ປອດໄພໄວ້ກ່ອນ/ ໄວ້ເນ ້ ອເຆ ່ ອໃ/ ລວມພະລັຄ/ ົນດີ ຂອຄສັຄົມ

Hongsa Health Surveillance Start-up & Approaches 24th Nov 2015

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Hongsa

140 ກມ

35 ກມ

Nan

The Journey

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Construction Phase: Year 2010-2016

Concession Period: 25 years

Capacity: 1,878 MW (626 MW x 3 units)

Customers: EGAT 1,473 MW and EdL 100 MW

Power Plant

Lignite Mine

Limestone Quarry

Water Reservoirs

115kV Transmission Line EDL

Infrastructures

Environment & Resettlement

500kV Transmission Line to EGAT

Hongsa Project Profile

Safety First, Trust, Synergy and Good Citizen 4

Project Affected Persons (PAPs)

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PAP1 or Resettler

5 villages: 422 hh; 1,995 persons

Ban Mai – Power Plant

Ban Champa – Diversion / Earth Bund

Ban Na Mai Yom – Nam Kene Dam

Ban Na Nong Kham – West Dump

Ban Na Xay Kham – West Dump

PAP2 - Loss of land, but no relocation

12 Villages: 2,116 hh; 10,007 persons

PAP3 - Host communities

2 Villages, 50 hh, 334 persons

Ban Nachan

Ban Nabalone

Hongsa Health Surveillance Start –up &

Approaches Background Information:

– There was a concern of environmental health from PAPs and knowledge gained from the

inappropriate information of the controversial coal-fired power plant.

– Study of Health Impact Assessment (HIA) and planning of Public Health Action Plan (PHAP) for

Hongsa Project was arranged in 2012.

– Health surveillance program for PAPs living in the community surrounded CA area has been

developed in 2014.

Objectives: To ensure that environmental health concerns of PAPs living in the communities surrounded

Concession Area (CA):

– are given attention and priority;

– has the resources available to participate in the process;

– secured transparency and accountability of the healthy community;

– understood the decision-making process and are involved to the extent that allow for acceptance

of the final outcomes.

Hongsa Health Surveillance Start –up &

Approaches Health Check for Baseline: TARGET

Total M F Total M F

I Hongsa 4,201 2,121 2,080 I Hongsa 6,168 3,120 3,048

1 Ban Han 1,713 863 850 1 Ban Phonesung 429 208 221

2 Ban Phonechan 473 243 230 2 Ban Phonexay 1,154 591 563

3 Ban Champa 421 211 210 3 Ban Phonesa-ad 568 276 292

4 Ban Viengkeo 970 490 480 4 Ban

Sibounheang 1,261 643 618

5 Ban Nasan 624 314 310 5 Ban Simongkol 1,372 697 675

II Muang Ngeun 1,999 1,009 990 6 Ban Chomcheng 893 455 438

6 Ban Kang 390 200 190 7 Ban Kiew

Muang 491 250 241

7 Ban Bi Mee 844 424 420 II Muang Ngeun 1,328 656 672

8 Ban Pia Ngam 765 385 380 8 Ban Kiew Ngiew 527 257 270

6,200 3,130 3,070 9 Ban Na Yang

Kham 801 399 402

7,496 3,776 3,720

II. Communities Located within 6-10 km

Total

Total

Population of PAPs for Health Checks

VillageNo.Population

No. VillagePopulation

I. Communities Located within 0-5 km

Hongsa Health Surveillance Start –up &

Approaches

Strategic Action: 1. Strengthen Village Health Volunteer:

– Focused existing village health

volunteer

– Clearly defined scope of responsibility

with a focus on environmental

sanitation.

– Jointly developed indicator of

environmental sanitation for monthly

monitoring.

– Provided greater education &

knowledge of environmental sanitation,

disease prevention, health promotion,

etc. will be through the Project COD

period.

Hongsa Health Surveillance Start –up &

Approaches 2. Health Check for Baseline:

– A number of discussion of health

indicators with relevant GOL for

baseline & vulnerable area.

– Taken photo of existing house

including risk point in the

communities for baseline.

– Arranged general health check

including respiratory issues, non

communicable disease, stress, ear

annoyance, etc.

– Result of health check and

recommended health promotion has

been disclosured by small group

discussion with PAPs.

Hongsa Health Surveillance Start –up &

Approaches 2. Health Check for Baseline -

Continued:

– The holistic health check was implemented

by GOL's medics team from Xayaboury

hospital as part of capacity building and use

of the medical equipment provided by the

Project.

– For those communities located within 6-10

km radius from the power plant (the second

most sensitive area) that will be Hongsa

municipality, health check for baseline will

be arranged in early 2016.

– Indicator of health check will focus the

related respiratory issues, non communicable

disease and the target group will be

population at risk e.g. child, elder, pregnancy,

underlying disease persons.

Hongsa Health Surveillance Start –up &

Approaches 3. Capacity Building Program:

– Comprehensive in nature, not limited to arranged

training, it includes on-the-job training.

– Focus village volunteer and District GOL's Public

Health.

– Arranged training of environment-related health

surveillance (e.g. linkage analysis of environment and

health, popular epidemiology, basic biostatistics, etc.).

– Active & passive surveillance will be implemented

through village volunteer & public health post,

respectively.

– Study trip for exploring the successful aspects of the

health program, etc. including technical collaboration

on health program between the two countries (Lao PDR

and Thailand) will also be arranged.

Hongsa Health Surveillance Start –up &

Approaches 4. Popular Epidemiology (Community-led Mapping

Breaks Cycle of Sickness): – The concept was that villagers draw on their map, noting landmarks,

burning sites, other hazards and location of people who have been sick,

and record illness on the map.

– Later the maps will paint with colorful symbols and it provides

illustration of sick people clustered around the field that was burned (or

source of hazards), which it will be the starting point of discussion of

how they might reduce burning and/or source of vulnerability or hazards.

– Popular epidemiology is key to improve public health by enabling

villagers to link environmental cause with illness.

– People become engaged when they make discoveries and then take

action to lead their own health promotion.

– It could be say that community led mapping is a tool for community to

recheck the Project in term of HSE (Health, Safety and Environment)

perspectives.

– This activity will be implemented by a team of GOL though village

volunteer, which will be late 2015.

Hongsa Health Surveillance Start –up &

Approaches

5. Health Surveillance includes various

activities of environmental health by

village volunteers & including sampling

health check by GOL's medical team will

be fully implemented in the following year

and over the operation period.

6. Compensation Fund to remedy those

who will be affected by the Project in term

of health service, welfare, etc. will be

established though consultation among

PAPs, GOL, and HPC.

Hongsa Health Surveillance Start –up &

Approaches Outcome:

As this program has just been set-up, output and outcome have not been yet concrete.

However, an improved quality of lives (healthy and wealthy) of the affected

community located nearby the coal-fired power plant over the operation period is an

ultimate goal of Hongsa Project.

Challenges: 1. The Project area is occupied by bush fire and smoke from clearing farmland;

2. Health indicators depends on how reliable and representatives of the local context; and

3. Capacity development of health surveillance.

Hongsa health surveillance program by a team of GOL and village volunteer is a must and

has just been set-up. The journey of healthy community is a continuous process and

may well be future challenge. The size of the challenge depends on commitment for

healthy community to be jointly agreed by PAPs, GOL, and HPC.