Major renovation of part of the 1st floor (for the organization of a stroke unit) of the inpatient department No. 1 of the Lozov Territorial Medical Association of the Lozov City Council of the Kharkiv region at the address: Kharkiv region, Lozov district, Katerynivka village, Zhivopysna st., 42


Sector
Healthcare
Stream
Ensuring universal access of the population to quality medical services and tools for implementing the right to health
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

As a result of the overhaul, a modern stroke unit will be created that meets sanitary standards and provides comfortable conditions for patients  and staff. The project provides for partial redevelopment of the wards in accordance with modern requirements of the State Code of Ukraine and accessibility,  dismantling of internal fittings and replacement with modern materials; carrying out electrical work, arranging an air conditioning, ventilation and recuperation system, restoring engineering systems of fire safety, heating, water supply and drainage.
Reducing mortality and disability in stroke cases due to the possibility of treatment according to international protocols in appropriate conditions;
Adhering to the standards of the Ministry of Health of Ukraine regarding the organization of stroke centers;
Increasing public trust in community medicine and reducing the need to transport patients to distant hospitals.

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, Ensuring inclusiveness and equal opportunities, Creation of new jobs through project implementation, Improving the quality of services, Meeting demand

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

Renovation and modernization of part of the 1st floor (for the organization of a stroke unit) to ensure inclusivity, improve working conditions for medical staff and ensure highly qualified treatment of patients. 1. Achieve compliance with the State Building Code, sanitary standards and accessibility requirements by the end of the project. 2. Ensure uninterrupted operation of engineering systems (heating, ventilation with recuperation, water supply, electricity, fire safety). 3. Create conditions for round-the-clock monitoring and intensive care of stroke patients in the first "therapeutic hours". 4. Reduce the risks of hospital-acquired infections thanks to modern washable and antibacterial coatings. 5. Increase the comfort and safety of staff (reduction of physical exertion, ergonomics of workplaces). Redevelopment of premises: Dismantling of non-load-bearing partitions, creation of small-capacity wards (1-2 beds), organization of a procedure room, nurses' station, bathrooms for bedridden patients; Replacement of interior fittings; Modernization of engineering systems: Ventilation + recovery: supply and exhaust unit with heat recovery. Heating: replacement of pipes, radiators with thermostats. Water supply/drainage: replacement of risers, pumping equipment, installation of elbow-controlled mixers. Electricity: laying of new cable lines, installation of emergency power supply (DGU or UPS), grounding for medical equipment. Improving fire safety: installation of addressable fire alarm, alarm system, smoke exhaust, fire-resistant doors, evacuation plans taking into account patients with limited mobility. Creating a barrier-free space: Widening doorways (≥90 cm), installing handrails, sliding doors, ramps (where necessary), special beds with sides, lifts (if necessary). Quality control and compliance with DBN: Author's and technical supervision, system testing, acceptance of work in accordance with the construction standards of Ukraine (DBN V.2.2-10, DBN V.2.5-56, DSTU, etc.).

Problems and solutions resulting from project implementation

The project is aimed at solving the following problems in the field of healthcare: critical loads on the national healthcare system caused by significant deterioration of healthcare facilities and civil infrastructure, which affects access to services, an increase in the number of people requiring healthcare services; an increase in the number of healthcare facilities damaged as a result of the war; failure of the population of Ukraine to provide quality healthcare services. It is planned to redevelop the wards in accordance with modern requirements of the State Standards and accessibility, dismantle the interior decoration and replace it with modern materials; carry out electrical work, install an air conditioning, ventilation and recovery system, restore fire safety engineering systems, heating, water supply and drainage systems. The approximate project implementation period is 12 months.

Socio-economic context

Indicator

Value

Number of people who will use the service

10 beds

Number of jobs, including for IDPs

23 workplaces

Capacity

1000 human

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

20000 human

Population in the geographical area of influence of the project

175000 human

Strategic Case

Strategic feasibility of the project

Sector

Healthcare

Subsector

Specialized medical care

Stream

Ensuring universal access of the population to quality medical services and tools for implementing the right to health

Strategic document

Strategy for the Development of the Healthcare System until 2030

Task

1.4.19. Ensuring a unified approach and determining priority criteria during the phased restoration of the healthcare system infrastructure, taking into account the needs of the population and its individual groups in order to restore access to medical services and taking into account plans for the development of capable networks of healthcare facilities

Project objectives

Indicator
Base value
Target value
Share of wards and premises adapted for groups with reduced mobility
20 %
100 %
Number of new functional departments
1 units
2 units
Number of patients who will receive stroke unit services per year
0 human
1000 human
Average rate of patients returning to a full life after treatment
10 %
40 %

Project Sustainable Development Goals

Demand for the service and its dynamics

What methodology was used to estimate demand?

Оцінка попиту здійснювалась із використанням екстраполяції офіційної статистики МОЗ, Держстату, ВООЗ, а також розрахункових моделей на основі історичних даних щодо звернень, реєстрації хвороб, смертності та інвалідизації. Також бралися до уваги: • кількість госпіталізацій з інсультами; • питома частка пацієнтів, які мали гострий мозковий інсульті відповідно до міжнародних протоколів; • реальна кількість місць у державних і приватних закладах України. Застосовано принцип "від потреби до наявних потужностей" з урахуванням очікуваного покриття проєктом частини структурного дефіциту. Ключові джерела інформації, на які опирається наш прогноз: • Державна служба статистики України, зведені демографічні та медико-санітарні показники. • Центр громадського здоров’я МОЗ України — статистика захворюваності на серцево-судинні захворювання та інсульт. • ВООЗ (Global Health Estimates) — співставлення з європейськими трендами щодо виживання після інфаркту/інсульту. • НСЗУ (Національна служба здоров’я України) — перелік пріоритетних послуг за Програмою медичних гарантій. • Звіт МОЗ України за 2025 рік, наказ МОЗ № 1539 від 08.10.2025 «Про удосконалення надання медичної допомоги пацієнтам із гострим мозковим інсультом».
[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
650 human
Annual demand for services/infrastructure
2
720 human
Annual demand for services/infrastructure
3
810 human
Annual demand for services/infrastructure
4
900 human
Annual demand for services/infrastructure
5
1000 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?

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

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]
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]

Documents

Name
Date
calculation of major repairs of the STROKE UNIT.docx
30.04.2026
11:35:19 UTC
calculation of new construction Stroke unit.docx
30.04.2026
11:35:19 UTC

Alternative technical solutions

Technical Solution 1

Major renovation of part of the 1st floor (for the organization of a stroke unit) of the inpatient department No. 1 of the Lozov Territorial Medical Association of the Lozov City Council of the Kharkiv region at the address: Kharkiv region, Lozov district, Katerynivka village, Zhivopysna st., 42

Technical Solution 2

New construction of the stroke unit

Cost breakdownCost justificationCost justification
Project cost (preparation and implementation)20'500'000 UAH3'020'000'000 UAH
For preparation500'000 UAH20'000'000 UAH
For implementation20'000'000 UAH3'000'000'000 UAH
Project operation and closure cost6'200'000 UAH13'000'000 UAH
For operation6'000'000 UAH12'000'000 UAH
For closing200'000 UAH1'000'000 UAH
Average annual costs4'800'000 UAH0 UAH
Project duration, incl.21 months72 months
Deadline for developing a FFS6 months24 months
Implementation period15 months48 months
Service life600 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
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, 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?
Yes

[Response was provided in the Preliminary Investment Feasibility Study]

Financial justification

Total project budget

Total preliminary budget26'700'000 UAH3'033'000'000 UAH
Project cost (preparation and implementation)20'500'000 UAH3'020'000'000 UAH
For preparation500'000 UAH20'000'000 UAH
For implementation20'000'000 UAH3'000'000'000 UAH
Project operation and closure cost6'200'000 UAH13'000'000 UAH
For operation6'000'000 UAH12'000'000 UAH
For closing200'000 UAH1'000'000 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 UnitВартість послуги на 1 пацієнта
Service Unit Cost20'000 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 rationale - demand analysis

[Response was provided in the Preliminary Investment Feasibility Study]

Financial analysis - financial analysis

[Response was provided in the Preliminary Investment Feasibility Study]

Economic justification - economic analysis

[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 - risk management

[Response was provided in the Preliminary Investment Feasibility Study]

Project management - 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]

Project management - public consultations

[Response was provided in the Preliminary Investment Feasibility Study]

Project management - legal support

[Response was provided in the Preliminary Investment Feasibility Study]

Strategic justification - analysis of the strategic feasibility of the project

[Response was provided in the Preliminary Investment Feasibility Study]

Economic feasibility study - technical expertise

[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?
No, I need help.

[Response was provided in the Preliminary Investment Feasibility Study]

Risk assessment

Financial riskDefinedUndefined
Economic riskDefinedUndefined
Political riskDefinedUndefined
Social riskDefinedUndefined
Operational riskDefinedUndefined
Market riskDefinedUndefined
Environmental riskDefinedUndefined
Other 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)?

None of the options are applicable

Project Approval History

DateDecision NumberPortfolioProject StatusDecisionReasonsMaturity level
07/05/2026SP-L-070526-E8BF8236Community SPInvestment Feasibility StudyIncludeCorresponds to the medium-term plan of priority public investments of the Lozov city territorial community for 2026–2028, approved by the decision of the executive committee of the Lozov city council of the Kharkiv region dated August 26, 2025 No. 1213, as the main direction of public investment.-
27/05/2026SPP-L-270526-41FC0DC1Community SPPInvestment Feasibility StudyIncludeCorresponds to the medium-term plan of priority public investments of the Lozov city territorial community for 2026–2028, approved by the decision of the executive committee of the Lozov city council of the Kharkiv region dated August 26, 2025 No. 1213, as the main direction of public investment.88