Preliminary Investment Feasibility Study
Project Status
Investment Feasibility Study
Entry into Portfolio
State level of SPP
Implementation
Completion
- General information
- Strategic Case
- Economic Case
- Commercial Case
- Financial Case
- Management Case
- Summary
General information
Description of the project
The Investment Project will finance the mobilization of critical resources needed to strengthen the capacity of the National Health Service and the Ministry of Health. The project will focus on technical support, primarily to strengthen operational capacity
The purpose of the project
Main Goal:
Increasing compliance with modern standards
Secondary Goal:
Capacity building, Improving the quality of services
Description of the purpose of the project and ways to achieve it
The project will finance the mobilization of critical resources needed to strengthen the capacity of the National Health Service and the Ministry of Health. The project will focus on technical support, primarily to strengthen operational capacity.
Problems and solutions resulting from project implementation
Result Area 1 – Prioritization of Services within the SGP: The project will provide incentives to standardize the process of reviewing the SGP service package to increase its cost-effectiveness over time and shift the overall SGP budget from the hospital to the PHC level.
Result Area 2 – Hospital Network Optimization: The project will provide incentives to increase the concentration of services in larger, high-volume hospitals, with greater economies of scale and scope of services that use efficient and alternative energy sources.
Result Area 3 – Strategic Procurement: The project will provide incentives to deploy improved and strategic methods of paying for provider services. For PHC, this will incentivize the introduction of bundled payments based on the achievement of key performance indicators (KPIs); for hospitals, this will contribute to the disaggregation of the DRG system and an increase in the share of hospital reimbursements based on results.
Result Area 4 – Management Capacity: The project will enhance the autonomy of the NHSU and strengthen oversight mechanisms, including through citizen participation, and provide incentives to strengthen the capacity of the NHSU, especially at the decentralized level, to better perform its monitoring and control functions and to better identify and recover SGP funds lost through accounting errors and fraud.
Socio-economic context
Indicator
Value
Number of people who will use the service
34 mln 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
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
Increased percentage of primary health care facilities receiving blended payment for achieving selected key performance indicators
0 %
10 %
The number of national institutions currently funded directly by the Ministry of Health and the National Academy of Medical Sciences, which have signed contracts with the National Health Service of Ukraine, has increased
0 units
15 units
The number of personal monitoring visits of the National Health Service to institutions with which contracts for the SGP have been concluded has increased
9 units
49 units
The number of institutions with which contracts for medical services for the population under the PMG have been concluded and which report on the availability of solar energy devices has increased
100 units
300 units
Number of inpatient surgeries performed in hospitals with a significant volume of medical services
742570 units
1142570 units
The number of stroke cases treated in hospitals with high levels of thrombolysis has increased.
36600 units
56600 units
Number of births in hospitals with a significant volume of medical services
69675 units
149675 units
Project Sustainable Development Goals
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?
Climate change adaptation
[Response was provided in the Preliminary Investment Feasibility Study]
Sustainable use and protection of water and marine resources
[Response was provided in the Preliminary Investment Feasibility Study]
Climate change mitigation
[Response was provided in the Preliminary 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
Does the planned activity have a potential positive contribution to achieving climate or environmental objectives?
Sustainable use and protection of water and marine resources
[Response was provided in the Investment Feasibility Study]
Climate change adaptation
[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
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?
No
[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:
None of the options are applicable
Does the project provide for improving women's access to services?
Other benefits from project implementation
[Response was provided in the Preliminary Investment Feasibility Study]
Envisaged training or advanced training for women in the private sector
[Response was provided in the Preliminary Investment Feasibility Study]
The project will improve women's access to education (primary, secondary, vocational)
[Response was provided in the Preliminary Investment Feasibility Study]
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?
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?
All possible positive impacts of the project on women, men or other gender groups have been identified
[Response was provided in the Investment Feasibility Study]
All possible negative impacts of the project on women, men or other gender groups have been identified
[Response was provided in the Investment Feasibility Study]
Are there management and institutional mechanisms in place to ensure gender equality?
None of the options are applicable
Alternative technical solutions
Technical Solution 1
Transforming healthcare through reform and investment in efficiency
Technical Solution 2
Transforming healthcare through reform and investment in efficiency (alternative)
Cost breakdownCost justificationCost justification
Project cost (preparation and implementation)1'353'564'234 UAH1'353'564'234 UAH
For preparation1 UAH1 UAH
For implementation1'353'564'233 UAH1'353'564'233 UAH
Project operation and closure cost2 UAH2 UAH
For operation1 UAH1 UAH
For closing1 UAH1 UAH
Average annual costs1 UAH1 UAH
Project duration, incl.41 months41 months
Deadline for developing a FFS1 month1 month
Implementation period40 months40 months
Service life1 month40 months
Target indicatorsDefined Not defined
Technical Solution Status
Active
[The technical approach was selected for further detailed analysis or implementation.]
Pending
[The project initiator has not taken any decision about this alternative technical approach.]
Components of a technical solution
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, both national and international
[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?
Закупівлі в рамках проекту здійснюються відповідно до правил закупівель в рамках фінансування інвестиційних проектів Світового банку
[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?
Закупівлі в рамках проекту здійснюються відповідно до правил закупівель в рамках фінансування інвестиційних проектів Світового банку, які передбачають широке інформування про заплановані закупівлі в електронному журналі ООН Development Business (UNDB Online) та на зовнішній вебсторінці Банку, веб-сторінці МОЗ тощо
[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]
Other
[Response was provided in the Investment Feasibility Study]
Direct negotiation procedures
[Response was provided in the Investment Feasibility Study]
Pre-market engagement
Закупівлі в рамках проекту здійснюються відповідно до правил закупівель в рамках фінансування інвестиційних проектів Світового банку, які передбачають широке інформування про заплановані закупівлі в електронному журналі ООН Development Business (UNDB Online) та на зовнішній вебсторінці Банку, веб-сторінці МОЗ тощо. Вивчається достів аналогічних закупівель на площадці Прозорро
[Response was provided in the Investment Feasibility Study]
Potential market participants
Закупівлі в рамках проекту здійснюються відповідно до правил закупівель в рамках фінансування інвестиційних проектів Світового банку, які передбачають широке інформування про заплановані закупівлі в електронному журналі ООН Development Business (UNDB Online) та на зовнішній вебсторінці Банку, веб-сторінці МОЗ тощо. Можливість участі у торгах визначається Тендерною документацією до конкретної закупівлі
[Response was provided in the Investment Feasibility Study]
Market readiness assessment
Проект передбачає закупівлі товарів та послуг, що наявні на ринку України або міжнародному ринку.
[Response was provided in the Investment Feasibility Study]
Financial justification
Total project budget
Total preliminary budget1'353'564'236 UAH1'353'564'236 UAH
Project cost (preparation and implementation)1'353'564'234 UAH1'353'564'234 UAH
For preparation1 UAH1 UAH
For implementation1'353'564'233 UAH1'353'564'233 UAH
Project operation and closure cost2 UAH2 UAH
For operation1 UAH1 UAH
For closing1 UAH1 UAH
Were the methodological recommendations approved by the Ministry of Finance of Ukraine applied when calculating the indicative budget?
No
[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?
No
[Response was provided in the Investment Feasibility Study]
Average project cost per service recipient
Service UnitУгода про Грант від 10 грудня 2024 року № TF0C6685 (рік 2025-2028)
Service Unit Cost40 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 Funds19'512'336'033 UAH0 UAH
Expected Funds51'472'836'033 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]
Project management - risk management
[Response was provided in the Preliminary Investment Feasibility Study]
Project management - public consultations
[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]
Strategic rationale - demand analysis
[Response was provided in the Preliminary Investment Feasibility Study]
Does the team have experience implementing similar projects?
Yes, successfully implemented 1 or more similar projects
[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]
Economic justification - social and gender analysis
[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]
Economic justification - environmental expertise
[Response was provided in the Preliminary Investment Feasibility Study]
Management rationale - project management
[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]
Economic justification - economic analysis
[Response was provided in the Preliminary Investment Feasibility Study]
Financial analysis - financial analysis
[Response was provided in the Preliminary Investment Feasibility Study]
Management rationale - working with international financial organizations (IFOs)
[Response was provided in the Preliminary Investment Feasibility Study]
Management justification - legal support
[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]
Others
[Response was provided in the Investment Feasibility Study]
Financial consultants/modelers
[Response was provided in the Investment Feasibility Study]
Legal consultants
[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]
Social/gender consultants
[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?
Yes
[Response was provided in the Investment Feasibility Study]
Risk assessment
Technical riskDefinedUndefined
Economic riskDefinedUndefined
Political riskDefinedUndefined
Other riskDefinedUndefined
Organizational events
ResponseDefinedUndefined
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?
Yes
[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
15/08/2025SP-N-150825-1FFE8110State SPInvestment Feasibility StudyInclude--
01/10/2025SPP-N-011025-E96D638BState SPPInvestment Feasibility StudyInclude-73