Reconstruction (partial thermo-modernization) of the medical building No. 2 of the Zvyagel Multispecialty Hospital

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
Local level of SPP
Implementation
Completion

General information

Description of the project

The project is aimed at increasing the energy efficiency of the medical building No. 2 of the Municipal Non-Profit Enterprise "Zvyahelska Multi-Profile Hospital" ZMR by carrying out partial thermal modernization of the building and modernization of the ventilation system.

The main goal is to reduce energy consumption, significantly reduce local budget expenses for building maintenance and reduce CO₂ emissions. Also, health standards require maintaining optimal temperature conditions and air exchange for the treatment and prevention of infectious diseases, which makes modernization even more relevant.

The building of the medical building No. 2 has a low level of energy efficiency (class G), which leads to significant losses of thermal energy due to the lack of proper thermal insulation and the absence of a ventilation system. As a result, the annual costs of heat supply are high and amount to approximately 3 million UAH, which creates a constant financial burden on the community budget.

The project envisages the implementation of a set of measures, including 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 the current State Building Codes.

Expected results of the project implementation:

  • reduction of thermal energy consumption by the building up to 36%;
  • reduction of local budget expenses for heat supply by approximately 1 million UAH each year, which will reduce the financial burden on the community budget and free up resources for other priority needs;
  • reduction of CO₂ emissions by 106 tons/year and increase the environmental sustainability of the facility;
  • extension of the building's service life approximately 20 years;
  • improving the optimal temperature regime and air exchange for the treatment and prevention of infectious diseases;
  • reducing the spread of infections, improving air quality and promoting faster and safer recovery;
  • reducing the concentration of harmful substances, such as vapors of disinfectants, medicines and anestheticscreating safe conditions for staff and patients

The project documentation for the implementation of the measures has already been developed, examined and registered with the EUDESSB, which ensures readiness for a quick start of implementation. 

The purpose of the project

Main Goal:

Introducing innovations and energy-efficient solutions

Secondary Goal:

Contribution to climate or environmental goals, Increasing compliance with modern standards, Improving the condition of infrastructure, Improving the quality of services

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

The main goal of the project is to introduce innovative and energy-efficient solutions in the medical building No. 2 of the Zvyahelskaya Multi-Profile Hospital of the Municipal District of the Republic of Belarus to significantly reduce the building's energy consumption, optimize local budget expenses, and increase the overall energy efficiency of the municipal infrastructure. This goal is expected to be achieved through partial thermal modernization of the building. In particular, the project provides for: • introduction of modern thermal insulation materials for insulation of facades, basement and attic floors, which will minimize heat energy losses through enclosing structures; • reconstruction of the roof using energy-efficient technologies that will provide additional thermal insulation and durability of structures; • modernization of the ventilation system with the introduction of energy-saving solutions, which will reduce heat loss and increase the efficiency of air exchange, which affects the maintenance of optimal temperature conditions and air exchange for the treatment and prevention of infectious diseases. The implementation of these measures will allow moving from an outdated, energy-consuming model of building operation to a modern energy-efficient system based on the principles of sustainable development and rational use of resources. As a result, a significant reduction in energy consumption and a reduction in budget expenditures on utility bills will be achieved.

Problems and solutions resulting from project implementation

The medical building No. 2 of the Zvyahelsk Multi-Profile Hospital of the ZMR has a low level of energy efficiency (class G) due to the lack of proper thermal insulation. This leads to significant heat loss and excessive consumption of energy resources. As a result, the annual costs for heat supply are approximately UAH 3 million, which creates a significant and constant burden on the local budget and leads to inefficient use of financial resources. Also, due to the lack of a ventilation system, the temperature regime and air exchange in the medical building have deteriorated, which negatively affects the stay of patients. Results: The implementation of the project will allow: • reduce heat energy consumption by up to 36%; • reduce budget expenses by UAH 1 million annually; • reduce heat loss and increase the efficiency of engineering systems; • reduce CO₂ emissions by 106 tons/year; • ensure more rational use of budget funds and extend the life of the building; • reducing the spread of infections, improving air quality and promoting faster and safer recovery; • reducing the concentration of harmful substances, such as fumes from disinfectants, medicines and anesthetics • creating a safe environment for staff and patients

Socio-economic context

Indicator

Value

Number of IDPs in the geographical area of impact of the project

7.7 thous. people

Population in the geographical area of influence of the project

169 thous. people

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

Стратегія розвитку територіальної громади

Task

1.4.3.. - 2.2.1. Modernization of healthcare facilities and introduction of disease prevention measures. Ensuring the functioning and operation of rehabilitation centers.

Project objectives

Indicator
Base value
Target value
Reduction of local budget expenditures for utility services (heating), million/year
3 mln UAH
2 mln UAH
reduction of annual CO₂ emissions
296 t
190 t

Project Sustainable Development Goals

Demand for the service and its dynamics

What methodology was used to estimate demand?

Оцінка попиту на модернізацію лікувального корпусу №2 КНП "Звягельська багатопрофільна лікарня" ЗМР проводилася з використанням комплексного підходу, що поєднує кількісні та якісні методи аналізу. Було здійснено аналіз фактичного річного споживання теплової та електричної енергії за останній рік із урахуванням тарифів та вартості енергоресурсів, а також визначено основні джерела тепловтрат будівлі. Паралельно проведено інспекційні огляди огороджувальних конструкцій, покрівлі, віконних блоків та інженерних систем опалення і вентиляції для оцінки їх фізичного та морального зносу. Для врахування потреб громади та закладу було проаналізовано щоденне завантаження відділень, кількість пацієнтів, процедур і операцій, а також проведено опитування адміністрації щодо пріоритетів модернізації та проблемних місць. На основі отриманих даних здійснено моделювання економії теплової енергії та скорочення витрат бюджету, а також оцінку потенційного зниження викидів CO₂ і впливу на екологічну стійкість громади. Така методологія забезпечила обґрунтовану та практично орієнтовану оцінку попиту, що дозволила визначити пріоритетні заходи для досягнення максимальної економії ресурсів і фінансового ефекту для місцевого бюджету.
[Response was provided in the Preliminary Investment Feasibility Study]

Has data from external sources been used in the demand assessment?

Yes
[Response was provided in the Preliminary Investment Feasibility Study]

Does the demand forecast take into account the latest demographic and economic forecasts?

Yes
[Response was provided in the Preliminary Investment Feasibility Study]
Indicator
Year
Demand
Annual demand for services/infrastructure
1
12000 thous. people
Annual demand for services/infrastructure
2
12800 thous. people
Economic justification

Analysis of the project's impact on ecology and climate change

Does the planned activity have a potential positive contribution to achieving climate or environmental objectives?

Transition to a circular economy
[Response was provided in the Preliminary Investment Feasibility Study]
Climate change adaptation
[Response was provided in the Preliminary Investment Feasibility Study]
Pollution prevention and control
[Response was provided in the Preliminary Investment Feasibility Study]
Climate change mitigation
[Response was provided in the Preliminary Investment Feasibility Study]

Does the planned activity have a potential positive contribution to achieving climate or environmental objectives?

Pollution prevention and control
[Response was provided in the Investment Feasibility Study]
Climate change adaptation
[Response was provided in the Investment Feasibility Study]
Transition to a circular economy
[Response was provided in the Investment Feasibility Study]
Climate change mitigation
[Response was provided in the Investment Feasibility Study]

Is the proposed project expected to significantly harm any of the following climate or environmental objectives?

None of the options are applicable

Is the proposed project expected to significantly harm any of the following climate or environmental objectives?

None of the options are applicable

Have the greenhouse gas emissions or emission reductions (Scope 1-2) associated with the project been calculated for a typical year and the entire project period?

Yes
[Response was provided in the Investment Feasibility Study]

Does the project require an environmental impact assessment (EIA) in accordance with the Law of Ukraine "On Environmental Impact Assessment"?

Conducting an EIA is not required.
[Response was provided in the Investment Feasibility Study]

Project sustainability and inclusivity

Identify potential gender risks of the project and indicate possible ways to overcome them:

Not applicable to my project
[Response was provided in the Preliminary Investment Feasibility Study]

Does the project provide for improving women's access to services?

The project will improve women's access to safe water, food, and medical services
[Response was provided in the Preliminary Investment Feasibility Study]

Are civil society organizations representing women and vulnerable groups included in the consultation process?

Yes
[Response was provided in the Preliminary Investment Feasibility Study]

Were consultations held with representatives of target groups to take into account gender equality issues in the project?

Focus groups or consultations with women and vulnerable groups were held
[Response was provided in the Investment Feasibility Study]
Women's participation is ensured at various stages of planning (including public hearings)
[Response was provided in the Investment Feasibility Study]

Have the gender risks and social impacts of the project been assessed?

None of the options are applicable

Are there management and institutional mechanisms in place to ensure gender equality?

Not provided for by the project
[Response was provided in the Investment Feasibility Study]

Documents

Name
Date
Economic analysis.docx
06.04.2026
14:01:56 UTC

Alternative technical solutions

Technical Solution 1

Insulation of the facade and basement, replacement of the roof with attic insulation, modernization of the building's ventilation system

Technical Solution 2

Roof replacement with attic insulation

Cost breakdownCost justificationCost justification
Project cost (preparation and implementation)74'500'487 UAH15'700'000 UAH
For preparation1'630'073 UAH500'000 UAH
For implementation72'870'414 UAH15'200'000 UAH
Project operation and closure cost7'010'482 UAH7'690'499 UAH
For operation7'010'482 UAH7'690'499 UAH
Average annual costs7'010'482 UAH0 UAH
Project duration, incl.19 months8 months
Deadline for developing a FFS1 month2 months
Implementation period18 months6 months
Service life240 months180 months
Target indicatorsDefined Defined
Technical Solution Status
Active

[The technical approach was selected for further detailed analysis or implementation.]

Rejected

[The technical approach was not selected for further detailed analysis or implementation.]

Components of a technical solution
To components
0
To components
0

Commercial Justification

Supplier and contractor market assessment

Is the project likely to attract a sufficient number of bidders to ensure real competition that will encourage bidders to think innovatively and maximize the quality of their proposals?
Yes

[Response was provided in the Preliminary Investment Feasibility Study]

Is the project of interest to small and medium-sized enterprises?
Yes

[Response was provided in the Preliminary Investment Feasibility Study]

Will the project involve national or international suppliers and contractors?
Yes, only national

[Response was provided in the Preliminary Investment Feasibility Study]

Has an analysis of available procurement options been conducted for the technical solution?
Yes

[Response was provided in the Preliminary Investment Feasibility Study]

What procurement strategy was chosen for the project implementation, and what justifies its feasibility in the context of the market and project objectives?
Усі закупівлі здійснюються із забезпеченням принципів прозорості, рівного доступу постачальників і запобігання конфлікту інтересів. Тендерні процедури проводяться через національні конкурентні торги (залежно від порогу вартості. Ключові підходи: максимальне залучення українських підрядних організацій з підтвердженим досвідом термомодернізації.

[Response was provided in the Investment Feasibility Study]

What approaches are planned to be used to ensure transparency, competition, and efficiency in the procurement process?
Інструменти забезпечення прозорості, конкуренції та ефективності в процесі закупівель: публікація оголошень про закупівлі та результатів відбору на офіційних платформах (у тому числі ProZorro); публічне звітування щодо використання коштів і реалізації контрактів у рамках проєкту

[Response was provided in the Investment Feasibility Study]

What types of procurement procedures are envisaged by the project (open tender, negotiated procedure, competitive dialogue, etc.)?
Open competitive bidding

[Response was provided in the Investment Feasibility Study]

Pre-market engagement
Попереднє залучення ринку здійснювалося шляхом аналізу відкритих тендерів у системі ProZorro, а також вивчення результатів реалізованих енергоефективних проєктів серед інших українських громад. Додатково проводилися консультації з проєктними організаціями, енергоаудиторами та підрядними компаніями, які мають досвід виконання аналогічних робіт. Отримані дані дозволили оцінити середню ринкову вартість окремих видів робіт і послуг, визначити коло потенційних постачальників та підтвердити наявність достатнього рівня конкуренції для забезпечення ефективності закупівель.

[Response was provided in the Investment Feasibility Study]

Potential market participants
Очікується високий рівень конкуренції серед потенційних учасників ринку завдяки відкритим торгам у системі ProZorro. До потенційних постачальників і консультантів належать проектні та інжинірингові фірми, виробники теплоізоляційних матеріалів, систем вентиляції.

[Response was provided in the Investment Feasibility Study]

Market readiness assessment
Ринок України наразі демонструє високий рівень готовності до реалізації проєктів з термомодернізації у секторі громадських будівель. Існує достатня кількість кваліфікованих підрядників, проєктних та інжинірингових компаній, які мають досвід виконання подібних робіт. Необхідні технології та матеріали ( теплоізоляція, вентиляції) є широко доступними на внутрішньому ринку. Основними бар’єрами можуть бути коливання цін на будівельні матеріали, логістичні ризики, а також потреба у належному плануванні графіків робіт через обмеження фінансування та тривалі процедури погодження. Загалом, ринок є зрілим та конкурентним, що забезпечує реальну можливість якісного виконання проєкту у встановлені терміни.

[Response was provided in the Investment Feasibility Study]

Financial justification

Total project budget

Total preliminary budget81'510'969 UAH23'390'499 UAH
Project cost (preparation and implementation)74'500'487 UAH15'700'000 UAH
For preparation1'630'073 UAH500'000 UAH
For implementation72'870'414 UAH15'200'000 UAH
Project operation and closure cost7'010'482 UAH7'690'499 UAH
For operation7'010'482 UAH7'690'499 UAH
For closing0 UAH0 UAH
Were the methodological recommendations approved by the Ministry of Finance of Ukraine applied when calculating the indicative budget?
Yes
[Response was provided in the Preliminary Investment Feasibility Study]
Were the methodological recommendations approved by the Ministry of Finance of Ukraine applied when calculating the indicative budget?
Yes
[Response was provided in the Investment Feasibility Study]

Average project cost per service recipient

Service UnitСередня вартість проєкту на одного отримувача послуги
Service Unit Cost441 UAH

Profitability of the project

Is the project expected to generate income?NoNo
Is the project self-sustaining?No

Availability of services

Has an analysis been conducted of the accessibility of services for consumers and their financial ability to pay the established tariffs?
Not applicable – the project does not provide for the provision of paid services or the establishment of tariffs

[Response was provided in the Preliminary Investment Feasibility Study]

Project Financing Mechanisms

Are funding sources and mechanisms identified?

Source and MechanismYesNo

Funding Sources

Approved Funds0 UAH0 UAH
Expected Funds0 UAH0 UAH

Public-private partnership

Has a qualitative and quantitative assessment of the project's suitability for implementation through a PPP mechanism been conducted?
No, no assessment was conducted.

[Response was provided in the Preliminary Investment Feasibility Study]

Are there, after conducting an appropriate study, private investors interested in the possibility of implementing the project in the PPP format?
No

[Response was provided in the Preliminary Investment Feasibility Study]

Management Rationale

Team competencies

Determine which competencies/expertise required for successful project preparation and implementation can be provided by the project initiator's own project team (without involving external advisors)
Strategic justification - analysis of the strategic feasibility of the project

[Response was provided in the Preliminary Investment Feasibility Study]

Economic justification - economic analysis

[Response was provided in the Preliminary Investment Feasibility Study]

Project management - communication with stakeholders

[Response was provided in the Preliminary Investment Feasibility Study]

Project management - risk management

[Response was provided in the Preliminary Investment Feasibility Study]

Economic justification - social and gender analysis

[Response was provided in the Preliminary Investment Feasibility Study]

Project management - public consultations

[Response was provided in the Preliminary Investment Feasibility Study]

Business case - analysis of available procurement options

[Response was provided in the Preliminary Investment Feasibility Study]

Project management - legal support

[Response was provided in the Preliminary Investment Feasibility Study]

Strategic rationale - SDG compliance analysis

[Response was provided in the Preliminary Investment Feasibility Study]

Project management - working with international financial organizations (IFOs)

[Response was provided in the Preliminary Investment Feasibility Study]

Financial analysis - financial analysis

[Response was provided in the Preliminary Investment Feasibility Study]

Strategic rationale - demand analysis

[Response was provided in the Preliminary Investment Feasibility Study]

Economic justification - environmental expertise

[Response was provided in the Preliminary Investment Feasibility Study]

Business case - analysis of the market environment

[Response was provided in the Preliminary Investment Feasibility Study]

Does the team have experience implementing similar projects?
No, this is the first project of its kind.

[Response was provided in the Preliminary Investment Feasibility Study]

Identify which competencies/expertise required for successful project preparation and implementation need to be strengthened by engaging independent experts or consultants
Economic feasibility study - technical expertise

[Response was provided in the Preliminary Investment Feasibility Study]

Is there an understanding of where to find relevant experts and consultants?
Yes, negotiations are already underway.

[Response was provided in the Preliminary Investment Feasibility Study]

Is the project management structure defined: working group, chair, project team?
Yes

[Response was provided in the Investment Feasibility Study]

What categories of experts and consultants have already been involved at the project preparation stage?
Environmental experts

[Response was provided in the Investment Feasibility Study]

Financial consultants/modelers

[Response was provided in the Investment Feasibility Study]

Economic analysts

[Response was provided in the Investment Feasibility Study]

Strategic consultants

[Response was provided in the Investment Feasibility Study]

Technical experts

[Response was provided in the Investment Feasibility Study]

Management experts / project managers

[Response was provided in the Investment Feasibility Study]

Are there plans to involve experts and consultants for further implementation of the project?
No

[Response was provided in the Investment Feasibility Study]

Risk assessment

Financial riskDefinedUndefined
Operational riskDefinedUndefined

Organizational events

ResponseDefinedUndefined

Team involvement

How exactly are/will stakeholders be involved?
Online survey

[Response was provided in the Investment Feasibility Study]

Meetings with local authorities

[Response was provided in the Investment Feasibility Study]

Public consultations

[Response was provided in the Investment Feasibility Study]

Public hearings

[Response was provided in the Investment Feasibility Study]

When are/will engagement activities be taking place?
At the project monitoring stage

[Response was provided in the Investment Feasibility Study]

At the project preparation stage

[Response was provided in the Investment Feasibility Study]

How is/will the public be informed about the importance of participation and available channels for feedback?
Official websites

[Response was provided in the Investment Feasibility Study]

https://info.nvrada.gov.ua/
Social networks

[Response was provided in the Investment Feasibility Study]

Local media

[Response was provided in the Investment Feasibility Study]

Are public hearings being held/will they be held (offline, online)?
Yes, offline.

[Response was provided in the Investment Feasibility Study]

За необхідності
Who will attend the public hearings?
Representatives of public organizations

[Response was provided in the Investment Feasibility Study]

Experts

[Response was provided in the Investment Feasibility Study]

Government officials

[Response was provided in the Investment Feasibility Study]

Public hearings have already been held
Yes

[Response was provided in the Investment Feasibility Study]

При розробці Стратегії розвитку Звягельської громади було проведено 10 стратегічних сесій, 1 воркшоп, до заходів було залучено 1387 учасника, https://info.nvrada.gov.ua/wp-content/uploads/2024/06/strategiya_rozvytku_zvyagelskoyi_miskoyi_terytorialnoyi_gromady_a4.pdf
Results of the feasibility analysis
Project Preparation Program Engagement and Funding Needs

Is there ongoing cooperation or support within the framework of international technical assistance (ITA) or from other donor or government agencies?

No
[Response was provided in the Preliminary Investment Feasibility Study]

Does the project require preparation assistance from Project Preparation Programs (PPF)?

None of the options are applicable

Does the project require additional preparation assistance from Project Preparation Facilities (PPF)?

None of the options are applicable
Need for financing

Does the project require additional funding for preparation?

No
[Response was provided in the Preliminary Investment Feasibility Study]

Project Approval History

DateDecision NumberPortfolioProject StatusDecisionReasonsMaturity level
06/04/2026SP-L-060426-F8A8F69BCommunity SPInvestment Feasibility StudyInclude--
10/04/2026SPP-L-100426-33060E51Community SPPInvestment Feasibility StudyInclude--