Major renovation of the third floor of the building with the letter “A-9” for the stroke center of the KNP “Cherkasy Regional Hospital of the Cherkasy Regional Council” at 3 St. Luke the Surgeon St. in Cherkasy


Sector
Healthcare
Stream
Rehabilitation, development and modernization of healthcare facilities
Maturity level
79
Preliminary Investment Feasibility Study
Project Status
Investment Feasibility Study
Entry into Portfolio
Regional level of SPP
Implementation
Completion

General information

Description of the project

According to official statistics of the Ministry of Health of Ukraine, up to 100,000 strokes occur in the country every year. The incidence of ischemic stroke in Ukraine is 280-290 cases per 100,000 population and exceeds the average in developed European countries (200 cases per 100,000 population). 40-45,000 people die from stroke in Ukraine every year (over 87 deaths per 100,000 population). In Europe, this figure is much lower - 37-47 cases per 100,000 population. In Ukraine, the level of disability a year after a stroke ranges from 76 to 85%, while in Western European countries this figure is 25-30%. Of particular concern is the increasing incidence of stroke among people of working age: about a third of all strokes occur before the age of 60, and only a small proportion of those who have survived a stroke return to work. The experience of many countries shows that high-quality medical care for patients with acute cerebral stroke can significantly reduce the risk of premature death or acquired disability. Acute cerebral stroke should be considered an emergency condition, the care for which should be a continuous chain of medical measures, from the first report to maximum recovery or full recovery. Teams of specialists should provide quality and timely care throughout the patient's journey, and this care should be appropriately coordinated and documented. Access to appropriate stroke treatment should not depend on the patient's place of residence, time of day, age or wealth. This Project will significantly expand the possibilities of providing patients with intensive, including neurosurgical, medical care in accordance with the established diagnosis and his condition in a 24-hour hospital. The project will have a positive impact on the development of the material and technical support of the medical industry, will allow for the effective use of funds for medical care for patients with acute cerebrovascular accidents, and will improve its quality and accessibility to the population.

The purpose of the project

Main Goal:

Increasing compliance with modern standards

Secondary Goal:

Increasing compliance with modern standards, Creation of new facilities and services, Improving the condition of infrastructure, Introducing innovations and energy-efficient solutions, Improving the quality of services

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

The goal is to be achieved through a comprehensive implementation of construction, engineering, organizational and technological measures. Design and estimate documentation has been prepared taking into account the requirements of the Ministry of Health of Ukraine for the functioning of stroke centers and an expert report has been received for the purpose of major repairs and equipping the department with modern equipment: redevelopment of premises taking into account the functional purpose (reception and diagnostic area, intensive care wards, manipulation, inpatient, sanitary units); performance of general construction works (floors, walls, ceilings, doors, windows) using materials permitted for medical institutions; replacement of internal water, heat supply, electrical networks, repair of the medical gas system, fire protection system, creation of a barrier-free environment for people with disabilities and low-mobility population groups, compliance with labor protection and safety requirements, equipping with equipment, etc. As a result of the overhaul, a full-fledged stroke center will be created, which will ensure: • continuous 24-hour reception of stroke patients; • compliance of treatment conditions with modern medical standards; improvement of the quality of medical services and efficiency of the health care facility.

Problems and solutions resulting from project implementation

Main problems 1. Partial non-compliance of existing premises with medical standards, in particular the Ministry of Health and current building and sanitary standards for the organization of stroke centers, which makes it impossible to provide full-fledged specialized care 2. Outdated technical condition of the building (the need to repair engineering networks for a comfortable stay of patients, the work of medical personnel and the provision of modern medical services. 3. The need to carry out zoning of premises in accordance with the requirements for the organization of stroke centers. 4. Formation of a fire protection system, taking into account the requirements of barrier-free access for low-mobility population groups when creating a stroke center. 5. Equipment with equipment, including high-cost equipment, in accordance with the requirements for the organization of stroke centers Results of solving problems 1. Bringing premises into compliance with regulatory requirements As a result of the overhaul, the premises of the stroke center will fully comply with the requirements of the Ministry of Health of Ukraine, the State Code of Civil Procedure, sanitary and fire safety standards. 2. Complete modernization engineering systems Updated power supply, ventilation, water supply and medical gases systems will ensure uninterrupted and safe operation of modern medical equipment. 3. Optimized functional zoning A logical structure of the premises has been created, which allows minimizing the time from hospitalization to the provision of specialized care and improves internal logistics. 4. Increased safety and accessibility Modern fire alarm systems have been introduced, barrier-free access and safe evacuation routes for patients and staff have been arranged. 5. Possibility of implementing modern medical technologies The premises are prepared for the installation and operation of high-tech equipment that provides modern methods of stroke diagnosis and treatment. 6. Improving the quality of medical services The created comfortable conditions for patients contribute to faster recovery, and proper working conditions - to increase the efficiency of medical staff. 7. Socio-economic effect The implementation of the project will contribute to reducing mortality and disability from strokes, increasing public confidence in the healthcare system, and effective use of budget funds.

Socio-economic context

Indicator

Value

Other economic

33.2 mln UAH

Number of users from low-mobility population groups

95 %

Number of people who will use the service

700 human

Other functional

28 beds

Population in the geographical area of influence of the project

1160.7 thous. people

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

128 thous. people

Strategic Case

Strategic feasibility of the project

Sector

Healthcare

Subsector

Specialized medical care

Stream

Rehabilitation, development and modernization of healthcare facilities

Strategic document

Регіональна стратегія розвитку

Task

3.3.3 Development and modernization of social infrastructure

Project objectives

Indicator
Base value
Target value
Number of patients treated per year
700 human
800 human
Reduction in hospital mortality
23 %
18 %
Number of beds
28 beds
35 beds

Project Sustainable Development Goals

Demand for the service and its dynamics

What methodology was used to estimate demand?

опитування, державна статистика, медична статистична звітність закладу
[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
602 human
Annual demand for services/infrastructure
2
701 human
Annual demand for services/infrastructure
3
744 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?

Pollution prevention and control
[Response was provided in the Preliminary Investment Feasibility Study]

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]

Is the proposed project expected to significantly harm any of the following climate or environmental objectives?

None of the options are applicable

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?

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

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?

Mandatory training for project staff on gender equality and inclusion is provided
[Response was provided in the Investment Feasibility Study]
Not provided for by the project
[Response was provided in the Investment Feasibility Study]

Documents

Name
Date
Economic analysis of the project.docx
17.12.2025
17:24:26 UTC

Alternative technical solutions

Technical Solution 1

Major renovation of the third floor of the building with the letter “A-9” for the stroke center of the KNP “Cherkasy Regional Hospital of the Cherkasy Regional Council” at 3 St. Luke the Surgeon St. in Cherkasy

Technical Solution 2

Reconstruction of the third floor of the building with the letter “A-9” for the stroke center of the Cherkasy Regional Hospital of the Cherkasy Regional Council

Cost breakdownCost justificationCost justification
Project cost (preparation and implementation)74'688'610 UAH81'810'000 UAH
For preparation697'460 UAH810'000 UAH
For implementation73'991'150 UAH81'000'000 UAH
Project operation and closure cost0 UAH850'000 UAH
For operation0 UAH800'000 UAH
For closing0 UAH50'000 UAH
Average annual costs100'000 UAH0 UAH
Project duration, incl.20 months32 months
Deadline for developing a FFS8 months8 months
Implementation period12 months24 months
Service life780 months780 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?
No

[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?
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?
Для реалізації проєкту обрано процедуру відкритих торгів з особливостями, оскільки вона забезпечує високу конкуренцію на ринку будівельно-ремонтних послуг, скорочує строки проведення закупівлі, відповідає масштабам та комплексності робіт, а також гарантує прозорість і економічну ефективність. Такий підхід дає можливість обрати підрядника з оптимальним співвідношенням ціни, якості та досвіду, що є критично важливим для успішної реалізації проєкту.

[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 передбачається використання електронної системи ProZorro, оприлюднення всіх документів, проведення відкритих торгів з особливостями, застосування незалежного технічного та закупівельного нагляду, чітких критеріїв оцінки, регулярного контролю якості та публічного звітування. Це гарантує відкритість процедур, рівний доступ учасників, ефективне використання коштів та зменшення ризиків порушень.

[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
Попереднє залучення ринку здійснювалося шляхом аналізу відкритих тендерів у ProZorro, огляду аналогічних проєктів капітального ремонту лікарень, консультацій з технічними та галузевими експертами, а також інформаційних запитів до потенційних підрядників щодо їхніх технічних можливостей та строків виконання. Додатково було проведено аналіз ринку будівельних матеріалів. Зібрана інформація дозволила уточнити технічне завдання, обґрунтувати очікувану вартість, визначити оптимальну процедуру закупівлі та підвищити прозорість і конкуренцію.

[Response was provided in the Investment Feasibility Study]

Potential market participants
Ринкові консультації плануються проводитися комплексно: через аналіз відкритих даних, прямі контакти з підприємствами та консультації з експертами. Отримані результати підтверджуватимуться наявністю достатньої кількості кваліфікованих учасників та високий потенціал конкуренції, що дозволить застосувати відкриті торги з особливостями як оптимальну закупівельну процедуру.

[Response was provided in the Investment Feasibility Study]

Market readiness assessment
Ринок у цілому є достатньо зрілим та конкурентним для реалізації проєкту капремонту лікарні. Доступні кваліфіковані підрядники, необхідні технології та матеріали. Основні бар’єри пов’язані з регуляторними вимогами, економічними коливаннями та технічними особливостями будівель медичного призначення — ці ризики є керованими за умови належного планування та контролю.

[Response was provided in the Investment Feasibility Study]

Financial justification

Total project budget

Total preliminary budget74'688'610 UAH82'660'000 UAH
Project cost (preparation and implementation)74'688'610 UAH81'810'000 UAH
For preparation697'460 UAH810'000 UAH
For implementation73'991'150 UAH81'000'000 UAH
Project operation and closure cost0 UAH850'000 UAH
For operation0 UAH800'000 UAH
For closing0 UAH50'000 UAH
Чи була під час уточнення орієнтовного бюджету використана Методика розрахунку вартості публічного інвестиційного проєкту, затверджена наказом Міністерства фінансів України №316 від 23.06.2025 р.?
Yes
[Response was provided in the Investment Feasibility Study]
Чи була під час розрахунку орієнтовного бюджету використана Методика розрахунку вартості публічного інвестиційного проєкту, затверджена наказом Міністерства фінансів України №316 від 23.06.2025 р.?
Yes
[Response was provided in the Preliminary Investment Feasibility Study]

Average project cost per service recipient

Service Unitпацієнт
Service Unit Cost93'361 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 Funds697'460 UAH0 UAH
Expected Funds697'460 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)
Economic justification - economic analysis

[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]

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]

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]

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]

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]

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?
Legal consultants

[Response was provided in the Investment Feasibility Study]

Economic analysts

[Response was provided in the Investment Feasibility Study]

Technical experts

[Response was provided in the Investment Feasibility Study]

Are there plans to involve experts and consultants for further implementation of the project?
No

[Response was provided in the Investment Feasibility Study]

Risk assessment

Technical riskDefinedUndefined
Financial riskDefinedUndefined
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
17/12/2025SP-R-171225-F9328814Regional SPInvestment Feasibility StudyIncludeAccess to proper stroke treatment should not depend on the place of residence, time of day, age or wealth of the patient. This Project will significantly expand the possibilities of providing patients with intensive, including neurosurgical, medical care in accordance with the established diagnosis and their condition in a 24-hour hospital. The Project will have a positive impact on the development of the material and technical support of the medical industry, will allow for the effective use of funds for medical care for patients with acute cerebrovascular accident, and will improve its quality and accessibility to the population. The Project corresponds to the industry development strategy-
23/12/2025SPP-R-231225-FFE8C568Regional SPPInvestment Feasibility StudyInclude-79