44265-013-emr-en_2

Environmental Monitoring Report Project Number: 44265-013 Semi-annual Report (January-June 2019) September 2019 VIE: Second Health Care in the Central Highlands Project Prepared by the Ministry of Health, Central Project Management Unit for the Asian Development Bank This social monitoring report is a document of the borrower The views expressed herein not necessarily represent those of ADB's Board of Directors, Management, or staff, and may be preliminary in nature Your attention is directed to the “terms of use” section of this website In preparing any country program or strategy, financing any project, or by making any designation of or reference to a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgments as to the legal or other status of any territory or area CURRENCY EQUIVALENTS (as of 30 June 2019) Currency Unit – Viet Nam Dong (VND) VND1.00 = $0.00004292 $1.00 = VND 23,300 ADB - Asian Development Bank CHS - Commune Health Station CPMU - Central Project Management Unit EGP - Ethnic Group Plan HICH - Health Care in the Central Highlands Project IEC - Information, Education and Communication ICP - Inter-communal Polyclinics IMR - Infant Mortality Rate MDG - Millennium Development Goal MMR - Maternal Mortality Ratio MOH - Ministry of Health MOF - Ministry of Finance NGO - Non-Government Organization PAM - Project Administration Manual PCR - Project Completion Report PHC - Primary Health Care PPMU - Provincial Project Management Unit U5MR - Under-five mortality Rate VHW - Village Health Worker VSS - Vietnam Social Security System -2- WEIGHTS AND MEASURES dB(A) – Decibel (weighted average) – Hectare kg/d – kilogram per day km – Kilometer km – square kilometer m – Meter m2 – square meter m – cubic meter – cubic meters per day – cubic meters per second – milligrams per cubic meter – Millimeter m3/d m3/s mg/m mm (i) NOTE In this report, "$" refers to US dollars -3- TABLE OF CONTENT I INTRODUCTION A Project background B Project Implementation Progress II INSTITUTIONAL SETUP AND RESPONSIBILITIES FOR EMP IMPLEMENTATION AND SUPERVISION 13 A Institutional responsibilities for environmental management 13 B Incorporation of Environmental Requirements into Project Contractual Arrangements 17 III COMPLIANCE WITH ENVIRONMENT RELATED PROJECT COVENANTS 17 IV ENVIRONMENTAL MITIGATIONS MEASURES IMPLEMENTED IN THE REPORTING PERIOD 20 V PUBLIC CONSULTATION, GRIEVANCE REDRESS MECHANISM 34 A Public consultation and EMP information dissemination 34 B Complaints Error! Bookmark not defined VI INSTITUTIONAL STRENGTHENING AND TRAINING 36 VII KEY ENVIRONMENTAL ISSUES 36 A Key Issues Identified, Actions Taken, Additional Actions Required 36 VIII CONCLUSION AND RECOMMENDATION 40 A Overall Progress of Implementation of Environmental Management Measures 40 B Actions Recommended 40 List of tables Table Description of construction and upgrading works of the Project Table Progress of construction packages at the end of June 2019 Table Institutional responsibilities for environmental management .13 Table Project environmental reporting system assessment 16 Table Status of Compliance with ADB Loan Covenants .17 Table the schedule of updating EMPs 19 Table Environmental and Safety monitoring activities 20 Table Findings during the site inspections 21 Table 9.EMP implementation assessment .31 Table 10.EMP implementation assessment .33 Table 11 Public consultation during mission trip in January and June 2019 34 Table 13 Environmental key issues from the previous report (July to December 2018) Table 14 Environmental key issues 39 List of Figures Figure Locations of the 05 project provinces Figure Environmental and safety monitoring structure 15 -5- 36 I A INTRODUCTION Project background The Ministry of Health (MOH) is implementing the Second Health Care in the Central Highlands Project (HICH2, or the Project) in the provinces (Dak Lak, Lam Dong, Gia Lai, Kon Tum and Dak Nong) of Viet Nam, through Loan № 3038 – VIE (SF) from the Asian Development Bank (ADB) The objective of the Project is to increase use of maternal and child health services in district hospitals, inter-communal polyclinics (ICPs) and commune health stations (CHSs) by: (i) building new, upgrading some CHSs, ICPs and district hospitals including WWTPs, (ii) providing medical equipment and HMIS at the central, provincial, district, commune and village levels, (iii) developing human health resources through long-term and short-term training courses in professional and managerial skills and (iv) service access support The Project comprises the following components in the Target Provinces: – Component A: Improved Access and Quality of Community Health Care – Component B: Increased Access and Quality of Hospital Services – Component C: Strengthened Provincial Health System Management The safeguard categories for the Project is as below: – Environment category B: Anticipated disturbance during construction and generation of wastes during operation of hospitals – The Initial Environmental Examination (IEE) was cleared in September 2013, which included the Environmental Management Plans (EMPs) The project activities are expected to have a range of benefits on the natural and social environment, and only minor or negligible negative environmental impacts The majority of minor negative impacts are expected to occur during the construction phase These will be localized, minor and temporary and will be readily managed to acceptable levels through the implementation of standard construction environmental management practices The Project is implementing in the provinces (Dak Nong, Dak Lak, Lam Dong, Gia Lai and Kom Tum) and the succeeding table shows the descriptions of subcomponents related to construction and upgrading works, the locations of the project provinces is shown in the figure Table Description of construction and upgrading works of the Project No Province Description of construction and upgrading works Status of implementation up to June 2019 Dak Nong Construction and upgrading of Commune Health Stations (CHSs) that are single-storey houses with 11 rooms and minimum area of 150 m2 to meet the required standards of MOH for CHSs The works also includes of constructing auxiliary facilities as WC house, parking yard, incinerator and service house Construction of a new WTP with capacity of 200m3/day for Dak R’Lap District Hospital Under Operation phase (the detail progress for each construction packages is presented in table 2) -6- Construction of Construction of a new treatment ward 2-storey building with the area of 300m2 Rehabilitation of an existing single storey house with the area of 120m2 Upgrading intercommunal polyclinic 719: Upgrading the main building: 2-storey building, Construction of a treatment ward: 2-storey building and a bridging house: 2-storey building BMT General Hospital: Upgrading the capacity of WWTP from 100m3/day to 200 m3/day Krong Buk District Hospital: Construction of a main building: 3-storey grade II building, a nutrition faculty and general services block: 2storey grade II building, a bridging house: 2storey building, an infection control faculty: single – storey grade IV building, an infectious faculty: single-storey grade IV building, an Anatomical pathology house: single-storey grade IV building, a store, a workshop and a garage: single-storey grade IV building, a WWTP, internal road system, yard, sport areas and green, grass areas Construction and upgrading of 11 Commune Health Stations (CHSs) that are single-storey houses with 11 rooms and the minimum area of 150 m2 meeting the required standards of MOH for CHSs The works also includes of constructing auxiliary facilities as WC house, parking yard, incinerator and service house Dak Lak Lam Dong Kom Tum Construction and upgrading of 35 Commune Health Stations (CHSs) that are single-storey houses with 11 rooms and the minimum area of 150 m2 meeting the required standards of MOH for CHSs The works also includes of constructing auxiliary facilities as WC house, parking yard, incinerator and service house Under Operation phase (the detail progress for each construction packages is presented in table 2) Gia Lai Construction and upgrading of 13 Commune Health Stations (CHSs) that are single-storey houses with 11 rooms and the minimum area of 150 m2 meeting the required standards of MOH for CHSs The works also includes of constructing auxiliary facilities as WC house, parking yard, incinerator and service house Under construction phase (the detail progress for each construction packages is presented in table 2) -7- Under construction phase (the detail progress for each construction packages is presented in table 2) Under construction phase (the detail progress for each construction packages is presented in table 2) Figure Locations of the 05 project provinces This environment monitoring report is in line with Environmental Monitoring Report Template issued and guided by ADB as well as the approved IEE The report documents the implementation of Initial Environmental Examination (IEE) and the incorporated EMPs The report was prepared through reviewing the monthly reports of the Construction Supervision Consultants (CSCs) This report presents the results of the environmental management performance and internal monitoring activities for period of January to June 2019 The report covers the following: • Status of compliance with ADB environmental loan covenants and with the environmental requirements of the Government of Vietnam during the report period; and • Status of implementation of the environmental mitigation measures during the report period based on the IEE and EMPs, including documentation of complaints received and corresponding action/resolution; -8- B Project Implementation Progress On-going Site Works As mentioned above, three provinces (Gia Lai, Lam Dong and Dak Lak) have been carried out construction during the period of January to June 2019 Consequently, the environmental monitoring mission only focuses on these construction packages of the three provinces The scope of each contract package is summarized in Table Table Progress of construction packages at the end of June 2019 Package Scope of work Contractor Start Date End Date Progress 24/12/2016 17/07/2017 100% Đắk R’lấp JV of Ngu Hanh 24/12/2016 Son company and Dak Lak Construction companies 24/12/2017 100% CHS JV of Tien Quang 12/12/2016 and Hoang Dung companies CHS 12/12/2016 12/08/2017 100% 12/08/2017 100% Dak Nong Province DN01NCB Construction of a WWTP Gia Viet Company for Đắk R’lấp hospital DN02.02NCB Upgrading hospital DN03.01 Construction Quang Hoa of Construction Quang Son of Construction Eat’ling of CHS Nguyen Phuong 24/11/2016 Ban Me company 13/05/2017 100% Construction Nam Dong of CHS 24/11/2016 13/05/2017 100% Construction Thuan Hanh of 24/05/2017 100% Construction Duc An of CHS JV of Tran Phu and 24/11/2016 Chau Phuc companies CHS 24/11/2016 24/05/2017 100% Construction Quang Tan of 29/05/2017 100% Construction Dak Bokso of CHS JV of Phuong Tuan 01/12/2016 and Tan Tien companies CHS 01/12/2016 29/05/2017 100% Construction Nghia Thang of 24/05/2017 100% Construction Duc Xuyen of CHS JV of Nguyen 24/11/2016 Phat and Trung Hieu CHS 24/11/2016 24/05/2017 100% Construction Kien Duc of CHS JV of Nguyen Phat 21/12/2017 Binh An Quang 15/9/2018 100% DN03.02 DN03.03 DN03.04 DN03.05 DN03.06 -9- Package DN03.07 DN03.08 Scope of work Start Date End Date Progress 21/12/2017 15/9/2018 100% Construction Quang Tin of Construction Kien Thanh of CHS JV of Tran Phu and 21/12/2017 Hoang Dung 15/9/2018 100% Construction Nghia Trung of CHS 21/12/2017 15/9/2018 100% Construction Dak Mam of CHS JV of Bao Phu and 02/11/2017 Nam Son 15/9/2018 100% CHS 02/11/2017 15/9/2018 100% Construction of CHS Cu JV of Nguyen 02/11/2017 Kia Phuong Ban Me and Kiem Anh Construction of CHS 02/11/2017 Nam Dong 15/9/2018 100% 15/9/2018 100% Construction of Truong Xuan DN03.09 Contractor CHS Ngai Kom Tum Province KT01NCB KT02NCB KT03NCB Construction of Dak Glei Tri Dung Company town health station 11-12/2017 12/2018 100% Upgrades of Ngoc Linh CHS 11-12/2017 12/2018 100% Upgrades of Dak Man CHS 11-12/2017 12/2018 100% Upgrades of Dak Su CHS 11-12/2017 12/2018 100% Upgrades of Dak Nong CHS 11-12/2017 12/2018 100% Construction of Dak Ui Kim Nguyen Kom 11-12/2017 CHS Tum Company 12/2018 100% upgrades of Sa Loong CHS 11-12/2017 12/2018 100% Upgrades of Dak Kan CHS 11-12/2017 12/2018 100% Upgrades of Dak To CHS 11-12/2017 12/2018 100% Upgrades of Kon Dao CHS 11-12/2017 12/2018 100% Construction of Tu Ma Association of H-B 11-12/2017 Rong CHS Kon Tum and Viet Trung – Gia Lai 12/2018 100% - 10 -