatio is proceeding according to the schedule

agreed with stakeholders and, in some instances, is proceeding more quickly than might be expected in

the changing circumstances. The preference for voluntary acquisition and outright purchase of former

customary land by Government has required a much more complicated and time consuming process

than was envisaged at the time of Project design but is being worked through methodically to ensure

that there will be no complications/contests about title and tenure at a later date.

Every effort is being made to ensure that communities are well informed of the benefits that the Project

brings to their areas and of their rights with respect to protection of their environment and their land

tenure. On occasions senior members of those communities have expressed some frustration with the

delays which have inevitably occurred as the bureaucratic processes for land acquisition, project design

and approval processes by local authorities and the Bank take their course. In some cases the customary

landowners have initiated land clearing and levelling before final approvals have been granted in the

hope that this may initiate an earlier start for their project.

However, all contractual obligations to the financiers and other stakeholders of the Project are being

met to ensure that long term reputational risk is appropriately managed. Whilst members of some

communities are anxious about the delayed commencement of their project the long term health and

social benefits that the Project will bring to the thirty two communities should mollify the short term

delays and frustrations. Regular site visits and written communication are being attended to in order to

manage expectations. A local language brochure has been developed for distribution to explain the

reasons for delays. It is appended as Annex 9.

Rob Akers

Project Manager

8th

January, 2016

Section 8 Particular Conditions of Contract 8-1

Bidding Document for a CHP at Tukusanda in Enga Procurement of Works-Small Contract

Section 8 - Particular Conditions of Contract

The following Particular Conditions of Contract shall supplement the GCC. Whenever there is a conflict, the provisions herein shall prevail over those in the GCC.

8-2 Section 8 Particular Conditions of Contract

Procurement of Works-Small Contract Bidding Document for a CHP at Tukusanda in Enga

Particular Conditions of Contract

A. General

GCC 1.1 (d) The financing institution is Asian Development Bank through Rural Primary Health Services Delivery Project.

GCC 1.1 (r) The Employer is National Department of Health

GCC 1.1 (w) The Intended Completion Date for the whole of the Works shall be 12 months from the Start Date.

GCCs 1.1 (cc) & 10.1

The Project Manager is Mr Robert Akers.

Address: Ruta Place, Gordons – P O Box 353 Gordons, Port Moresby – NCD

Phone 325 1206 / 325 1216, Fax 325 1275

GCC 1.1 (ee) The Site is located at Tukusanda in Laigam District, Enga Province and is defined in drawings No. TUK-00-AR (Sheet # 3 & 4 of Attachment 1) for Tukusanda as Site Plan.

GCC 1.1 (hh) The Start Date shall be 30 days from the date of the Letter of Acceptance.

GCC 1.1 (ll) The Works consist of:

i. Construction and completion of 1 community health posts, 3 staff houses, 1 incinerator shed, 1 generator shed and 1 ablution block as per the design and drawings;

ii. Furnishing and fitting the community health posts as per the listed items/specifications in the Bill of Quantity and design drawings.

GCC 2.2 Sectional Completions are: Not Applicable

GCC 2.3(j) The following documents also form part of the Contract: Initial Environmental Plan for the Project, and the Environmental Management Plan and Contractor’s Environmental Management Plan for Tukusanda.

GCC 3.1 The language of the contract is English.

The law that applies to the Contract is the law of Papua New Guinea.

GCC 11.1 The Project Manager may delegate any of his duties and responsibilities.

GCC 14.1 Schedule of other contractors: Not applicable.

GCC 19.1 The minimum insurance amounts and deductibles shall be:

(a) for loss or damage to the Works, Plant and Materials: K400,000 and K100,000



(b) for loss or damage to Equipment: K200,000 and K50,000

(c) for loss or damage to property (except the Works, Plant, Materials, and Equipment) in connection with Contract: K400,000 and K100,000

(d) for personal injury or death:

(i) of the Contractor’s employees: As per the provisions of Workers Compensation Act of Papua New Guinea.

(ii) of other people: K500,000 and K50,000

GCC 20.1 Site Investigation Reports are: Not Applicable.

GCC 23.1 The following shall be designed by the Contractor: Not Applicable.

GCC 26.1 The Site Possession Date(s) shall be: Date of the letter of acceptance.

GCC 29.1 Appointing Authority for the Adjudicator: Enga Provincial Health Authority.

GCC 30.3 The Adjudicator shall be paid by the hour at the rate of: K300.

The reimbursable expenses are: Out-of-Pocket Expenses for travel and communications.

GCC 30.4 Arbitration shall be conducted in accordance with the laws of the Employer's country.

C. Time Control

GCC 35.1 The Contractor shall submit for approval a Program for the Works within 45 days from the date of the Letter of Acceptance.

GCC 35.3 The period between Program updates is 30 days.

The amount to be withheld for late submission of an updated Program is 3%.

D. Quality Control

GCC 43.1 The Defects Liability Period is: 365 days.

E. Cost Control

GCC 53.1 The currency of the Employer’s country is: PNG Kina.

GCC 54.1 The Contract is not subject to price adjustment in accordance with GCC Clause 54, and the following information regarding coefficients does not apply.

The coefficients and indices for adjustment of prices in local and international currencies shall be as specified in the Table(s) of Adjustment Data submitted together with the Letter of Bid.

GCC 55.1 The proportion of payments retained is: 10%.

GCC 56.1 The liquidated damages for the whole of the Works are 0.1% per day. The maximum amount of liquidated damages for the whole of the Works is 10% of the

8-4 Section 8 Particular Conditions of Contract

Procurement of Works-Small Contract Bidding Document for a CHP at Tukusanda in Enga

Final Contract Amount.

GCC 57.1 Not Applicable.

GCC 58.1 The Advance Payments shall be: 20% of the Contract Price and shall be paid to the Contractor no later than 14 days after receipt of the Advance Payment Security.

GCC 58.3 Repayment of the Advance Payments shall be: NIL (since covered by Advance Bank Guarantee) from each payment certificate.

GCC 59.1 The Performance Security amount is 10% of the Contract Price.

G. Finishing the Contract

GCC 72.1 The date by which operating and maintenance manuals are required is the completion date.

The date by which “as built” drawings are required is the completion date.

GCC 72.2 The amount to be withheld for failing to produce “as built” drawings and/or operating and maintenance manuals by the date required in GCC 72.1 is 1% of the Final Contract Price.

GCC 73.2 (h) The maximum number of days is: 100 days.

GCC 75.1 The percentage to apply to the value of the work not completed, representing the Employer’s additional cost for completing the Works, is 15%.

H. Safeguard Provisions

80.1 (Environment)

The Contractor shall comply with (i) all applicable environmental laws and regulations of the Independent State of Papua New Guineas, (ii) Asian Development Bank’s environment safeguards, (iii) all measures and requirements set forth in the initial environmental examination, environmental management plan, resettlement plan or indigenous plan; and (iv) any corrective or preventive actions set out in the safeguards monitoring reports that the Employer will prepare from time to time to monitor the implementation of and compliance with the environmental management plan.

80.2 (Labor Law)

The Contractor shall (a) comply with all applicable labor laws and core labor standards on (i) prohibition of child labor as defined by the relevant labor laws and regulations of the Independent State of Papua New Guinea for construction and maintenance activities; (ii) equal pay for equal work of equal value regardless of gender, ethnicity or caste, and on (iii) elimination of forced labor; and (b) disseminate information on sexually transmitted diseases including HIV/AIDS to employees and local communities surrounding the Site.

Any breach of the stated provisions by the contractor may render the termination of the contract by the Employer.

80.3 (Governance and Anticorruptio

The Contractor shall (a) ensure compliance with all applicable anticorruption regulations of the Independent State of Papua New Guinea and ADB’s Anticorruption Policy (1998, as amended to date) and acknowledge that ADB reserves the right to audit and examine records and accounts, investigate directly, or through its agents, any alleged corrupt, fraudulent, collusive or coercive practice



n) relating to the Project; and (ii) cooperate with any such investigation and extend all necessary assistance for satisfactory completion of such investigation.

80.4 (Gender) The Contractor shall (a) ensure approximately 30% of the work-force in civil works be women; and (b) give priority to engage work-force in civil works from local communities or the construction site to the extent appropriate per the skill and experience.

OCTOBER 23, 2015

YASUBI COMMUNITY HEALTH DELIVERY PROJECT

CEMP WEEKLY REPORT

MONITORING PLAN

PhaseWhat parameter is to

be monitored?Where How/Mitigations When Monitoring Cost Responsibility Start Date End Date

is the parameter to be

monitored?


monitored/ type of

monitoring equipment?


monitored-frequency of

measurement or

continuous?

What is the cost of

equipment or

contractor charges to

perform monitoring

June 2015 May 2016

Worker health At construction siteVisual: Worker wearing

PPequipmentWeekly: random times Minor

Construction

Contractor

*use dust mask

Dust levels Dust visible

Weekly, more

frequently during dry,

windy weather

MinorConstruction

Contractor

At construction siteConstruction

Contractor

Construction activities

at site generator


at site generator ends

start

Machinery engine

emissionsAt construction site

Visual: during working

hours only

Construction

Contractor


at site generator


at site generator ends

(on specific locations) start

Building demolition waste

materials transport and

disposal

At construction siteVisual: Trucks covered

or wateredWeekly: random times Minor

(hauled during trucks

come)

Building demolition

activities begin

Building construction

activities ends

At disposal siteMaterial properly

depositedWeekly Minor

erosion control (particularly at steep

slopes)Visual:

Monthly, and during or

after heavy rainfall

Proper procedures

followed

excavation of septic

tank,soakage pitAt construction site

Material properly

deposited(will be

reused for backfill)

daily MinorConstruction

Contractor

clearance begins, oct-

2015

clearance ends, jan-

2016

Access road

construction

Equipment and

material delivery

routes

Visual: Existing roads

usedWeekly Minor

Construction

Contractor


at connection line

begin


at connection line end

PREPARED BY: NOTED BY:

JEREMIAH CAMASURA DAVID YIGIT

PROJECT MANAGER/HE OFFICER GENERAL MANAGER

external works

clearance begins

external works

clearance ends

ongoing

Minor

Construction

Contractor

Construction

Contractor

Minor

Construction

MinorNoise


activities begin


activities ends

working hours

operation(placed on

specific locations)

Daily:there are no local

complaints

Environmental Site Inspection

Checklist

Form Number: ................... Revision Number : 2 Date : 5-12-2013

Page 1

Project : RPHSDP/NCB/CW05/1014 Site Location : Alkena

Construction stage / status during inspection : In progress

Inspection Date : Inspection Time :

Inspected by : Weather :

Inspection Items

Implemented?

N/A

Remarks

(i.e. specify location, good practices, problem observed, possible cause of nonconformity and/or proposed corrective/preventative actions)

Yes No*

1. Air Pollution Control

1.1. Are the construction sites

watered to minimize dust

generated?

1.2. Are stockpiles of dusty materials

(size with more than 20 bags

cement) covered or watered?

1.3. Cement debagging process

undertaken in sheltered areas

1.4. Are all vehicles carrying dusty

loads covered/watered over prior

to leaving the site?

1.5. Are demolition work areas

watered? (e.g. trimming activities

by using breaker)

1.6. Are dusty roads paved and/or

sprayed with water?

1.7. Are dust controlled during

percussive drilling or rock

breaking?

1.8. Are plant and equipment well

maintained? (any black smoke

observed, please indicate the

plant/equipment and location)

1.9. Is dark smoke controlled from

plant?

1.10. Are there enclosures around the

main dust-generating activities?

(e.g. grout mixing)

1.11. Hoarding (not <2.4m) provided

along boundaries and properly

maintained (any damage /

opening observed, please

indicate the location).

1.12. Are speed control measures

applied? (e.g. speed limit sign)

1.13. Others (please specify)

2. Water Pollution Control

2.1. Are water discharge licenses

valid?


Checklist


Page 2

Inspection Items

Implemented?

N/A

Remarks


Yes No*

2.2. Are conditions of the license

compiled with? (check the

monitoring records and observe

physically)

2.3. Are wastewater treatment system

being used and properly

maintained on site? (e.g. desilting

tank)

2.4. Are there any wastewater

discharged to the storm drains?

Is the wastewater being treated?

2.5. Are measures provided to

properly direct effluent to silt

removal facilities? (e.g. provide

earth bunds / U-channels)

2.6. Are u-channels and manholes

free of silt and sediment?

2.7. Are sedimentation traps and

tanks free of silt and sediment?

2.8. Are all manholes on-site covered

and sealed?

2.9. Are sandbags/earth bund

adopted to prevent washing away

of sand/silt and wastewater to

drains, catch pit, public road and

footpath?

2.10. Are vehicles and plants cleaned

before leaving the site?

2.11. Are wheel washing facilities well

maintained to prevent overflow,

flooding sediment?

2.12. Is sand and silt settled out in

wheel washing bay and

removed?

2.13. Is the public road/area around the

site entrance and site hoarding

kept clean and free of muddy

water?

2.14. Is domestic water directed to

septic tanks or chemical toilets?


3. Noise Control

3.1. Is the CNP (Construction Noise

Permit) valid for work during

restricted hours?

3.2. Are copies of the valid

Construction Noise Permits

posted at site entrance/exit?


Checklist


Page 3

Inspection Items

Implemented?

N/A

Remarks


Yes No*

3.3. Do air compressors and

generators operate with doors

closed?

3.4. Is idle plant/equipment turned off

or throttled down?

3.5. Do air compressors and hand-

held breakers have valid noise

emission labels (NEL)?

3.6. Any noise mitigation measures

adopted (e.g. use noise barrier /

enclosure)?

3.7. Are silenced equipments utilized?


4. Waste Management

4.1. Is the site kept clean and tidy?

(e.g. litter free, good

housekeeping)

4.2. Are separate chutes used for

inert and non-inert wastes?

4.3. Are separated labelled containers

/ areas provided for facilitating

recycling and waste segregation?

4.4. Are construction wastes /

recyclable wastes and general

refuse removed off site regularly?

4.5. Are construction wastes collected

and disposed of properly by

licensed collectors?

.

4.6. Are chemical wastes, if any,

collected and disposed of

properly by licensed collectors?

4.7. Does chemical waste producer

license covers all major chemical

wastes produced on site?

4.8. Are chemical wastes properly

stored and labelled?

4.9. Are oil drums and

plants/equipments provided with

drip trays?

4.10. Are drip trays free of oil and

water?

4.11. Is there any oil spillage? Clean-

up the contaminated soil

immediately?

4.12. Is litter, foam or other

objectionable matters in nearby

water drain/sewer cleaned?


Checklist


Page 4

Inspection Items

Implemented?

N/A

Remarks


Yes No*

4.13. Are asbestos wastes handled by

registered professionals?


5. Storage of Chemicals and Dangerous Goods

5.1. Are chemicals stored and

labelled properly?

5.2. Does storage of DG comply with

license conditions (include types

and quantities if DG store is

available, check the DG store

license)?

5.3. Are proper measures to control

oil spillage during maintenance or

to control other chemicals

spillage? (e.g. provide drip trays)

5.4. Are spill kits / sand / saw dust

used for absorbing chemical

spillage readily accessible?


6. Protection of Flora, Fauna and Historical Heritage

6.1. Are disturbance to terrestrial flora

minimized (e.g. plants to be

preserved)?

6.2. Are disturbance to terrestrial

fauna minimized (if rare species

identified)?

6.3. Any historical heritage exists on

site? If yes, ensure appropriate

measures taken to preserve it


7. Resource Conservation

7.1. Is water recycled wherever

possible for dust suppression?

7.2. Is water pipe leakage and

wastage prevented?

7.3. Are diesel-powered plants and

equipments shut off while not in

use to reduce excessive use?

7.4. Are energy conservation

practices adopted?


Checklist


Page 5

Inspection Items

Implemented?

N/A

Remarks


Yes No*

7.5. Are metal or other alternatives

used to minimize the use of

timber?

7.6. Are materials stored in good

condition to prevent deterioration

and wastage (e.g. covered,

separated)?

7.7. Are pesticides used under the

requirement of Agriculture,

Fishers and Conservation

Department?


8. Emergency Preparedness and Response

8.1. Are fire extinguishers / fighting

facilities properly maintained and

not expired? Escape not blocked

/ obstructed?

8.2. Are accidents and incidents

reported and reviewed, and

corrective & preventive actions

identified and recorded?


* Any “No” recorded represents the potential breach of regulation or improvement needed and details of nonconformity (NC) shall be recorded in the Remarks. * Report NC in the following forms. Each NC should make reference into the checklist as coded. The responsible personnel shall identify the root cause of NC and adopt appropriate corrective and preventive actions (CPA) for mitigation. Confirmation of the effectiveness of the CPA shall be verified by Project Manager within an agreed time. * This form is designed for general use and may not be exhaustive. Modifications and additions may be necessary to suit individual projects and to address specific environmental issues and associated mitigation measures. Signature of Site Inspector Date

Reviewed for Project Manager by Date

In PNG Incorporated Project Office: P. O. Box 1354. Wewak. East Sepik Province. Papua New Guinea.

Section 2 Allotment 3. Wewak Hill. Telephone: 675 456 1455 Fax: 675 456 1455

__________________________________________________________________________________________

4 February 2015

Dear Mr Rob Akers

Proposal for baseline monitoring of water supplies for the Rural Primary Health Services Delivery Project

It is my pleasure to submit a technical and financial proposal to provide consulting services to undertake water quality baseline monitoring for the Rural Primary Health Services Delivery Project (RPHSDP). I am the WASH advisor for WaterAid PNG and a qualified Environmental Engineer with three years consultancy experience in urban drainage design and water quality testing. In 2014 I developed the WaterAid PNG water quality testing policy, which has helped to inform the scope of this proposal.

It is understood that the RPHSDP will construct 20 community health posts in a total of seven provinces, each located within the vicinity of water sources that are used by communities for drinking water. As such the baseline assessment and ongoing monitoring needs to adhere to both the Government of Papua New Guinea (GoPNG) Environment (Water Quality Criteria) Regulation 2002 and the Public Health (Drinking Water) Regulation 1985.

In an email dated 6 January 2015, a template for the management of potential contamination to the water sources was proposed which included:

Waste water being discharged to septic tanks and absorption trenches. Incinerators to dispose of clinically contaminated waste and out of date pharmaceuticals,

the ash of which will be sealed in a concrete pit for up to five years, removed and buried. Removal of domestic refuse by approved land fill practices.

Due to these management practices, it is of WaterAid’s belief that the main source of contamination will be the construction of the health facility. Further management practices that can be undertaken to minimise the potential contamination would include:

Location of toilets, septic tanks and absorption trenches at least 30m from water sources, specifically downstream and/or downslope of groundwater sources.

Bunds to prevent stormwater from running off the project site into surface water sources. Removal of construction waste (e.g. dry cement) from the project site. Avoid washing equipment, tools, etc. directly in the water sources, but rather collecting

water and washing in a location where water infiltrates into the ground (at least 30m from the water sources).

The PNG Environment Regulation 2002 list a total of 41 parameters while the PNG Public Health Regulation 1985 list a total of 20 parameters for raw water. It is WaterAid PNG’s belief that the monitoring requirements set out in the national regulations are overburdensome, in some cases unachievable and unnecessary given the type of work and manaagement plans that wil be set in place for the RPHSDP. Therefore, WaterAid PNG has undertaken an extensive literature review to



__________________________________________________________________________________________

determine current best practice and developed a proposed list of parameters to be monitored for the project as detailed in Table 1. Further details of all parameters listed in the national regulations and the justification for the chosen parameters to be tested are outlined in Appendix A.

Table 1 Proposed monitoring regime for RPHSDP

Parameter Proposed criteria Testing method

E. Coli No alteration to sanitary risk level (see Table 2)

MEL/m‐ColiBlue24 field test kit AND

Sanitary risk assessment Arsenic 0.05mg/L EZ Arsenic High Range test kit Barium* 1.0mg/L Laboratory test Fluoride* 1.5mg/L Laboratory test Mercury* 0.0002mg/L Laboratory test Selenium* 0.01mg/L Laboratory test

Ammonia‐Nitrate Temperature and pH dependent (see Table 3) Ammonia Nitrogen test kit, Model NI‐8

Dissolved Oxygen Not less than 6.0mg/L Dissolved oxygen test kit, Model 0X‐2P Biochemical Oxygen

Demand 6.0mg/L Laboratory test

pH No alteration to natural pH Sensor probe Conductivity 2,000μS/cm Sensor probe Turbidity No alteration greater than 25NTU Turbidity tube

Temperature No alteration greater than 2°C Thermometer Colour No alteration to natural colour Observation Odour No alteration to natural odour Observation Taste No alteration to natural taste Observation

* Tested only if project sits are located in geologically significant areas and if samples can be delivered to the National Analysis Laboratory in Lae within 24 hours of sampling

The most common cause of contamination in drinking water is faecal matter which contains multiple forms of bacteria and pathogens. E. Coli bacteria does not occur naturally in the environment and hence is used as the key indicator for faecal contamination, although there may be other pathogens and bacteria that can cause contamination and sickness. It is therefore necessary not to rely solely on the results of E. Coli testing, but to integrate the results into a risk based assessment to help identify the likelihood of contamination. This process is promoted as best practice in the most recent version of the WHO Drinking Water Guidelines published in 2011.

WaterAid PNG has set a criterion for E. Coli of no alteration in sanitary risk level which is consistent with the approach adopted in the Environment Regulation 2002 for the criteria set for pH, temperature, colour, etc. WaterAid PNG will undertake both E. Coli testing and a sanitary inspection to assess the sanitary risk level of the water source. Examples of sanitary inspection forms are provided in Appendix A.



__________________________________________________________________________________________

Table 2 Risk based sanitary assessment

Sanitary inspection risk score

0‐2 3‐5 6‐8 9‐10

E. Coli Classification

< 1 1 – 10

11 – 100 > 100

Table 3 Ammonia‐Nitrogen guideline values (mg/L)

Temperature (°C) pH values 7.0 8.0 9.0

5 16.1 1.6 0.2 10 11 1.1 0.1 15 7.5 0.8 0.09 20 5.2 0.5 0.07 25 3.6 0.4 0.06 30 2.6 0.3 0.05 35 1.6 0.2 0.04

Sampling of surface water sources will be conducted approximately 100m upstream and downstream of the project site to assess natural variation in the existing water quality. Sampling of groundwater will be conducted at all extraction points, which will be restricted to a 200m radius of the project site if the extraction points exceed a total of four. It is recognised that the water sources may already be contaminated by current practices of the local communities, primarily through poor feacal management. This sampling process will provide the baseline necessary for comparison of results from future ongoing monitoring to be conducted by the RPHSDP.

Testing of samples will be undertaken both by in situ and laboratory methods. All sites will be tested using in situ methods as detailed in Table 1. WaterAid PNG aims to collected samples from at least one location in each Province and sned them to the National Analysis Laboratory in Lae as a validation of the in situ results. Locations that contain geology that is associated with the metals Barium, Fluoride, Mercury and Selenium will be sampled and sent to the laboratory if they can be delivered with 24 hours, pending access to airports and availability of flights.

Table 4 provides a summary of the expected number of in situ samples and the duration of the monitoring based on the preliminayr list of project sites provided in an email to myself dated 6th January 2015. The timeframe has been developed based on the presumption of one day travel to the project site and one day undertaking the water quality monitoring. Should additional time be required this will be invoiced on a daily basis.

The budget for the baseline monitoring will be K72,400, which includes daily rates for two staff (K63,000), per diems (K5,000) and equipment hire (K4,400). All external costs (i.e. airfares,



__________________________________________________________________________________________

accommodation, laboratory, freight) will be invoice directly to the RPHSDP and are not included in this budget.

Table 4 Expected sampling sites, number of in situ samples and duration of monitoring

Location Province Water source No. of samples Days

Sinaketa

Milne Bay Groundwater

4

9 Kaduwaga 4 Bubuleta

Surface water

2 Gurney 2 Brigati East Sepik 2 2

Tsinsipbai Western Highlands

2 7 Alkena 2

Kanimareta 2 Yasubi

Eastern Highlands 2

5 Amaira 2 Orami

Autonomous Region of Bougainville

2

9 Karato 2 Kongara 2 Kodora 2 Garasa

Morobe

2

9 Biaru 2 Umba 2 Yamaya 2 Monokam

Enga

2

9 Kassi 2

Tukusanda 2 Tumudana 2

Total ‐ ‐ 48 50

Should you have any questions or queries about the proposal, please feel free to contact me via phone on 7093 6922 or email at [email protected].

Yours sincerely

Samuel Cleary



__________________________________________________________________________________________

References

Government of Papua New Guinea (GoPNG), 1984, Public Health (Drinking Water) Regulation 1984, GoPNG.

Government of Papua New Guinea (GoPNG), 2002, Environment (Water Quality Criteria) Regulation 2002, GoPNG.

World Health Organisation (WHO), 2011, Guidelines for Drinking‐Water Quality, 4th edn, WHO, Geneva.



____________________________________________________________________________________________________________________________________________

AppendixA–Comparisonofcriteriaandexamplesofsanitaryinspectionforms

Parameter PNG Public Health Regulation 1984 (Raw water)

PNG Environment Regulation 2002 (Freshwater)

WHO Guidelines for Drinking Water

Quality 2011

WaterAid PNG Proposed Criteria

Justification

Micro‐biological sampling

E. Coliᶲ ‐ 200CFU/100mL 0CFU/100mL in all samples

No alteration to sanitary risk

level

Upstream sample may be contaminated by upstream sources such as open defecation.

Total coliforms 20,000CFU/100mL ‐ 0CFU/100mL in all samples ‐ Not required as part of Environmental Regulation 2002.

Toxic contaminants Arsenic 0.05mg/L 0.05mg/L 0.01mg/L† 0.01mg/L Adheres to current international standards.

Cadmium 0.01mg/L 0.01mg/L 0.003mg/L ‐ Primarily released to the environment in wastewater, and diffuse pollution is caused by contamination from

fertilizers and local air pollution

Cyanide 0.05mg/L 0.005mg/L 0.5mg/L ‐

Occurs in drinking‐water at concentrations well below those of health concern, except in emergency situations following a spill to a water source. Unlikely to be used in

construction activities.

Lead 0.1mg/L 0.005mg/L 0.01mg/L† ‐

Rarely present in water as a result of its dissolution from natural source, but is used in the production of lead‐acid batteries, solder and alloys. Removal of

unused batteries on the construction site will minimise need for monitoring.

Mercury 0.001mg/L 0.0002mg/L 0.006mg/L 0.006mg/L

Adheres to current international standards. Will only be tested if project site is within geologically significant area and samples can be delivered to the National

Analysis Laboratory in Lae within 24 hours of sampling.



____________________________________________________________________________________________________________________________________________

Nitrate 45.00mg/L 45.00mg/L 50mg/L ‐ short term ‐

Can reach surface water and groundwater as a consequence of agricultural activity, wastewater

disposal and oxidation of nitrogenous waste products in human and animal excreta. There is no long term health guideline for Nitrate but evidence will be gathered by

testing for E. Coli and Ammonia‐Nitrate.

Selenium 0.01mg/L 0.01mg/L 0.04mg/L† 0.04mg/L


Analysis Laboratory in Lae within 24 hours of sampling.

Silver 0.05mg/L 0.05mg/L Available data inadequate ‐ Occurs naturally, mainly in the form of its very insoluble

and immobile oxides, sulfides and some salts.

Aesthetic and other qualities

Ammonia‐Nitrate Temperature and pH

dependent No health guideline See Table 2

Impacts on freshwater aquatic life, which can affect community’s livelihoods.

Barium 1.0mg/L 0.7mg/L 0.7mg/L


Analysis Laboratory in Lae within 24 hours of sampling. Biochemical Oxygen

Demand (BOD) 6mg/L ‐ No health guideline ‐ Not required as part of Environmental Regulation 2002.

Boron ‐ 1.0mg/L 2.4mg/L 2.4mg/L Adheres to current international standards. Boron

compounds are used primarily in the manufacture of glass, soaps and detergents and as flame retardants.

Calcium ‐ No health guideline ‐ Primarily tested as a form of Hardness. Not required as part of Environmental Regulation 2002.

Chemical Oxygen

Demand (COD) 10mg/L ‐ No health guideline ‐ Not required as part of Environmental Regulation 2002.



____________________________________________________________________________________________________________________________________________

Chloride ‐ No health guideline ‐ Not of health concern at levels found in drinking‐water. Not required as part of Environmental Regulation 2002.

Chlorine (residual) 0.005mg/L

at pH 6 5mg/L ‐ Water supplies will be non‐disinfected.

Chromium 0.05mg/L 0.05mg/L† ‐

Chromium is widely distributed in Earth’s crust. Food is the major source of intake with Chromium (III) an

essential nutrient. Unlikely to be used in construction activities.

Cobalt Limit of detectability No health guideline ‐ No health based guideline has been set.

Colour 50NTU No alteration to natural colour No health guideline No alteration to

natural colour

Observation conducted by upstream and downstream comparison. Adheres to PNG Environment Regulation

2002.

Conductivity ‐ No health guideline 2,000μS/cm

Highly dependent on the amount of dissolved solids. Drinking water becomes significantly and increasingly

unpalatable at TDS levels greater than about 1,000mg/L, equivalent to conductivity level of

2,000μS/cm.

Copper 1.0mg/L 2mg/L ‐

Copper is used to make pipes, valves and fittings and is present in alloys and coatings. Primary source in

drinking water is form corrosion of copper plumbing as Copper is not normally a raw water contaminant.

Fats None No health guideline ‐ No reference to fats in WHO standards.

Fluoride 1.5mg/L 1.5mg/L 1.5mg/L

Low risk of Fluoride occurrence in PNG. Will only be tested if samples can be delivered to the National

Analysis Laboratory in Lae within 24 hours of sampling for validation.

Grease None No health guideline ‐ No reference to grease in WHO standards. Insoluble residues No insoluble residues or

sludge formation No health guideline ‐ No health based guideline.



____________________________________________________________________________________________________________________________________________

Iron (total) 1.0mg/L 1.0mg/L No health guideline ‐

Iron is one of the most abundant metals in Earth’s crust. It is found in natural fresh waters at levels ranging from 0.5 to 50mg/L. Not of health concern at levels found in

drinking‐water Magnesium^ ‐ No health guideline ‐ Primarily tested as a form of Hardness. Manganese 0.5mg/L 0.5mg/L No health guideline ‐ Not of health concern at levels found in drinking‐water. Mineral oil 1mg/L ‐ No health guideline ‐ No reference to mineral oil in WHO standards.

Nickel 1.0mg/L 0.07mg/L ‐ Nickel is used mainly in the production of stainless steel and nickel alloys. Water is generally minor contributor

to daily oral intake.

Nitrite ‐ 3mg/L ‐ short term ‐ Can be formed chemically during stagnation of nitrate‐containing and oxygen‐poor water. Will be detected

through testing of dissolved oxygen.

Odour Unobjectionable No alteration to natural odour No health guideline No alteration to

natural odour


2002.

Oil None No health guideline ‐

The most soluble aromatic hydrocarbons will be detectable by taste or odour at concentrations below those concentrations of concern for health. Insoluble hydrocarbons will be visible by having a metallic sheen.

Oxygen ‐ Not less than 6.0mg/L No health guideline Not less than 6.0mg/L Adheres to PNG Environment Regulation 2002.

Pesticides None Multiple guidelines dependent on type

of pesticide ‐ Unlikely to be used in construction activities.

pH range No alteration to natural pH 6.5‐8.5 No alteration to

natural pH Conducted by upstream and downstream comparison.

Adheres to PNG Environment Regulation 2002.



____________________________________________________________________________________________________________________________________________

Phenols 0.002mg/L Multiple guidelines dependent on type

of phenol ‐ Primarily used in water treatment procedures. Unlikely

to be used in construction activities.

Potassium 5.0mg/L No health guideline ‐

Potassium is an essential element in humans and is seldom, if ever, found in drinking water at levels that

could be a concern for healthy humans. It occurs widely in the environment, including all natural waters. Not of

health concern at levels found in drinking‐water. Radioactivity None 0.1 mSv/year ‐ Unlikely to be used in construction activities.

Sulfide 0.002mg/L No health guideline ‐ Hydrogen sulphide can be detected by taste and odour.

Sulphate 400mg/L 400mg/L No health guideline ‐

Occurs naturally in numerous minerals, highest levels usually occur in groundwater and are from natural sources. Not of health concern at levels found in

drinking‐water. Tars None No health guideline ‐ Can be detected by taste, colour and odour.

Taste Unobjectionable No alteration to natural taste No health guideline No alteration to

natural taste


2002.

Temperature No alteration greater than 2°C No health guideline No alteration

greater than 2°C Conducted by upstream and downstream comparison.

Adheres to PNG Environment Regulation 2002.

Tin 0.5mg/L No health guideline ‐ Tin is used principally in the production of coatings used in the food industry. Drinking water is not a significant

source of Tin. Total dissolved

solids 1500mg/L ‐ No health guideline ‐ Conductivity will be measured in place of Total dissolved solids.

Total hardness (CaCO3) ‐ No health guideline ‐ Not of health concern at levels found in drinking‐water.

Toxicants (miscellaneous) None

Multiple guidelines dependent on type

of toxicant ‐ Insufficient guidelines to monitor against.



____________________________________________________________________________________________________________________________________________

Turbidity No alteration greater than 25NTU 5NTU

No alteration greater than

25NTU

Conducted by upstream and downstream comparison. Adheres to PNG Environment Regulation 2002.

Zinc 5.0mg/L No health guideline ‐

Zinc is an essential trace element found in virtually all food and potable water in the form of salts or organic complexes. Not of health concern at levels found in

drinking‐water.

ᶲ For environmental monitoring a median value of 200CFU/100mL is to be achieved from nto fewer than five samples over not more than 30 days † Provisional guideline value ^ Magnesium tested if Sulphate >250mg/L

Water quality reporting for surface water sources

Section 1 – General information

Community/Village: _________________________________________________

Date of visit: _________________________________________________

GPS reading (decimal degrees) ‐ Upstream: __________________________________________

‐ Downstream: __________________________________________

Section 2 – Water quality sampling

Substance Criteria Upstreamresult

Downstreamresult

pH No alteration to natural pH

Conductivity 2,000μS/cm

Turbidity No alteration greater than 25NTU

Temperature No alteration greater than 2°C

Arsenic 0.05mg/L

Ammonia‐Nitrate Temperature and pH dependent

DissolvedOxygen Not less than 6.0mg/L

Colour No alteration to natural colour

Taste No alteration to natural taste

Smell No alteration to natural smell

Section 3 – Sanitary risk inspection for surface water source

1. Is there any human habitation upstream, polluting the source? Yes No 2. Do people use the water source as a toilet? Yes No 3. Are there any farm animals upstream, polluting the source? Yes No 4. Is there any crop production or industrial pollution upstream? Yes No 5. Is there a risk of landslide or mudflow caused by deforestation Yes No

in the catchment area?

Total sanitary risk score for tap stand (2 = Each yes, 0 = Each no): ______________________

Contamination risk score: 9‐10 = very high; 6‐8 = high; 3‐5 = intermediate; 0‐2 = low

Section 4 – Microbiological risk assessment

Location E.Coli(CFU/100mL) Sanitaryriskscore Risklevel

Upstream

Downstream

Water quality reporting for covered dug well with hand‐pump

Section 1 – General information

Community/Village: _________________________________________________

Date of visit: _________________________________________________

GPS reading (decimal degrees): _________________________________________________

Section 2 – Water quality sampling

Substance Criteria Result

pH No alteration to natural pH

Conductivity 2,000μS/cm

Turbidity No alteration greater than 25NTU

Temperature No alteration greater than 2°C

Arsenic 0.05mg/L

Ammonia‐Nitrate Temperature and pH dependent

DissolvedOxygen Not less than 6.0mg/L

Colour No alteration to natural colour

Taste No alteration to natural taste

Smell No alteration to natural smell

Section 3 – Sanitary risk inspection for covered dug well with hand‐pump

1. Is there a latrine within 10 m of the well and hand‐pump? Yes No 2. Is the nearest latrine on higher ground than the hand‐pump? Yes No 3. Is there any other source of pollution (e.g. animal excreta, Yes No

rubbish) within 10m of the hand‐pump? 4. Is the drainage poor with stagnant water within 2m of hand‐pump? Yes No 5. Is the wall or fencing around the hand‐pump inadequate, Yes No

allowing animals in? 6. Is the hand‐pump loose at the point of attachment to the base? Yes No 7. Is the cover of the well unsanitary? Yes No 8. Is the concrete floor less than 1m wide all around the hand‐pump? Yes No 9. Are there any cracks in the concrete floor around the hand‐pump? Yes No 10. Is the well inadequately sealed at any point below ground level? Yes No

Total sanitary risk score for tap stand (1 = Each yes, 0 = Each no): ______________________

Contamination risk score: 9‐10 = very high; 6‐8 = high; 3‐5 = intermediate; 0‐2 = low

Section 4 – Microbiological risk assessment

E.Coli(CFU/100mL) Sanitaryriskscore Risklevel

OL STEP BILONG KOMIUNITI HELT POST PROJECT. NASINOL HELT RPHSDP

Tok igo pas! Department bilong Helt na Project i tok tenkiu long yupla long wetim taim blo ol wok kamap, na tu i laik tok klia long proses o step we i kisim longpela taim igo bek long namba wan taim ol makim hap graun bilong Komiuniti Helt Pos. Tenkiu long wokbung wantaim mipela.

Stat bilong disainim CHP 2-3 mun

Provins mas tok orait long disain

Sekim ol prais bilong ol samting bilong mekim wok kamap

Pinisim wok painim aut long olgeta samting stap long graun.

Input bilong wanpela wok meri (Vicki) long sait bilong

disainim CHP (hausik).

Ol wok bilong desain i gohet 4- 6 mun

Wok bilong akiteksa desain

Straksa disain

Haidrolik disain

Desain bilong pawa (elektrikol disain)

Namba bilong sovey.

Wok bilong disain kisim tok orait long wok bilong

bildim CHP (building permit) 3-5 mun

Plan bilong olgeta samting long graun blong putim long

pepa bilong tenda

Mama or papa graun (ona bilong graun) em i konfemim

tok orait bilong Len asesmen ripot.

Aplikesin igo long bilding bot.

Tok orait ikam long bilding bot insait lo 1-3 mun

Regista wantaim Nasinol Dipatment blong helt.

ADB itok orait long Tenda

Tenda proses na wok contrak 3-4 mun.

Ol husat ilaik aplai long tenda i aplai, taim bilong tenda i

op em long faivpela wik. (5 wik)

Wok bilong sekim ol tenda, em narapela faivpela wik.

Wok bilong lukluk long olgeta wok kamap na tok orait

ikam long ADB

Taim bilong toktok long ol contrak 1 wk

Contrakta winim contrak

Contrak statim wok insait lo 1 mun

Taim bilong toktok long ol contrak 1 wk.

Contrakta winim contrak

BIPO SABMISIN BLONG YU GO LONG BILDING BOT OL

DISPELA WOK KAMAP I MAS PINIS

Long wok long sait bilong graun blong mama or papa

graun. Ol papa na mama graun imas;

· Wok painim aut wantaim komiuniti bilong yu long sait blong

papa na mama graun (ona trutru blong graun)

· Wok painim aut long hevi blong olgeta samting long hap

graun

· Wok bilong makim olgeta samting istap long graun

· Pinisim gut mama or papa graun wok painim aut

Wok bilong disain: 1-3 mun

· Wok bilong sekim wanem kain graun istap, ston or

mauntain bipo komiuniti helt pos em i kirap.

· Namba bilong ol pipol (populesin)

Taim ol dispela step i kamap; Provins i mas:

Oganaisim ol patnasip komiti (NGOs/na ol

narapla government grup) long lukluk long

helpim komiuniti wantaim sampela projek

bihainim ripot bilong wok painim out wantaim ol

komiuniti.

Makim man or meri long wok long CHP husat i

bin kisim long ol dispela ol trening;

Nasinol Helt Stendets trening,

Emegensi Obstetrik care(Nes, HEOs)

Esensol Obstetrik Emegensi Obstetrik

care(Nes, HEOs),

Esensol Obstetrik care (helt wokas) na

supavais klinikol praktis insait long

bikpela hausik.

Intagreted menesment blong sik bilong ol

pikinini.

Trening blong Ofisa in charge.

Dispela niupela CHP imas regista wantaim

nasinol dipatmen blong helt, lo CHP long

kamap pat bilong Nasinol Healt Informesin

Sistem, ken kisim ol medikol saplais na ol

marasin saplai.

Provins mas makim dispel CHP igo insait long

ol bajet bilong na wok long lukaitim dispel

niupela sevis.

OL STEP BILONG

KOMIUNITI

HELT POST

PROJECT

DEPARTMENT OF HEALTH

Rural primary health

services delivery

project

Long kisim moa toktok klia na save long sait bilong komiuniti helt post, yu ken kontektim mipla long dispela kontek adres. Kontek Adres:

Pot Mosbi, Lebol 2, Helt Depatmen, Aiopi Senta, Waigani Draiv, Pot Mosbi, Nasinol Kapitol Distrik, Phone: 325 1206 Fax: 325 1216

41509-013: rural primary health services delivery project

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