"Strengthening the health system and saving lives" (HEAL Ukraine)


Sector
Healthcare
Stream
Ensuring access to quality medical care through the development and modernization of medical infrastructure facilities
Preliminary Investment Feasibility Study
Project Status
Investment Feasibility Study
Entry into Portfolio
State Single Project Pipeline
Implementation
Completion

General information

Description of the project

 The project aims to provide better access to new urgent areas of care (psychiatric care and rehabilitation services), will contribute to improving the health of the population in the short and long term, which will enable more productive employment and increased well-being at both the individual and societal levels, providing financial protection from high out-of-pocket health care costs.  Part 1 will finance activities aimed at strengthening and reconfiguring the delivery of rehabilitation and mental health services to better respond to the current crisis and create better platforms for future service delivery, including: procurement of necessary equipment and vehicles to support rehabilitation services; rehabilitation of mental health and rehabilitation facilities; training of medical staff of health facilities at inpatient and outpatient levels; technical support to the Ministry of Health and the National Health Service of Ukraine (NHSU) in defining the scope and developing standards for the provision of services at the inpatient and outpatient levels; updating procedures for verifying electronic medical records; development of concepts and plans for the modernization of mental health and rehabilitation services at the level of primary and specialized medical care. Part 2 provides for: procurement of equipment and meeting other needs of primary health care facilities, as well as repair work to restore the functioning of primary health care facilities selected in accordance with the criteria set out in the Project Operational Manual; rehabilitation and provision of equipment to up to 80 damaged primary health care facilities requiring significant repairs, as well as procurement and installation of solar panels in at least 100 primary health care facilities selected in accordance with the criteria set out in the Project Operational Manual; creation, training and deployment of mobile teams to provide essential health services in areas most affected by the current emergency, as well as in remote areas; development of a medium-term plan for the restoration and reconstruction of the primary health care network in Ukraine, including the development of technical specifications for a new expanded model of primary health care or "PHC Plus". Part 3 includes, in particular: development of sectoral planning of the hospital network, technical specifications and project documentation to support the selection of hospitals to be renovated and the implementation of renovation works; rehabilitation of individual hospitals using technical specifications prepared in accordance with Part 3 (a), which may include, inter alia, improving energy efficiency and ensuring access to alternative energy sources, construction of new buildings as part of existing facilities that do not require the acquisition of new land; strengthening pre-hospital emergency services, in particular through the purchase of vehicles and relevant equipment and the implementation of construction works for emergency medical care centers.

The activities of Part 4 of the project will be aimed at: Development of e-health and digital innovations, in particular the implementation of digitalization projects that will improve the efficiency, transparency and control of service provision and make healthcare services more user-friendly. Establishment of standardization quality of services and technical assistance to develop the capacity of key health institutions. Provide support to the Ministry of Health of Ukraine for the implementation and management of the project. Indicate the type of problem that the project solves and briefly describe it. Justify the existence of the problem (need) and the need to solve it (for example, increasing demand or reducing capacity under sustainable demand). The project is aimed at solving the following problems in the field of health care: critical load on the national health care system caused by significant destruction of health care facilities; destruction of civilian infrastructure affecting access to services, an increase in the number of people requiring medical services in the field of mental health and rehabilitation, as a result of the invasion; an increase in the number of health care facilities damaged as a result of the war; failure of the population of Ukraine to receive quality health services; insufficient level of integration of digital healthcare systems, insufficient level of cybersecurity of health-related patient data, need for new healthcare system modules on disability and rehabilitation; increasing number of palliative patients.

The purpose of the project

Main goal:

Improving the quality of services

Secondary goal:

Rebuilding the damaged/destroyed

Description of the purpose of the project and ways to achieve it

The Project aims to restore and improve access to essential health services; meet new and urgent needs for health services; and provide financial protection in an emergency.

Problems and solutions resulting from project implementation

The project aims to address the following health care challenges: critical strain on the national health care system caused by significant destruction of health care facilities; destruction of civilian infrastructure affecting access to services; increasing numbers of people requiring mental health and rehabilitation services as a result of the invasion; increasing numbers of health care facilities damaged by the war; lack of access to quality health care services by the Ukrainian population; insufficient integration of digital health care systems; insufficient cybersecurity of health-related patient data; need for new health care system modules on disability and rehabilitation; increasing numbers of palliative care patients.

Socio-economic context

Indicator

Value

Number of users from low-mobility population groups

500000 human

Number of people who will use the service

1000000 human

Strategic Case

Strategic feasibility of the project

Sector

Healthcare

Subsector

Specialized medical care

Stream

Ensuring access to quality medical care through the development and modernization of medical infrastructure facilities

Strategic document

Strategy for the Development of the Healthcare System until 2030

Task

Strategic goal 1 Ensuring universal access of the population to quality medical services and tools for implementing the right to health

Project objectives

Indicator
Base value
Target value
Number of institutions that the Project enabled to strengthen their capacity
0 units
4 units
Number of facilities that have optimized the structure of providing new or improved mental health services
0 units
400 units
Number of hospitals upgraded under the Project
0 units
10 units
Number of hospital modernization projects in accordance with the hospital network optimization strategy
0 units
5 units
Number of PHC facilities renovated under the Project
0 units
7 units

Demand for the service and its dynamics

Indicator
Year
Demand
Annual demand for services/infrastructure
1
1000 human
Economic justification

Alternative technical solutions

Technical Solution 1

Restoration and development of a sustainable national model of the medical industry in Ukraine

Technical Solution 2

n/a

Total costs30'960'000'006 UAH0 UAH
  • For preparation
  • 1 UAH0
  • For implementation
  • 15'480'000'000 UAH0
  • For operation
  • 1 UAH0
  • For closing
  • 1 UAH0
    Average annual costs1 UAH0
    Project duration, incl.48'624 months0 months
  • Deadline for developing a FFS
  • 24264 months0 months
  • Service life
  • 48 months0 months
  • Implementation period
  • 24312 months0 months
    Target indicatorsDefined Not defined
    Components of a technical solution
    To components
    0
    To components
    0

    Financial justification

    Total project budget

    Total preliminary budget30'960'000'006 UAH0 UAH
    Capital costs30'960'000'006 UAH0 UAH
    Operational costs0 UAH0 UAH

    Preliminary cost breakdown

    Operating costs for implementation0 UAH0 UAH
    For preparation2 UAH0 UAH
    For implementation30'960'000'000 UAH0 UAH
    For operation2 UAH0 UAH
    For closing2 UAH0 UAH

    Average project cost per service recipient

    Service UnitМедична послуга
    Service Unit Cost1 UAH

    Profitability of the project

    Is the project expected to generate income?

    ResponseNoNo

    spi.projectFinancingMechanisms.title

    spi.projectFinancingMechanisms.subtitle

    spi.projectFinancingMechanisms.rowTitleYesNo

    Funding Sources

    Management Rationale

    Risk assessment

    Technical riskDefined
    Economic riskDefined
    Market riskDefined
    Environmental riskDefined
    Results of the feasibility analysis
    Economic Analysis
    Social benefits and costs
    The implementation of the Project's activities will contribute to a comprehensive improvement in the quality of medical services in Ukraine.
    Environmental benefits and costs
    Project activities are implemented in accordance with the World Bank's social and environmental policies.
    Indirect benefits and costs
    The project also provides for indirect costs (as eligible costs)