Emergency restoration works (overhaul) of the maternity ward building of the KNP SMR "Sambir Central Hospital" at 4 Sichovykh Striltsiv St. in Sambor, Lviv region


Sector
Healthcare
Stream
Modernization of healthcare infrastructure through the implementation of energy saving measures and increasing energy efficiency
Maturity level
92
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 maternity ward of the KNP SMR “Sambir Central Hospital” serves residents of the Sambir, Ralivska, Biskovitska and Novokalynivska territorial communities. The total service area of the institution has 102,987 residents. During 2024, more than 600 children were born in the institution. Currently, the maternity ward in the city of Sambir does not allow to provide comfortable conditions for the stay of patients and the work of medical and technical personnel.

      Project “Emergency and restoration works (overhaul) of the building of the maternity ward of the KNP SMR “Sambir Central Hospital” on S. Striltsiv Street in the city of Sambir, Lviv region” provides for the replacement of the roof covering with insulation, the installation of elevator equipment, the redevelopment of the premises with the arrangement of comfortable wards with separate sanitary rooms, the replacement of engineering networks and the installation of a fire protection system taking into account the safety requirements for civil defense protective structures, the accessibility of the building and premises, exits and routes of the building for people with disabilities and other low-mobility groups in accordance with building codes and regulations. 

          The implementation of the project will contribute to improving the quality of medical services, creating modern conditions for mothers and children, as well as increasing the energy efficiency of the building. The introduction of energy-saving technologies will reduce utility costs, and the update of engineering systems will ensure stable operation of the equipment. The modernized maternity ward will become a safe, accessible and comfortable space that will meet modern healthcare standards and contribute to strengthening the medical infrastructure of the community.

The purpose of the project

Main Goal:

Improving the quality of services

Secondary Goal:

Increasing compliance with modern standards, Increasing compliance with modern standards, Improving the equality of wealth distribution, Ensuring inclusiveness and equal opportunities

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

The purpose of the project: to ensure high-quality and safe provision of obstetric and gynecological care to women of the Sambir, Raliv, Biskovitskaya and Novokalynivskaya territorial communities by creating modern conditions for patients and medical personnel in the maternity ward of the KNP SMR "Sambir Central Hospital". The project is aimed at improving the level of medical services in the field of maternity and childhood, improving the energy efficiency of the building, ensuring accessibility for low-mobility groups of the population, as well as compliance of the department with modern safety requirements and health standards. To achieve the goal, the following main measures are planned: major repairs of the maternity ward building, namely: replacement of the roof covering with insulation to reduce heat loss and extend the life of the building; redevelopment of the premises with the arrangement of comfortable wards, improvement of sanitary and hygienic conditions and the creation of separate sanitary rooms; installation of elevator equipment to ensure barrier-free access for persons with disabilities and low-mobility groups of the population; replacement of engineering networks (electrical, water, heating and sewage systems) taking into account energy-efficient solutions; installation of a fire protection system in accordance with civil protection requirements; introduction of energy-saving technologies and modern materials that will reduce operating costs; ensuring compliance with building codes and standards for safety, comfort and hygiene in medical institutions.

Problems and solutions resulting from project implementation

The main problems that need to be solved are the unsatisfactory technical condition of the maternity ward building, outdated engineering systems, lack of proper conditions for patients and medical staff, as well as the non-compliance of the premises with modern sanitary and safety standards. Due to physical wear and tear of the structures, problems arise with the tightness of the roof, heating, ventilation and water supply, which makes it difficult to ensure the stable functioning of the department. The insufficient level of energy efficiency of the building leads to overconsumption of energy resources and increased maintenance costs. The lack of barrier-free access creates difficulties for people with disabilities and patients with limited mobility. The relevance of the project is due to the need to ensure safe and comfortable conditions for providing medical care to women and newborns, which is a public health issue. If these problems are not resolved, further deterioration of the technical condition of the building, restriction of access to quality medical services and a decrease in the level of patient safety are possible. The project will modernize the maternity ward, ensure its compliance with modern standards, improve the quality of medical services, energy efficiency and safety. It is expected to create a comfortable environment for patients and staff, reduce operating costs and increase public trust in community medical institutions.

Socio-economic context

Indicator

Value

Number of IDP users

45 human

Number of users from low-mobility population groups

2 human

Number of people who will use the service

600 human

Number of employees of the institution/institution/organization

46 human

Population in the geographical area of influence of the project

100000 human

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

10000 human

Strategic Case

Strategic feasibility of the project

Sector

Healthcare

Subsector

Specialized medical care

Stream

Modernization of healthcare infrastructure through the implementation of energy saving measures and increasing energy efficiency

Strategic document

Стратегія розвитку територіальної громади

Task

Strategic Goal 3. Healthy and Inclusive Community Operational objective 3.1. Development of secondary health care. Objective 3.1.1 Expansion of the scope of medical services. Objective 3.1.2 Improvement of the quality of medical care

Project objectives

Indicator
Base value
Target value
Annual number of patients receiving services in safe and comfortable conditions
600 human
800 human
The proportion of maternity ward premises that meet sanitary and safety standards
40 %
100 %

Project Sustainable Development Goals

Demand for the service and its dynamics

What methodology was used to estimate demand?

Для оцінки попиту на послуги пологового відділення застосовувалася комбінована методологія аналізу, що включала такі підходи: 1.Статистичний аналіз – використано офіційні дані КНП СМР «Самбірська центральна лікарня» щодо кількості пологів та звернень за акушерсько-гінекологічною допомогою за останні три роки, а також демографічну статистику по Самбірській, Ралівській, Бісковицькій та Новокалинівській територіальних громадах. 2. Порівняльний аналіз – проведено зіставлення фактичної пропускної здатності відділення з його проєктною потужністю та кількістю населення, яке входить до зони обслуговування. 3. Прогнозування тенденцій – здійснено прогноз динаміки народжуваності та обсягів надання медичних послуг із врахуванням міграційних процесів, розселення ВПО та відсутності альтернативних пологових відділень у прилеглих громадах. 4. Експертне оцінювання – проведено консультації з керівництвом лікарні та представниками місцевого самоврядування для підтвердження актуальності потреби в модернізації відділення. Такий підхід дозволив достовірно обґрунтувати наявний і прогнозований попит, який підтверджує доцільність реалізації проєкту.
[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
512 human
Annual demand for services/infrastructure
2
612 human
Annual demand for services/infrastructure
3
700 human
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]
Pollution prevention and control
[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]
Protecting and restoring biodiversity and ecosystems
[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?

Pollution prevention and control
[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?

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 create jobs available to women (temporarily or permanently)
[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?

Focus groups or consultations with women and vulnerable groups were held
[Response was provided in the Investment Feasibility Study]
Feedback on the project design was received from organizations working with women
[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?

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?

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

Documents

Name
Date
Examination of the maternity ward (1).pdf
10.11.2025
09:37:57 UTC

Alternative technical solutions

Technical Solution 1

Emergency and restoration works (overhaul) of the maternity ward building of the KNP SMR "Sambir Central Hospital" at 4 Sichovykh Striltsiv Street in Sambor, Lviv region

Technical Solution 2

Current repairs without energy efficiency measures

Cost breakdownCost justificationCost justification
Project cost (preparation and implementation)109'663'000 UAH20'250'000 UAH
For preparation663'000 UAH250'000 UAH
For implementation109'000'000 UAH20'000'000 UAH
Project operation and closure cost1'109'039 UAH100'000 UAH
For operation1'000'000 UAH100'000 UAH
For closing109'039 UAH0 UAH
Average annual costs4'500'000 UAH0 UAH
Project duration, incl.24 months12 months
Deadline for developing a FFS3 months2 months
Implementation period21 months10 months
Service life360 months60 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
3
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?
Для реалізації проєкту обрана стратегія закупівель через відкриті торги/тендери, що забезпечує прозорість, конкурентність та оптимальні ціни, враховуючи масштаби ремонту, терміни виконання робіт та потребу у якісних будівельних матеріалах і послугах.

[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?
Для забезпечення прозорості, конкуренції та ефективності закупівель планується використовувати платформу ProZorro, проведення відкритих тендерів, незалежний нагляд за процедурами, публічне звітування про результати та контроль якості поставлених матеріалів і виконаних робіт.

[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]

Direct negotiation procedures

[Response was provided in the Investment Feasibility Study]

Pre-market engagement
Попереднє залучення ринку здійснювалося шляхом аналізу відкритих тендерів у ProZorro, консультацій з будівельними та постачальницькими експертами, вивчення аналогічних ремонтних проєктів у медичній сфері та надсилання прямих запитів до потенційних підрядників для уточнення можливостей постачання матеріалів і виконання робіт.

[Response was provided in the Investment Feasibility Study]

Potential market participants
Консультації проводилися з будівельними компаніями, постачальниками будівельних матеріалів та спеціалізованими медичними підрядниками; очікується середній рівень конкуренції через наявність кількох регіональних і національних учасників; потенційними постачальниками та підрядниками можуть бути сертифіковані будівельні фірми, компанії з постачання електро- та сантехнічного обладнання, а також консультанти з проектування медичної інфраструктури.

[Response was provided in the Investment Feasibility Study]

Market readiness assessment
Ринок достатньо готовий до реалізації проєкту: наявні кваліфіковані підрядники та постачальники, доступні необхідні технології та матеріали; потенційними бар’єрами можуть бути регуляторні вимоги до будівництва медичних об’єктів, терміни постачання специфічного обладнання та коливання цін на будівельні ресурси.

[Response was provided in the Investment Feasibility Study]

Financial justification

Total project budget

Total preliminary budget110'772'039 UAH20'350'000 UAH
Project cost (preparation and implementation)109'663'000 UAH20'250'000 UAH
For preparation663'000 UAH250'000 UAH
For implementation109'000'000 UAH20'000'000 UAH
Project operation and closure cost1'109'039 UAH100'000 UAH
For operation1'000'000 UAH100'000 UAH
For closing109'039 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 Unitодин пацієнт, який отримує медичну допомогу в пологовому відділенні
Service Unit Cost21'800 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?
Yes – the analysis was conducted, it was found that the tariffs correspond to the financial capabilities of consumers

[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 Funds1'497'376 UAH0 UAH

Public-private partnership

Has a qualitative and quantitative assessment of the project's suitability for implementation through a PPP mechanism been conducted?
The project does not fall under the PPP format by its nature/character

[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]

Business case - analysis of the market environment

[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 - environmental expertise

[Response was provided in the Preliminary Investment Feasibility Study]

Is there an understanding of where to find relevant experts and consultants?
Partially, we are considering options

[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?
Financial consultants/modelers

[Response was provided in the Investment Feasibility Study]

Legal consultants

[Response was provided in the Investment Feasibility Study]

Commercial experts

[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]

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

Financial 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?

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

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

Updating existing documentation regarding the preparation of design and estimate documentation (DED)
[Response was provided in the Preliminary Investment Feasibility Study]

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

Updating existing documentation regarding the preparation of design and estimate documentation (DED)
[Response was provided in the Investment Feasibility Study]
Need for financing

Does the project require additional funding for preparation?

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

Project Approval History

DateDecision NumberPortfolioProject StatusDecisionReasonsMaturity level
10/11/2025SP-L-101125-8DA6DF23Community SPInvestment Feasibility StudyIncludeThe project is included in the sectoral portfolio as a measure to develop medical infrastructure and support maternity and childhood care. The implementation of the project will contribute to improving the quality of medical services in the maternity ward, improving conditions for patients and medical staff. It meets the community's priorities for ensuring accessibility and inclusiveness of medical care. The project takes into account energy-saving technologies and safety standards, minimizing the negative impact on the environment. Inclusion in the portfolio allows for systematic resource planning and coordination with other health care projects in the community.-
26/12/2025SPP-L-261225-F05F30C8Community SPPInvestment Feasibility StudyInclude-92