Reconstruction of the medical building of the Municipal Non-Profit Enterprise of the Safyanivka Village Council of the Izmail District of the Odessa Region "Central District Hospital" in the city of Izmail, 31 Bilhorod-Dnistrovska Street


Sector
Healthcare
Stream
Ensuring the formation of a single medical space, healthcare institutions and medical service providers in which they operate according to uniform rules and are able to provide the appropriate level of medical care regardless of the organizational form, form of ownership, subordination or location of the person being served, and developing appropriate patient routes
Maturity level
89
Preliminary Investment Feasibility Study
Project Status
Investment Feasibility Study
Entry into Portfolio
Local level of SPP
Implementation
Completion

General information

Description of the project

will allow to expand the number of areas of medical services provided by a healthcare institution, create conditions for the patient to receive a complex of medical services in one place, shorten the patient's route from diagnosis to the direct process of treatment and preventive measures. This approach will allow to optimize the patient's route, the developed mechanism for providing a complex of medical services from one provider of such services increases the level of patient trust, and will also contribute to filling the database on the patient's health status, which will subsequently have a positive impact on the quality of medical services. 

The purpose of the project

Main Goal:

Improving the quality of services

Secondary Goal:

Capacity building, Introducing innovations and energy-efficient solutions

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

It is planned: modernization of building structures and 100% of engineering networks; creation of a safe and comfortable environment for patients and medical staff - doctor's offices - 15 rooms; wards for inpatient treatment of patients - 20 rooms; civil defense premises for 80 people compliance of the building with modern building codes, sanitary and hygienic requirements and energy efficiency standards; ensuring the possibility of integrating new medical technologies and equipment: development of a new direction of medical services - neurology; improving the quality of medical services and reducing operating costs: connecting the building to an autonomous source of energy supply, installing a backup source of water supply and energy supply

Problems and solutions resulting from project implementation

emergency condition of individual structures, roof leaks, damage to facades; outdated planning that does not meet modern requirements. lack of engineering networks; lack of a heating system, which leads to an impact on structures; lack of modern ventilation and air conditioning. Insufficient compliance with sanitary and fire safety standards: lack of bathrooms; lack of a fire alarm system and evacuation routes. Insufficient barrier-free access: lack of comfortable conditions for patients with limited mobility; lack of ramps, elevators and specially equipped sanitary rooms. Limited opportunities for the use of modern technologies lack of a medical information system; premises are not adapted to accommodate high-tech equipment. The implementation of the project will eliminate the risks of accidents, improve treatment conditions, reduce operating costs and create a comfortable environment for patients and staff, which will directly improve the quality of medical services We will receive: a modern building that meets construction and medical standards; efficient heating and ventilation → reducing energy costs; a modern electrical system with backup power; stable water supply and sewage. Accessibility for all categories of the population: ramps, elevators, adapted bathrooms; barrier-free access to all departments of the building. Modern technical and digital equipment: the ability to install the latest medical equipment; implementation of a medical information system (electronic patient records, telemedicine).

Socio-economic context

Indicator

Value

Capacity

1800 human

Number of jobs, including for IDPs

56 human

Population in the geographical area of influence of the project

126 thous. people

Strategic Case

Strategic feasibility of the project

Sector

Healthcare

Subsector

Specialized medical care

Stream

Ensuring the formation of a single medical space, healthcare institutions and medical service providers in which they operate according to uniform rules and are able to provide the appropriate level of medical care regardless of the organizational form, form of ownership, subordination or location of the person being served, and developing appropriate patient routes

Strategic document

Strategy for the Development of the Healthcare System until 2030

Task

5 Ensuring the formation of a single medical space, healthcare institutions and medical service providers in which they operate according to uniform rules and are able to provide the appropriate level of medical care regardless of the organizational form, form of ownership, subordination or location of the person being served, and developing appropriate patient routes

Project objectives

Indicator
Base value
Target value
Number of patients per year who will be able to receive treatment in the reconstructed building
0 human
1800 human
The proportion of patients who become disabled for the first time due to neurological diseases
75 %
30 %

Project Sustainable Development Goals

Demand for the service and its dynamics

What methodology was used to estimate demand?

Аналіз статистичних даних про захворюваність серед працездатного населення
[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
1800 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?

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
30.09.2025
11:33:13 UTC

Alternative technical solutions

Technical Solution 1

Reconstruction of the medical building

Technical Solution 2

Construction of a new medical building

Cost breakdownCost justificationCost justification
Project cost (preparation and implementation)41'800'000 UAH46'179'500 UAH
For preparation4'800'000 UAH7'400'000 UAH
For implementation37'000'000 UAH38'779'500 UAH
Project operation and closure cost8'600'000 UAH4'300'000 UAH
For operation7'500'000 UAH3'800'000 UAH
For closing1'100'000 UAH500'000 UAH
Average annual costs3'800'000 UAH0 UAH
Project duration, incl.43 months45 months
Deadline for developing a FFS7 months9 months
Implementation period36 months36 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?
No

[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 budget50'400'000 UAH50'479'500 UAH
Project cost (preparation and implementation)41'800'000 UAH46'179'500 UAH
For preparation4'800'000 UAH7'400'000 UAH
For implementation37'000'000 UAH38'779'500 UAH
Project operation and closure cost8'600'000 UAH4'300'000 UAH
For operation7'500'000 UAH3'800'000 UAH
For closing1'100'000 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?
No
[Response was provided in the Investment Feasibility Study]

Average project cost per service recipient

Service Unitвартість одиниці послуги
Service Unit Cost8'735 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]

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
06/10/2025SP-L-061025-59FA395CCommunity SPInvestment Feasibility StudyInclude--
13/11/2025SPP-L-131125-464874B8Community SPPInvestment Feasibility StudyInclude-89