"Reconstruction of existing buildings and construction of a new medical and rehabilitation building with engineering, technical and medical equipment of the Kyiv City Clinical Ophthalmological Hospital "Center for Eye Microsurgery" of the Ministry of Health of Ukraine" at the address: Kyiv, 3 Lyubomyr Huzar St.".


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

General information

Description of the project

Reconstruction of existing buildings with a total area of 7,737.20 sq. m. involves the modernization of operating departments and optimization of existing areas, taking into account the construction of a new treatment and rehabilitation building nearby, the creation of a brachytherapy department, the placement of a training simulation center for doctors and nurses on the hospital grounds, which will be equipped with modern equipment and tools for practicing technologies, methods and skills; a research laboratory; a training classroom, a conference hall and an adaptation space for the integration of people with disabilities into society. Reconstruction of the facades of existing buildings, taking into account current standards of energy saving, green tariff, fire safety, etc. with a total area of 9,297.04 sq. m. The construction of a new medical and rehabilitation building with a total building area of 4,960 sq. m. provides that the new building will be connected to the existing building, which will allow organizing convenient logistics for doctors and patients. Consequence class CC3, fire resistance level of the building II. Estimated number of employees 70 people/shift - new jobs. The structure of this medical and rehabilitation building includes a unique department of tumors of the organ of vision, radiotherapy and corneal bank (the hospital's human resources allow providing medical care using modern bioimplants, namely, performing surgical interventions to restore the anatomical and optical properties of the cornea), the first specialized department of functional digital diagnostics for 140 examinations per shift; a new rehabilitation department, which includes a patient school; children's and adult outpatient departments; clean operating block with 3 operating rooms with postoperative wards for 6 beds; “dirty” operating block with 2 operating rooms with postoperative wards for 6 beds; outpatient surgery with 2 operating rooms with postoperative wards for 6 beds; central sterilization department for the entire hospital; own laboratory, which includes general clinical, biochemical, cytological, immunological, hematological; eye prosthetics laboratory; modern shelter.

The purpose of the project

Main Goal:

Creation of new facilities and services

Secondary Goal:

Increasing compliance with modern standards, Increasing compliance with modern standards, Improving the equality of wealth distribution, Increasing the even distribution of resources, Improving the condition of infrastructure, Introducing innovations and energy-efficient solutions, Creation of new jobs through project implementation, Поява нових виробничих потужностей, Improving the quality of services

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

Social indicators • Accessibility of medical services – increase in the number of patients receiving ophthalmological care (from ~120 thousand to ≥200 thousand people/year). • Reduction of the level of disability – reduction of primary disability from eye diseases from 12 thousand people/year to ≤8 thousand. • Inclusion – creation of an adaptation space for people with disabilities, their integration into society. • Improvement of the quality of life – rehabilitation of patients after injuries and operations, reduction of psychological stress. • Support for veterans and military personnel – access to specialized care and rehabilitation programs. Economic indicators • New jobs – creation of at least 70 permanent jobs in the new building. • Labor productivity – restored vision increases working capacity and reduces loss of working potential. • Reduction of costs for the treatment of late stages of diseases – saving budget funds due to early diagnosis and modern treatment. • Medical tourism and investment – attracting foreign patients, additional revenues to the state budget. • Energy efficiency – reducing hospital maintenance costs due to modernization of facades and engineering networks. Functional indicators • A single treatment cycle – diagnostics, operations, radiotherapy, rehabilitation within one institution. • Modern equipment – increasing the share of equipment that meets world standards to ≥90%. • Training simulation center – annual advanced training of ≥500 doctors and nurses. • Research activities – creating laboratories (clinical, cytological, immunological, prosthetics) and publishing ≥10–15 scientific publications per year. • Sustainability and safety – autonomous power sources, modern shelter, compliance of buildings with fire safety standards. • International cooperation – holding ≥5 international symposia and conferences per year.

Problems and solutions resulting from project implementation

Problems and results of their solution as a result of the project implementation 1. Problem: High level of primary disability from eye diseases and injuries (up to 12 thousand people per year). Result: Reduction of the level of disability due to the introduction of modern methods of diagnosis, treatment and rehabilitation (target - ≤ 8 thousand people per year). 2. Problem: Insufficient availability of highly specialized ophthalmological care (queues for operations 4–6 months, lack of places). Result: Creation of a new medical and rehabilitation building, increasing the number of operations and reducing waiting times to 1 month. 3. Problem: Lack of a comprehensive treatment cycle (diagnosis - surgery - rehabilitation) within one institution. Result: Organization of a full closed treatment cycle, including rehabilitation departments, functional diagnostics, radiotherapy, brachytherapy and a corneal bank. 4. Problem: Outdated material and technical base (about 60% of the equipment does not meet modern requirements). Result: Equipment with engineering, technical and medical equipment at the level of world standards (updating ≥ 90% of the equipment). 5. Problem: Emigration of qualified medical personnel abroad, lack of motivation among young specialists. Result: Creation of a training simulation center, advanced training programs and international internships → annual training of ≥ 500 doctors and nurses, increasing the prestige of the profession. 6. Problem: Lack of sufficient conditions for the inclusion and integration of people with disabilities. Result: Creation of an adaptation space and special programs for the social integration of patients with disabilities. 7. Problem: Insufficient readiness of the medical infrastructure for crisis conditions (war, power outage). Result: Modernization of facades with the introduction of energy-efficient solutions, autonomous power sources, arrangement of a modern shelter. 8. Problem: Limited scientific and research base for the development of ophthalmology in Ukraine. Result: Creation of a research laboratory, holding annual scientific symposia and international conferences (≥ 10–15 scientific publications each year). 9. Problem: High demand for treatment of military personnel with combat eye injuries (the number of such cases has increased 5 times). Result: Providing targeted assistance to military personnel and veterans, creating multidisciplinary rehabilitation teams, increasing the chances of restoring vision and working capacity.

Socio-economic context

Indicator

Value

Number of people who will use the service

100 thous. people

Number of employees of the institution/institution/organization

660 human

Population in the geographical area of influence of the project

37 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
Number of outpatient ophthalmological consultations per year
60 thous. people
100 thous. people
Number of patients with onco-ophthalmological diseases who will receive treatment
0 human
1200 human
Area of the new medical and rehabilitation building
0 m2
4960 m2
Number of modern operating rooms
0 units
7 units
Number of scientific studies conducted in the field of ophthalmology
0 units
15 units
Number of ophthalmological surgeries per year
15000 units
22000 units
Proportion of patients receiving a full course of treatment at a single facility
30 %
80 %
Number of patients who will undergo ophthalmological rehabilitation
0 human
2000 human
Number of new jobs
0 units
70 units
Number of corneal transplants
0 units
300 units
Total area of modernized medical facilities
0 m2
7737.2 m2
Number of doctors and medical professionals who will be trained in the simulation center
0 human
300 human
Number of specialized branches created
0 units
5 units
Reduction of primary disability due to ophthalmological diseases
0 %
15 %
Number of advanced training courses for doctors and nurses conducted
0 units
20 units

Project Sustainable Development Goals

Demand for the service and its dynamics

What methodology was used to estimate demand?

Для оцінки попиту застосовувалася комбінована методологія, що включала:  • Статистичний аналіз – використання офіційних даних Державної служби статистики України, Міністерства охорони здоров’я та міжнародних організацій (ВООЗ, Інтернаціональне товариство очної травми).  • Аналіз динаміки захворюваності – визначення тенденцій щодо зростання кількості офтальмологічних захворювань протягом останнього десятиліття (+5 % щороку).  • Аналіз медико-демографічної ситуації – врахування збільшення кількості осіб з інвалідністю, у тому числі з вадами зору.  • Військово-соціальний фактор – оцінка зростання кількості травм органу зору серед військовослужбовців і цивільного населення під час війни (збільшення у 5 разів у перші місяці повномасштабного вторгнення).
[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
26
60 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?

Pollution prevention and control
[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

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 education (primary, secondary, vocational)
[Response was provided in the Preliminary Investment Feasibility Study]
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]

Alternative technical solutions

Technical Solution 1

"Reconstruction of existing buildings and construction of a new medical and rehabilitation building with engineering, technical and medical equipment of the Kyiv City Clinical Ophthalmological Hospital "Center for Eye Microsurgery" of the Ministry of Health of Ukraine" at the address: Kyiv, 3 Lyubomyr Huzar St.".

Technical Solution 2

Major renovation of existing buildings without infrastructure expansion

Cost breakdownCost justificationCost justification
Project cost (preparation and implementation)1'035'500'000 UAH402'000'000 UAH
For preparation25'500'000 UAH12'000'000 UAH
For implementation1'010'000'000 UAH390'000'000 UAH
Project operation and closure cost74'500'000 UAH58'000'000 UAH
For operation60'000'000 UAH40'000'000 UAH
For closing14'500'000 UAH18'000'000 UAH
Average annual costs60'000'000 UAH40'000'000 UAH
Project duration, incl.36 months24 months
Deadline for developing a FFS12 months12 months
Implementation period24 months12 months
Service life480 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.]

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]

Financial justification

Total project budget

Total preliminary budget1'110'000'000 UAH460'000'000 UAH
Project cost (preparation and implementation)1'035'500'000 UAH402'000'000 UAH
For preparation25'500'000 UAH12'000'000 UAH
For implementation1'010'000'000 UAH390'000'000 UAH
Project operation and closure cost74'500'000 UAH58'000'000 UAH
For operation60'000'000 UAH40'000'000 UAH
For closing14'500'000 UAH18'000'000 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]

Average project cost per service recipient

Service Unitпослуга без дисконтування
Service Unit Cost633 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

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]

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
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
11/03/2026SP-N-110326-73B77ADBState SPPreliminary Investment Feasibility StudyInclude--