Reconstruction of a medical assistant and obstetrician's station into a general practice family medicine outpatient clinic at 99 Tsentralna Street in the village of Znosichi, Sarny district, Rivne region

Sector
Healthcare
Stream
Developing a network of modern, safe public health facilities
Maturity level
83
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 involves the reconstruction and completion of a general practice family medicine outpatient clinic in the village of Znosichi in order to improve the conditions for providing quality medical services to the local population. It is planned to modernize and expand the premises, update engineering networks, introduce energy-efficient technologies, ensure barrier-free access and create a modern comfortable space for patients and medical staff. The implementation of the project will contribute to improving the level of medical care and reducing social tension in the community.

The purpose of the project

Main Goal:

Increasing compliance with modern standards

Secondary Goal:

Improving the quality of services

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

The project aims to provide residents of the village of Znosichi with modern and high-quality primary health care through the reconstruction and expansion of the family medicine outpatient clinic. The renovation and modernization of the building includes the introduction of energy-efficient technologies, restructuring the internal space to accommodate modern offices, purchasing new medical equipment and creating a comfortable environment for patients and staff. All the goals are achieved through construction and installation works, modernization of engineering systems, updating equipment and increasing the level of accessibility for people with reduced mobility.

Problems and solutions resulting from project implementation

The main problems of the medical assistant and obstetrician's station (FAP) in the village of Znosichi are significant physical and moral wear and tear of the building itself, outdated medical equipment, low energy efficiency, lack of conditions for people with limited mobility, and critically worn engineering networks. This negatively affects the quality and accessibility of medical services. The implementation of the project will allow for the reconstruction and expansion of the premises, the renewal of communications, the installation of modern systems, and the provision of a comfortable and accessible medical environment for the community.

Socio-economic context

Indicator

Value

Number of employees of the institution/institution/organization

15 human

Number of people who will use the service

2390 human

Strategic Case

Strategic feasibility of the project

Sector

Healthcare

Subsector

Public health

Stream

Developing a network of modern, safe public health facilities

Strategic document

Strategy for the Development of the Healthcare System until 2030

Task

1.1.2 improving the quality of primary health care, which will help prevent avoidable hospitalizations

Project objectives

Project objectives were not specified by the initiator

Project Sustainable Development Goals

Demand for the service and its dynamics

What methodology was used to estimate demand?

Оцінка попиту на медичні послуги здійснювалась на основі аналізу статистики звернень пацієнтів за попередні роки, даних обліку і реєстрації, а також демографічних та економічних показників громади. Розрахунок проводився шляхом визначення фактичної кількості обслуговуваних осіб, урахування сезонних коливань та експертного прогнозування змін чисельності населення на найближчий період.
[Response was provided in the Preliminary Investment Feasibility Study]

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

No
[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
2390 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?

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]
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

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?

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 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?

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

Documents

Name
Date
economic analysis.docx
13.10.2025
12:15:01 UTC

Alternative technical solutions

Technical Solution 1

Reconstruction of the medical assistant and obstetrician's station into a general practice family medicine outpatient clinic in the village of Znosichi

Technical Solution 2

New construction of a separate family medicine outpatient clinic building

Cost breakdownCost justificationCost justification
Project cost (preparation and implementation)12'576'878 UAH43'000'000 UAH
For preparation332'030 UAH3'000'000 UAH
For implementation12'244'848 UAH40'000'000 UAH
Project operation and closure cost950'000 UAH2'500'000 UAH
For operation500'000 UAH2'000'000 UAH
For closing450'000 UAH500'000 UAH
Average annual costs3'500'000 UAH0 UAH
Project duration, incl.14 months23 months
Deadline for developing a FFS2 months9 months
Implementation period12 months14 months
Service life600 months600 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, 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]

Financial justification

Total project budget

Total preliminary budget13'526'878 UAH45'500'000 UAH
Project cost (preparation and implementation)12'576'878 UAH43'000'000 UAH
For preparation332'030 UAH3'000'000 UAH
For implementation12'244'848 UAH40'000'000 UAH
Project operation and closure cost950'000 UAH2'500'000 UAH
For operation500'000 UAH2'000'000 UAH
For closing450'000 UAH500'000 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]
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 UnitОтримувачів послуги
Service Unit Cost5'241 UAH

Profitability of the project

Is the project expected to generate income?NoNo

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 Funds2'467'600 UAH0 UAH
Expected Funds2'467'600 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?
Partially, we have limited experience

[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
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 - communication with stakeholders

[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]

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?
Partially, we are considering options

[Response was provided in the Preliminary Investment Feasibility Study]

Risk assessment

Financial riskDefinedUndefined
Results of the feasibility analysis
Project Preparation Program Engagement and Funding Needs

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

Finalization of existing documentation for the preparation of a preliminary feasibility study
[Response was provided in the Investment Feasibility Study]
Updating existing documentation regarding the preparation of the feasibility study
[Response was provided in the Investment Feasibility Study]

Project Approval History

DateDecision NumberPortfolioProject StatusDecisionReasonsMaturity level
20/10/2025SP-L-201025-3CE5AEF8Community SPInvestment Feasibility StudyInclude--
24/11/2025SPP-L-241125-9C08DA45Community SPPInvestment Feasibility StudyInclude-83