Major repairs of the buildings of the outpatient building "lit. V" and the X-ray department "lit. T" of the Municipal Non-Profit Enterprise "Kryvyi Rih City Hospital No. 3" of the Kryvyi Rih City Council at the address: 13K Pushkina St., Kryvyi Rih, Dnipropetrovsk region, Ukraine


Sector
Healthcare
Stream
Ensuring access to quality medical care through the development and modernization of medical infrastructure facilities
Maturity level
78
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 overhaul of two key buildings - a four-story polyclinic (lit. B) and a one-story radiology department (lit. T). The work is divided into 4 stages: Complete thermal modernization: Insulation of facades with mineral wool slabs (150 mm), insulation of the basement and attic floors, replacement of windows with energy-efficient ones with a five-chamber profile and double-chamber double-glazed windows. Renewal of engineering systems: Complete replacement of heating, ventilation networks (with the installation of supply and exhaust units with recuperation), water supply, sewage and electrical networks. Technological re-equipment: Installation of a modern medical elevator to ensure vertical communication between the floors of the polyclinic. Major overhaul of the radiology department for the installation of the new OPERA T30cs system. Renewal of the sterilization department in accordance with modern sanitary standards. Inclusivity: Arrangement of ramps, tactile tiles, widening of doorways and creation of bathrooms for people with reduced mobility (PLM). 2. What problems does the project solve? The implementation of the project allows to eliminate a number of critical issues that currently exist in the medical facility: High operating costs: Due to outdated enclosing structures and an inefficient heating system, the building loses a significant part of the heat, which leads to excessive budget costs. Non-compliance with accessibility standards: The lack of an elevator and proper ramps makes it impossible for people with disabilities and elderly patients to receive medical services on the upper floors. Technical wear and tear of networks: The emergency condition of pipes and electrical wiring creates risks for the uninterrupted operation of diagnostic equipment. Outdated diagnostic base: The premises of the X-ray department do not meet safety requirements and technical parameters for installing modern digital equipment. 3. Expected resultsAfter the completion of the major renovation, the hospital will receive the following benefits: Economic (according to Methodology No. 316): Reduction in thermal energy consumption (up to 30-40% due to insulation and recovery) and electricity (due to replacing lighting with LED and new equipment). This will lead to a significant reduction in OPEX (operating expenses) in the long term. Social: Creation of a safe and comfortable environment for 260 visitors per day and proper working conditions for 74 medical workers. Medical: Increased diagnostic accuracy thanks to a new X-ray machine and improved infection control through the modernization of the sterilization unit. Aesthetic: The updated facade and landscaping of the surrounding area will improve the architectural appearance of the street.

The purpose of the project

Main Goal:

Increasing compliance with modern standards

Secondary Goal:

Increasing compliance with modern standards, Introducing innovations and energy-efficient solutions

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

The goal of the project is not limited to the physical repair of walls. It has three dimensions: Social goal: Ensuring equal access to high-quality medical diagnostics and outpatient care for residents of Kryvyi Rih (capacity - 260 visits/day), including low-mobility population groups. Economic goal: Minimizing budget costs for building maintenance by achieving an energy efficiency class of not lower than "C" and reducing the life cycle cost (LCC) of the facility. Technological goal: Creating a modern base for installing digital diagnostic equipment (OPERA T30cs X-ray system), which meets radiation safety standards and sanitary regulations.

Problems and solutions resulting from project implementation

Critical energy inefficiency: The buildings "lit. B" (1987) and especially "lit. T" (1957) have outdated enclosing structures. Heat loss through the walls, roof and old wooden windows exceeds modern standards by several times. Architectural inaccessibility (Barrier): The polyclinic building has 4 floors, but is not equipped with an elevator. This makes medical care on the upper floors inaccessible to people with reduced mobility (LMV), people with disabilities and elderly patients. Deep physical wear of engineering systems: Water supply, sewage and electrical networks have reached their limits. There is a constant threat of accidents that can damage expensive medical equipment. Non-compliance with radiation safety requirements: The premises of the X-ray department are not adapted for the installation of a modern digital OPERA T30cs system, which requires special protection and ventilation. The overhaul of buildings will lead to the following effects: Economic - reduction of operating costs for heating by 30–40% due to comprehensive thermal modernization and air recovery. Social - 100% accessibility of all clinic rooms for each patient thanks to a new elevator and barrier-free space, Extension of the life cycle: The overhaul will extend the effective operation of buildings by at least 25–30 years.

Socio-economic context

Indicator

Value

Number of IDP users

7783 human

Number of people who will use the service

64394 human

Number of employees of the institution/institution/organization

74 human

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

Стратегія розвитку територіальної громади

Task

1.5.2 Formation of a capable network of healthcare institutions at all levels (including the creation of rehabilitation departments)

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?

Аналіз зони обслуговування (Catchment Area Analysis)
[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
74137 units
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

Does the planned activity have a potential positive contribution to achieving climate or environmental objectives?

Climate change adaptation
[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

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:

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?

Not applicable to my project
[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]

Were consultations held with representatives of target groups to take into account gender equality issues in the project?

No consultations were held with target groups.
[Response was provided in the Investment Feasibility Study]

Have the gender risks and social impacts of the project been assessed?

None of the options are applicable

Are there management and institutional mechanisms in place to ensure gender equality?

Not provided for by the project
[Response was provided in the Investment Feasibility Study]

Documents

Name
Date
justification for the polyclinic project.docx
23.01.2026
17:07:08 UTC
Financial justification .docx
05.02.2026
07:55:31 UTC

Alternative technical solutions

Technical Solution 1

Major renovation of the buildings of the polyclinic building "lit.B" and the radiology department "lit.T"

Technical Solution 2

Construction of a new outpatient clinic building and radiology department building

Cost breakdownCost justificationCost justification
Project cost (preparation and implementation)163'901'238 UAH304'000'000 UAH
For preparation1'433'122 UAH4'000'000 UAH
For implementation162'468'116 UAH300'000'000 UAH
Project operation and closure cost59'341'913'711 UAH30'300'000 UAH
For operation59'341'913'711 UAH30'000'000 UAH
For closing0 UAH300'000 UAH
Average annual costs22'569'578 UAH0 UAH
Project duration, incl.60 months60 months
Deadline for developing a FFS12 months12 months
Implementation period48 months48 months
Service life1200 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
2
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]

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 капітального ремонту лікарні було обрано стратегію конкурентних закупівель через систему "Prozorro"

[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 в процесі закупівель планується використовувати комплексний підхід, що базується на відкритих процедурах, електронних системах і суворому контролі.

[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.)?
Other

[Response was provided in the Investment Feasibility Study]

Pre-market engagement
огляд відкритих тендерів

[Response was provided in the Investment Feasibility Study]

Potential market participants
проєкт на стадії завершення реалізації. Договір на роботи укладено через систему "Prozorro"

[Response was provided in the Investment Feasibility Study]

Market readiness assessment
Ринок повністю готовий, роботи виконуються кваліфікованими спеціалістами

[Response was provided in the Investment Feasibility Study]

Financial justification

Total project budget

Total preliminary budget59'505'814'949 UAH334'300'000 UAH
Project cost (preparation and implementation)163'901'238 UAH304'000'000 UAH
For preparation1'433'122 UAH4'000'000 UAH
For implementation162'468'116 UAH300'000'000 UAH
Project operation and closure cost59'341'913'711 UAH30'300'000 UAH
For operation59'341'913'711 UAH30'000'000 UAH
For closing0 UAH300'000 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 UnitСередня вартість проєкту на одного отримувача послуги
Service Unit Cost2'271 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 Funds131'844'746 UAH0 UAH
Expected Funds131'844'746 UAH0 UAH

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]

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?
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?
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?
None of the options are applicable
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
Other 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?

Yes
[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
26/01/2026SP-L-260126-73D3AF6ECommunity SPInvestment Feasibility StudyCanceled--
26/01/2026SP-L-260126-082B2669Community SPInvestment Feasibility StudyCancellation of the decision to include in a joint venture--
02/02/2026SP-L-020226-0B924116Community SPInvestment Feasibility StudyAwaiting review--
06/02/2026SP-L-060226-E2E1EAB3Community SPInvestment Feasibility StudyInclude--
17/02/2026SPP-L-170226-A47DF6B0Community SPPInvestment Feasibility StudyInclude-78