"Major repairs of premises and roofs of a non-residential building (hospital (therapeutic department)) damaged as a result of rocket fire, municipal non-profit enterprise of the Kamianske City Council "City Hospital No. 9" at the address: Kamianske, Vidrodzhennia Ave., 72"

Sector
Healthcare
Stream
Ensuring access to quality medical care by modernizing 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 municipal non-profit enterprise of the Kamianka City Council "City Hospital No. 9" is a cluster healthcare institution and is part of a capable network approved by the Ministry of Health of Ukraine. The institution serves not only residents of the city, but also the entire Kamianka district, the total population is 426,201 people, internally displaced persons - 31,839 people. On the night of 07/29/2025, as a result of rocket fire from the Russian Federation, the institution suffered significant damage. The destruction of the healthcare institution caused critical and multifaceted problems for the community, the medical system and staff. The therapeutic building, which housed the following departments: therapeutic, endocrinological, palliative department, bacteriological laboratory and oncology clinic.  The building's downtime creates an excessive burden on other  departments of the institution and the city network in general, limiting the ability of citizens to receive  high-quality and timely  medical care. The reconstruction of the building is a critical step for stabilizing  the situation in the city and returning to normal life for community residents.

The purpose of the project

Main Goal:

Rebuilding the damaged/destroyed

Secondary Goal:

Increasing compliance with modern standards, Improving the condition of infrastructure, Ensuring inclusiveness and equal opportunities, Meeting demand

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

On the night of 07/29/2025, as a result of rocket fire from the Russian Federation, the institution suffered significant damage. The destruction of the therapeutic building caused critical and multifaceted problems for the community, the medical system and staff. The blast wave and shrapnel damaged the facade, windows, roof, engineering networks, partitions throughout the building, etc. The therapeutic building housed the following departments: therapeutic, endocrinological, palliative departments, bacteriological laboratory and oncology dispensary. The downtime of the building creates an excessive load on other departments of the institution and the city network as a whole, limiting the ability of citizens to receive high-quality and timely medical care. The reconstruction of the building is a critical step in stabilizing the situation in the city and returning to normal life support for community residents. The commission for the inspection of damaged objects as a result of the military actions of the Russian Federation in the territory of the Kamianka urban territorial community provided approved acts and entered the object into the State Register of Damaged and Destroyed Property.

Problems and solutions resulting from project implementation

Problem 1. Operational provision of medical care (loss of premises and equipment) 2. Large-scale damage to buildings (roof, windows, doors, load-bearing structures) 3. Financing of restoration works (high cost of major repairs) 4. Damage to medical equipment (due to impact and fire) 4. Damage to medical equipment (due to impact and fire) Thus, the main problem was large-scale destruction, and the key result is the launch and implementation of major reconstruction, which should lead to the full restoration of the functionality of the therapeutic and maternity wards.

Socio-economic context

Indicator

Value

Capacity

40500 human

Number of employees of the institution/institution/organization

103 human

Population in the geographical area of influence of the project

421201 human

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

28066 human

Strategic Case

Strategic feasibility of the project

Sector

Healthcare

Subsector

Specialized medical care

Stream

Ensuring access to quality medical care by modernizing medical infrastructure facilities

Strategic document

Стратегія розвитку територіальної громади

Task

3.2.2. An effective healthcare system

Project objectives

Indicator
Base value
Target value
Number of beds
65 beds
65 beds
Total number of personnel
103 human
103 human

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]
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?

Climate change adaptation
[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:

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?

No
[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?

None of the options are applicable

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
+Volume 1. 446_03.10.25. from 01.04.-ZPZ _compressed.pdf
08.04.2026
08:38:49 UTC
+2_KD_ZKR_5 entrance.pdf
08.04.2026
08:38:57 UTC

Alternative technical solutions

Technical Solution 1

"Major repairs of premises and roofs of a non-residential building (hospital (therapeutic department)) damaged as a result of rocket fire, municipal non-profit enterprise of the Kamianske City Council "City Hospital No. 9" at the address: Kamianske, Vidrodzhennia Ave., 72"

Technical Solution 2

Reconstruction and modernization of the medical building

Cost breakdownCost justificationCost justification
Project cost (preparation and implementation)76'642'356 UAH282'112'500 UAH
For preparation2'814'393 UAH2'000'000 UAH
For implementation73'827'963 UAH280'112'500 UAH
Project operation and closure cost140'001 UAH1'500'000 UAH
For operation1 UAH1'000'000 UAH
For closing140'000 UAH500'000 UAH
Average annual costs1 UAH0 UAH
Project duration, incl.13 months46 months
Deadline for developing a FFS6 months10 months
Implementation period7 months36 months
Service life1200 months1200 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
1
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, 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?
No

[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?
Стратегія закупівель для масштабних проєктів базується на принципах «гнучкості, локалізації та прозорості»

[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 у 2026 році впроваджується комплексний підхід, що базується на цифровізації, нових законодавчих стандартах та аналітиці даних.

[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
відкриті торги на Prozorro

[Response was provided in the Investment Feasibility Study]

Potential market participants
Згідно зі ст. 4 Закону «Про публічні закупівлі»

[Response was provided in the Investment Feasibility Study]

Market readiness assessment
Оцінка готовності ринку демонструє високу адаптивність бізнесу до кризових умов, проте висвітлює низку структурних викликів, які можуть вплинути на швидкість реалізації масштабних проєктів.

[Response was provided in the Investment Feasibility Study]

Financial justification

Total project budget

Total preliminary budget76'782'357 UAH283'612'500 UAH
Project cost (preparation and implementation)76'642'356 UAH282'112'500 UAH
For preparation2'814'393 UAH2'000'000 UAH
For implementation73'827'963 UAH280'112'500 UAH
Project operation and closure cost140'001 UAH1'500'000 UAH
For operation1 UAH1'000'000 UAH
For closing140'000 UAH500'000 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?
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 Cost26'268 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?
No – analysis not performed

[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?
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]

Economic feasibility study - technical expertise

[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?
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
None of the options are applicable
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?
Environmental experts

[Response was provided in the Investment Feasibility Study]

Legal consultants

[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

Social 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)?

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
08/04/2026SP-L-080426-BD1D8ADACommunity SPInvestment Feasibility StudyInclude--
13/04/2026SPP-L-130426-A5DFC8C3Community SPPInvestment Feasibility StudyInclude--