Social Monitoring Report External Resettlement Monitoring Report January 2015

L2468-VIE: Health Care in the South Central Coast

Region Project

Prepared by the Ministry of Health, Socialist Republic of Viet Nam, for the Asian Development Bank.

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.

MINISTRY OF HEALTH, VIETNAM

FINAL REPORT

on

Land Acquisition and Resettlement Activities for

Health Care in the South Central Coast Region

Project (ADB Loan 2468)

Vietnam, November 2014

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CONTENTS

LIST OF ABBREVIATIONS ....................................................................................... - 3 -

GLOSSARY ................................................................................................................... - 4 -

PART I. OVERVIEW ................................................................................................... - 6 -

PART II. ASSESSMENT METHODOLOGY ........................................................... - 7 -

PART III. STATUS OF IMPLEMENTATION ......................................................... - 8 -

1. Summary Scope of Land Acquisition and Resettlement Impacts ............................................... - 8 -

2. Detailed on the Status of Land Acquisition and Resettlement in Project Provinces/Cities .... - 11 -

3. Implementation procedure ............................................................................................................ - 16 -

PART IV. RESULTS OF LAND ACQUISITION ACTIVITIES .......................... - 22 -

CONCLUSIONS AND RECOMMENDATIONS .................................................... - 27 -

ANNEX 1 ..................................................................................................................... - 29 -

ANNEX 2 ..................................................................................................................... - 31 -

ANNEX 3 ..................................................................................................................... - 32 -

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LIST OF ABBREVIATIONS

ADB

AP

CPC

DH(s)

ha

HHs

km

m

MOH

PMC

PMU

PPC

PPMU

RP

SMS

US

VNĐ

Asian Development Bank

Affected person

Commune People’s Committee

District Hospital(s)

Hectare

Households

Kilometer

Meter

Ministry of Health

Preventive Medicine Center

Project Management Unit

Provincial People’s Committee

Provincial Project Management Unit

Resettlement Plan

Secondary medical school

The United States

Vietnam Dong

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GLOSSARY

Affected person

(AP)

means any person or persons, household, firm, private or public institution that, on account of changes resulting from the Project, will have its (i) standard of living adversely affected; (ii) right, title or interest in any house, land (including residential, commercial, agricultural, forest, salt mining and/or grazing land), water resources or any other moveable or fixed assets acquired, possessed, restricted or otherwise adversely affected, in full or in part, permanently or temporarily; and/or (iii) business, occupation, place of work or residence or habitat adversely affected, with or without displacement

Affected

household

members residing under one roof and operating as a single economic unit, who are adversely affected by a project or any of its components.

Compensation means payment in cash or in kind to replace losses of land, housing, income and other assets caused by the Project. All compensation is based on the principle of replacement cost, which is the method of valuing assets to replace the loss at current market rates, plus any transaction costs such as administrative charges, taxes, registration and titling costs

Entitlement means a range of measures comprising compensation, income restoration support, transfer assistance, income substitution, and relocation support which are due to affected people, depending on the nature of their losses, to restore their economic and social base

Land acquisition means the process whereby an individual, household, firm or private institution is compelled by a public agency to alienate all or part of the land it owns or possesses to the ownership and possession of that agency for public purposes in return for compensation equivalent to the replacement costs of affected assets.

Relocation means assistance provided to project affected persons due to the loss of productive assets, incomes, employment or sources of living, to supplement payment of compensation for acquired assets, in order to achieve, at a minimum, full restoration of living standards and quality of life

Resettlement means all measures taken to mitigate any and all adverse impacts of a projection AP property and/or livelihoods, including compensation, relocation (where relevant), and rehabilitation as needed

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Resettlement

Plan (RP)

is a time-bound action plan with budget setting out compensation and resettlement strategies, objectives, entitlement, actions, responsibilities, monitoring and evaluation. The RP must be prepared and approved prior to loan appraisal for the Project.

Severely affected

persons

Mean APs who will (i) lose 10% or more of their total productive land and/or assets; (ii) relocate due to insufficient remaining residential land to rebuild; and/or (iii) lose 10% or more of their total income sources due to the Project.

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PART I. OVERVIEW

The Socialist Republic of Vietnam received a loan of $ 72,000,000 from the Asian

Development Bank (ADB) and with the Vietnamese Government’s counterpart fund of $8,000,000 to implement the Health Care in the South Central Coast Region Project. The

Project supported eight provinces/cities in the South Central Coast Region, including Da

Nang City, Quang Nam, Quang Ngai, Binh Dinh, Phu Yen, Khanh Hoa, Ninh Thuan,

and Binh Thuan over a six years period from 2009 to 2015. The overall goal of the

Project is to improve the health status of the population in the eight Project

provinces/cities. The Project’s expected outcome is a more comprehensive and well

managed and better used provincial health systems in the eight Project provinces/cities

with a focus on health care for the poor, women and children and ethnic minorities

through 4 components: (A) improving health facilities, (B)strengthening human

resources through improved workforce planning and training capacity and specific

training programs, (C) improving access to health services for the poor, and (D)

strengthening provincial health systems by improving management and monitoring of the

provincial health systems and hospitals.

In Component A, the Project upgraded or constructed a total of 25 facilities, including

11 district hospitals (DHs), 05 regional hospitals, 01 provincial hospital, 01

rehabilitation hospital, 01 traditional medicine hospital, 01 secondary medical school

(SMS), and 05 Preventive Medicine Centers (PMCs). The upgrading/construction in

some sites involved land acquisition and resettlement. A resettlement plan (RP) was

prepared to address the land acquisition and resettlement impacts from the subprojects.

RP implementation is required to be monitored internally with the objective of

providing feedback to management on implementation and identifying problems and

successes as early as

possible to facilitate timely adjustment of implementation arrangements. Internal

monitoring and supervision are expected to determine if:

a. Compensation and other entitlements are computed at rates and procedures as

provided in the approved RP, with no discrimination according to gender,

membership in an ethnic group or any other factor;

b. Affected households are paid their compensation and other entitlements as per

approved updated RP, ensuring that all entitlements are delivered as planned and

agreed, including compensation in cash or in kind, allowances, replacement land,

resettlement sites developed and people moved onto them;

c. income restoration programs designed and delivered including modifications in the

programs and provision of additional cash and in-kind assistance to the participating

affected households as and when necessary; and

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d. Public information, public consultation and grievance redress procedures are

followed as described in the approved updated RP.

Independent monitoring of resettlement activities was conducted in November 2010. This was followed-up by safeguards review mission by the ADB VRM in April-June 2011 and in April 2012 during the mid-term review. All land acquisition and resettlement activities were completed in 2012.

ADB policy on involuntary resettlement requires that upon completion of the project, the

project should(i) provide a concise history of the involuntary resettlement aspects of the

project and/or program to completion, (ii) conduct an evaluation of the implementation

of the resettlement plan and or resettlement framework and involuntary resettlement loan

covenants,(iii) assess the executing agencies performance; and (vi) summarize the

monitoring and evaluation reports. This report aims to support in meeting this

requirement. The report summarizes the land acquisition and resettlement impacts from

the project, the activities undertaken to address such impacts, and the result of the

resettlement plan implementation on the affected people.

PART II. ASSESSMENT METHODOLOGY

1. Assessment methodology

Reviewed the socio-economic situation of the selected locality, the policies,

provisions and legal documents provided by the State and the guidelines on

resettlement activities of the ADB.

Conducted in-depth interviews with representatives from 15 households affected by

the land acquisition and resettlement activities in the project area to collect the

detailed information related to their attitudes and reactions toward the implementation

process of the related organization, as well as examining qualitatively the impacts of

land acquisition and resettlement activities on the affected people’s lives.

2. Assessment timeline

The assessment was conducted by eight PPMUs in October 2014. In early November

2014, eight PPMUs submitted the report to PMU for synthesizing.

3. Assessment sites

The assessment was undertaken in eight provinces/cities covered by the Health Care in

the South Central Coast Region Project, including Da Nang City, Binh Dinh, Binh

Thuan, Khanh Hoa, Ninh Thuan, Phu Yen, Quang Nam, and Quang Ngai.

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4. Study objects

Representatives from all related provincial units at eight project provinces/cities, who

were able to clearly give answers to the survey questions on the situation of land

acquisition and resettlement in the area due to the construction of health facilities

belonged to the Health Care in the South Central Coastal Region Project.

5. Data processing

All collected data were cleaned and analyzed according to the set objectives.

PART III. STATUS OF IMPLEMENTATION

1. Summary Scope of Land Acquisition and Resettlement Impacts

Out of 25 sub-projects of eight project provinces, only nine sub-projects in six

provinces involved land acquisition and resettlement activity. The other sub-projects

were constructed within the existing compounds of hospitals/preventive medicine

centers or sites that are already under the possession of the hospitals.

For the nine subprojects with land acquisition impacts, a total of 120,978.2 m2 of land

were acquired, of which 85% was productive land, 14% was public land and only 1%

was residential land. There were 84 affected objectives, including 80 households and 4

public organizations(Commune/Ward People’s committees, District Youth Union,

government-owned company, etc). Of the 80 households that were affected by the

Project, five households lost more than 10% of their productive land and six households

needed to be relocated1. A total of VND 10,322,041,151covered by provincial’s budget was used as compensation and allowances for the affected people. This amount included

the cost of compensation for land, provision or purchase of other land for farmers (in

cases of land for land compensation were applied), compensation for loss of houses,

structures, crops and business, relocation, and living standards rehabilitation measures.

1 The Project was initially categorized as ‘A’ for involuntary resettlement, but was recategorized to ‘B’

because of the reduced impacts from the subprojects.

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SCOPE OF LAND ACQUISITION AND RESETTLEMENT IMPACTS

No. Province/ Health facilities

Acquired land (m2) Total of

affected HHs /

organizations

HHs to

be

relocated

APs losing

>=10% of

productive

assets

Other

impacts Residential

land

Agricultural

land Tree land

Public

land

I DA NANG

1 Hoa Vang District Hospital 0 0 0 0 0 0 0 0

2 Da Nang city Rehabilitation Hospital 0 0 0 0 0 0 0 0

II QUANG NAM

5 Dong Giang District Hospital 0 0 0 0 0 0 0 0

3 Bac Tra My District Hospital 0 0 0 0 0 0 0 0

4 Quang Nam Regional Hospital 0 0 0 0 0 0 0 0

6 Dien Ban Preventive Medicine Centre

0 0 0 0 0 0 0 0

III QUANG NGAI

8 Son Tay District Hospital 1,061.5 7,056.6 0 0 19 3 5 0

9 Tay Tra District Hospital 300 21,052.8 0 0 27 1 0 0

10 Tra Bong District Hospital 0 0 0 0 0 0 0 0

7 Ba To District Hospital 0 0 0 0 0 0 0 0

11 Mo Duc Preventive Medicine Centre 0 0 0 0 0 0 0 0

IV BINH DINH

12 OPD-Binh Dinh Provincial Hospital 0 0 0 0 0 0 0 0

13 Traditional Medicine Hospital 0 18,212.4 0.0 1,042.7 12 0 0

14 Phu My District Hospital 0 0 0 0 0 0 0 0

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SCOPE OF LAND ACQUISITION AND RESETTLEMENT IMPACTS

No. Province/ Health facilities

Acquired land (m2) Total of

affected HHs /

organizations

HHs to

be

relocated

APs losing

>=10% of

productive

assets

Other

impacts Residential

land

Agricultural

land Tree land

Public

land

V PHU YEN

16 Tay Hoa District Hospital 0 0 0 0 0 0 0 0

17 Song Cau District Hospital 0 0 0 0 0 0 0 0

15 Tuy An Regional Hospital 0 0 0 0 0 0 0 0

18 Song Cau Preventive Medicine Centre

0 0 2,427.6 272.4 5 0 0 0

VI KHANH HOA

19 Cam Ranh Regional Hospital 0 0 0 0 0 0 0 0

20 Van Ninh District Hospital 0 22,908.2 0 0 1 0 0 0

21 Ninh Hoa Prevent Medicine Centre 0 0 0 0 0 0 0 0

VII NINH THUAN

22 Secondary Medical School 0 23,918 7,613 3,816 17 0 0 0

VIII BINH THUAN

23 North Regional Hospital (Bac Binh) 240 0 0 11,057 3 2 0 0

24 South Regional Hospital (Duc Linh) 0 0 0 0 0 0 0 0

25 Phan Thiet Preventive Medicine Centre

0 0 0 0 0 0 0 0

Total 1,601.5 93,148.0 10,040.6 16,188.1 84 6 5 0

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2. Details on the Status of Land Acquisition and Resettlement in Project

Provinces/Cities

2.1. Da Nang City

Da Nang City had constructed a new general DH and two new departments onadult

and children rehabilitation and treatment. No resettlement or land acquisition

wasrequired for the construction works.

- The Hoa Vang DHis located at Hoa Nhon commune, Hoa Vang District, Da Nang

city. The land for constructing the Hoa Vang DH was handed over by the City

Government to Da Nang City Health Department2009 by virtue of Decision No.

4947/QĐ-UBND dated 01 July 2009 by the Da Nang City People’s Committee.

- The Da Nang City Rehabilitation Hospital is located at My An Ward, Ngu Hanh Son

District. The Project built two more departments, for adult and children rehabilitation

treatment for poor patients. The construction of the two new departments was on

vacant land owned by the hospital. No resettlement or land acquisition was required

for this construction work.

2.2. Quang Nam Province

Quang Nam province upgrade done regional hospital and two DHs, and built a new

PMC. There is no land acquisition or resettlement impact for all project facilities in

the province as the civil works were within the hospitals/center’s campuses.

- Quang Nam Regional Hospital is located in Vinh Dien town, Dien Ban District. The

Quang Nam Regional Hospital constructed a new building with 4 floors for the OPD

– Emergency, Technical Professional Block, and E.N.T to replace the existing

structure. The construction of the new building did not require any land acquisition

because the land and structure were already owned by the hospital and there were no

resettlement effects.

- Bac Tra My DH is located in Tra My town, Bac Tra My district. The Bac Tra My DH

replaced all of the medical examination and treatment departments. The construction

works did not require any land acquisition or caused any resettlement effects.

- Dong Giang DH is located in Prao town, Dong Giang district. The Dong Giang DH

replaced all of the medical examination and treatment departments. The new

construction works did not require any land acquisition or caused any resettlement

effects.

- Dien Ban District Department of Preventive Medicine is located at the Vinh Dien

Town, Dien Ban District, Quang Nam Province. The land was handed over by the

Quang Nam Provincial People’s Committee according to Official Dispatch No.

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653/UBND-VP Dated 26/6/2009 and there are no land acquisition nor resettlement

requirements for construction works.

2.3. Quang Ngai Province

Quang Ngai province upgraded four DHs and built one PMC. There was no need for

land acquisition and resettlement for Tra Bong DH, Ba To DH, and Mo Duc PMC. Son

Tay DH and Tay Tra DH required land acquisition.

- Son Tay DH is located in Son Tay District. The hospital needed 8,118.1 m2

additional land for the upgrading. There were 19 affected households, of which three

households needed to be relocated and 5 households lost 100% their agricultural

(rice field). Three relocated HHs had their own land in other places, therefore, they

only asked for cash compensation and and built new houses by themselves. The Son

Tay District People’s Committee did not provide land for them. Other affected HHs,

including 5 HHs lost all their productive land received cash compensation and

support for changing occupation and job creation. The compensation and support to

affected households were approved by Decision No. 1549/ QĐ-UBND of the Quang

Ngai People’s Committee on 20 October 2010. All land acquisition activities already

completed according to the approved plan and there was no complaints received.

- The Tra Bong DH was constructed on an area of 10,274m2“clean” land. There was no

requirement for land acquisition or resettlement effects.

- The Ba To DH was constructed on an area of 19,458 m2of available/cleared land.

There was no requirement for land acquisition or resettlement effects.

- The Tay Tra DH is located in Tra Phong Town, Tay Tra District. The hospital needed

21,352.8 m2of additional land. There were 27 affected households, of which 01 HH

was resettled while the other have only their productive assets, crops and trees

affected. The District Resettlement Board paid compensation all 27 affected

households and allocated a land plot for 1 relocating HH about 100 meters from

his original residence. All affected HHs received and were satisfied with the

compensation and allowance. All land acquisition activities were completed in

February 2012.

- Mo Duc Preventive Medicine Center was constructed on 2,200 m2land at Duc Thach

Commune, Mo Duc District, Quang Ngai. The Quang Ngai Province People’s Committee issued Decision No. 47/QĐ- UBND on 15 March 2010 allocating the

required land for the center. Thus, the construction works did not require any

additional land acquisition or caused any resettlement effects.

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2.4. Binh Dinh Province

Binh Dinh province upgraded 3 hospitals, i.e., one provincial hospital, one traditional

medicine hospital and one DH. There was no land acquisition and resettlement

required for Binh Dinh Provincial Hospital and Phu My DH as the civil works are

within the hospitals’ compounds. For the traditional medicine hospital, the land was

acquired by the Provincial Center for Land Resource Development.

- Binh Dinh Provincial Hospital has a total land area of 58,000 m2. The hospital

constructed a new building with 6 floors for the OPD under Health care in the South

Central Coast Region Project. The construction of the new building did not require

any land acquisition since the land was owned by the hospital and there was no

resettlement effects.

- Phu My DH has a total land area of 27,360 m2 and Project funded three new

buildings for operating theaters, pharmacy and intensive care unit. The construction

of these buildings is on existing land of the hospital and therefore, there was no

requirement on land acquisition and resettlement.

- The Traditional Medicine Hospital is located on a new site in Nhon Phu Ward, Quy

Nhon city. Total area of land acquired for the hospital is 19,455 m2, of which

residential land is 200 m2 belonging to two households and 19,255 m2 is agricultural

land. There are 13 affected HHs and 1 Commune People’s Committee (of which 2

HHs lose their houses, 10 HHs lose their agricultural land and one household lose

8.6m2 garden and 657 m2 of agricultural land). Compensation was made for 10

households for the affected agricultural land and these households received the

compensation without complaints because the affected agricultural land areas are

minor (each household losing less than 100 m2). The remaining 03 households

refused compensation due disagreement with the compensation price for land and

tree. Two of these households have affected residential land (with houses) and garden

land. They refused compensation because they claim that(i) the compensation unit

rates for residential land/garden land and assets upon lands (houses and trees) were

much lower compared to the market rates, and (ii) the replacement residential land in

the resettlement site is smaller than the affected residential land. In 2011, these

complaints were resolved. The household who lost agricultural land was compensated

by “land for land” as their request and he was satisfied with this compensation. For

the two other households, PPMU adjusted the alignment of the fence surrounding the

hospital to avoid impacting on the land of these households. All of the land

acquisition and resettlement activities were implemented by the Provincial Center for

Land Resource Development and completed in July 2011 with total 1,013,756,000

VND of compensation.

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2.5. Phu Yen Province

Phu Yen subprojects coveredthe upgrading and expansion of Tuy An Regional

Hospital, Tay Hoa DH and Song Cau DH and construction of the Song Cau PMC.

Only Song Cau Preventive Medicine Center has land acquisition impacts. Civil works

in the three other subprojects are within land that is under the possession of the

hospitals. Civil works in these three hospitals that involved land acquisition were

funded through the Government Bonds which are not part to the project.

- Tuy An Regional Hospital was built on its old location, with minor expansion. Civil

works under the Project were done within the existing hospital compound. The minor

expansion of the hospital was funded through the Government Bonds which are not

part of the project.

- Civil works under the Project for the Song Cau DH were limited to the existing

20,519.5 m2 of the hospital. Minor expansion of the hospital funded by the

Government Bonds involved the acquisition of 5,694 m2. These works are not related

to the project.

- The Tay Hoa DH is located at Phu Thu Town. Civil works under the Project were

done within the existing hospital compound. The minor expansion of the hospital was

funded through the Government Bonds which are not part of the project.

- Song Cau Preventive Medicine Center at first were proposed to locate in Le Uyen

Village and would affect to 7 HHs, of which 3 HHs would be resettled. However, this

area were allocated to another project by Phu Yen PPC. Therefore, Phu Yen DOH,

PPMU and Song Cau Commune People’s Committee decided to move the sub-

project to a new location in Trung Trinh Village with 2,700m2 of acquired land. There

were 04 affected households which lost minor productive land and one small land of

Xuan Phu Ward People’s Committee. None of the affected households had to

relocate. The chairman of Song Cau District People’s Committee issued Decision No. 1007/QĐ-UBND approving the compensation plan for construction of Song Cau

Preventive Medicine Center and the land acquisition activities already completed in

2012 with total compensation of VND22,600,000.

2.6. Khanh Hoa Province

The Khanh Hoa Health Care Subproject includes upgrading of one DH district, one

regional hospital, and 01 PMC. There were no land acquisition and resettlement

requirements for Cam Ranh Hospital and Ninh Hoa PMC as the civil works were

within the hospital and department’s campuses, while the Van Ninh Hospital required

compensation for the Van Luong Commune People’s Committee.

- Cam Ranh Regional Hospital has a total area of 19,800 m2 land and it is located at 97

Nguyen Thai Hoc Street, Cam Ranh Town. The replacement of old buildings is

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within the existing hospital premises and did not require any land acquisition or

resettlement effects.

- Ninh Hoa PMC is located at 8 Village, Ninh Hoa District, Khanh Hoa City. It is built

in the former site of the PMC and did not require any land acquisition or resettlement

effects.

- Van Ninh DH: In 2009, Khanh Hoa PPMU the land handed over to PPMU in 2009

for construction of Van Ninh DH was “clean”. Before that, an area of

22,902.2m2aquaculture land of Van Luong Commune People’s Committee was

acquired. Compensation was paid to the Communal People’s Committee and it has

been used (VND 453,582,000) for the commune’s infrastructure constructions. The leaders of Van Luong Communal People’s Committee and the local people are satisfied with the compensation in-terms of compensation unit rates and the

compensation manner. The compensation implementation is compliant with the

provision on “compensation for public assets” of the approved Project Resettlement Framework. During constructions of the Government funded components of Van

Ninh District Hospital, there were two households who had land temporarily affected

and the impacts have been compensated properly by the construction contractors; and

the affected households are satisfied with the compensation. In short, the land

acquisition and compensation implementation by Van Ninh District Hospital

Subproject conforms with the provisions of the approved Resettlement Plan and

Project Resettlement Framework.

2.7. Ninh Thuan Province

The Ninh Thuan Subproject supports the construction of one new DH in Thuan Bac

District, and one new Secondary Medical School in Phan Rang-Thap Cham city. All

land acquisition and compensation activities were completed according to the

approved plan.

- The Secondary Medical School is located at Van Hai Ward and a part of Khanh Hai

town, Phan Rang-Thap Cham city. There were 17 affected households. A total of

VND 5,463,653,899 was spent on compensation for acquiring 24,640 m2 agricultural

land, construction works, crops and trees as well as support for settlement, changing

occupation and job creation as clearly defined in Decision No 3769/ QĐ-UBND of

Ninh Thuan Provincial People’s Committee on 21 September 2009. There was one

complaint about low allowance. The Board provided additional allowance for that AP

and he was satisfied with the additional allowance. The land acquisition activities for

the sub-projectwere successfully completed in 2009.

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2.8. Binh Thuan Province

The Binh Thuan Health Care subproject supports civil works in the upgrading of

Northern Regional Hospital, Southern Region Hospital and Phan Thiet PMC. No land

acquisition and resettlement requirements for the Southern Region Hospital and the

Phan Thiet PMC as the civil works are within the premises’ campuses. - The Northern Regional Hospital is located at Cho Lau Town, Bac Binh District in the

campus of the former Bac Binh Health. It required an additional 11,347 m2 for the

proposed expansion. This expansion severely affected two households who had

residential land and houses in the area (total of 240m2). At first, these households

disagreed with the resettlement site because of these following reasons: (i) the offered

replacement residential land ground is lower than the surrounding houses which

makes it expensive to fill; (ii) it is expensive for the households to build a fence

around the residential land; (iii) it will cost significant amount for the households to

connect electricity and water; (iv) the offered replacement residential land has no

location advantage over the affected residential land (the affected residential land of

two households is in front of the large alley); and (v) the households have not yet

been consulted on the compensation, assistance and resettlement policy, so they do-

not know what allowances they will be entitled to for relocation. After receiving the

grievance, the Board provided other places near the AHs’ previous residence (about

100m). There was also one district-owned TV station affected due to loss of land and

structures. The land was acquired and handed over in 2011. All the households and

the TV station were compensated and were satisfied with the compensation levels

that they received.

- The Southern Regional Hospital located at Duc Linh Commune, Duc Linh District

currently owns a total land area of 28,216 m2. The construction work did not require

additional land and there were no resettlement effects.

- Phan Thiet City Department of Preventive Medicine is located at the Xuan An Ward,

Phan Thiet City, with an area of 1000 m2. There was no need for land acquisition

and resettlement.

3. Implementation procedure

3.1. Organizational structure model

In order to carry out the land acquisition and resettlement activities, a managing

organization structure has been set up in different levels. This model of organizational

structure at project provinces/cities composed of the steering and implementation levels.

The steering level included the steering committees of provinces, districts and communes

with the role of speeding up the implementation of actions, carried out every regulations

relating to land acquisition and resettlement activities, and directly provided guidance to

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settlement of any complaints that arose during the implementation of land acquisition

and resettlement activities. The implementation level included the Board for

compensation and land clearance (the Board) and representatives of the supporters such

as: the Health Department, the Resources and Environment Department, the Finance

Department, and other provincial organizations with the responsibilities of

implementing, settling the issues relating to compensation and resettlement activities.

3.2. Procedure to implement compensation and site clearance

The Board was responsible for reporting plans to get appraisal from the Department of

Natural Resources and Environment, Department of Planning. After getting their

approvals, related agencies were informed and consulted, such as Department of Finance,

Planning, Natural Resources and Environment, Health Service all to consider plans

according to land law, Provincial decisions on land price, and other related regulations.

Having results of appraisal, the Board made decision on approving plans of

compensation and resettlement. Province made decision on land recovery and approved

the level of compensation after confirmation from the affected households.. Province

assigned the Board to implement compensation and site clearance. The Department of

Health played as investor, other involved departments acted as supervisors.

The Board conducted detailed measurement surveys (DMS) and verified if relocation

will be required. The Board together with local authorities organized meetings with

people to communicate the purposes of land recovery for constructing

hospitals/departments of preventive medicines. The Board had responsibilities for

communicating the social nature, usefulness of hospital construction to each household.

After this, the Board and representatives from involved and affected households clarified

ground, arable and other works in planned area. Communicating and measuring land,

IMPLEMENTING

LEVEL

Province People’s Committee

Com. People’s Committee

The Project

Management

Board

Land

clearance and

compensation

Local related

Departments,

Organizations

STEERING LEVEL District People’s Committee

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estimating crop and tree loss etc. Results of measuring land, estimating losses in site had

to be confirmed by each household. Once completing the statistics of measuring, the

Board made plans of compensation, emigration and estimated the compensation levels

according to the current government regulations, and then submitted to Province for

appraisal. After getting response of appraisal, the Board in corporation with local

authorities, representatives of affected households communicated and published levels of

compensation approved by Province. After completing file of compensation, Health

Service Department in coordination with the Board, local authorities gave compensation

for all affected households in each sub-project area.

3.3. Consultation and Disclosure

The consultation and disclosure activities were well implemented at the project areas by

the Board for compensation and land clearance. At the early stages of project

preparation, local authorities and leaders of different administrative levels in each of the

Project towns/districts/communes were informed about the project proposal, its

objectives, and proposed activities. They were consulted on development needs and land

acquisition and/or resettlement issues, their perception toward project objectives,

technical designs, and their tasks and roles in project planning and implementation.

Affected persons have also been informed about the proposed Project on an individual

household basis and using different communication channels including direct and

indirect forms, such as: community meetings, households visits, official letters sent to

each affected households, and officially notices displayed at the commune People’s Committees’ billboards.

The affected households were consulted about how the Project was going to directly

affect them. They have been involved in developing the proposed resettlement and

compensation packages and expressed their preferences for the type of compensation.

Disclosure of the RP to the affected people was done prior to appraisal, using locally

appropriate information booklets. All affected households were well informed of all

related information on the land acquisition, resettlement and compensation activities due

to the sub-projects.

3.4. Entitlements

A total of VND 10,322,041,151 covered by provincial’s budget was used as the compensation and allowances for the affected people. This amount included the cash cost

of land acquisition, provision or purchase of other land for farmers (in cases of land for

land compensation were applied), compensation for loss of houses, structures, crops and

business, relocation, and living standards rehabilitation measures.

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All compensations were based on the principle of replacement cost. Compensation and

provision of assistance were provided and income restoration programs were put in place

prior to relocation of affected households from their houses/or land acquisition activities.

The APs received not only compensations for their own property like land, crops and

trees, work structure, but also various types of allowances like transition subsistence

allowance, transportation allowance, training allowance, business transition allowance,

incentive allowance, social assistance allowance. For vulnerable APs, the PPCs provided

support for changing occupation or job creation by sending affected households for job

training/vocational training for technical assistance or providing cash assistance at the

request of the affected households. Practically, the APs agreed to receive money instead

of joining job training/vocational training. The APs received monetary support for 6

months income restoration and support for job training to stabilize their living standard.

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COMPENSATION AND MONETARY SUPPORT FOR LAND ACQUISITION ACTIVITY

Unit: VND

No. Provinces / Health facilities

Compensation

for residential

land

Compensation

for productive

land

Compensation

for trees,

crops,

structures

Monetary

supports(for moving,

living stabilization,

changing occupation

and job creation…)

Total of

compensation

and monetary

support

I DA NANG

1 Hoa Vang District Hospital 0 0 0 0 0

2 Da Nang city Rehabilitation Hospital 0 0 0 0 0

II QUANG NAM

5 Dong Giang District Hospital 0 0 0 0 0

3 Bac Tra My District Hospital 0 0 0 0 0

4 Quang Nam Regional Hospital 0 0 0 0 0

6 Dien Ban Preventive Medicine Centre 0 0 0 0 0

III QUANG NGAI

8 Son Tay District Hospital 206,220,000 690,208,200 585,340,840 67,656,000 1,549,425,040

9 Tay Tra District Hospital 0 433,003,200 56,297,000 1,005,188,000 1,494,488,200

10 Tra Bong District Hospital 0 0 0 0 0

7 Ba To District Hospital 0 0 0 0 0

11 Mo Duc Preventive Medicine Centre 0 0 0 0 0

IV BINH DINH

12 OPD-Binh Dinh Provincial Hospital 0 0 0 0 0

13 Traditional Medicine Hospital 0 773,900,000 216,647,000 23,209,000 1,013,756,000

14 Phu My District Hospital 0 0 0 0 0

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COMPENSATION AND MONETARY SUPPORT FOR LAND ACQUISITION ACTIVITY

Unit: VND

No. Provinces / Health facilities

Compensation

for residential

land

Compensation

for productive

land

Compensation

for trees,

crops,

structures

Monetary

supports(for moving,

living stabilization,

changing occupation

and job creation…)

Total of

compensation

and monetary

support

V PHU YEN

16 Tay Hoa District Hospital 0 0 0 0 0

17 Song Cau District Hospital 0 0 0 0 0

15 Tuy An Regional Hospital 0 0 0 0 0

18 Song Cau Preventive Medicine Centre 0 0 22,600,000 0 22,600,000

VI KHANH HOA

19 Cam Ranh Regional Hospital 0 0 0 0 0

20 Van Ninh District Hospital 0 453,582,000 0 0 453,582,000

21 Ninh Hoa Prevent Medicine Centre 0 0 0 0 0

VII NINH THUAN

22 Secondary Medical School 0 5,086,118,544 178,666,450 69,503,280 5,334,288,274

VIII BINH THUAN

23 North Regional Hospital (Bac Binh) 192,000,000 0 207,901,637 54,000,000 453,901,637

24 South Regional Hospital (Duc Linh) 0 0 0 0 0

25 Phan Thiet Preventive Medicine Centre

0 0 0 0 0

TOTAL 10,322,041,151

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3.5. Concerns/complaints resolution

The responsibility and coordination between divisions in the land acquisition and

compensation management bodies were clearly defined. As mentioned above, the

managing organization structure was set up in functions or activated in accordance with

recent regulations of Vietnam. The Board for compensation and land clearance (the

Board) included representatives of commune president, representatives of functional

divisions like finance, natural resources and environment, construction and

representative of the hospital that was to be constructed. In which, the commune

president played a crucial role in the compensation, land acquisition and resettlement

process to ensure directly affected and in-directly affected people understood the benefits

of the sub-projects and supported the activities. Communal authorities were closest body

to the local residents and they were efficiently dealing with concerns/complaints that

may arise during the process of land acquisition and/or resettlement.

There were 6 cases of complaints that were received during the process of compensation,

land acquisition and resettlement.

For the subproject Binh Dinh Traditional Medicine Hospital, there were 3 HHs that

disagreed with the compensation price for land and tree. One household losing

agricultural land did not agree to receive the compensation because the household

believed that the compensation unit rates for the affected land and trees were much lower

compared to the market rates. He opted for “land for land” compensation. Two other households who had residential land (with houses) and garden land effected, refused the

compensation because the replacement residential land in the resettlement site is smaller

than the affected residential land. In 2011, the Board resolved these grievances. The

household who lost agricultural land was satisfied with the replacement land that was

provided to him. For two other households, PPMU adjusted the alignment of the fence

surrounding the hospital to avoid impacting on the land of these households.

The Ninh Thuan SMS also dealt with one complaint about low allowance. After

receiving the grievance, the Board reviewed and provided additional allowance for that

AP and he was satisfied with the additional allowance.

In Binh Thuan North Regional Hospital, there were 2 HHs who needed to relocated and

at first, these households disagreed with the resettlement site because living conditions in

the site was not similar to the original one. The Board resolved by providing other places

for these households with their concurrence.

PART IV. RESULTS OF LAND ACQUISITION ACTIVITIES

The land acquisition and resettlement compensation implementation processes at project

provinces/cities were published, transparent and conform with ADB’s social safeguards

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requirements and current regulations of Viet Nam. The impacts of the land acquisition

and resettlement activities on the socio-economic recovery of the affected

people/households in each sub-project areas were quite minor.

Although there were few concerns/complaints arose during the land acquisition and

resettlement process, the PPMUs and related stakeholders of the Resettlement Boards

have settled all these complaints in accordance with recent regulations of Vietnam and in

harmony with the wish of affected people.

Out of nine sub-projects having land acquisition impacts, four sub-projects have

outstanding issue because of resettlement requirement and large number of affected

households.

Binh Thuan North Regional Hospital: The relocated households have moved to

locations near their previous residence and have the same conditions prior to their

relocation. These households are families under preferential treatment policy, thus they

receive monthly allowance from Government. Besides, they have a small counter to sell

beverage near the hospital. Therefore, the resettlement did not affect seriously their

livelihood and standard of living.

Picture 1. Two new houses which Binh Thuan PPC built for two Vietnamese heroic

mother households, who had to resettle due to construction of North Regional Hospital.

Binh Dinh Traditional Medicine Hospital: Twelve households were affected by this

sub-project. They all lost just a small portion of land at the back of their houses while

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their main income sources from the stores in the front were not affected. These

households were satisfied with the compensation they received for their lost land.

Picture 2. The households who lost a part of their backyards due to construction of

Binh Dinh Traditional Medicine Hospital.

Ninh Thuan Secondary Medical School: There were seventeen affected households

due to the construction of Ninh Thuan Secondary Medical School. They all lost part of

their agriculture land and tree land. They received the compensation for the lost land and

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have continued cultivate on the remaining land to maintain their livelihoods. Some

households also opened stores to improve their income.

Picture 3. The remaining rice field and garden of the affected households in Ninh Thuan

Picture 4. The grocery store which Mr. Nguyen Van Tho, one of affected households in

Ninh Thuan SMS built on the remaining land.

Tay Tra District Hospital: Out of 27 households affected by the project (mostly lost

small agriculture land), one household of Mr. Ho Minh Duc needed resettlement. This

household received compensation for its lost assets and built a house in another area with

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the same conditions as the old one. The main income of this household is from the salary

of the husband who is working for a Medicine Center, therefore the land acquisition did

not affect to their livelihoods.

Picture 5. Mr. Ho Minh Duc and his new house

Son Tay District Hospital: There were 8 households that were seriously affected by this

subproject. The others only lost small assets. Three households who lost their residential

land with houses moved to new location and built temporary houses after receiving

compensation. They and the other five vulnerable AP(s) also received monetary support

to stabilize their livelihood. hey could cultivate on the remaining land to restore their

main income sources from agricultural, gardening and breeding activities. Besides, some

of them have salaries from their work or allowances from the Government (retirement

pension, allowance for contribution to revolution).Thus, their livelihoods were not

seriously affected by the land acquisition impacts.

Generally, local residents were very supportive to the Project as they saw the real

benefits for the communities when the new hospitals are in operation. Before project, the

hospitals in project area were very overloaded and degraded with lack of modern

equipment that did not meet the demands for health care and treatment. But now, the

construction of new health facilities had already completed, and all health facilities had

operated providing health care services to local residents. The local residents, including

affected people, can now easily access to more qualified health care services with more

spacious and modern hospitals/health facilities. Particularly, the opening of Ninh Thuan

Secondary Medical School facilitated local residents and people in surrounding areas in

saving time and cost for studying since they do not have to go to universities/schools in

Ho Chi Minh City.

- 27 -

CONCLUSIONS AND RECOMMENDATIONS

1. It can be concluded that the eight provinces/cities in the South Central Coastal

Region that were covered by the Project did not face with major challenges in land

acquisition and resettlement activities unlike many other projects.

2. Out of 25 sub-projects in eight provinces/cities, seven sub-projects in six

provinces/cities required land acquisition/resettlement activities. All sites already

completed land acquisition and/or resettlements activities in early 2012.

3. Generally, the land acquisition and resettlement objectives have been met. The

impacts of the land acquisition and resettlement activities on the socio-economic

recovery of the affected people/households were quite minor. The activities were in

compliance with ADB’s social safeguards requirements and recent regulations of

the Vietnamese Government.

4. Entitlements and compensation standards were clearly specified and adequate.

5. The compensation and site clearance implementation processes at project

provinces/cities were conformity with current regulations, publicity and

transparency. It was also clear in the process that local people (both directly

affected and in-directly affected households) directly took part in compensation and

site clearance.

6. The communication activities through different channels used at the commune-level

and commune authorities played crucial role in the compensation, land acquisition

and resettlement process to ensure directly affected and in-directly affected people

understood the benefits of the sub-projects and support the activities. Commune

authorities were the closest body to the local residents and they were efficiently

dealing with concerns/complaints that arose during the process of land acquisition

and/or resettlement.

7. The responsibility and coordination between divisions in the land acquisition and

compensation management bodies were clearly defined. The managing organization

structure was established fully and in accordance with recent regulations of

Vietnam. The managing organization structure was set up in functions or activated,

with responsibilities and coordinative relations clearly defined. The effective

coordination between Project Management Unit, the Steering Committee and the

Board of Land Clearance and Compensation was showed in every activity of land

acquisition and resettlement.

8. Generally, communities in the sub-project areas highly supported the Project as

they saw the real benefits for the communities. The current hospitals were very

overloaded and degraded with lack of modern equipment that did not meet the

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demands for health care and treatment of the local people. Both local authorities

and local residents were satisfied and supported the Project.

9. Initially, affected households had limited knowledge on the Project and levels of

compensations they would receive according to current legislations and agreed

policy framework for the project. Thus communication activities had to be

implemented through different channels, such as community meetings, household

visits, official letters sent to each affected household, and official noticeswere

displayed at the Commune People’s Committee offices etc. to ensure local residents fully understand about the benefits of the sub-projects as well the impacts on their

families.

- 29 -

ANNEX 1

IN-DEPTH INTERVIEW GUIDELINE

REPRESENTATIVE OF AFFECTED HOUSEHOLDS

Province: …………………………

Objectives:

To qualitatively assess the impacts of the land acquisition and resettlement activities for the Health Care in the SCCR Project on the livelihoods of affected households

Required jobs before implementing deep-interviews

1. Interviewer introduces some information about himself/herself: name, job, interests etc.

2. Explain objectives and nature of the interview, reasons that interviewee is selected for interview, and importance of his/her participation

3. Inform interviewee about confidentiality of information and identification in announcing results.

4. Tell interviewee that there are no right or wrong answers and encourage interviewee to share his/her opinions and experiences.

5. Tell interviewee that he/she can ask again if not clear about questions, can refuse to answer, or can expose any comment or opinion if he/she think it is not appropriate.

6. Ask interviewee’s permission for recording the interview and explain reasons.

ASSESSMENT AND COMMENTS ON THE LAND ACQUISITION AND

RESETTLEMENT ACTIVITIES OF THE SUB-PROJECTS IN THE

PROVINCE/CITY AND IMPACTS (IF ANY) ON THE LIVELIHOOD OF

AFFECTED HOUSEHOLDS 1. Please tell me if your family is affected by the land acquisition and resettlement

activities of the Health Care in the SCCR Project?

2. Please describe the business activities of your family; what activities bring largest

amount of income to your family? Does the business activities of your family

change? If yes, how does it change?

Code: …………….. File name Name of interviewee: ……………………………………………. Name of head of household: ……………………………………………. House address ………………………………………………………………….. Date: ………/……./……….. Time started: ……… Time ended the interview: ………

Interviewer: ………………………………

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3. What is your family monthly income before and after land acquisition? Any

changes? In what ways?

4. Your family living conditions: have your family’s accessibility to public services (such as clean water, electricity, transportation, health care services, schools etc.)

changed after land acquisition?

5. What are the influences on security, environment, social status that your family

have to face?

6. In general, could you assess the level of impacts that the land acquisition and resettlement activities of the project on your family’s life?

7. Do you have any comments, recommendations to PPMU and local authorities in order to effectively implement the land acquisition and resettlement activities for the Health Care in the SCCR Project in the province/city according to plan?

THANK YOU FOR YOUR TIME AND OPINIONS!

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ANNEX 2

LIST OF INTERVIEWED HOUSEHOLDS

No. Province Health Facilities Name of interviewed

household

1 Quang Ngai

Tay Tra District Hospital Mr. Hồ Minh Đức,

Mrs. Hồ Thị Trang

Son Tay District Hospital

Mr. Đinh Văn Sáu, Mrs. Đinh Thị Trà,

Mr. Đinh Văn Đuối, Mr. Đinh Văn Vênh,

Mr. Nguyễn Hồng Hải, Mr. Hồ Minh Dụng,

Mr. Lê Văn Hùng,

Mr. Đinh Hồng Nhía,

Mr. Nguyễn Quốc Dũng,

Mrs. Đinh Thị Đèo,

2 Ninh Thuan Secondary Medical School Mr. Nguyễn Văn Thọ

3 Binh Thuan North Regional Hospital Mrs. Lê Thị Cang

Mrs. Võ Thị Thanh

- 32 -

ANNEX 3

LIST OF PPMU STAFF INVOLVED IN THE ASSESSMENT

No. Province Name of staff Designation

1 Da Nang Đặng Văn Tường Engineer

2 Quang Nam Phan Anh Thống Civil work consultant

3 Quang Ngai Lê Thành Phương Civil work consultant

4 Binh Dinh Phạm Minh Hùng Civil work consultant

5 Phu Yen Nguyễn Công Thành Civil work staff

6 Khanh Hoa Nguyễn Bình Quốc Civil work consultant

7 Ninh Thuan Dương Thanh Tân Civil work consultant

8 Binh Thuan Huỳnh Ngọc Tú Civil work consultant