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WORLD BANK

MINISTRY OF HEALTH OF THE REPUBLIC OF

UZBEKISTAN

HEALTH SYSTEM IMPROVEMENT PROJECT

(P113349: Health -3)

RESETTLEMENT AUDIT

Uzbekistan

October 2016

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CONTENT

Abbreviations ................................................................................................................................................ 3

Executive summary ....................................................................................................................................... 4

Introduction ................................................................................................................................................. 10

Methodology of the audit ............................................................................................................................ 11

Chapter I: Information about the project .............................................................................................. 12

1.1 Project description .......................................................................................................................... 12

1.2 Current status of project implementation ....................................................................................... 12

1.3 Main project stakeholders .............................................................................................................. 17

Chapter II: Potential impact ........................................................................................................................ 18

2.1 Desk review of potential resettlement impact under the project: project activities ....................... 18

2.2 Field assessment of project areas ................................................................................................... 22

2.2.1 Detailed information on visited sites .............................................................................................. 24

2.3 Field assessment of project areas on in other regions ................................................................... 29

Chapter III: Grievance redress mechanism ................................................................................................. 30

Chapter IV: Public consultations ................................................................................................................. 31

Conclusions ................................................................................................................................................. 33

Annex 1: Detailed information on structures inside / adjacent to the medical facilities received during the

site visits ...................................................................................................................................................... 35

Annex 2: Relevant project documentation on potential resettlement impact .............................................. 47

Annex 3: Public consultations ................................................................................................................... 228

3

Abbreviations

CDH Central district hospital

CDP Central district polyclinic

CMU City Medical Union

CPIB Central Project Implementation Bureau

DMU District Medical Union

GoU Government of Uzbekistan

GRM Grievance Redress Mechanism

HMD Health Management Department

OP Operational Policy

PAP Project Affected Person(s)

RAP Resettlement Action Plan

RPF Resettlement Policy Framework

RUz Republic of Uzbekistan

ToR Terms of Reference

UZS Uzbek Sums

WB World Bank

4

Executive summary

This report is prepared under the Health System Improvement Project ("Health-3 project")" based on the

results of the resettlement audit conducted in February and September 2016. The purpose of the audit is to

identify potential resettlement impact that may have taken place due to the project activities. In case such

impact identified, to propose mitigation measures.

The project implementation started in 2012 and is expected to be completed in 2018. For the entire period

of implementation more than 170 medical facilities across Uzbekistan are to be reconstructed.

This report covers review of the District Medical Units (DMU) and City Medical Unites (CMU) included

into the Health System Improvement Project (Health -3) for the period of 2012-2016.

Going forward, during the project implementation due diligence activities will be done to identify

potential instance of resettlement and, to avoid or minimize resettlement impact.

Initially the project did not trigger the World Bank policy on Involuntary Resettlement (OP 4.12), as no

resettlement was envisioned. In April 2015, it came to the attention of the project team that some

resettlement impact may have taken place. In August 2015, some preliminary data on structures on the

territory of medical facilities in 6 districts of 4 regions1 were received. In December 2015, Central Project

Implementation Bureau (CPIB) sent additional official inquires to municipality (khokimiats) of regions,

where the project takes place, in order to obtain data on structures located in the territory of DMUs/CMUs

and adjacent territory, which might have been affected by the project activity. As the result, all the

Regional Project Implementation Bureaus provided the information about the structures relocated or may

be potentially relocated under the project. Detailed information of the schedule of project implementation,

including number of DMU/ CMU and regions covered by the project, is presented in Section I.

The table below (table 1) presents the potential resettlement impact on the project area based on the

results of the data provided by the Regional Project Implementation Bureaus.

According to the data obtained by the mentioned inquires it was identified that there were 17 DMUs /

CMUs in 7 regions2 of Uzbekistan with the potential resettlement impacts resulted by the project

activities. Total number of structures located there that may potentially be affected by the project was 88

units. According to the data obtained in December 2015, the number of structures that may potentially be

relocated was 82 units. The other 6 structures were not in the scope of potential resettlement impact. The

resettlement audit carefully reviewed these 82 instances where structures may potentially be affected by

the project.

1 Andijan (Ulugnor, Khanabad and Shakhrikhan districts), Namangan (Chust district), Samarkand (Samarkand city) and Bukhara

(Jondor district) regions 2 Andijan (Pakhtaabad, Bulakbashi), Djizzak (Zaamin, Arnasay, Galaaral districts), Navoi (Karmana district) and Syrkhandarya

(Baysun district) regions

5

Table 1. Potential resettlement impact in the project area, identified in December 2015

Region Districts

Number of structures that may potentially be affected by the

project

Total

Including:

Relocated

structures

Structures to

be relocated

Structures not

to be relocated

Andijan

Andijan city

14 0 13 1

Altinkul

Asaka

Balikchi

Boz

Bulokboshi

Izbaskan

Jalakuduk

Karasuv

Khajaabad

Khanabad

Kurgantepa

Markahmat

Pakhtaabad

Shakhrihan

Ulugnar

Bukhara

Alat

27 0 25 2

Bukhara city

Vabkent

Karakul

Jondor

Romitan

Djizzak

Arnasay

6 0 3 3

Bakhmal

Galaaral

Djizzak

Dustlik

Zaamin

Zardoba

Zafarabad

Mirzachul

Pakhtakor

Farish

Yangiabad

Kashakadarya

Dekhanabad

0 0 0 0

Chirokchi

Guzar

Karshi

Kasan

Kasbin

Kitab

Mirishkar

Mubarek

Nishan

Shakhrisabz

Yakkabag

Khorezm

Bogot

0 0 0 0 Gurlen

Kushkuprik

6

Khanka

Khiva

Khazora

Pintak city

Shavat

Urgench city

Yangiaryk

Yangibazar

Urgench

Navoi

Zarafshan

3 0 3 0

Karmana

Khatirchi

Kiziltepa

Konimekh

Navoi

Navbakhor

Nurota

Tomdi

Uchkuduk

Namangan

Mingbulak

21 0 21 0

Kasansay

Narin

Namangan city

Pap

Turakurgan

Chartak

Chust

Uichi

Uchkurgan

Yangikurgan

Republic of

Karakaplakstan

Amudarya

0 0 0 0

Beruni

Ellikkala

Kanlikul

Karauyaz

Kegelin

Muinak

Nukus city

Takhtakupir

Turtkul

Khojeili

Chimbay

Shumanay

Samarkand

Bulungur

5 0 5 0

Pahtachi

Ishtikhan

Jambay

Kattakurgan

Kushrabad

Narpay

Nurobad

Payaryk

Postdargom

Samarkand city

Tailak

Urgut

7

Surkhandarya

Angor

12 0 12 0

Boisun

Denov

Jarkurgan

Kumkurgan

Oltinsay

Sarosiyo

Termez city

Sherobod

Shurchi

Uzun

Syrdarya

Akaltin

0 0 0 0

Bayaut

Gulistan city

Mirzaabad

Saykhunobod

Sardoba

Syrdarya

Khavast

Shirin

Yangier

Tashkent

Angren

0 0 0 0

Akhangaran

Akkurgan

Bekabad

Buka

Bustanlik

Kibray

Kuichirchik

Parkent

Pskent

Chinaz

Yangiyul

Fergana

Alti-aryk

0 0 0 0

Becharyk

Buvaida

Bagdad

Dangara

Margilan

Kakand city

Kuva

Kushtepa

Tashlak

Rishtan

Fergana city

Fergana

Uzbekistan

Uchkuprik

Yazavan

TOTAL 88 0 82 6

In addition, to obtain detailed information on potential resettlement impact of the project in September,

2016, Consultant with the support of CPIB made requests to Regional Project Implementation Bureaus

and municipalities for any additional information or potential changes that may have taken place.

Additional information was received partially and incorporated into this report.

8

The data analysis in this audit was based on the information provided by the municipalities, site visits of

13 districts in 7 regions of Uzbekistan3 and review of other relevant project documentation, including

cadaster plans, master plans, decrees, regulations etc. During the site visit, a detailed visual assessment of

the DMU/ CMU territory and adjacent areas was done. The potentially project affected structures may be

private commercial structures / small business entities / enterprise (pharmacies, shops, public cafeteria

places and etc.) as they are often located on or adjacent to the DMU/CMU campus.

Audit was carried out in two stages.

Stage 1 - February 2016: Assessment of the territory of seven DMU / CMUs located in 6

districts of 4 regions.4

Stage 2 - September 2016: Assessment of the territory of the DMU/CMU that participate in the

project between 2012 and September 2016. That covers 10 DMU/CMUs located in 7 districts of 4

regions5.

The cut-off date after which no project affected persons can be determined on the territory of DMUs

/CMUs is February 15, 2016.

The findings of the audit are summarized in the table below.

Table 2. Data on structures identified by the results of resettlement audit

N Region District

# of

structures

in the

vicinity of

DMU/CMU

as of Sept. /

Dec. 2015

# of structures

in the vicinity of

DMU/CMU as

of Feb./ Sep.

2016

Out of the identified structures:

Structures

at the

adjacent to

the

territory of

the DMU/

CMU

Structures

inside the

territory of

the

DMU/CMU

Structures

potentially

impacted

1 Andijan

Ulugnor 1 0 0 0 0

Khanabad 1 1 1 0 0

Shakhrikhan 2 6 6 0 0

Pakhtaabad 7 9 9 0 0

Bulakbashi 4 14 13 1 0

2 Namangan Chust 21 21 20

1

3 Bukhara Jondor 25 25 21 4 0

4 Samarkand Samarkand

city 5 5 5 0 0

5 Djizzak

Zaamin 2 8 8 0 0

Arnasay 0 1 1 0 0

Galaaral 1 5 5 0 0

Mirzachul 0 3 1 2 0

6 Navoi Karmana 1 5 4 1 1

7 Syrkhandarya Baysun 12 15 15 0 0

TOTAL 82 118 109 8 2*

* At this stage of project implementation there is no exact date and approved decree on the potential relocation of

these structures.

3 Andijan, Bukhara, Djizzak, Namangan, Samarkand, Navoi and Surkhandarya regions

4 Andijan (Ulugnor, Khanabad and Shakhrikhan districts), Namangan (Chust district), Samarkand (Samarkand city) and Bukhara

(Jondor district) regions 5 Andijan (Pakhtaabad, Bulakbashi), Djizzak (Zaamin, Arnasay, Galaaral districts), Navoi (Karmana district) and Syrkhandarya

(Baysun district) regions.

9

During the site visit of 82 potentially impacted private commercial structures, Consultant de facto

identified 118 private commercial structures located either on or adjacent the territory of medical facilities

covered by the project and that may potentially be / have been affected by the project. In total, 109 private

commercial structures of 118 identified structures are located outside the territory of the medical

facilities. The obtained cadastral plans and letter of local authorities showed that there is no project

impact on these structures. To date, no resettlement impact due to project activities has taken place.

Only 2 private commercial structures located in Chust DMU, Namangan region and Karmana DMU,

Navoi region may be affected by the project in 2017. At this stage of project implementation there is no

exact date and approved decree on the potential relocation of these structures. In case of relocation these

structures will be resettled in compliance with the requirement of the World Bank policy on Involuntary

Resettlement (OP 4.12).

10

Introduction

The Health System Improvement Project (Health -3) follows the two preceding projects Health -1 and

Health 2. The project is aimed to improve access to quality health care at the primary level and DMU, and

strengthen the Government’s public health response to the rise in NCDs.

Project implementation (Health System Improvement Project (Health -3)) started in 2012. More than 170

medical facilities and structures are scheduled to be reconstructed under the project. The expected project

closing date is on December 31, 2018. The reconstruction of medical facilities is carried out under the

annual State investment program that is financed by the GoU and approved by Decree of the President of

the Republic of Uzbekistan for each year. Therefore, each year a list of CMUs/DMUs is identified to be

included in State investment program. Provision of medical equipment to already renovated medical

facilities is financed by the WB. Since reconstruction of the DMUs/CMUs is (a) “directly and

significantly related to the Bank-assisted project;” (b) “necessary to achieve its objectives as set forth in

the project documents;” and (c) “carried out contemporaneously with the project,”6 these medical

facilities are considered to be associated facilities and the WB resettlement policy (OP 4.12) applies to

them.


resettlement was envisioned. However, in April 2012, it came to the attention of the project team that

some resettlement impact may have taken place. Hence, this resettlement audit was carried out.

This audit was carried out in two stages:

1. Stage 1 - February 2016: Assessment of the territory of seven DMU / CMUs located in 6

districts of 4 regions.7

2. Stage 2 - September 2016: Assessment of the territory of the DMU/CMU that participate in the


regions8.

This report covers review of the DMUs/ CMUs included into the reconstruction under Health System

Improvement Project (Health -3) for the period of 2012-2016.

6 World Bank Operational Manual, Operational Policy on Involuntary Resettlement (OP 4.12), para 4. 7 Andijan (Ulugnor, Khanabad and Shakhrikhan districts), Namangan (Chust district), Samarkand (Samarkand city) and Bukhara

(Jondor district) regions 8 Andijan (Pakhtaabad, Bulakbashi) , Djizzak (Zaamin, Arnasay, Galaaral districts), Navoi (Karmana district) and Syrkhandarya

(Baysun district) regions.

11

Methodology of the audit

Objectives of the Audit:

To identify potential resettlement impact that may have taken place due to the project activities.

To determine the compliance of resettlement actions of resettlement policy with World Bank OP

4.12 (Involuntary Resettlement).

During the audit Consultant interacted with the representatives of the CPIB, local khokimiyats and other

stakeholders. Data obtained from official documents of local authorities and cadaster department were

provided to the CPIB. Copies of these documents are given in the present report in Annex 2.

From the methodology point of view, audit is based on the following methods:

Analysis of the documents, including cadaster plans, master plans, decrees, regulations etc.;

Consultations with the representatives of the CPIB, local khokimiyats and owners of the entities

located in or around the CMU/DMU campuses;

Field visits – inspection of the project implementation territory, analysis and observation.

12

Chapter I: Information about the project

1.1 Project description

Within the scope of the State Program on Reforming of Healthcare System the Republic of Uzbekistan is

implementing of full-scale restructuring of Primary Healthcare by improving of infrastructure and

furnishing with modern basic equipment, capacity building of medical personnel and deploying of new

finance and management reforms which would promote improvement of management innovation.

World Bank provided support in reforming of Primary Healthcare in the country. The Health System

Improvement Project (Health -3) follows the two preceding projects Health -1 and Health -2.

Main Project objectives are to:

(1) improve access to quality health care at the primary and DMU level;

(2) strengthen the Government’s public health response to the rise in NCDs.

The Project design envisages the following four components and their subcomponents:

Component 1: Improving Health Service Delivery

1.1. Hospital Services Improvement.

1.2. Primary Health Care Development.

1.3 Clinical Quality Enhancement.

Component 2: Strengthening Health Financing and Management Reforms.

2.1. Improvement of Health Facilities Financing System

2.2. Improvement of Health Facilities Management System

2.3. Informatization of Health Management System

Component 3: Institutional Strengthening for NCD Prevention & Control.

3.1: Health Promotion and NCDs Prevention

3.2: Strengthening Health Surveillance Systems

Component 4: Project Management.


resettlement was envisioned. The Government of Uzbekistan financed reconstruction of medical facilities.

As a result of such reconstruction works some commercial organizations may have been relocated or are

expected to be relocated. As these medical facilities are considered to be associated facilities to the World

Bank-financed project, any resettlement has to be carried out with application of protective measures of

WB OP 4.12.

1.2 Current status of project implementation

Project implementation (Health System Improvement Project (Health -3) started in 2012. The planned

period of implementation is 2012-2018.

The total amount of medical facilities to be reconstructed upon the project is 391 units. 47% (182 units) of

them have been reconstructed up to 2016. 53% of medical facilities are expected to be included into the

program on reconstruction for 2016-2018.

13

Table 3. Medical units to be reconstructed or have been reconstructed in RUz under the project for

2012-2018

Item DMU / CMU

Central

district

polyclinic

Family

Policlinic Total Total, %

Medical facilities have been

reconstructed 64 22 96 182 47%

Medical facilities included into State

investment program in 2016 98 2 11 111 28%

Medical facilities are expected to be

included into State investment

program in 2017-2018*

10 15 73 98 25%

Total 172 39 180 391 100%

Source: CBIP

*There is no approved list of medical facilities to be included into the State investment program. The list

of medical facilities to be reconstructed is usually included into the Annual State Investment program

approving by the Decree of the President of the Republic of Uzbekistan each year.

Table 4. Medical units to be reconstructed or have been reconstructed in RUz under the project for

2012-2018 by regions

No Region Districts

Total

Completed

constructi

on works

Included into Investment

program for 2016 -2018

DMU/

CMU

Central

district

polyclinic

Family

Policlinic

DMU/

CMU

DMU/

CMU

Central

district

polyclinic

Famil

y

Policl

inic

1 Andijan

Andijan city

16 3 8 6 10 - -

Altinkul

Asaka

Balikchi

Boz

Bulokboshi

Izbaskan

Jalakuduk

Karasuv

Khajaabad

Khanabad

Kurgantepa

Markahmat

Pakhtaabad

Shakhrihan

Ulugnar

2 Bukhara

Alat

12 2 10 2 8 - 1

Bukhara city

Vabkent

Karakul

Jondor

Romitan

Peshku

3 Djizzak

Arnasay

12 1 5 6 6 - Bakhmal

Galaaral

Djizzak

14

Dustlik

Zaamin

Zardoba

Zafarabad

Mirzachul

Pakhtakor

Farish

Yangiabad

4 Kashkadarya

Dekhanabad

13 1 10 3 9 - 1

Chirokchi

Guzar

Karshi

Kasan

Kasbin

Kitab

Mirishkar

Mubarek

Nishan

Shakhrisabz

Yakkabag

5 Khorezm

Bogot

11 2 3 6 4 - -

Gurlen

Kushkuprik

Khanka

Khiva

Khazora

Pintak city

Shavat

Urgench city

Yangiaryk

Yangibazar

Urgench

6 Navoi

Zarafshan

8 2 4 5 3 - 1

Karmana

Khatirchi

Kiziltepa

Konimekh

Navoi

Navbakhor

Nurota

Tomdi

Uchkuduk

7 Namangan

Mingbulak

11 1 13 2 9 - -

Kasansay

Narin

Namangan

city

Pap

Turakurgan

Chartak

Chust

Uichi

Uchkurgan

Yangikurgan

8 Republic of

Karakalpakstan

Amudarya

15 2 7 11 3 - - Beruni

Ellikkala

15

Kanlikul

Karauyaz

Kegelin

Muinak

Nukus city

Takhtakupir

Turtkul

Khojeili

Chimbay

9 Samarkand

Bulungur

15 2 11 7 6 - 2

Pahtachi

Ishtikhan

Jambay

Kattakurgan

Kushrabad

Narpay

Nurobad

Payaryk

Postdargom

Samarkand

city

Tailak

Urgut

10 Surkhandarya

Angor

13 1 2 5 8 - 1

Boisun

Denov

Jarkurgan

Kumkurgan

Oltinsay

Sarosiyo

Termez city

Sherobod

Shurchi

Uzun

11 Syrdarya

Akaltin

10 3 4 5 5 1 1

Bayaut

Gulistan city

Mirzaabad

Saykhunobod

Sardoba

Syrdarya

Khavast

Shirin

Yangier

12 Tashkent

Angren

18 4 10 2 14 - -

Akhangaran

Akkurgan

Bekabad

Buka

Bustanlik

Kibray

Kuichirchik

Parkent

Pskent

Chinaz

Yangiyul

13 Fergana Alti-aryk 18 4 26 4 13 - -

16

Becharyk

Buvaida

Bagdad

Dangara

Margilan

Kakand city

Kuva

Kushtepa

Tashlak

Rishtan

Fergana city

Fergana

Uzbekistan

Uchkuprik

Yazavan

14 Tashkent

Angren

- 11 60 - - 1 4

Akhangaran

Akkurgan

Bekabad

Buka

Bustanlik

Kibray

Kuichirchik

Parkent

Pskent

Chinaz

Yangiyul

Total 172 39 173 64 98 2 11

Source: CBIP

During the project implementation Consultant found out that the structures that may be potentially

affected or have been affected by the project implementation are referring to small business entities /

enterprise (pharmacies, shops, public cafeteria places and etc.). These commercial structures can be

located in the territory of the medical facility or adjacent territory to it.

17

1.3 Main project stakeholders

The main agencies, which are involved in ensuring the effective work of the health care system in

Uzbekistan, are the following institutions:

(i) Ministry of Health of the Republic of Uzbekistan, Central Project Implementation Bureau

– Executive Agency of the Project;

(ii) Khokimiyats of regions and cities of RUz;

(iii) DMU/CMUs of regions and cities of RUz.

18

Chapter II: Potential impact

2.1 Desk review of potential resettlement impact under the project: project activities




territory of medical facilities in 6 districts of 4 regions 9 were received.

In 2015 CPIB sent official inquires to municipality (khokimiyats) of regions, where the project takes

place, in order to obtain data on structures located in the territory of DMU/CMU and adjacent territory,

which might have been affected by the project activity. Based on the information received, the list of

entities on or adjacent to the territory of medical facilities was compiled and then resettlement impact was

assessed.

In September, 2016, a follow up request to local municipalities was sent out for any additional

information or potential changes that may have taken place. Additional information was received partially

and incorporated into this report.

The table below presents obtained information on structures by the regions (dated December 2015):

Table 5. Information structures in or around DMU/CMU campuses, information obtained as of

December 2015, by regions

Region District DMU / CMU

Number of structures potentially affected by

the project

Total

Including:

Relocated

structures

Structures

to be

relocated

Structures

not to be

relocated

Andijan

Andijan city Andijan CMU / CDP 0 0 0 0

Andijan DMU 0 0 0 0

Altinkul Altinkul DMU 0 0 0 0

Asaka Asaka DMU

Balikchi Balikchi DMU 0 0 0 0

Boz Boz DMU 0 0 0 0

Bulokboshi Bulokboshi DMU 4 0 4 0

Izbaskan Izbaskan DMU 0 0 0 0

Jalakuduk Jalakuduk DMU 0 0 0 0

Karasuv Karasuv CMU 0 0 0 0

Khajaabad Khajaabad DMU 0 0 0 0

Khanabad Khanabad CMU 0 0 0 0

Kurgantepa Kurgantepa DMU 0 0 0 0

Markahmat Markahmat DMU 0 0 0 0

Pakhtaabad Pakhtaabad DMU 7 0 7 0

Shakhrihan Shakhrihan DMU 2 0 2 0

Ulugnar Ulugnar DMU 1 0 0 1

Total 14 0 13 1

9 Andijan (Ulugnor, Khanabad and Shakhrikhan districts), Namangan (Chust district), Samarkand (Samarkand city)

and Bukhara (Jondor district) regions

19

Bukhara

Alat Alat DMU 0 0 0 0

Bukhara city Bukhara CMU 0 0 0 0

Vabkent Vabkent DMU 0 0 0 0

Karakul Karakul DMU 0 0 0 0

Jondor Jondor DMU 25 0 25 0

Romitan Romitan DMU 0 0 0 0

Peshku Peshku DMU 2 0 0 2

Total 27 0 25 2

Djizzak

Arnasay Arnasay DMU 0 0 0 0

Bakhmal Bakhmal DMU 0 0 0 0

Galaaral Galaaral DMU 1 0 1 0

Djizzak Djizzak DMU 0 0 0 0

Dustlik Dustlik DMU 0 0 0 0

Zaamin Zaamin DMU 4 0 2 2

Zardoba Zardoba DMU 1 0 0 1

Zafarabad Zafarabad DMU 0 0 0 0

Mirzachul Mirzachul DMU 0 0 0 0

Pakhtakor Pakhtakor DMU 0 0 0 0

Farish Farish DMU 0 0 0 0

Yangiabad Yangiabad DMU 0 0 0 0

Total 6 0 3 3

Kashakadarya

Dekhanabad Dekhanabad DMU 0 0 0 0

Chirokchi Chirokchi DMU

0 0 0 0 Chirokchi CDP

Guzar Guzar DMU

0 0 0 0 Guzar DMU CDP

Karshi Karshi DMU

0 0 0 0 Karshi DMU CDP

Kasan Kasan DMU 0 0 0 0

Kasbin Kasbin DMU 0 0 0 0

Kitab Kitab DMU 0 0 0 0

Mirishkar Mirishkar DMU CDP 0 0 0 0

Mubarek Mubarek DMU 0 0 0 0

Nishan Nishan DMU

0 0 0 0 Nishan DMU CDP

Shakhrisabz Shakhrisabz DMU 0 0 0 0

Yakkabag Yakkabag DMU

0 0 0 0 Yakkabag DMU CDP

Total 0 0 0 0

Khorezm

Bogot Bogot DMU 0 0 0 0

Gurlen Gurlen DMU 0 0 0 0

Kushkuprik Kushkuprik DMU 0 0 0 0

Khanka Khanka DMU 0 0 0 0

Khiva Khiva DMU 0 0 0 0

Khazora Khazora DMU 0 0 0 0

Pintak city Pintak CMU 0 0 0 0

Shavat Shavat DMU 0 0 0 0

20

Urgench city

Urgench CDP

Urgench CMU 0 0 0 0

Urgench CP

Yangiaryk Yangiaryk DMU 0 0 0 0

Yangibazar Yangibazar DMU 0 0 0 0

Urgench Urgench DMU

Total 0 0 0 0

Navoi

Zarafshan Zarafshan DMU 0 0 0 0

Karmana Karmana DMU

3 0 3 0 Karmana DP

Khatirchi Khatirchi DMU 0 0 0 0

Kiziltepa Kiziltepa DMU

0 0 0 0 Kiziltepa DMU CDP

Konimekh Konimekh DMU 0 0 0 0

Navoi Navoi CP 0 0 0 0

Navbakhor Navbakhor DMU 0 0 0 0

Nurota Nurota DMU 0 0 0 0

Tomdi Tomdi DMU 0 0 0 0

Uchkuduk Uchkuduk DMU 0 0 0 0

Khatirchi Khatirchi DMU 0 0 0 0

Total 3 0 3 0

Namangan

Mingbulak Mingbulak DMU 0 0 0 0

Kasansay Kasansay DMU 0 0 0 0

Narin Narin DMU 0 0 0 0

Namangan city Namangan CMU

0 0 0 0 Namangan CP

Pap Pap DMU 0 0 0 0

Turakurgan Turakurgan DMU 0 0 0 0

Chartak Chartak DMU 0 0 0 0

Chust Chust DMU 21 0 21 0

Uichi Uichi DMU 0 0 0 0

Uchkurgan Uchkurgan DMU 0 0 0 0

Yangikurgan Yangikurgan DMU 0 0 0 0

Total 21 0 21 0

Republic of

Karakaplakstan

Amudarya Amudarya DMU 0 0 0 0

Beruni Beruni DMU 0 0 0 0

Ellikkala Ellikkala DMU 0 0 0 0

Kanlikul Kanlikul DMU 0 0 0 0

Karauyaz Karauyaz DMU 0 0 0 0

Kegelin Kegelin DMU 0 0 0 0

Muinak Muinak DMU 0 0 0 0

Nukus city Nukus CMU Nukus

CP 0 0 0 0

Takhtakupir Takhtakupir DMU 0 0 0 0

Turtkul Turtkul DMU 0 0 0 0

Khojeili Khojeili DMU 0 0 0 0

Chimbay Chimbay DMU 0 0 0 0

Shumanay Shumanay DMU 0 0 0 0

21

Total 0 0 0 0

Samarkand

Bulungur Bulungur DMU 0 0 0 0

Pahtachi Pahtachi DMU

Ishtikhan Ishtikhan DMU 0 0 0 0

Jambay Jambay DMU 0 0 0 0

Kattakurgan Kattakurgan CMU 0 0 0 0

Kushrabad Kushrabad DMU 0 0 0 0

Narpay Narpay DMU 0 0 0 0

Nurobad Nurobad DMU 0 0 0 0

Payaryk Payaryk DMU 0 0 0 0

Postdargom Postdargom DMU 0 0 0 0

Samarkand city Samarkand CDH

Samarkand DP 5 0 5 0

Tailak Tailak DMU 0 0 0 0

Urgut Urgut DMU 0 0 0 0

Total 5 0 5 0

Surkhandarya

Angor Angor DMU 0 0 0 0

Boisun Boisun DMU 12 0 12 0

Denov Denov DMU 0 0 0 0

Jarkurgan Jarkurgan DMU 0 0 0 0

Kumkurgan Kumkurgan DMU 0 0 0 0

Oltinsay Oltinsay DMU 0 0 0 0

Sarosiyo Sarosiyo DMU 0 0 0 0

Termez city Termez DMU 0 0 0 0

Sherobod Sherobod DMU 0 0 0 0

Shurchi Shurchi DMU 0 0 0 0

Uzun Uzun DMU

Total 12 0 12 0

Syrdarya

Akaltin Akaltin DMU 0 0 0 0

Bayaut Bayaut DMU 0 0 0 0

Gulistan city Gulistan CMU 0 0 0 0

Mirzaabad Mirzaabad DMU 0 0 0 0

Saykhunobod Saykhunobod DMU 0 0 0 0

Sardoba Sardoba DMU 0 0 0 0

Syrdarya Syrdarya DMU 0 0 0 0

Khavast Khavast DMU 0 0 0 0

Shirin Shirin DMU 0 0 0 0

Yangier Yangier CMU

Total 0 0 0 0

Tashkent

Angren Angren CMU 0 0 0 0

Akhangaran Akhangaran DMU 0 0 0 0

Akkurgan Akkurgan DMU 0 0 0 0

Bekabad Bekabad DMU 0 0 0 0

Buka Buka DMU 0 0 0 0

Bustanlik Bustanlik DMU 0 0 0 0

Kibray Kibray DMU 0 0 0 0

Kuichirchik Kuichirchik DMU 0 0 0 0

Parkent Parkent DMU 0 0 0 0

22

Pskent Pskent DMU 0 0 0 0

Chinaz Chinaz DMU 0 0 0 0

Yangiyul Yangiyul DMU 0 0 0 0

Total 0 0 0 0

Fergana

Alti-aryk Alti-aryk DMU 0 0 0 0

Becharyk Becharyk DMU 0 0 0 0

Buvaida Buvaida DMU 0 0 0 0

Bagdad Bagdad DMU 0 0 0 0

Dangara Dangara DMU 0 0 0 0

Margilan Margilan CMU

Margilan CP 0 0 0 0

Kakand city Kakand CP 0 0 0 0

Kuva Kuva DMU 0 0 0 0

Kushtepa Kushtepa DMU 0 0 0 0

Tashlak Tashlak DMU 0 0 0 0

Rishtan Rishtan DMU 0 0 0 0

Fergana city Fergana CMU

Fergana CP 0 0 0 0

Fergana Fergana DMU 0 0 0 0

Uzbekistan Uzbekistan DMU 0 0 0 0

Uchkuprik Uchkuprik DMU 0 0 0 0

Yazavan Yazavan DMU 0 0 0 0

Total 0 0 0 0

GRAND TOTAL 88 0 82 6

Source: Local authorities and Regional Project Implementation Bureaus


CMUs in 7 regions10

of Uzbekistan with the potential resettlement impacts resulted by the project

activities. Total number of structures located on or near the campuses of the medical facilities that may

potentially be affected by the project was 88 units. All of them are private commercial structures those

located in the territory or the adjacent territory of the medical facilities. These structures are private

commercial structures, in particular small business entities / enterprise (pharmacies, shops, public

cafeteria places etc.). The number of structures that may potentially be relocated was 82 units. The other 6

structures were not within the scope of potential impact.

Information on these structures is confirmed by the documents (letters) submitted to the CBIP and

followed up by site visits. Consequently, resettlement audit carefully reviewed these instances where 82

structures may potentially be affected by the project.

Consultant notes that during further project implementation, these structures will be monitored to ensure

that they indeed are not relocated.

2.2 Field assessment of project areas

The field assessment included site visits of 13 districts in 7 regions of Uzbekistan with the potential

resettlement impacts resulted by the project activities. During the site visit, a detailed visual assessment of

17 DMUs / CMUs territory and adjacent areas was done.

The field assessment was carried out in two stages:

10

Andijan, Bukhara, Djizzak, Namangan, Navoi, Samarkand, Surkhandarya

23

Stage 1 - February 2016: Assessment of the territory of seven DMU / CMUs located in 6 districts

of 4 regions. In particular, Andijan (Ulugnor, Khanabad and Shakhrikhan districts), Namangan

(Chust district), Samarkand (Samarkand city) and Bukhara (Jondor district) regions.

Stage 2 - September 2016: Assessment of the territory of the DMU/CMU that participate in the


regions. In particular, Andijan (Pakhtaabad, Bulakbashi), Djizzak (Zaamin, Arnasay, Galaaral

districts), Navoi (Karmana district) and Syrkhandarya (Baysun district) regions.

The cut-off date after which no project affected persons can be determined on the territory of DMU/CMU

is February 15, 2016

Based on the letters received and documentary evidences, the total number of structures located there that

may potentially be affected by the project was 88 units. Out of them, 82 structures that may potentially be

relocated. The potentially project affected structures are private commercial structures / small business

entities / enterprise (pharmacies, shops, public cafeteria places and etc.).

During the site visits Consultant identified more structures - 118 private commercial structures- located

inside / adjacent to the medical facilities. The obtained cadastral plans and letter of local authorities

showed that there is no project impact on these structures. Only 2 private commercial structures - one

located in Chust DMU, Namangan region and one in Karmana DMU, Navoi region may be affected by

the project in 2017. At this stage of project implementation there is no exact date and approved decree on

the potential relocation of these structures. In case of relocation these structures will be resettled in

compliance with the requirement of the World Bank policy on Involuntary Resettlement (OP 4.12). No

resettlement due to project activities has taken place to date.

The table below presents the results of resettlement impact identified during the site visits.

24

2.2.1 Detailed information on visited sites

Andijan region:

In the territory of Andijan region, reconstruction and capital repair of district medical facilities (CDH and

CDMP), scheduled to be equipped under the project, are being implemented in the territory of four

medical facilities of three project districts. In particular: Ulugnor DMU, Khanabad DMU, Shakhrikhan

DMU.

The consultant jointly with the director of the Health III Project of Andijan HMD, Mr. G. M. Teshabayev

visited these sites, included in the Investment Program for Andijan region.

According to the results of the visits, Consultant identified that there is no resettlement impact on

structures in visited medical facilities. Civil works will not impact the structures located inside / adjacent

to the medical facilities. In particular:

Ulugnor DMU: In the territory of DMU of Ulugnor district during the visit no commercial

structures, belonging to private structures or private business were found out. It is confirmed by

the current cadastral plan (Reference #11-255 dd. 03.03.2016) and by a letter from municipality

(khokimiyat) of Ulugnor district, Andijan region (#01/22-85), according to which in the territory

of Ulugnor DMU there are no structures, which will fall under the project activities. (Copies of

the documents are given in Annex 2.1.2 A-C).

Installation and construction / civil works under Investment Program was completed; work on

landscaping is in the process. (Picture 1-6 of territory of Ulungur DMU is given in the Annex

2.1.2 D).

Shakhrikhan DMU. During the visit to Shakhrikhan DMU territory, the meeting with the

representatives of self-governmental bodies was arranged. In the area of Shakhrikhan district the

consultant visited the territory of three separately located structures of the DMU:

1) District hospital of Shakhrikhan district.

2) Maternity complex of Shakhrikhan district.

3) Multi-field polyclinic of Shakhrikhan district.

According to the current cadastral plan (Reference # MS-117 dd. March 4, 2016) and a letter

from khokimiyat of Shakhrikhan district, Andijan region (#07/20-151 dd. 05.03.2016) indicated

commercial structures are located beyond the territory of considered medical facilities, covered

by the project. Particularly:

1) District hospital of Shakhrikhan district: 3 private commercial structures, related to

private enterprise (2 private pharmacies and one private diagnostic center), located in the

adjacent territory of Shakhrikhan district hospital. These facilities are located beyond the

district hospital, as it is confirmed by the current cadastral plan.

2) Maternity complex of Shakhrikhan district: in the territory of maternity complex there are

no facilities, related to private enterprise/ private business. Three commercial structures

(one facility of public cafeteria – kebab house, one pharmacy, one facility of public

cafeteria – somsa khona) are located near the fence. All these structures are located

beyond the maternity complex; it is confirmed by the current cadastral plan.

3) Polyclinic of Shakhrikhan district: in the territory of multi-field polyclinic stranger small

facilities/commercial structures were not found.

25

In accordance with the data given, indicated structures, located in the adjacent territory of

DMU, will not impact the architectural aspect of the facilities and will not be affected by the

project activities.

Copies of the documents and pictures of DMUs are given in the Annex 2.1.3 A-D.

Khanabad DMU: During the visit to Khanabad DMU, the meeting with the representatives of

self-governmental bodies was arranged as well. In the territory of Khanabad DMU there was one

private commercial structure found, related to private enterprise - adjacent small building (private

selling spot) – at the stop of public transportation, which is in the adjacent territory of DMU

(approximately in the distance of 4 meters).

According to the current cadastral plan (Reference # АМ-60 – 05 dd. March 4, 2016, see Annex 2.1.4 C)

and a letter from Khakimiyat of Khanabad city, Andijan region (#01/05-89 dd. 04.03.2016, see Annex

2.1.4 A-B) in the territory of Khababad DMU there are no structures, located directly in the territory of

the facility. One private commercial property, related to private enterprise (a shop), is located in the

adjacent territory of DMU. In accordance with the current cadastral plan, this property is located beyond

the DMU and is not affected by the project activity. Copies of the documents and picture of DMU are

given in the Annex 2.1.4 A-C.

These medical facilities were inspected in February 15-17, 2016.

On September 06, 2016, Consultant also inspected two district medical facilities: Pakhtaabad and

Bulakbashi region.

The consultant jointly with the director of the Regional PIB Health III Project of Andijan, Mr. G. M.

Teshabayev visited these sites, included in the Investment Program for Andijan region.

According to the results of the visits, the following outcomes were obtained:

Pakhtaabad DMU: In the territory of DMU of Pakhtaabad district during the visit no

commercial structures, belonging to private structures or private business were found out.

There are 9 private commercial structures located outside of the territory of DMU. These

structures are not affected by the project works on reconstruction of medical facility.

It is confirmed by the current cadastral plan dated July 24, 2015 and by letter from municipality

(khokimiyat) of Pakhtaabad district, Andijan region (#XM/04-238), according to which in the

territory of Pakhtaabad DMU there are no structures, which will be relocated under the project

activities. (Copies of the documents and pictures of the territory of DMU are given in Annex

2.1.5 B-D).

Bulakbashi DMU: Consultant inspected three medical facilities in the Bulakbashi district, in

particular Bulakbashi district hospital, Bulakbashi polyclinic (including infectious department)

and Emergency point.

Bulakbashi district hospital. There are 6 private commercial structures (pharmacies) located

outside of the territory of hospital. One of them (pharmacy) is located inside the territory of

DMU. These structures are not affected by the project works on reconstruction of medical

facility.

26

It is confirmed by the current cadastral plan and by letter from municipality (khokimiyat) of

Bulakbashi district No Y/R -976-04, dated August 11, 2016 and No 833/01-5 dated December 16,

2015. (Copies of the documents and pictures of the territory of DMU are given in Annex 2.1.6 B-

D).

Bulakbashi polyclinic (including infectious department). There are 2 private commercial

structures (pharmacy and dental clinic). These structures are not affected by the project works on

reconstruction of medical facility.

Bulakbashi emergency point. There are 6 private commercial structures (pharmacies) located

outside of the territory of medical facility.

In accordance with the data obtained by the results of audit, there are no private commercial structures in

the territory of Pakhtaabad and Bulakbashi district. All the identified private commercial structures are

located in the adjacent territory of DMUs and will not be affected by the project activities.

Hence, in the territory of Andijan region there are no structures that would be affected by the project.

Civil works will not impact the structures located inside / adjacent to the medical facilities, no

resettlement impact is observed in this region.

Bukahra region:

On February 24-25, 2016, the consultant jointly with the director of the Health III Project of Bukhara

HMD, Mr. S. K. Rakhimov visited of structures, included in the Investment Program for Bukhara region,

specifically Jondor DMU.

During the visit of the Jondor DMU, the consultant noticed many ruinous buildings or buildings at the

stage of demolishing, and not demolished private commercial structures in the adjacent territory of DMU

and in the territory of Jondor DMU. According to data received by the project team in August 2015, there

were 25 private commercial structures in the territory of Jondor district DMU. This information was

provided by the Jondon Khokimiyat.

According to the obtained official data from Khokimiyat of Jondor district, 21 structures are outside the

Jondor DMU, specified in current cadastral plan. Rehabilitation of these structures is included in the

project of reconstruction and rehabilitation of city and its streets.11

It is confirmed by the official letter of

the Khokimiyat of Jondor district No.02/785 dated 14 April 2016. DMU border in the place of

construction works is determined by the poles for future fence which at this stage of reconstruction works

are installed for delimitation of the territory of medical institution and the adjacent territory. The specified

borders correspond to the existing cadastral plan of the medical institution. (Figure 81 Annex 2.2.2 D).

Four private commercial structures, which will not be involved in the project, are located in the territory

of Jondor DMU. One building of dairy products for children, two pharmacies and one building of

diagnostic center are referred to these structures. It is due to the fact that, these 4 structures are distant

enough from the facilities under reconstruction. These four structures do not disturb the construction

activity, and in the future will not affect the architectural aspect of the structure of DMU/city. It is

11

Decree of the President of RUz # 2264 dated 17 .11.2014 about State investment program on 2015 year. This program

provides for carrying out of other works on reconstruction, restoration and upgrading of architectural appearance of the regions of

Uzbekistan including improvement of roads, pavements, expansion of streets, improvement of the appearance of business

structures and other objects.

27

confirmed by the official letter of the Khokimiyat of Jondor district No.02/785 dated 26 April 2016. (See

Annex 2.2.2 A).

Hence, there are no structures in the territory of Jondor DMU, which will be affected by the project

activity and be scheduled to resettlement/ land acquisition. Consultant identified that there is no

resettlement impact on structures in visited medical facilities. Civil works will not impact the structures

located inside / adjacent to the medical facilities.

Djizzak region

On September 7-8, 2016, Consultant jointly with the director of the Regional PIB Health III Project of

Djizzak region and representatives of DMUs inspected the following medical facilities:

Zaamin DMU: According to the data provided by the local authorities in December 2015, there

were 2 structures located in the territory of the DMU. During the audit Consultant identified 8

private commercial structures located outside the territory of Zaamin DMU. There is no private

commercial structure located inside the DMU.

According to the cadastral plan No 1308 0102 010138 dated January 24, 2015 these private

commercial structures are located outside the medical facility. The reconstruction works are in

progress and these structures do not prevent the works on reconstruction. Thus, these structures

will not be affected by the project activities. (Copies of the documents and pictures of the

territory of DMU are given in Annex 2.3.2 A, D).

Mirzachul DMU: According to the results of audit Consultant obtained the following

information:

There are 3 private commercial structures located in the boundary territory of the medical facility,

in particular pharmacies and public cafeteria place. Two of these structures are located in the

internal side of the wall of DMU and one commercial structure is located outside of the wall of

DMU.

According to the letter from local authorities No 01-622 date September 7, 2016 these 3 private

commercial structures do not impact the DMU and will not be affected by the project activities.

(Copies of the documents and pictures of the territory of DMU are given in Annex 2.3.5 A, C, D).

Arnasay DMU. Consultant identified one private commercial structure located outside of the

DMU. There is no private commercial structure located inside the DMU. It is confirmed by the

cadastral plan and letter from local authorities No 01-303 dated September 08, 2016. (Copies of

the documents and pictures of the territory of DMU are given in Annex 2.3.2 A, D).

There is no structure in Arnasay that will be affected by the project activities.

Galaaral DMU: Consultant found out 5 private commercial structures located outside the DMU.

There is no private commercial structure located inside the DMU. It is confirmed by the cadastral

plan and letter from local authorities No 02-716 dated September 8, 2016. (Copies of the

documents and pictures of the territory of DMU are given in Annex 2.3.3 A, C, D).

Thus, results of conducted audit in Djizzak region Consultant identified that there is no resettlement

impact on structures in visited medical facilities. Civil works will not impact the structures located inside

/ adjacent to the medical facilities. No private commercial structures will be demolished or relocated

because of project activities.

28

Namangan region:

On February 15-17, 2016 the consultant jointly with the director of the Health III Project of Namangan

HMD Mr. D. Kadirov visited the facilities involved in the Investment Program for Chust DMU of

Namangan region. 12

Chust DMU: During the Chust DMU territory visit, a meeting was held with the representatives

of self-governmental bodies. At the time of the visit, there were 21 private commercial structures

on the territory of Chust DMU. 20 of them are located in the adjacent territory of DMU, and one

property (a public cafeteria) is located in the territory of Chust DMU in the distance of 10-15

meters from the DMU fence. This cafeteria will be affected by the project, because department

for infectious deseases is to be built on the place of this property in 2017. At this stage of project

implementation there no approved decree on the investment plans for 2017. This DMU is

expected to be included in 2017. In case of relocation these structures will be resettled in

compliance with the requirement of the World Bank policy on Involuntary Resettlement (OP

4.12).

According to official documents – letter from municipality (khokimiyat) of Namangan region

Chust district (№ 01-06/203 dd. March 24, 2016; see Annex 2.7.2 A) – there is one structure in

the territory of Chust DMU – a public cafeteria, which is demolished to allow construction of

infectious department of this DMU.

20 structures – private commercial structures in the adjacent area of DMU will not be impacted

by civil works. The copies of the documents are given in Annex 2.7.2 A, C, D.

Hence, in the territory of Chust DMU one structure will be affected by the project and will be scheduled

to resettlement/ land acquisition.

Samarkand region:

On February 24-25, 2016 the consultant jointly with the director of Health III Project of Samarkand

HMD, Mr. D. H. Tagayev visited the territory of family polyclinic #12 of Samarkand, involved in

Investment Program for Samarkand CMU. During the visit to Family polyclinic #12 of Samarkand, the

meeting with the representatives of self-governmental bodies took place.

There are no private commercial structures on the territory of the family polyclinic #12 in Samarkand.

However, Deputy of Khokim on reconstruction of Samarkand informed that there were private

commercial structures in the adjacent area behind the fence. These structures were relocated under the

city streets reconstruction project. It is confirmed by the current cadastral plan, presented by the Chief

Directorate of Architecture and Construction of Samarkand (letter # 493 dd. March 2, 2016). Copies of

documents and DMU pictures are given in Annex 2.9.2 B-D.

Hence, in the territory of Samarkand there are no structures, which will fall under the project activity and

be scheduled to resettlement/ land acquisition.

Navoi region

12

Decree of the President of RUz # 2264 dated 17 .11.2014 about State investment program on 2015 year.

29

On September 14, 2016 Consultant inspected Karmana DMU in Navoi region on September 14, 2016.

According to the audit results, there are 5 private commercial structures, 4 structures of which are located

outside the territory of DMU. These are private pharmacies. The last private commercial structure is

located in the territory of DMU and will be demolished. It is building of physiotherapy services. The

planned period of relocation is 2017-2018. At this stage of project implementation there is no approved

decree on the investment plans. It is only expected that the new construction will take place in 2017-2018.

In case of relocation these structures will be resettled in compliance with the requirement of the World

Bank policy on Involuntary Resettlement (OP 4.12).

This is confirmed by the cadastral plan and letter from local authorities No 01-03/1041 dated September

14, 2016 (See Annex 2.6.2 A-C).

Surkhandarya region

Consultant visited the Baysun DMU on September 9, 2016. There are 15 private commercial structures

(pharmacies, shops, public cafeteria, hairdressing salon etc.) located outside the territory of DMU.

During the 2017-2018 it is planned to carry out the reconstruction of polyclinic in the territory of DMU

and complete the equipping the medical facility.

Taking into account the results of audit, Consultant found out that Consultant identified that there is no

resettlement impact on structures in visited medical facilities. Civil works will not impact the structures

located inside / adjacent to the medical facilities. It is confirmed by the cadastral plan and letter from the

local authorities.

At present, there 2 private commercial structures located in Chust DMU, Namangan region and Karmana

DMU, Navoi region that may potentially be impacted by the civil works under the project. However, at

this stage there are no approved decrees for investment for upcoming years. In case of relocation these

structures will be resettled in compliance with the requirement of the World Bank policy on Involuntary

Resettlement (OP 4.12).

2.3 Field assessment of project areas on in other regions

Since the list of medical facilities to be included in the State Investment Program is done on annual basis,

there is no confirmed information about DMUs and CMUs that will be included in the program in 2017

and 2018. Hence, potential resettlement impact is not possible to determine. However, the project will

carry due diligence during the project implementation in 2017 and 2018 to assess potential resettlement

impact once the list of facilities is known.

30

Chapter III: Grievance redress mechanism

The Grievance Redress Mechanism (GRM) is described in detail in the enclosed document titled

“Grievance Redress Mechanism report.” It provides a detailed Grievance Redress Mechanism (GRM)

designed to cover grievances and claims from those ones affected by the Project in the past, present and

future and from the persons, who may be potentially affected by the Project.

This document provides detailed information on the principles, efficiency of GRM functioning, as well as

the levels and place (authority) for submission and examination of grievances, where aggrieved persons

may apply with their claims and get respective answers, explanations or information about resources on

their claims.

The main objective of GRM within the project is provision of the timely and convenient resolution of the

grievances received from the project affected persons. GRM is the process which gives the right to any

interested person to address with the grievance or the proposal while the construction works and after the

implementation of the project.

31

Chapter IV: Public consultations

The public consultations on results of resettlement audit were conducted in all sites covered by this audit.

The meetings were held at district khokimiyats. During the meetings, participants were informed on the

results of audit, including potential consequences of resettlement and mitigation measures, land

acquisition, detailed information on grievance redress mechanism and contact information of the

responsible institutes and specialists under the Project. The announcements and brochures containing

relevant information were distributed. Representatives of relevant state organizations (including district

and regional representatives of health care), khokimiyats, makhalla committees and other local authorities

as well as project –affected person (owners of private business) took part in the consultations. Based on

the results of the meetings respective minutes/reports were prepared (Annex 3).

The total number of attendants of the public consultations is 118 persons.

The table below presents the dates and issues raised during the public consultations:

Table 6. Schedule of public consultations

Region District Date Number of attendants Main issues reviewed

Andijan region Ulugnor May 12-13,

2016

18 1) Introduction: General

information on the Project

implementation;

2) Results of resettlement

audit.

3) Briefly: General provisions

of national legislation, the

procedure for alienation of

land and compensation, the

World Bank Policy on

Involuntary Resettlement.

4) Detailed grievance redress

mechanism;

5) Discussion of issues and

problems being of interest

of the project beneficiaries

and stakeholders.

Shakrishan 18

Bulakbashi

September 6,

2016

3 + individual

consultations

Pakhtaabad 6+ individual

consultations

Bukhara region Jondor August 14,

2016. 16

Djizzak region Arnasay September 7-8,

2016

4+ individual

consultations Galaaral

Mirzaabad 6 + individual

consultations

Zaamin 10

Namangan regions Chust May 12-13,

2016

6 + 3 individual

consultations

Navoi region Karmana September 14,

2016

4+ individual

consultations

Samarkand region Samarkand May 18-19,

2016 21

Surkhandrya

region

Baysun September 9,

2016

6+ individual

consultations

Total 13 118 + individual

consultations

Upon the consultations all the participants were provided with handouts Uzbek language with details of

the issues raised during the consultations.

Key problems and answers are presented in table below:

32

Table 7. Key issues studied during public meetings and consultations

Question Answer

When does the construction start? The construction will start in compliance with the

schedule for 2016-2017.

Will the medical facilities be working during the

construction?

Yes, the medical facilities will continue working.

Can we store the construction materials on the

DMU territory/ construction site supervisor

You can store the construction materials, but there

should be barriers and sings.

Construction waste placement, can we store the

waste in containers, then cart away/manager of

contractor

Placement of construction waste should be

implemented in special allocated places.

If citizens have any questions, to whom the can

apply? To representative of makhalla committee?

According to the order of GRM citizens can apply

to the representatives of makhalla committees,

khokimiat, the head of DMU, regional health

department. All of them will keep a record of

citizens in the book and provide the required

information / assistance.

Will any resettlement impact be observed because

of project activities?

To date, no resettlement impact due to the project

activities has taken place.

33

Conclusions

Activity for the project implementation was started in 2012 and continues up to the present. The project is

scheduled to close on December 31, 2018.

While at appraisal no resettlement impact was expected, during project implementation there was a

potential that some private structures on and near the territory of medical facilities may be impacted. The

audit was carried out to assess whether such impact may have taken place. To date, no resettlement

impact due to the project activities has taken place. This report covers review of the DMUs / CMUs

included into the reconstruction under Health System Improvement Project (Health -3) for the period of

2012-2016.

During the project implementation due diligence activities will be done to identify potential instance of

resettlement and minimize resettlement impact.




territory of medical facilities in 6 districts of 4 regions were received. In December 2015, Central Project

Implementation Bureau (CPIB) sent additional official inquires to municipality (khokimiyats) of regions,

where the project takes place, in order to obtain data on structures located in the territory of DMUs/CMUs

and adjacent territory, which might have been affected by the project activity. As the result, all the

Regional Project Implementation Bureaus provided the information about the structures relocated or may

be potentially relocated under the project.


CMUs in 7 regions of Uzbekistan with the potential resettlement impacts resulted by the project activities.

Total number of structures located there that may potentially be affected by the project was 88 units.

According to the data obtained in December 2015, the number of structures that may potentially be

relocated was 82 units. The other 6 structures were not in the scope of project impact.

The resettlement audit carefully reviewed these 82 instances where structures may potentially be affected

by the project.

According to the result of audit there are 118 private commercial structures, located inside / in the vicinity

of medical facilities. Only 2 private commercial structures may potentially be relocated due to civil works

under the project.

These structures are the following:

1. Namangan region, Chust DMU: one commercial structure (public cafeteria) located in the

territory of Chust DMU will be affected by the project, because infectious department is to be

built on the place of this property.

2. Navoi region, Karmana DMU: one private commercial structure located in the territory of DMU

will be demolished. It is building of physiotherapy services.

To date, no resettlement impact has taken place under the project. The identified resettlement impact in

two sites may not occur, if these medical facilities are not included in the investment plans for 2017

and/or 2018.

35

Annex 1: Detailed information on structures inside / adjacent to the medical facilities received during the site visits

Information on potential resettlement impact

The table provides the detailed information on structures located inside and adjacent to medical facilities since 2012- 2016, data on potential resettlement impact and

relevant documents (cadastral plans, master plans, decrees, letters from municipalities). The table also shows the DMUs / CMUs visually assessed during the period

of audit (February 2016, September 2016). Consultant visited 17 DMUs/CMUs in 7 regions of Uzbekistan with the potential resettlement impact resulted by project

activities.

Table 1 Information on structures inside / adjacent to the medical facilities received during the site visits

Region District

Name of the

medical

facility

Structures

inside /

adjacent to the

medical

facility based

on the

documentation

provided in

Dec. 2015

Structures

inside /

adjacent

to the

medical

facility

based on

the site

visits

(Feb.

/Sept.

2016)

Out of the identified structures:

Status Documents

provided Note

Relocated

structures

based on the

documentation

provided

Relocated

structure

based on

the site

visit

Structures to

be relocated

based on the

documentation

provided

Structure

to be

relocated

based on

the site

visits

Andijan

Ulugnor Ulugnor

DMU 1 0 0 0 0 0

Visited on

February

15-17, 2016

Cadastral plan

(Reference

#11-255 dd.

03.03.2016)

and by letter

from

municipality,

#01/22-85

Annex

2.1.2

A-C

Khanabad Khanabad

DMU 1 1 0 0 0 0

Cadastral plan

(Reference #

АМ-60 – 05

dd. March 4,

2016and letter

Annex

2.1.4

A-C

36

from khokimiat

#01/05-89 dd.

04.03.2016.

Shakhrikhan

District

hospital of

Shakhrikhan

rayon 2

3 0 0 0 0

Cadastral plan

(Reference #

MS-117 dd.

March 4, 2016)

and letter from

khokimiyat

#07/20-151 dd.

05.03.2016.

Annex

2.1.3

A-C Maternity

complex of

Shakhrikhan

rayon

3 0 0 0 0

Pakhtaabad Pakhtaabad

DMU 7 9 0 0 0 0

Visited on

September

6, 2016

Cadastral plan

dated July 24,

2015 and by

letter from

municipality

(khokimiat)

(#XM/04-238)

Annex

2.1.5

B-C

Bulakbashi

Bulakbashi

district

hospital

4

6 0 0 0 0

Visited on

September

6, 2016

Cadastral plan

and by letter

from

municipality

(khokimiat) No

Y/R -976-04,

dated August

11, 2016 and

No 833/01-5

dated

December 16,

2015.

Annex

2.1.6

B-D

Bulakbashi

polyclinic 2 0 0 0 0

Bulakbashi

emergency

point

6 0 0 0 0

Andijan city

Andijan

CMU / CDP 0 0 0 0 0 0

Not visited

as

according

to the

available

documents

no

resettlement

impact was

Letter from

Regional

department of

Project

implementation

Bureau No 01

dated

December 04,

2015.

Annex

2.1.1

Andijan

DMU

Altinkul Altinkul

DMU 0 0 0 0 0 0

Asaka Asaka DMU 0 0 0 0 0 0

37

Balikchi Balikchi

DMU 0 0 0 0 0 0

identified.

Boz Boz DMU 0 0 0 0 0 0

Izbaskan Izbaskan

DMU 0 0 0 0 0 0

Jalakuduk Jalakuduk

DMU 0 0 0 0 0 0

Karasuv Karasuv

CMU 0 0 0 0 0 0

Khajaabad Khajaabad

DMU 0 0 0 0 0 0

Kurgantepa Kurgantepa

DMU 0 0 0 0 0 0

Markahmat

DMU

Markahmat

DMU 0 0 0 0 0 0

Bukhara

Jondor Jondor DMU 25 25 21** 21** 0 0 February

24-25, 2016

Letter of the

Khokimiyat of

Jondor district

No.02/785

dated 26 April

2016.

Annex

2.2.2

A-D

Alat Alat DMU 0 0 0 0 0 0 Not visited

as

according

to the

available

documents

no

resettlement

impact was

identified.

Letter from

Regional

department of

Project

implementation

Bureau No

01/2426- dated

July 11, 2015.

Annex

2.2.1

Bukhara city Bukhara

CMU 0 0 0 0 0 0

Vabkent Vabkent

DMU 0 0 0 0 0 0

Karakul Karakul

DMU 0 0 0 0 0 0

Romitan Romitan

DMU 0 0 0 0 0 0

Peshku Peshku DMU 2 - 0 0 0 0

Djizzak Zaamin Zaamin

DMU 2 8 0 0 0 0

Visited on

September

7-8, 2016

Cadastral plan

No 1308 0102

010138 dated

January 24,

Annex

2.3.4

A-C

38

2015.

Mirzachul Mirzachul

DMU 0 3 0 0 0 0

Visited on

September

7-8, 2016

Letter from

local

authorities No

01-622 date

September 7,

2016.

Annex

2.3.5

A-C

Arnasay Arnasay

DMU 0 1 0 0 0 0

Visited on

September

7-8, 2016.

Letter from

local

authorities No

01-303 dated

September08,

2016.

Annex

2.3.2

A

Galaaral Galaaral

DMU 1 5 0 0 0 0

Visited on

September

7-8, 2016

Letter from

local

authorities No

02-716 dated

September 8,

2016.

Annex

2.3.3

A-C

Bakhmal Bakhmal

DMU 0 0 0 0 0 0

Not visited

as

according

to the

available

documents

no

resettlement

impact was

identified.

Letter from

Regional

department of

Project

implementation

Bureau No 01 -

1089/2765

dated

December 10,

2015.

Annex

2.3.1

Djizzak Djizzak

DMU 0 0 0 0 0 0

Dustlik Dustlik

DMU 0 0 0 0 0 0

Zardoba Zardoba

DMU 0 0 0 0 0 0

Zafarabad Zafarabad

DMU 0 0 0 0 0 0

Pakhtakor Pakhtakor

DMU 0 0 0 0 0 0

Farish Farish DMU 0 0 0 0 0 0

Yangiabad Yangiabad

DMU 0 0 0 0 0 0

Kashakadarya Dekhanabad Dekhanabad

DMU 0 0 0 0 0 0

Not visited

as

Letter from

Regional

Annex

2.4.1

39

Chirokchi

Chirokchi

DMU 0 0 0 0 0 0

according

to the

available

documents

no

resettlement

impact was

identified.

department of

Project

implementation

Bureau No 06 -

1/3016 dated

December 12,

2015.

Chirokchi

CDP

Guzar

Guzar DMU

0 0 0 0 0 0 Guzar DMU

CDP

Karshi

Karshi DMU

0 0 0 0 0 0 Karshi DMU

CDP

Kasan Kasan DMU 0 0 0 0 0 0

Kasbin Kasbin DMU 0 0 0 0 0 0

Kitab Kitab DMU 0 0 0 0 0 0

Mirishkar Mirishkar

DMU CDP 0 0 0 0 0 0

Mubarek Mubarek

DMU 0 0 0 0 0 0

Nishan

Nishan DMU

0 0 0 0 0 0 Nishan DMU

CDP

Shakhrisabz Shakhrisabz

DMU 0 0 0 0 0 0

Yakkabag

Yakkabag

DMU 0 0 0 0 0 0

Yakkabag

DMU CDP

Khorezm

Bogot Bogot DMU 0 0 0 0 0 0 Not visited

as

according

to the

available

documents

Letter from

Regional

department of

Project

implementation

Bureau No

Annex

2.5.1 Gurlen Gurlen DMU 0 0 0 0 0 0

Kushkuprik Kushkuprik

DMU 0 0 0 0 0 0

40

Khanka Khanka

DMU 0 0 0 0 0 0

no

resettlement

impact was

identified.

1/2385 dated

December 11,

2015. Khiva Khiva DMU 0 0 0 0 0 0

Khazora Khazora

DMU 0 0 0 0 0 0

Pintak city Pintak CMU 0 0 0 0 0 0

Shavat Shavat DMU 0 0 0 0 0 0

Urgench city

Urgench

CDP

Urgench

CMU 0 0 0 0 0 0

Urgench CP

Yangiaryk Yangiaryk

DMU 0 0 0 0 0 0

Yangibazar Yangibazar

DMU 0 0 0 0 0 0

Urgench Urgench

DMU 0 0 0 0 0 0

Namangan

Chust rayon Chust DMU 21 21 0 0 1* 1*

Visited on

February

15-17, 2016

Letter from

municipality

(khokimiyat)

of Namangan

region Chust

district (No 01-

06/203 dd.

March 24,

2016.

Annex

2.7.2

A-C

Mingbulak Mingbulak

DMU 0 0 0 0 0 0 Not visited

as

according

to the

available

documents

no

resettlement

Letter from

Regional

department of

Project

implementation

Bureau.

Annex

2.7.1

Kasansay Kasansay

DMU 0 0 0 0 0 0

Narin Narin DMU 0 0 0 0 0 0

Namangan

city

Namangan

CMU 0 0 0 0 0 0

41

Pap Namangan

CP 0 0 0 0 0 0

impact was

identified.

Turakurgan Pap DMU 0 0 0 0 0 0

Chartak Turakurgan

DMU 0 0 0 0 0 0

Uichi Chartak

DMU 0 0 0 0 0 0

Uchkurgan Uichi DMU 0 0 0 0 0 0

Yangikurgan Uchkurgan

DMU 0 0 0 0 0 0

Navoi

Karmana Karmana

DMU 1 5 0 0 1* 1*

September

14, 2016

Cadastral plan

and letter from

local

authorities No

01-03/1041

dated

September 14,

2016.

Annex

2.6.2

A

Zarafshan Zarafshan

DMU 0 0 0 0 0 0

Not visited

as

according

to the

available

documents

no

resettlement

impact was

identified.

Letter from

Regional

department of

Project

implementation

Bureau No 4-

0201/3045

dated

December 9,

2015.

Annex

2.6.1

Khatirchi Khatirchi

DMU 0 0 0 0 0 0

Kiziltepa Kiziltepa

DMU 0 0 0 0 0 0

Konimekh Kiziltepa

DMU CDP 0 0 0 0 0 0

Navoi Konimekh

DMU 0 0 0 0 0 0

Navbakhor Navoi CP 0 0 0 0 0 0

Nurota Navbakhor

DMU 0 0 0 0 0 0

Tomdi Nurota DMU 0 0 0 0 0 0

Uchkuduk Tomdi DMU 0 0 0 0 0 0

42

Khatirchi Uchkuduk

DMU 0 0 0 0 0 0

Republic of

Karakaplakstan

Amudarya Amudarya

DMU 0 0 0 0 0 0

Not visited

as

according

to the

available

documents

no

resettlement

impact was

identified.

Letter from

Regional

department of

Project

implementation

Bureau No

01/568 dated

December 5,

2015.

Annex

2.8.1

Beruni Beruni DMU 0 0 0 0 0 0

Ellikkala Ellikkala

DMU 0 0 0 0 0 0

Kanlikul Kanlikul

DMU 0 0 0 0 0 0

Karauyaz Karauyaz

DMU 0 0 0 0 0 0

Kegelin Kegelin

DMU 0 0 0 0 0 0

Muinak Muinak

DMU 0 0 0 0 0 0

Nukus city Nukus CMU

Nukus CP 0 0 0 0 0 0

Takhtakupir Takhtakupir

DMU 0 0 0 0 0 0

Turtkul Turtkul

DMU 0 0 0 0 0 0

Khojeili Khojeili

DMU 0 0 0 0 0 0

Chimbay Chimbay

DMU 0 0 0 0 0 0

Shumanay Shumanay

DMU 0 0 0 0 0 0

Samarkand Samarkand

city

Samarkand

family

polyclinic

5 5 0 0 0 0 February

24-25, 2016

Cadastral plan,

presented by

the Chief

Directorate of

Architecture

and

Construction of

Samarkand

(letter # 493

dd. March 2,

Annex

2.9.2

B,C

43

2016.

Bulungur Bulungur

DMU 0 0 0 0 0 0

Not visited

as

according

to the

available

documents

no

resettlement

impact was

identified.

Letter from

Regional

department of

Project

implementation

Bureau No 09-

03/3134 dated

December 7,

2015.

Annex

2.9.1

Pahtachi Pahtachi

DMU 0 0 0 0 0 0

Ishtikhan Ishtikhan

DMU 0 0 0 0 0 0

Jambay Jambay

DMU 0 0 0 0 0 0

Kattakurgan Kattakurgan

CMU 0 0 0 0 0 0

Kushrabad Kushrabad

DMU 0 0 0 0 0 0

Narpay Narpay

DMU 0 0 0 0 0 0

Nurobad Nurobad

DMU 0 0 0 0 0 0

Payaryk Payaryk

DMU 0 0 0 0 0 0

Postdargom Postdargom

DMU 0 0 0 0 0 0

Tailak Tailak DMU 0 0 0 0 0 0

Urgut Urgut DMU 0 0 0 0 0 0

Syrdarya

Akaltin Akaltin

DMU 0 0 0 0 0 0

Not visited

as

according

to the

available

documents

no

resettlement

impact was

identified.

Letter from

Regional

department of

Project

implementation

Bureau No

01/504 dated

December 10,

2015.

Annex

2.10.1

Bayaut Bayaut DMU 0 0 0 0 0 0

Gulistan city Gulistan

CMU 0 0 0 0 0 0

Mirzaabad Mirzaabad

DMU 0 0 0 0 0 0

Saykhunobod Saykhunobod

DMU 0 0 0 0 0 0

Sardoba Sardoba

DMU 0 0 0 0 0 0

44

Syrdarya Syrdarya

DMU 0 0 0 0 0 0

Khavast Khavast

DMU 0 0 0 0 0 0

Shirin Shirin DMU 0 0 0 0 0 0

Yangier Yangier

CMU 0 0 0 0 0 0

Syrkhandarya

Baysun Baysun

DMU 12 15 0 0 0 0

Visited on

September

9, 2016

Cadastral plan

and letter from

local

authorities

No03-4/92

dated

September 07,

2016.

Annex

2.11.2

A, C

Angor Angor DMU 0 0 0 0 0 0

Not visited

as

according

to the

available

documents

no

resettlement

impact was

identified.

Letter from

Regional

department of

Project

implementation

Bureau No 01-

5/1965 dated

December 9,

2015.

Annex

2.11.1

Denov Denov DMU 0 0 0 0 0 0

Jarkurgan Jarkurgan

DMU 0 0 0 0 0 0

Kumkurgan Kumkurgan

DMU 0 0 0 0 0 0

Oltinsay Oltinsay

DMU 0 0 0 0 0 0

Sarosiyo Sarosiyo

DMU 0 0 0 0 0 0

Termez city Termez

DMU 0 0 0 0 0 0

Sherobod Sherobod

DMU 0 0 0 0 0 0

Shurchi Shurchi

DMU 0 0 0 0 0 0

Uzun Uzun DMU 0 0 0 0 0 0

Tashkent Angren Angren

CMU 0 0 0 0 0 0

Not visited

as

Letter from

Regional

Annex

2.12.1

45

Akhangaran Akhangaran

DMU 0 0 0 0 0 0

according

to the

available

documents

no

resettlement

impact was

identified.

department of

Project

implementation

Bureau No 01-

3056 dated

December 10,

2015.

Akkurgan Akkurgan

DMU 0 0 0 0 0 0

Bekabad Bekabad

DMU 0 0 0 0 0 0

Buka Buka DMU 0 0 0 0 0 0

Bustanlik Bustanlik

DMU 0 0 0 0 0 0

Kibray Kibray DMU 0 0 0 0 0 0

Kuichirchik Kuichirchik

DMU 0 0 0 0 0 0

Parkent Parkent

DMU 0 0 0 0 0 0

Pskent Pskent DMU 0 0 0 0 0 0

Chinaz Chinaz DMU 0 0 0 0 0 0

Yangiyul Yangiyul

DMU 0 0 0 0 0 0

Fergana

Alti-aryk Alti-aryk

DMU 0 0 0 0 0 0

Not visited

as

according

to the

available

documents

no

resettlement

impact was

identified.

Letter from

Regional

department of

Project

implementation

Bureau No 01-

03/3715 dated

December 12,

2015.

Annex

2.13.1

Becharyk Becharyk

DMU 0 0 0 0 0 0

Buvaida Buvaida

DMU 0 0 0 0 0 0

Bagdad Bagdad

DMU 0 0 0 0 0 0

Dangara Dangara

DMU 0 0 0 0 0 0

Margilan

Margilan

CMU

Margilan CP

0 0 0 0 0 0

Kakand city Kakand CP 0 0 0 0 0 0

46

Kuva Kuva DMU 0 0 0 0 0 0

Kushtepa Kushtepa

DMU 0 0 0 0 0 0

Tashlak Tashlak

DMU 0 0 0 0 0 0

Rishtan Rishtan

DMU 0 0 0 0 0 0

Fergana city

Fergana

CMU

Fergana CP

0 0 0 0 0 0

Fergana Fergana

DMU 0 0 0 0 0 0

Uzbekistan Uzbekistan

DMU 0 0 0 0 0 0

Uchkuprik Uchkuprik

DMU 0 0 0 0 0 0

Yazavan Yazavan

DMU 0 0 0 0 0 0

TOTAL 14 17 82 118 21** 21** 2* 2*

* At this stage of project implementation there is no exact date and approved decree on the potential relocation of these structures.

**21 structures are located in the adjacent area of the Jondor DMU and specified in current cadastral plan. The rehabilitation of these structures is included into the project of

reconstruction and rehabilitation of city and its streets. 13

13

Decree of the President of RUz # 2264 dated 17 .11.2014 about State investment program on 2015 year. This program provides for carrying out of other works on reconstruction, restoration and

upgrading of architectural appearance of the regions of Uzbekistan including improvement of roads, pavements, expansion of streets, improvement of the appearance of business structures and other

objects.

47

Annex 2: Relevant project documentation on potential resettlement impact

Annex II: Relevant project documentation on potential resettlement impact

2.1 Andijan

2.1.1 Documents performing the official data on potential resettlement impact

2.1.2 Site visit of Ulugnor DMU

A Letter from khokimiyat of Ulungur district

B Letter from Geozemkadastr of Ulungur district

C Cadastral plan of DMU of Ulugnor district

D Photos of DMU

2.1.3 Site visit of Shakhrikhan district

A Letter from khokimiyat of Shakrikhan district

B Letter of department on land resources and state cadaster of Shakhrikhan district

C Cadastral plan of DMU of Shakhrikhan district

D Photos of DMU

2.1.4 Site visit of Khanabad district

A Letter from khokimiat of Khanabad CMU

B Letter of department on land resources and state cadaster of Khanabad CMU

C Cadastral plan of CMU of Khanabad district

D Photos of DMU

2.1.5 Site visit of Pakhtaabad district

A -14

B Letter of department on land resources and state cadaster of Pakhtaabad district

C Cadastral plan of DMU of Pakhtaabad district

D Photos of DMU

14

Letter from Geozemkadaster. The complete information on the structures in presented in the letter from

khokimiat. Thus, there is no need to receive this document providing the same information.

48

2.1.6 Site visit of Bulakbashi district

A -15

B Letter of department on land resources and state cadaster of Bulakbashi district

C Cadastral plan of DMU of Bulakbashi district

D Photos of DMU

15

Letter from khokimiat. The complete information on the structures is presented in the letter from department on

land resources and state cadaster. Thus, there is no need to receive this document providing the same information.

49

2.1.1 Documents performing the official data on potential resettlement impact in Andijan region

According to the document presented below in December 2015 there was identified potential resettlement

impact in Ulugnar, Shakrikhan and Bulakbashi DMUs/CMUs. Consultant visited DMUs/CMUs during

this audit in February and September 2016.

50

The original document is in Russian. The translation in English is unofficial.

Ministry of Health of the Republic of Uzbekistan

Department of health of Andijan region

No. 01

Date: 4 December 2015

To: the Minister of Health of the Republic of Uzbekistan

Mr. A.V. Alimov

Dear Anvar Valievich!

In response to your letter No.31-3/73 dated 01 December 2015 Andijan department of health informs you

on the following:

According to the inquiries of the Ministry of Health of the Republic of Uzbekistan and the World Bank,

working group for assessment of the impact of environmental and social factors during construction and

reconstruction works at the objects covered by the Project implementation “Health-3” was created.

During the analysis of preliminary assessment 1 object in Ulugnar RMU (private pharmacy) was moved

and was rendered full assistance by local Khokimiyat in this view. At the objects subject to inclusion into

the Investment program for 2016-2018, movements at Shakhrikhan and Buklakbashi RMU were

observed.

Information in electronic and written form according to the Annex No.No. 1,2 and 3 was submitted to the

CBPI “Health-3”.

Mr. K.Yorkulov

Head of regional department of health

51

Consultant visited DMUs / CMUs in Ulugnor, Shakrikhan, Khanabad, Bulakbashi and Pakhtaabad

districts of Andijan region in February and September 2016.

The relevant documents, in particular cadastral plans, master plans and letters form municipalities of

these DMUs / CMUs are presented below by the districts.

2.1.2 Site visit of Ulugnor DMU

A Letter from khokimiyat of Ulungur district

52

Official document is in Uzbek language, English translation is nonofficial

Andijan region RUz

Khokimiyat of Ulungur district Emblem

Date: 02.03. 2016 №01/22-85

To A. V. Alimov, the Minister of Health, RUz

Khokimiyat of Ulungur district in pursuance of your letter №31-3/17 dd. February 12, 2016 informs you

on the following.

On the basis of Resolutions of the President, RUz №ПК-1614 dd. September 7, 2011 «On measurements

to implement the Project «Health System Improvement (Health III)» under the participation of the

International Association of the World Bank», construction and reconstruction work was implemented

based on State Investment Program in Medical Union of Ulugnor district.

Hereby we inform you, that during construction and reconstruction work, implemented based on State

Investment Program in Medical Union, in the territory of relocated or to be resettled private commercial

sites were not found.

Khokim of district A. Suleymanov

53

B Letter from Geozemkadastr of Ulungur district

Official document is in Uzbek, English translation is unofficial.

Seal: RUz

Geozemkadastr

Ulungur district

№11-225

Dated 03.03.2016

54

To Ulungur District Medical Union

REFERENCE

In pursuance of your letter №151 dd. March 03, 2016 we inform you on following:

According to archive data of Affiliate of Ulungur district Geozemkadastr, there are no registered private

enterprises and shops in the territory of the Central Polyclinic.

Seal

Affiliate of Ulungur district Geozemkadastr

Seal A. Adilov

Seal Kh. Abdusalomov

C Cadastral plan of DMU of Ulugnor district

55

D Photos of Ulugnor DMU

Picture 1 Ulugnor DMU (entrance area)

Picture 2 Territory of Ulugnor DMU

56

Picture 3 Territory of Ulugnor DMU. Building of children's unit.

Picture 4 Territory of Ulugnor DMU. Department of Emergency care.

57

Picture 5 Facade of building of Ulugnor DMU

Picture 6 General view of the territory of Ulugnor DMU

58

2.1.3 Site visit of Shakhrikhan district

A Letter from khokimiyat of Shakrikhan district

59

Official document is in Russian, English translation is unofficial

Khokim of Shakhrikhan district of

Andijan region, Republic of Uzbekistan

Date: 05/03/2016 #07/20-151

To Mr. Alimov A.V.,

Minister of Health of the Republic of

Uzbekistan

3 separately structures are located in the territory of DMU of Shakhrikhan district:

District hospital of Shakhrikhan district;

Maternity complex of Shakhrikhan district;

Polyclinic of Shakhrikhan district.

At present 3 (three) commercial structures related to private business – 2 private pharmacies and one

private diagnostic center, are located near to District hospital of Shakhrikhan district. These structures are

located in the adjacent territory out of the territory of the hospital. This fact is confirmed by the cadastral

plan of the district hospital (see Annex 1) with the marked the border of the hospital and structure of

private business activity which are located beyond the fence of the DMU. All the private structures are

numbered. Information about them is included into the Annex 2 of the letter. There are no private

commercial structures in the territory of Maternity complex of Shakhrikhan district as well. 3 commercial

structures are located near to the fence of DMU, especially one cafeteria structure (kebab house), one

pharmacy and one cafeteria structure (somsakhona). All these structures are located out of the territory of

Maternity complex of Shakhrikhan district. This fact is confirmed by cadastral plan of the facility of

Maternity complex of Shakhrikhan district (Annex 3) with the marked borders of DMU and private

commesrical structures located out of the territory of DMU. All these structures are numbered and

information on them is included into the Annex 3.

No structures are located in the territory of Polyclinic of Shakhrikhan district.

We also inform you on that these structures located near the medical facility will not impact the

architectural aspect of the facilities and will not be affected by Health System Improvement Project

("Health-3 project")".

Khokim of Shakhrikhan district of Andijan region Soliev O.O.

60

B Letter of department on land resources and state cadaster of Shakhrikhan district

61


Emblem

State Committee of RUz on land resources, geodesy, cartography and state cadaster.

Andijan region department on land resources and state cadaster of Shakhrikhan district.

dd. 04.03.2016

№МС-114

REFERENCE

The reference of Affiliate on land resources and state cadaster of Shakhrikhan district states that based on

cadastral documents the sites - 2 Chemistries and 1 Diagnostic Center, located in Shakhrikhan district in

R. Yodgorov street are situated beyond the territory of the Central Hospital. For preparation of cadastral

documents for the sites (kebab house and canteen), which are nearby the Maternity Complex №1 of

Shakhrikhan district, cadastral survey was conducted. The extract of the cadastral survey is given in the

Annex. Cadastral survey of Multi-field Central Polyclinic, located in Shakhrikhon Shokh street №1, was

not conducted.

Head of the Department on land resources and state cadaster of Shakhrikhan district.

S. Mamanovarov

Seal

62

C Cadastral plan of Shakrikhan district

Annex 3 New cadastral plan of Maternity complex of Shakhrikhan district (layout). The border of DMU

and structures located out of the territory of DMU are shown.

63

Annex 1 New cadastral plan of District hospital of Shakhrikhan district (layout). The border of DMU and

structures located in the territory of DMU and out of the territory are shown.

65

Annex to letter to Ministry of Heath No.31-3/17 as for February 06, 2016

Information on private commercial structures located in the territory of Shakrikhan DMU

N

o.

Name

of

structur

e

Name of

owner

Type of

activity

Numbe

r of

person

nel

Legal

address

Actual

address

Registrat

ion

documen

ts /

licenses

with the

specified

date of

issue and

valid

period

Legal

grounds

for

operation

(permissio

n / decree

of

municipal

ity, lease

contract

and etc.))

Cadastral

documents

/

Confirmati

on of rights

on land

plots

(registratio

n number ,

date of

issue, lease

contract,

date of

issue etc.)

Period of

operatio

n in the

territory

of DMU

Area of

structur

es, total

Acquir

ed area

od

structu

re

Numb

er of

storey

s

Storey

of

structu

re

locatio

n

Status of

relocatio

n /

demolish

ing the

structure

Distance

from

DMU/C

MU,

meter

Annual

producti

on turn,

UZS

Asisbe

k farm

Muydino

v

Ravshanb

ek

pharma

cy

4 111

Yodgoro

v street,

Shakhrik

han city

111

Yodgoro

v street,

Shakhrik

han city

12.05.20

15

Khokim

decree

No.91-К

as for

11.02.20

00

Regulation

dd.06.06.2

010

14.12.20

09

82 sq.m 82

sq.m

1 1 Not

relocate

d

35 m

“VODI

Y

FARM

INVES

T”

Rejalov

Usmonjo

n

pharma

cy

4 111

Yodgoro

v street,

Shakhrik

han city

111

Yodgoro

v street,

Shakhrik

han city

27.03.20

15

Khokim

decree

No.177-К

as for

01.06.20

07

Reference

dd.

17.03.2015

12.11.20

07

36 sq.m 36

sq.m

1 1 Not

relocate

d

50 m 542 108

000

Darmo

n orom

shifo

Isomiddi

niv

Shukhrat

bek

doctor's

consulti

ng

room

6 111

Yodgoro

v street,

Shakhrik

han city

111

Yodgoro

v street,

Shakhrik

han city

30.11.20

15

Khokim

decree

No.657-К

as for

27.08.20

11

Decree

dd.04.09.2

010

04.08.20

10

102,4

sq.m

102,4

sq.m

1 1 Not

relocate

d

50 m

66

D Photos of DMU of Shakrikhan district

Picture 7 Shakhrikhan DMU entrance area.

Picture 8 Private Pharmacy # 1 in the adjacent territory of Shakhrikhan DMU

67

Picture 9 Private Pharmacy # 1 in the adjacent territory of Shakhrikhan DMU (back part).

Picture 10 Private Pharmacy # 2 in the adjacent territory of Shakhrikhan DMU

68

Picture 11 Scheme of the territory of Shakhrikhan DMU

Picture 12 Private Diagnostic Center in adjacent territory of Shakhrikhan DMU

69

Picture 13 Facility of cafeteria (somsakhona) in the adjacent territory of Maternity Complex of

Shakhrikhan DMU

Picture 14 Facility of cafeteria (kebab house) in the adjacent territory of Maternity Complex of

Shakhrikhan DMU.

70

Picture 15 Backside of the cafeteria facility (kebab house) in the adjacent territory of Maternity

Complex of Shakhrikhan DMU, the gates installed for automobiles.

Picture 16 The western wall of the cafeteria facility (kebab house) in the adjacent territory of

Maternity Complex of Shakhrikhan DMU

71

Picture 17 Private Pharmacy in the adjacent territory of the Maternity Complex of Shakhrikhan

DMU

Picture 18 Courtyard of the public cafeteria facility (kebab house) in the adjacent territory of the

Maternity Complex of Shakhrikhan DMU

72

2.1.4 Site visit of Khanabad DMU

A Letter from khokimiat of Khanabad CMU

73

Republic of Uzbekistan

Andijan region

Khokim of Khonobod

#01/05-89

Date: 04/09/2016

To Mr. Alimov A.V.,

Minister of Health

of the Republic of Uzbekistan

In reply to your letter #31-3/17 dd. 02/12/2016 inform you that there are no structures in the territory of

CMU. However, one commercial structure related to private business - accessory building (private trade

structure) at the station of public transport which is adjoined to territory of CMU (approximately at the

distance of 4 meters). This structure is located outside the territory of Khonobod CMU. This fact is

confirmed by the cadastral plan (Annex 1) with the marked border of the territory of the hospital and the

commercial structure is located outside the fence. The private structure is numbered and information is

included into the Annex 2 of the letter.

Khokim of city Alimov Sh.

74

B Letter of department on land resources and state cadaster of Khanabad CMU

75


Emblem


Andijan region department on land resources and state cadaster of Khanabad city

№АМ/60-04

От 05.03.2016 года

To Medical Union of Khanabad City

REFERENCE

According to archive data of Affiliate on land resources and state cadaster of Khanabad city there are no

registered cadastral documents for private commercial sites and shops in the territory of the Central

Polyclinic.

Head of Affiliate on land resources and state cadaster of Khanabad city

Seal

Signature A. Iminov

76

C Cadastral plan of DMU of Khanabad district

79

Annex 2 List of private commercial strucutres located put of the borders of Khonobod DMU

Information on structures located in the territory of Khonobod DMU

No.

Name

of

structu

re

Nam

e of

owne

r

Type

of

activit

y

Number

of

personn

el

Legal

addres

s

Actual

addres

s

Registratio

n

documents

/ licenses

with the

specified

date of

issue and

valid

period

Legal

grounds for

operation

(permission

/ decree of

municipalit

y, lease

contract

and etc.))

Cadastral

documents /

Confirmatio

n of rights

on land

plots

(registration

number ,

date of

issue, lease

contract,

date of issue

etc.)

Period

of

operatio

n in the

territory

of DMU

Area of

structure

s, total

Acquire

d area

od

structur

e

Numbe

r of

storeys

Storey

of

structur

e

location

Status of

relocation

/

demolishin

g the

structure

Distance

from

DMU/CM

U, meter

Annual

productio

n turn,

UZS

Shop Zakir

ova

Latif

a

Trade 1 2

Obod

street

2

Obod

street

Permissio

n No.32/1

sa for

2015.07.1

0

License

No.51883

6144

Khokim

Decree

No.131-к

as for

2007.16.05

.

Cadaster

No.408/1

as for

2007.31.05

9 years 168 sq.

m

168 sq.

m

1 1 - Out of the

redline

-

80

D Photos of DMU of Khanabad district

Picture 19 Territory of Khanabad DMU. Building of family polyclinic.

Picture 20 Territory of Khanabad DMU. Green plantations and parking zone of DMU territory

81

Picture 21 Metal fencing of DMU Khanabad

Picture 22 Adjacent building (private trade point) to the station in the adjacent territory of DMU

Khanabad

82

Picture 23 Adjacent building (private trade point) to the station in the adjacent territory of DMU

Khanabad

83

2.1.5 Site visit of Pakhtaabad district

B Letter of department on land resources and state cadaster of Pakhtaabad DMU

84


Emblem


Andijan region department on land resources and state cadaster of Pakhtaabad district

No XМ/04-928

Dated August 30, 2016

To Medical Union of Pakhtaabad district

In order to reply on your letter No 439 dated August 29, 2016, medical union of Pakhtaabad district

informs you on the following: there no private commercial structures located in the territory of

Pakhtaabad DMU.

Head of department on land resources and state cadaster of Pakhtaabad district

Seal

Signature Kh. Mamtaliev

B Cadastral Plan of Pakhtaabad DMU

87

The original document is in Uzbek. Translation in English is unofficial.

State committee of the RUz for land resources, geodesy, cartography and state cadastre

CERTIFICATE

On state registration of ownership for land plot


Land resources and State cadastre authority of Andijan region

State Enterprise for Land planning and real estate cadastre of Andijan region

Pakhtaobod district department

CADASTRE DOCUMENT OF REAL ESTATE

Name of object: buildings and facilities of Medical Association of Pakhtaobod district

Cadastre No. of land plot:

Name of property owner: District Medical Association

Legal status: with the right of operative management

Address: Pakhtaobod district, Yuqori MCG

Number issued to the buildings and facilities: 0044450

And to the land: No.0007208 of 24.07.2015

88

D Photos of Pakhtaabad DMU

Picture 24 Private commercial structure located in the adjacent territory of DMU


89



90



91



92



93

Picture 34 Central policlinic of Pakhtaabad district

94

Picture 35 Entrance of Pakhtaabad DMU

Picture 36 New built fence of Pakhtaabad DMU

95

Picture 37 Building of Pakhtaabad DMU

Picture 38 Building and fence of Pakhtaabad DMU

96

Picture 39 Building of emergency department of Pakhtaabad DMU

Picture 40 Support buildings of Pakhtaabad DMU

97

Picture 41 Buildings of Pakhtaabad DMU

98

2.1.6 Site visit of Bulakbashi district

B Letter of department on land resources and state cadaster of Bulakbashi DMU

100


State Enterprise “Yermulkcadastre” of “Yermulkcadastre” Bulokboshi district of Land

resources and State cadastre authority of Andijan region

August 11, 2016

#U/R-976-04

To: Head of Medical Association of Bulokboshi district B. Komilov

Reference to your letter No.151/6 dd. August 8, 2016 the State Authority for Land shaping and

real estate cadastre of Bulokboshi district is providing you the information on objects used as Drug stores,

which are belonging to entrepreneurs and located on the territory of the Central hospital at Navkiron

street of Yuksalish Makhalla citizens gathering of Mayariq Rural Citizens Gathering of Bulokboshi

district.

Attached: one page

Head of the State Authority for

Land shaping and real estate cadastre

Of Bulokboshi district U. Rakhmonov

Executive: H. Zaynidinov

101

Information on Drug stores located at Navkiron street of Yuksalish Makhalla citizens gathering of Mayariq Rural Citizens Gathering of

Bulokboshi district

#

Name of legal

entity or full

name of citizen

Address

(RCG, MCG,

street and

house No. is

must)

Object

category

(residence

or non-

residence)

State registration of ownership for

land plot Information on buildings, facilities and perennial trees

Documents

approving the

ownership for

land plot

Area,

ha

Legal

status

Documents

approving the

ownership for

buildings,

facilities and

perennial trees

Area, sq. m

Legal

status

Inventory

value,

thous.

UZS, as

of 2016

Date and

No. of

registration Total Industrial,

residential

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13.

1. Ulugbek

Nishonov

Mayariq RCG

Khushnud

street

Drug store Order #609-k dd.

30.12.2000 of

Bulokboshi

district Khokim

permanent

use right

Order #414-k

dd. 12.07.2002

of Bulokboshi

district Khokim

Proprietary

right

2. Private drugstore

“Aziza”

Mayariq RCG

Khushnud

street

Drugstore Order #140-k dd.

25.04.1997 of

Bulokboshi

district Khokim

permanent

use right

Order of district

Khokim #163-k

dd. 08.04.2003

on including the

drugstore

building into the

Charter Fund of

Private

drugstore

“Aziza”

Proprietary

right

3. Shukhratbek

Ruziboev

Mayariq RCG

Khushnud

street, house

#27

Drugstore Purchase and

sale agreement

of drugstore

building,

28.04.2014,

permanent

use right

Purchase and

sale agreement

of drugstore

building,

28.04.2014,

Proprietary

right

102

register #5992 register #5992

4. Marifatkhon

Ashurova

Bulokboshi

RCG

Madrakhimova

street

Drugstore

permanent

use right

Order #324-k

dd. 15.12.2004

of district

Khokim

Proprietary

right

5. “Khadichabonu”

LLC

Mayariq RCG

Madrakhimova

street

Drugstore

Agreement on

including the

drugstore

building, trade

and Paynet shop

into the Charter

Fund of

“Khadichabonu”

LLC,

13.08.2015,

register #1-7133

permanent

use right

Agreement on

including the

drugstore

building, trade

and Paynet shop

into the Charter

Fund of

“Khadichabonu”

LLC,

13.08.2015,

register #1-7133

Proprietary

right

6. “Shifo-Farm”

Private

Company

Mayariq RCG

Khushnud

street

Drugstore

Order #148-k dd.

08.04.2006 of

Bulokboshi

district Khokim

permanent

use right

Order #302-k

dd. 27.08.2012

of Bulokboshi

district Khokim

Proprietary

right

Acting Head of SE “Yermulkcadasdtre” of Bulokboshi district U. Rakhmonov

103

C Cadastral plan of Bulakbashi DMU

106

D Photos of Bulakbashi DMU

Picture 42 Private commercial structure, pharmacy located in the adjacent territory of hospital ,

left side of entrance of DMU

Picture 43 Private commercial structure, pharmacy located in the adjacent territory of hospital,

outside the fence of DMU

107

Picture 44 Private commercial structure, pharmacy located in the adjacent territory of hospital

Picture 45 Private commercial structure, pharmacy located in the adjacent territory of hospital

108

Picture 46 Private commercial structure, pharmacy located in the territory of hospital. This

structure will not be affected by the project (Nishonov Ulugbek, Pharmacy).

Picture 47 Private commercial structure, pharmacy located in the adjacent territory of hospital.

109

Picture 48 Entrance of Bulakbashi hospital

Picture 49 Building of Bulakbashi hospital

110

Picture 50 Building of Bulakbashi policlinic

111

Picture 51 Building of private commercial structure, dental clinic, located outside the territory of

Bulakbashi policlinic

Picture 52 Building of private commercial structure, pharmacy, located outside the territory of

Bulakbashi policlinic

112

Picture 53 Building of Bulakbashi emergency point. Entrance of the emergency point.

Picture 54 Building of Bulakbashi emergency point. Entrance of the emergency point

113

Picture 55 Building of private commercial structure located outside the territory of Emergency

point

114

Picture 56 Building of private commercial structure (pharmacy) located outside the territory of

Emergency point

Picture 57 Building of private commercial structure located outside the territory of Emergency

point

115

Picture 58 Building of private commercial structures located outside the territory of Emergency

point

116

2.2 Bukhara


2.2.2 Site visit of Jondor DMU

A Letter from khokimiyat of Jondor district

B - 16

C Cadastral plan of DMU of Jondor district

D Photos of Jondor DMU

16



117

2.2.1 Documents performing the official data on potential resettlement impact in Bukhara region


impact in Jondor DMUs/CMUs. Consultant visited Jondor DMU during this audit in February 2016. The

confirming documents are provided below.

118

The original document is in Uzbek. The translation in English is unofficial.

Ministry of Health of the Republic of Uzbekistan

Bukhara regional department of health

No. 01/2426

Date: 11 July 2015

To: the Minister of Health of the Republic of Uzbekistan

Mr. A.V.Alimov

Dear Anvar Valievich!

In response to your letter 31-3/48, we inform you on the following: construction and rehabilitation works

are carried out on the basis of the investment program and there are no private business buildings on the

territory of district medical units of Alat, Karakul, Vobkent, Romitan districts, while there are private

business buildings on the territory of district medical unit of Jondor district.

Information on the buildings is attached.

Enclosure: 4 pages.

Sincerely yours,

Mr. I.Amonov

Head of department

119

2.2.2 Site visit of Jondor DMU

A Letter from khokimiyat of Jondor district

120

Deputy of Khokim of Jondor District of Bukhara Region, RUz

Emblem

№02/785 dd. April 14, 2016

To Ministry of Health, RUz.

At the present in the territory of Medical Union of Jondor district there are 25 sites. 21 out of them are

beyond the “red line”, indicated in cadastral documents, 4 sites are located in the territory of Medical

Union. They are situated in the distance of 10—25 meters from Medical Union. The work on construction

and reconstruction will not impact on these sites. Whereas, these sites do not impact on general

architectural look of Medical Union.

Also we inform you that sites situated near the territory of 21 sites will be included in the project of city

and streets reconstruction by Khokimiyat of Jondor district, and will be resettled under this project.

Resettlement of this 21 sites does not have relation to projects on Investment and “Health III Project”

relating Medical Unions.

Above mentioned private sites have their numbers in the General Plan and are given in the Annex to this

letter.

First Deputy of Khokim A. Boboyorov

121

C Cadastral plan of Jondor DMU

122

D Photos of Jondor DMU

Picture 59 Structures at the stage of demolition along the planned fence of Jondor DMU. Demolishing is

conducted because od expansion of sidewalks of the street in the district.



123



Picture 62 Footing of the structure (uncompleted building ) at the stage of demolition along the planned

fence of Jondor DMU. Demolishing is conducted because od expansion of sidewalks of the street in the

district.

124





125





126





127

Picture 69 Structures and a part of previous fence of Jondor DMU at the stage of demolishing among the

planned fence of Jondor DMU. Demolishing is conducted because od expansion of sidewalks of the street

in the district.

Picture 70 Portable vending kiosks along the planned fence of Jondor DMU

128

Picture 71 Structures located in the adjacent territory of Jondor DMU

Picture 72 Pharmacy inside the territory of Jondor DMU

129

Picture 73 Building of Jondor DMU


130



131

Picture 77 Private structure located in the territory of Jondor DMU (bakery)

Picture 78 Reconstructed building of Jondor DMU

132

Picture 79 Land, allocated by khokimiyat for private structures relocated because of expansion of

sidewalks of the streets, front side

Picture 80 Land, allocated by khokimiyat for private structures relocated because of expansion of

sidewalks of the streets, front side

133

Picture 81 The fence separating the territory of Jondor DMU from the structures located at a adjacent

area of Jondor DMU. The planned fence is on the left, in front of the structures that are under relocation

and demolishing because of expansion of the streets in the adjacent area of DMU

134

2.3 Djizzak


2.3.2 Site visit of Arnasay DMU

A Letter from khokimiyat of Arnasay district

B -17

C - 18

D Photos of Arnasay DMU

2.3.3 Site visit of Galaaral DMU

A Letter from khokimiyat of Galaaral district

B - 19

C Cadastral plan of Galaaral DMU

D Photos of DMU

2.3.4 Site visit of Zaamin DMU

A Letter from khokimiyat of Zaamin district

B - 20

C Cadastral plan of Zaamin DMU

D Photos of Zaamin DMU

2.3.5 Site visit of Mirzachul DMU

A Letter from khokimiyat of Mirzachul district

B - 21

C Cadastral plan of Mirzachul DMU

D Photos of Mirzachul DMU

17


khokimiat. Thus, there is no need to receive this document providing the same information. 18

Cadastral plan was not provided by the cadastral service. 19







135



impact in DMUs/CMUs. Consultant visited Arnasay, Galaaral, Mirzaabad and Zaamin districts in

September 2016. The confirming documents are provided below.

136


Letterhead of Jizzak Regional Department of Health of the Ministry of Health of the RUz.

December 10, 2015

#01-1089-2765

Jizzak city

To: Minister of Health of the RUz. A. Alimov

Dear Mr. Alimov!

Regional Health Department in reference to your letter #31-3/73 dd. December 1, 2015 provides you the

following information. There are no private construction facilities that were existed on the territory of the

Medical associations of the region and that were moved or subject to movement in the future.

Enclosed: #1 3 pages

#2 12 pages

#3 24 pages.

Director O. Ziyaev

Director of “Health-3” Bureau A. Normatov

137

2.3.2 Site visit of Arnasay district

A Letter from khokimiyat of Arnasay district

138

Khokim of Arnasay District of Djizzak Region, RUz

Emblem

№01-303 dd. September 8, 2016

To Director of CBPI, RUz.

Mr.Khakimov.

The building of the social drugstore No.11 of Arnasay district belonging to Jizzak LLC "Dori Darmon" is

located on the territory adjacent to the Arnasay DMA and do not impact the implementation of Project

"Health-3"

Khokim of the district Ankaev S.J.

139

D Photos of Arnasay DMU

Picture 82 Entrance of Arnasay DMU

Picture 83 Private commercial structure, pharmacy, located in the right side of the entrance of

Arnasay DMU

140

Picture 84 Building of Arnasay DMU

142

2.3.3 Site visit of Galaaral DMU

A Letter from khokimiyat of Galaaral district

143


Khokim of Galaaral District of Djizzak Region, RUz

Emblem

№02-716 dd. September 8, 2016


Mr.Khakimov.

Khokimiyat of Gallaorol district and the Chief Architect of the district inform you that there are no

private objects on the territory of Medical Association and that this is confirmed by cadastre documents

of 24.09.2011 of the Medical Association.

All private drugstores and facilites of other types located around the Gallaorol district medical association

are located beyond the territory of the Medical association

First deputy of Khokim Mamarajabov A.

Chief designer of the district Shodmonov Sh.

144

C Cadastral Plan of Galaaral DMU

147


CERTIFICATE

On state registration of ownership for buildings, facilities and perennial trees

CERTIFICATE

On state registration of ownership for land plot

JI0014259

This is to certify that Medical Association of Gallaorol district was allocated on permanent basis

3.96ha of land plot located at 1a, A. Kodiriy street, Alamli MCG, Gallaorol city, it was registered under

cadastre number 13:03:01:01:01:0048 and the land plot was entered in the Register for ownership for real

estate and treaties thereto under Number B-12-3. N97.

This certificate was issued by Land shaping and real estate cadastre state authority based on the

Order #795 dd. November 27, 2006 of the Gallaorol district Khokim.


Land shaping and real estate cadastre E.

Mirzayarov

Registered by A. Narzullaev

LAYOUT

Of borders of the land plot

Of Medical Association of Gallaorol district

Cadastre No. 13:03:01:01:01:0048

Land plot area 3.96 ha

Scale 1:500

Agreed with adjacent land users: ______________________________________


Land shaping and real estate cadastre E. Mirzayarov

Executive A. Narzullaev

Mortuary building

Ambulance, garage, archive

Boilers

148

Shed

Meetings room

Gate-house

Building of transformer

Kitchen warehouse

Control and pass building

Shed for vehicles

Warehouse

Sewer and pumping station

Pool

Pool

Pool

WC

WC

WC

WC

Warehouse

149

D Photos of Galaaral DMU

Picture 85 Entrance of Galaaral DMU

Picture 86 Building of Galaaral DMU

150

Picture 87 Private commercial structures located outside the territory of DMU. Left side of the

entrance of Galaaral DMU

Picture 88 Private commercial structures located outside the territory of DMU. Right side of the

entrance of Galaaral DMU

151

Picture 89 Private commercial structure (pharmacy) located outside the territory of DMU. Left side

of the fence of Galaaral DMU

152

2.3.4 Site visit of Zaamin DMU

A Letter from khokimiyat of Zaamin district

153


Khokim of Zaamin District of Djizzak Region, RUz

Emblem

№02-1168 dd. September 23, 2016


Mr.Khakimov.

Hereby we inform you that within the implementation of the Project “Health -3” in cooperation with the

World Bank, the audit was carried out in Medical Association of Zomin district and it was defined that

there are no private objects on the territory of the Medical Association, and there are 8 (eight) private

objects on the territories adjacent to the DMA.

I.e. it was defined that there are no private objects within the "red line" of the District Medical

Association.

First deputy of Khokim Abduganiev A.

154

C Cadastral Plan of Zaamin DMU

156

D Photos of Zaamin DMU

Picture 90 Entrance of Zaamin DMU

Picture 91 Private commercial structure, pharmacy, left side of the entrance of Zaamin DMU

157

Picture 92 Private commercial structure, pharmacy, left side of the entrance of Zaamin DMU

Picture 93 Private commercial structure, pharmacy, right side of the entrance of Zaamin DMU

158

Picture 94 Private commercial structures, two public catrings, right side of the entrance of Zaamin

DMU

Picture 95 Two private commercial structure, shops, right side of the entrance of Zaamin DMU

159

Picture 96 Private commercial structure, samsakhona, right side of the entrance of Zaamin DMU

160

2.3.5 Site visit of Mirzachul DMU

A Letter from khokimiyat of Mirzachul district

161


Letterhead of Khokimiyat of Mirzachul district of Jizzakh region of the RUz.

Emblem

№01-622 dd. September 7, 2016


Mr.Khakimov.

There are 3 private business objects (drugstore and canteen) on the territory adjacent to the territory of

Mirzachul DMA, and 1 of those objects is located out of the wall of DMA and 2 of them are located with

2-4 meters ingress on the DMA wall inner side.

These business objects will not impact the implementation of the Project "Health-3" in Mirzachul DMA

and resettlement of these objects in the future thereof is not foreseen.

District Khokim M. Bobobekov

162

C Cadastral plan of Mirzachul DMU

164

D Photos of Mirzachul DMU

Picture 97 Entrance of Mirzachul DMU

Picture 98 Building of Mirzachul DMU

165

Picture 99 Private commercial structure, located outside of the territory of Mirzachul DMU

(Pharmacy)

Picture 100 Private commercial structure, located inside of the territory of Mirzachul DMU

(Pharmacy). This structure will not be affected by the project.

166

Picture 101 Private commercial structure, located inside of the territory of Mirzachul DMU (public

cafeteria). This structure will not be affected by the project.

167

2.4 Kashkadarya

2.4.1 Documents performing the official data on potential resettlement impact in Kashkadarya

region

According to the document presented below in December 2015 there was no identified potential

resettlement impact in DMUs/CMUs.

168


Ministry of Health of the RUz.

Health Department of the Khokimiyat of Kashkadarya region

03.12.2015

#01-1/3016


Kashkadarya Regional Health Department in reference to your letter №31-3/73 dd. 01.12.2015 is

providing the information on construction and rehabilitation of medical facilities to be equipped within

the framework of the Project “Health-3”.

Enclosure: on 28 pages.

Head of the Regional Health Department (RHD) T. Rasulov

169

2.5 Khorezm

2.5.1 Documents performing the official data on potential resettlement impact in Khorezm region



170


Letterhead of Health Department of

Khokimiyat of Khorezm region

December 11, 2015

#1/2385


Dear Mr. Alimov!

Health Department of Khorezm region in reference to your letter №31-3/73 dd. 01.12.2015 informs you

as follows:

As a result of accomplishment of construction and rehabilitation works on the basis of State Investment

Program in 2010-2015 in district and city Medical institutions within the structure of the Regional Health

Department no social and private business objects were demolished or resettled to another location.

There are no social and private business objects subject to demolition or resettlement as a result of

construction and rehabilitation works to be accomplished in the in district and city Medical institutions in

the years 2016-2018.

Respectfully,

Head of the Department K.R. Tangriberdiev

171

2.6 Navoi


2.6.2 Site visit of Karmana DMU

A Letter from khokimiyat of Karmana district

B - 22

C Cadastral plan (master plan)

D Photos of Karmana DMU

2.6.1 Documents performing the official data on potential resettlement impact in Navoi region


impact in DMUs/CMUs.

22



173


Ministry of the Republic of Uzbekistan

Department of Health of the Khokimiyat of Navoi region

No. 4-02.01/3045

Date: 9 December 2015

To: Executive Director of the Central Bureau for Project Implementation of “Health-3” Project

Mr. V.A. Khakimov

Dear Valikhon Alikhonovich,

In response to your letter No.31-3/73 dated 1 December 2016, the department of health of Navoi region

informs you on the following.

We send you the information on environmental and social protection of the population as a result of

construction and reconstruction works within the Project “Health-3”.

Enclosure: 45 pages.

Mr. F. R. Usmonov

Head of regional health department

Executive person: Yu. Yu. Kosimov

174

A Letter from khokimiyat of Karmana district

175

Letterhead of Khokimiyat of Karmana district of Navoi region of the RUz

#01-03/1041

Date: September 14, 2016

To: Director of the Central Bureau for Implementation of the Project “Health -3” of the

Ministry of Health of the RUz. V.A. Khakimov

Dear Mr. Khakimov,

Hereby we inform you that within the implementation of the Project “Health -3” in cooperation with the

World Bank, the audit was carried out in Medical Association of Karmana district and it was defined that

there were 1 (one) building of physiotherapy (belongs to PC “Karmana Physio Service”) and 4 buildings

of the private drug stores on the territory of the Medical Association.

District Khokimiyat informs you that the building of physiotherapy is planned to be demolished in 2017-

2018 and the 4 buildings of the private drug stores are located out of the territory (“red line”) of the

Medical Association.

District Khokim Sh. Ismatov

For information: phone (8-436)-532-37-52

176

C Cadastral plan (master plan)

177

D Photos of Karmana DMU

Picture 102 Private commercial structure, pharmacy No 1, located outside the fence of Karmana

DMU


DMU

178


DMU

Picture 105 Private commercial structure, physiotherapy department, located inside of Karmana

DMU. This structure will be relocated in 2017-2018.

179


DMU

180

2.7 Namangan


2.7.2 Site visit of Chust DMU

A Letter from khokimiyat of Chust district

B - 23

C Cadastral plan of DMU of Chust district

D Photos of Chust DMU

2.7.1 Documents performing the official data on potential resettlement impact in Namangan region


impact in Chust DMU. Consultant visited Chust DMU during this audit in February 2016. The

confirming documents are presented below.

23



182


List of medical institutions of Namangan region included into the Investment program for 2009-

2015 and equipped within the Project “Health-3”

No. Name of institution Commissioned

before 2015

During 2015 Planned for the

upcoming years

1 Mingbulak RMU 2012-2013

2 Yangikurgan RMU 2012-2014

3 Narin RMU 2014 2015 2016

4 Chartak RMU 2014 2015 2016

5 Chust RMU 2015 2016

6 Kasansay RMU 2016

7 Uchkurgan RMU 2015 2016

8 Uychi RMU 2016

9 Namangan RMU 2016

10 Turakurgan RMU 2016

11 Pap RMU 2016

12 Namangan CMU 2013-2014

13 Family polyclinic No.1 2010



16 Family polyclinic No.4









183


A.Iminov First Deputy Minister

M.Juraboev Deputy Minister

I.Ermatov Economist

Sh.Kuchkarov Chief Accountant

D. Kodirov Director of RBPI “Health-3”

O.Mamajanov Engineer-technician

U.Mirzaboev Lawyer

184

A Letter from khokimiyat of Chust district

185

The original document is in Russian, translation inEnglish is unofficial.

Republic of Uzbekistan

Namangan region

Chust district

Date: March 27, 2016

#01-06/203

Chust city

To Mr. Alimov A.V., Minister of Health of RUz

Dear Mr. Alimov,

Namangan region, Chust district

To reply on your letter #31-3/17 dd.12/12/2016 we inform you on the following:

At present there are 21 commercial structure in the territory of Chust DMU. 20 structures of them are

located in the adjacent territory of Chust DMU. This fact is confirming by cadastral plan of DMU with

marked borders of the territory of DMU and structures of private property located outside the territory of

DMU. All these structures are numbered and information on them is included into the Annex 2 to the

letter.

One structure (pharmacy Umari-Odil Pharm) are located in the territory of Chust district which will be

demolished due to the construction of infectious department in this territory. The rest 20 structures are

located outside the territory and fence of DMU.

We also inform you on that these 20 structures located near the medical facility will not impact the

architectural aspect of the facilities and will not be affected by Health System Improvement Project

("Health-3 project")".

186

C Cadastral plan of Chust DMU

188

D Photos of Chust DMU

Picture 107 Building of pharmacy in the adjacent area of Chust DMU

Picture 108 Facility of public cafeteria in the adjacent territory of Chust DMU (kebab house)

189

Picture 109 Trade kiosks in the adjacent area of Chust DMU as well as uncompleted construction

for business structure

Picture 110 Two chemistries in the adjacent area of Chust DMU

190

Picture 111 Shop located in front of the entrance to the territory of Chust DMO

Picture 112 Shops in the adjacent territory of Chust DMO

191

Picture 113 Public cafeteria facility in the adjacent area of Chust DMO

Picture 114 Pharmacy located in the left side in the adjacent area of Chust DMO as well as

temporary fence of DMU

192

Picture 115 Pharmacy and ultrasonic scanning located in the adjacent area of Chust DMO

Picture 116 Pharmacy in the adjacent area of Chust DMU

193

Picture 117 Commercial structures located in the left side among the adjacent territory of Chust

DMU (several structures located in a row. General view.)

Picture 118 Pharmacy in the adjacent area of Chust DMU

194

Picture 119 Fence of backside of the territory of Chust DMU aimed for the passage of ambulance

car. Pharmacy located in the adjacent area of Chust DMO

.

Picture 120 The structure located inside the territory of DMU to be demolished. This structure is

registered as the pharmacy, but operating as the cafeteria point

195

2.8 Republic of Karakalpakstan

2.8.1 Documents performing the official data on potential resettlement impact in Republic of

Karakalpakstan



196


Letterhead of the Ministry of Health of the Republic of Karakalpakstan

05.12.2015

#01/588

To: Minister of Health of the RUz. A. V. Alimov

Dear Mr. Alimov!

Ministry of Health of the Republic of Karakalpakstan in reference to your request №31-3/73 dd.

01.12.2015 is informing you as follows:

In accordance with the request of the Ministry of Health and the World Bank the working group was

created under the Ministry of Health of the Republic of Karakalpakstan for assessment of environmental

and social factors impact in the process of construction and rehabilitation works on the objects included in

the implementation of the Project “Health-3”.

During the analysis and preliminary assessment it was observed that there were no moved or to be moved

objects of private business I the course of construction and rehabilitation of medical facilities in

2010/2015 and o the objects planned to be included in the Investment program of the years 2016-2018.

Information in written form according to Appendices #1, #2, #3 and #4 has been sent to the CBPI “Healt-

3”.

Respectfully,

Minister D.Sh. Khodjiev

197

2.9 Samarkand


2.9.2 Site visit of Samarkand CMU

A -

B Letter from Geozemkadastr of Samarkand city

C Cadastral plan of Samarkand CMU

D Photos of Samarkand CMU

2.9.1 Documents performing the official data on potential resettlement impact in Samarkand region


impact in DMUs/CMUs. Consultant visited Samarkand CMU during this audit in February 2016. The

confirming documents are presented below.

199


Letterhead

REPUBLIC OF UZBEKISTAN

MANAGEMENT OF PUBLIC HEALTH SERVICES OF

HOKIMIYAT OF THE SAMARKAND AREA

#09-03/3134

7.12.2015

To: Executive Director of CBPI “Health-3” V.A. Khakimov

Department of Health of Khokimiyat of Samarkand region in accordance with your letter dd. December 1,

2015 is sending you the information as per forms attached.

No resettlement of private enterprises from the territories of the below listed areas was observed In the

process of construction and rehabilitation of Kushrabad, Pakhtachi, Payarik, Pastdargom, Ishtikhan,

Samarkand, Jambay, Bulungur, Urgut, Taylak, Narpay, Nurabad DMA, CMA of Kattakurgan town and

Central Municipal multidisciplinary clinic and SP-8 of Samarkand city.

Head of Department B.N. Igamberdiev

200

B Letter from Geozemkadastr of Samarkand city

201


Department on Architecture and Construction of Samarkand city

№413 dd. March 2, 2016

Reference

In pursuance of the letter of the Minister of Health, RUz №31-3-17 dd. February 2, 2016 we inform you

on the following.

Based on Decree of Khakim of Samarkand city №1078 dd July 4, 2014 additional reconstruction of

building of the Family Polyclinic #12 of Samarkand city is allowed.

Private sales and domestic buildings, located at the address 56, Andijan str., Samarkand city are not

included in the documents of cadastral plan, registered on January 11, 2005 by the Central registration

office of Main Department “Samarkandviloyatdavlatkadastr”, issued to Family Polyclinic #12 (Cadastral

Plan of FP #12 in Annex).

In connection with implementation of reconstruction work in Andijan street, for the reason that sales

commercial shops, located at the address Andijan str. 56, did not meet architectural and planning

requirements and rules (absence of parking for private automobiles), and the construction projects were

implemented without correlation to General City Plan, based on applications from owners of these

commercial shops, by Decree of Khakim #16 dd. February 12, 2015, based on approved General City

Plan the land was allocated in this adjacent territory and buildings were newly constructed, they operate at

present. No complaints were received from these entrepreneurs (attached: copies of cadastral books of

sales commercial sites, located in Andijan street, 56).

Based on information given above, hereby we inform you that 5 sales commercial sites located in Andijan

street, 56 were not included in the territory of polyclinic #12, and they are not included there after the

resettlement as well.

Based on the table, we send you copies of authorization documents for opening of sales commercial sites

in the neighboring territory with polyclinic #12, and the information on these sites.

Acting Chief Architect of the City I. Soliyev

202

C Cadastral plan of Samarkand CMU

203

Certificate

On state registration of right to buildings, facilities and multiannual trees

SA 0001383

This certificate is given to Polyclinic #12 at the address of location (place of residence)

________________________ passport series ___________ number_______________, to certify that,

based on attached list on right to operational administration, with an address at Andijan str., 56

Samarkand city, its cadastral number 1416011101 0009 0011005 registered and included in registry of

agreements on it and real estate title of Samarkand city under #306, and relates to buildings, facilities and

multiannual trees.

This certificate is issued by State Cadaster enterprise on land planning and real estate based on Decree of

Khakim of Samarkand city #685 dd. 30.12.1993

Head of State Cadaster enterprise

on land planning and real estate Signature

Registrar ________________ Signature

Seal

List of building types, construction and multiannual trees

Buildings,

construction

and

multiannual

trees

Number

of

cadaster

Area, square meters Number

of trees Total Manufacturing,

living

Polyclinic 0001 741,14 529, 02

204

D Photos of Samarkand CMU

Picture 121 Entrance part of Polyclinic #12, Samarkand city

Picture 122 Left side face Polyclinic #12, Samarkand city

205

Picture 123 Right side face Polyclinic #12, Samarkand city

Picture 124 Distance from the fence of polyclinic#12 of Samarkand to road/ The territory where the

commercial structures relocated as the result of reconstruction streets and roads, were located

206

Picture 125 Territory, allocated for construction of relocated structures. The relocated structures

(because of reconstruction of streets and roads) are operating in this territory

Picture 126 Territory, allocated for construction of relocated structures. The relocated structures

(because of reconstruction of streets and roads) are operating in this territory

207

2.10 Syrdarya

2.10.1 Documents performing the official data on potential resettlement impact in Syrdarya region



208


REPUBLIC OF UZBEKISTAN

DEPARTMENT OF HEALTH OF

SYRDARYA REGIONAL KHOKIMIYAT

10.12.2015

#01/504

To: Central Bureau for Implementation of the Project “Health -3” of the Ministry of Health of

the RUz.

Department of Health of Syrdarya regional Khokimiyat according to the letter №31-3/73 dd. 01.12.2015

of the Ministry of Health of the RUz. Informs you as follows:

On the basis of the Decree of President of the RUz. #PK-2264 dd. November 17, 2014 “On Investment

program for the year 2015” construction and rehabilitation works are being implemented on 7 objects in

the system of the Regional Health Department (Boyovut, Guliston, Saykhunobod, Sardoba, Syrdaryo,

Okoltin DMA and Yangier CMA). No private entrepreneurs and private houses were existed and resettled

on the territory of these facilities.

There are also no private entrepreneurs and private houses on the territory of the facilities commissioned

until 2015 (Khovos DMA) and planned to be included in the Investment program for future years

(Mirzaobod DMA, Shirin and Guliston CMA) in the system of the Regional Health Department.

Information is provided based on the questions as per attached table.

Enclosure: on 7 pages.

Head of Department F. Mavlanov

209

2.11 Syrkhandarya


2.11.2 Site visit of Baysun DMU

A Letter from khokimiyat of Baysun DMU

B -24

C Cadastral plan of Baysun DMU

D Photos of Baysun DMU

2.11.1 Documents performing the official data on potential resettlement impact in Syrkhandarya

region


impact in Baysun DMU/CMU. Consultant visited this DMU in September 2016. The confirming

documents are presented in below.

24



211


Letterhead

THE MINISTRIES OF PUBLIC HEALTH SERVICES

OF REPUBLIC OF UZBEKISTAN

MANAGEMENT OF PUBLIC HEALTH SERVICES

SURKHANDARYA REGIONAL

December 09, 2015

#01-5/1965


Dear Mr. Alimov!

Surkhandarya R

Regional Health Department in reference to your letter №31-3/73 dd. 01.12.2015 informs you that no

impact was made to the business objects during the construction and rehabilitation works accomplished

on the basis of Investment Program in the District Medical Associations in the structure of Regional

Health Department.

We inform you that as a result of construction and rehabilitation works accomplished on the basis of

Investment Program in Baysun district medical association, 2 business objects in 2015, and 10 business

objects in 2016 were resettled to different location.

Note: All information is attached.

Respectfully,

Head of the Regional Health Department Sh.K. Almardanov

212

A Letter from khokimiyat of Baysun DMU

213

Letterhead of First Deputy Khokim of Baisun District

07.09.2016

#03-4/92

To: Director of the Central Bureau for Implementation of the Project “Health -3” of the

Ministry of Health of the RUz. V.A. Khakimov

Hereby we inform you that within the implementation of the Project “Development of Health System of

the Republic of Uzbekistan (“Health -3”)”, the independent audit was carried out by World Bank in

Medical Association of Baisun district. As a result thereof it was defined that there are no private objects

on the territory of the Medical Association of Baisun district, and on the territories adjacent to the District

Medical Association there are 15 private objects and they will not hinder the implementation of the

Project.

We inform you that these 15 objects according to the cadastre documents are located out of the territory

(“red line”) of the District Medical Association.

Respectfully,

First deputy khokim of the district S. Islomov

215

Letterhead of Baisun district Khokim

27.09.2016

# 01-21/273

To: First deputy Minister of Health of the republic A.A. Khudoyorov

Dear Mr. Khudoyorov!

Khokimiyat of Baisun district of Surkhandarya region in reference to your letter No.31-3/72 dd.

September 14, 2016 informs you as follows.

There are no private commercial objects on the territory of the Baisun district medical association.

Private commercial objects located on the adjacent territories are beyond the territory according to

cadastre documents of the clinic.

Respectfully,

District Khokim Sh. Umidov

216

C Cadastral Plan of Baysun DMU

217

D Photos of Baysun DMU

Picture 127 Private commercial structure, stomatology, located outside the territory of Baysun

DMU

Picture 128 Private commercial structure, pharmacy No1, located outside the territory of Baysun

DMU

218

Picture 129 Private commercial structure, pharmacy No2, located outside the territory of Baysun

DMU

Picture 130 Private commercial structure, shop No1, located outside the territory of Baysun DMU

219

Picture 131 Private commercial structure, hairdressing salon, located outside the territory of

Baysun DMU


220



221

Picture 135 Private commercial structure, public cafeteria, located outside the territory of Baysun

DMU. Not operating structure.

Picture 136 Private commercial structure, pharmacy No 3, located outside the territory of Baysun

DMU

222

Picture 137 Private commercial structure, diagnostic center, located outside the territory of Baysun

DMU

Picture 138 Private commercial structure, shop No 5, located outside the territory of Baysun DMU.

Not operating structure

223


DMU


DMU. Not still operating structure

224

2.12 Tashkent region

2.12.1 Documents performing the official data on potential resettlement impact in Tashkent region


resettlement impact in DMUs /CMUs.

225


Letterhead of the Ministry of Health of the RUz.

Health Department of Khokimiyat of Tashkent region

#01/3056

10.12.2015


In accordance with the request of the Ministry of Health and the World Bank, as well as per instruction

letter №31-3/73 dd. 01.12.2015, for assessment of environmental and social factors impact in the process

of construction and rehabilitation works on the objects included in the implementation of the Project

“Health-3”, all objects planned to include in the Investment Program 2016, 2017 and 2018 are not

resettled on the territory of private business.

Acting Head of RHD I.I. Abduraimov

226

2.13 Fergana

2.13.1 Documents performing the official data on potential resettlement impact in Fergana region


resettlement impact in DMUs /CMUs.

227


Letterhead of the Ministry of Health of the RUz.

Health Department of Fergana region

12.12.2015

#01-09/3715


Health Department of Fergana region in reference to your letter №31-3/73 dd. 01.12.2015 informs you as

follows:

As a result of accomplishment of construction and rehabilitation works (during the years 2012, 2013,

2014 and 2015) in the Medical institutions on the basis of State Investment Program and their re-

equipment within the Project “Health-3” in the region, the study of resettlement to another locations of

business objects adjacent to the above mentioned facilities was carried out.

As a result of study it was found out that no resettlement activities were carried out to the business objects

adjacent to the above mentioned facilities. We also inform you that there are no business objects on the

territory of Medical institutions that planned to be resettled as a result of construction and rehabilitation

works to be accomplished in the future.

(Information on facilities that are subject to construction and rehabilitation works is enclosed).

Head of Health Department of

Fergana region M. Sadykov

228

Annex 3: Public consultations

Public consultations on social protection measures and grievance redress mechanism on

involuntary resettlement in accordance with World Bank procedures (ОР 4.12)

Health III Project

Date: May 12 -13, 2016

Objective of consultations:

i. To conduct public hearings for detailed information of all interested people and people under the

project impact on World Bank protective measures and Legislation of the Republic of

Uzbekistan, particularly regarding issues on environmental protection and involuntary

resettlement of commercial enterprises in the Health III Project framework in Andijan region

(Ulugnor DMU, Shakhrikhan DMU, Namangan region (Chust DMU)).

Information on conducted consultations in Andijan region:

Involving staff, representatives of makhalla committee of nearby commercial structures and other core

groups, public hearings were conducted in order to explain requirements of the World Bank (OP 4.01,

4.12). In particular, there were considered issues on transaction, allocation and transfer of land, as well as

implementation of Environmental Project Management Plan (EPMP). Special attention is paid to GRM

under the project framework.

Below there are pictures of conducted public meetings:

229

Ulungur DMU

Presentation on ecology and resettlement issues

Participators of public hearings

Ulungur DMU district

Territory of Ulungur District DMU

Minites of the public meeting

Ulungur city, Andijan region



Health III Project

Agenda:

1. Compliance with protection measures of the World Bank in accordance with ОР 4.01. and 4.12.

2. Provision of objects under the Investment Program for 2016 with equipment within the

framework of the Project

Participants:

Regional Director of RPIB;

Consultant on ecology issues CPIB,

Chief physician FPNo. 3; Mirabal district

Representatives of “Bilimdon” makhalla

Chief specialist of monitoring department of health reforms

230

Other stakeholders

.Key statements:

1. Regional Director G. M. Teshabayev presented objectives and tasks of the Health III Project. He

told about upcoming work under this project, about financial resources.

2. The consultant on ecology issues of CPIB, M. Muminova а М. performed presentation on WB

requirements (ОР 4.01 and ОР 4.12) and Legislation of Uzbekistan on environmental issues

during the construction and after it. The detailed EPMP was presented, noise, dust, warehouse

and waste management, effluent water issues were considered. There was also presented a form

of keeping records of citizens’ complaints, regarding issues on DMU reconstruction. Issues on

transparency of the information on DMU reconstruction.

3. Detailed information on resettlement issues, RUz regulatory legislation and social protection

measures of the World Bank according to 4.12.

4. The Procurement specialist of CPIB D. Ortikova instructed on filling the registration book

equipment usage, received under the project.

5. At the end of the presentation, questions were asked and answers were given.

List of questions

Questions Answers

Sh. Mutalova, adviser of makhalya committee –

When does the construction start?

Chief physician M. A. Asrarova – the construction

will start this year, 2016. Presently the tender is

going on, by the middle of March this year the

contractor will be determined.

Sh. Yuldashev, chairman of the makhalla

committee - Will the polyclinic be working during

the construction?

Chief physician M. A. Asrarova – Yes, the

polyclinic will continue working according to two-

shift schedule. Barriers will be arranged, and

physician’s work will not be interfered by the

builders.

Can we store the construction materials on the

DMU territory/ construction site supervisor

You can store the construction materials, but there

should be barriers and sings

Construction waste placement, can we store the

waste in containers, then cart away/manager of

contractor

Placement of construction waste should be

implemented in special allocated places

Who will conduct the monitoring during the

reconstruction/ DMU chief physician

Specialists of State Architecture and Construction

Inspectorate (GASN) will be responsible for

monitoring. CPIB engineers will monitor EPMP

implementation

If citizens have any questions, who to apply to/

representative of makhalla committee

According to DMU Chief physician’s order the

responsible person for DMU reconstruction will be

nominated, who will keep a record of citizens in the

book

When the builders can start to work/ construction

site supervisor

According to regulatory documents, the working

day should last during the day time.

It was decided:

231

Accept EPMP for execution. The contractor companies will arrange their work according to activities

presented in EPMP. DMU managers will keep record of citizens’ appeals from nearby makhalyas in

special record book. Monitoring of ecological requirements implementation will be done by the

specialists of DMU, CPIB, as well as by GASN.

Shakhrikhan DMU

Public hearings

Territory of Shakhrikhan DMU

Metal fence of DMU territory

Passport of site

232

Information on conducted consultations on Namangan region:

Together with the head of Namangan regional department S. Muminov, we held a meeting with the

regional Khokim H.H. Bazarov and with the Deputy of Khokim T.T. Dadabaev, where questions on

private facility relocation were discussed - catering site (cafe), which is located on the territory of Chust

DMU. The object is registered as a pharmacy, but functions as a site of catering.

According to the approved project of reconstruction at the dislocation place, construction of the infectious

department of the central district hospital is planned. The importance of the issue of migration was raised

and the early resolution of the issue, taking into account the requirements of the legislation of Uzbekistan

and the World Bank's Operational Policy.

Once again it was emphasized that the affected person will receive compensation according to the World

Bank's requirements.

GRM was discussed in details for all parties, stakeholders or persons under the impact of project activity.

It was agreed that in order to ensure compliance with the Republic of Uzbekistan and the World Bank's

policy on involuntary resettlement, an independent assessment of the value of property and payment of

compensation, the provision of new places of deployment of the object should be conducted before June

1, 2016.



Health III Project

Date: May 18-19, 2016

i. Objective of consultations:

To conduct public hearings for detailed information of all interested people and people under the

project impact on World Bank protective measures and Legislation of the Republic of

Uzbekistan, particularly regarding issues on environmental protection and involuntary

resettlement of commercial enterprises in the Health III Project framework.

Information on conducted consultations in Samarkand:

Jointly with the Coordinator of “Health III” Project, representatives of city Khokimiyat, oblast health

department, chief physician and staff of family polyclinic, resettled commercial structures and core

groups of makhalla committee named after G. Gulom, the public hearings were conducted with the

explanation of the World Bank requirements. (ОП 4.12).

The hearings were arranged; nevertheless, these resettled commercial structures are not involved in the

process of involuntary resettlement under the Health III project framework.

Presentation on resettlement issues Participants of public hearings

233

Announcement on public hearings

Opening of the meeting

Minutes

Samarkand city, Makhalla committee named after G. Gulyam



Health III Project

Agenda:

1. Compliance with protection measures of the World Bank in accordance with ОР 4.01. and 4.12.

2. Introduction with the GRM on issues of involuntary resettlement.

Participants:

Chief physician FPNo. 12 Samarkand city

Representatives of makhalla named after G. Gulyam

Representative of Khokimiyat, Samarkand city

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Representative of OHD Samarkand region

Representatives of five private sites, citizens of makhalla and polyclinic staff.

Key statements:

1. CPIB Heath III Project Coordinator R. G. Mukhamediyarova gave information on objectives and

tasks of the project on health system improvement (Health III), as well as on directions of the

loans aimed at improvement of medical services in Samarkand region.

2. Project specialist D. Ortikova gave a presentation on Legislation of the Republic of Uzbekistan

and requirements of the World Bank on environmental protection issues during the construction

work and measures on social protection of resettled persons and sites. The detailed framework

document was presented on involuntary resettlement results on independent audit of

reconstruction of family polyclinic #12, located in the territory of makhalla named after G.

Gulom.

3. The Consultant of the Project M. Malinovskaya jointly with the Samarkand RPIB Health III

Director D. Kh. Tagayev conducted review of the territory of family polyclinic#12, Samarkand

city, included in the Investment Program on Samarkand CMU. During the review period of the

territory of family polyclinic #12 there were not found private commercial sites. However,

Deputy of Khokim on construction of Samarkand city, informed that in the nearby territory,

beyond the existing fence there were located commercial sites. These sites were resettled under

the reconstruction of the city streets.

4. This is confirmed by the existing cadastral plan presented by the General Directorate of

Architecture and Construction of Samarkand (letter number 493 dd. March 2, 2016).

5. Thus, in the city of Samarkand there are no objects that would have an impact of the project and

subject to resettlement / land acquisition.

6. The issues on management of appeals and grievance redress procedures were discussed. Also the

form on record keeping of citizens’ appeals regarding sites resettlement issues, located near the

family polyclinic. Issue on transparency of grievance redress were discussed.

6. At the end of the presentation, questions were asked and answers were given.

During the discussion, representatives of private organizations and displaced members of the

makhalla committee agreed with the results of the audit. All sites listed in the report received

allotments and at the time of the public hearing, it was revealed that all five sites gained ground

and they are implementing the construction work, one of the displaced object (pharmacy) has

completed the construction work, the rest ones are in the process of construction.

The chairman of makhalla committee noted that the level and quality of construction work is

high.

Question: Davron Turakulov, owner of the barberry asked if he could get material support from

the project for construction work and equipment.

Answer: Deputy of head of the CHD, Samarkand city, I. R. Mamurov and chief physician of the

polyclinic D. S. Sabirova replied, that loans of the project cannot be used for private sites support

and suggested to use credit loans, offered by Khokimiyats.

It was decided:

1. Authority of family polyclinic in the person of the chief physician D. S. Sabirova will keep a

record of the citizens' appeals of the near located makhalla in a special record book.

2. Chairman of makhalla committee named after G.Gulom, O. M. Gafurov will take personal

control over the completion of construction work on the displaced private facilities.

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Minutes



Health III Project

Public and individual consultations

Andijan region, September 6, 2016

Djizzak region, September 7-8, 2016

Navoi region, September 14, 2016

Surkhandrya region, September 9, 2016

Agenda:

1) Introduction: General information on the Project implementation;

2) Results of resettlement audit.

3) Briefly: General provisions of national legislation, the procedure for alienation of land and

compensation, the World Bank Policy on Involuntary Resettlement.

4) Detailed grievance redress mechanism;

5) Discussion of issues and problems being of interest of the project beneficiaries and stakeholders..

Participants:

1. Representative of medical facilities

2. Representatives of private commercial structures

Key issues discussed during the individual consultations

Questions Answers

When does the construction start? The construction will start this year, 2016 or in

2017. The construction will also start after

approving the list of medical facilities under

reconstruction in State Investment Program.

Will the medical facilities be working during the

construction?

Yes, the medical facilities will continue working.

Will any resettlement impact be observed because

of project activities?

At this stage there is no proved decrees on

resettlement impacts / relocation of the structures.

According to the results of audit only 2 private

commercial structures (Chust, Namangan and

Karmana, Navoi region) may be potentially

relocated.

Who will conduct the monitoring during the

reconstruction/ DMU?

CPIB representatives as well as Independent

Resettlement Consultant will monitor the potential

resettlement impacts.

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List of participants and photos of public consultations

Andijan region, Bulakbashi district

237

Pakhtaabad district

238

Djizzak region, Zaamin district

239

Galaaral and Arnasay distrcits

241

Navoi region, Karmana district

243

Surkhandarya region, Baysun district