One of the most important institutions of the Zvyahelsk urban territorial community is the Municipal Non-Profit Enterprise "Zvyahelsk Multi-Profile Hospital" ZMR. This institution serves not only the residents of our community (61.0 thousand local population and 2.0 thousand internally displaced persons), but is also the central medical institution for the entire Zvyahelsk district with a population of 169.0 thousand people.     The main building of the institution is the medical building No. 2, which houses 10 inpatient departments for round-the-clock treatment, where urgent, urgent, emergency and planned medical care is provided to 342 patients per day, including up to 20 surgical operations per day. Examinations are carried out 24 hours a day: X-ray, endoscopic, computed tomography, ultrasound diagnostics and laboratory tests.

This building has significant energy costs due to an outdated heating system and the lack of thermal insulation of the internal walls and roof (energy efficiency class G), which leads to excessive energy consumption. Increased energy consumption also increases greenhouse gas emissions, which contradicts the principles of sustainable development. In addition, the engineering systems, in particular ventilation, are worn out and require replacement to achieve modern standards of energy efficiency and comfort. Healthcare standards require maintaining optimal temperature conditions and air exchange for the treatment and prevention of infectious diseases, which makes modernization even more relevant.

The hospital has prepared and paid for design and estimate documentation for the implementation of relevant energy-efficient measures, which received a positive expert report and registration with the UDESSB.

Expected results:

• Measures have been taken to thermally modernize the building (repair and construction work on the reconstruction of the roof, insulation of the basement, facade and attic, and modernization of the ventilation system taking into account current DBN).
• The quality of medical services has been improved by ensuring comfortable conditions for patients in the building of the medical building No. 2 (over 12 thousand people annually).
• The consumption of thermal energy by the building of the medical building No. 2 has been reduced by 36% and in general by the KNP «Zvyahelsk Multi-Profile Hospital» ZMR by 13%.
• The local budget's expenses for the needs of communal services (heating) have been reduced.
• The operating life of the building of the medical building No. 2 has been extended by approximately 20 years.