Major renovation of the premises of the general practice and family medicine outpatient clinic in the village of Tsybuliv, municipal non-profit enterprise "Monastyryshchensk Center for Primary Medical and Sanitary Care" of the Monastyryshchensk City Council, Cherkasy region

Sector
Healthcare
Stream
Ensuring access to quality medical care through the development and modernization of medical infrastructure facilities
Maturity level
88
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 implementation of the major renovation project will allow creating a modern medical space that will contribute to the early detection of diseases, timely provision of care, reducing the burden on secondary medical care facilities and overall improvement of the health of the community population, ensuring the safety and functionality of the building.  It is expected to extend the life of the building, increase efficiency and comfort for patients and staff, and comply with modern standards and requirements.

The purpose of the project

Main Goal:

Ensuring inclusiveness and equal opportunities

Secondary Goal:

Increasing compliance with modern standards, Increasing compliance with modern standards, Improving the condition of infrastructure, Improving the quality of services

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

Improving health and social protection services

Problems and solutions resulting from project implementation

The building and its equipment have significant physical wear and tear, requiring their replacement or restoration. There is a need to modernize structures and equipment to improve the operational performance of the building. Major repairs also involve improving the layout of the premises, which may be related to the current functioning of the AZPSM. Problem solving as a result of the project: - worn structures and equipment are replaced and restored, which leads to the renewal of the premises. - conditions for providing medical care to patients and staff work are improved, which is the main purpose of the AZPSM overhaul; - in addition to the building itself, the surrounding area is being improved.; - the building receives new or restored operational performance, which makes it more efficient and safe.

Socio-economic context

Indicator

Value

Population in the geographical area of influence of the project

6503 human

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

98 human

Strategic Case

Strategic feasibility of the project

Sector

Healthcare

Subsector

Primary healthcare

Stream

Ensuring access to quality medical care through the development and modernization of medical infrastructure facilities

Strategic document

Стратегія розвитку територіальної громади

Task

2.2.1. Improving health and social protection services

Project objectives

Indicator
Base value
Target value
Increase in the number of declarations concluded with PMD doctors for 1 PMG package
4593 units
6503 units

Project Sustainable Development Goals

Demand for the service and its dynamics

What methodology was used to estimate demand?

Аналіз навантаження на заклад
[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
4693 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]

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:

None of the options are applicable

Does the project provide for improving women's access to services?

None of the options are applicable

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
summary estimate.pdf
22.09.2025
11:55:26 UTC

Alternative technical solutions

Technical Solution 1

Comprehensive modernization of an existing building

Technical Solution 2

New construction of a modern AZPSM

Cost breakdownCost justificationCost justification
Project cost (preparation and implementation)7'233'913 UAH202'000'000 UAH
For preparation344'472 UAH5'000'000 UAH
For implementation6'889'441 UAH197'000'000 UAH
Project operation and closure cost6'939'441 UAH18'000'000 UAH
For operation6'889'441 UAH15'000'000 UAH
For closing50'000 UAH3'000'000 UAH
Average annual costs1'059 UAH0 UAH
Project duration, incl.48 months72 months
Deadline for developing a FFS12 months12 months
Implementation period36 months60 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
0
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?
No

[Response was provided in the Preliminary Investment Feasibility Study]

Financial justification

Total project budget

Total preliminary budget14'173'354 UAH220'000'000 UAH
Project cost (preparation and implementation)7'233'913 UAH202'000'000 UAH
For preparation344'472 UAH5'000'000 UAH
For implementation6'889'441 UAH197'000'000 UAH
Project operation and closure cost6'939'441 UAH18'000'000 UAH
For operation6'889'441 UAH15'000'000 UAH
For closing50'000 UAH3'000'000 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]
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 UnitВартість одиниці послуги
Service Unit Cost1'059 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 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]

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]

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?
No, this is the first project of its kind.

[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]

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]

Strategic rationale - SDG compliance analysis

[Response was provided in the Preliminary Investment Feasibility Study]

Management rationale - communication with stakeholders

[Response was provided in the Preliminary Investment Feasibility Study]

Management rationale - risk management

[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]

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

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

Project Approval History

DateDecision NumberPortfolioProject StatusDecisionReasonsMaturity level
02/10/2025SP-L-021025-A03ED772Community SPInvestment Feasibility StudyInclude--
21/10/2025SPP-L-211025-3722D4F3Community SPPInvestment Feasibility StudyInclude-88