Project on modernization of diagnosis and treatment of breast cancer

Sector
Healthcare
Stream
Development of a network of institutions providing medical care to patients with cancer
Maturity level
66
Project Status
Preliminary Investment Feasibility Study
Entry into Portfolio
State level of SPP
Investment Feasibility Study
Implementation
Completion

General information

Description of the project

In response to the urgent needs in the healthcare sector arising from the ongoing armed aggression against Ukraine, an investment project has been initiated to strengthen the capacity of the national healthcare system by modernizing the infrastructure for the diagnosis and treatment of breast cancer. The project is being implemented within the framework of the Framework Agreement between the Government of Ukraine and the Government of the French Republic on official support for the project to modernize the diagnosis and treatment of breast cancer dated June 11, 2024, ratified by the Law of Ukraine No. 3970-IX. The Project provides for the attraction of official support for the Government of Ukraine in the form of a concessional loan from the Treasury of the French Republic for a maximum amount of 11,621,200 euros. The lender is the Government of the French Republic, represented by Bpifrance Assurance Export (Institutional Activities Directorate), acting on behalf of and in the interests of the French side. The borrower is Ukraine represented by the Minister of Finance of Ukraine or the Head of the Debt Agency of Ukraine (in the case of the latter - after the start of its work on behalf of the Minister of Finance of Ukraine). The project will be implemented on the basis of a supply agreement concluded between the Ministry of Health of Ukraine as the responsible body of the Government of Ukraine and the French company GE Medical Systems SCS as the supplier. The list of healthcare institutions (recipients) is included in the supply agreement between the Ministry of Health of Ukraine and the French company GE Medical Systems SCS. According to the concluded supply agreement, it is envisaged to supply and install 25 mammography systems for healthcare institutions of Ukraine. The agreement covers the full implementation cycle, in particular: supply of medical equipment, installation and commissioning, quality control of the equipment at the installation site, technical training of medical personnel, commissioning of the equipment, warranty service. The project is aimed at increasing the availability of modern mammographic diagnostics, ensuring early detection of breast cancer, reducing mortality from cancer, and strengthening the institutional capacity of the Ukrainian healthcare system under martial law and post-war recovery.

The purpose of the project

Main goal:

Improving the quality of services

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

Increasing the efficiency of breast cancer diagnosis and treatment in Ukraine by providing healthcare facilities with modern digital mammography equipment, increasing the level of early detection of the disease and implementing European standards of medical care. The justification is based on an analysis of the epidemiological situation and incidence of breast cancer in Ukraine, where the disease is the most common oncological disease among women and the main cause of cancer mortality. The level of provision of healthcare facilities with medical equipment, which is currently insufficient and uneven between regions, is taken into account. Criteria for selecting healthcare facilities are included that guarantee the effective use of equipment and equal access of patients to medical services. The expected socio-economic effect of the project implementation: improving the quality of medical care, increasing screening coverage, reducing breast cancer mortality and effective use of budget funds.

Problems and solutions resulting from project implementation

The implementation of the project to supply and install 25 mammograms will have the following results: ● Increasing the number of early diagnoses thanks to modern mammography technologies, which will improve the prognosis and effectiveness of treatment. ● Reducing the mortality rate from breast cancer due to early detection and timely treatment. ● Improving the quality of medical services in accordance with international standards. ● Increasing the efficiency of using budget funds through centralized equipment supply and equitable distribution of resources between regions. The project meets the goals of the Healthcare System Development Strategy for the period until 2030 and the Government's plan to ensure universal access to quality medical services for the population. The implementation of the project to modernize the diagnosis and treatment of breast cancer will contribute to a significant improvement in oncological care in Ukraine. Using international experience in the field of diagnosis and treatment of breast cancer will allow not only to equip hospitals with modern equipment, but also to introduce the latest methods of diagnosis and treatment, which will have a positive impact on the health of the population.

Socio-economic context

Indicator

Value

Other functional

4500 units

Strategic Case

Strategic feasibility of the project

Sector

Healthcare

Subsector

Specialized medical care

Stream

Development of a network of institutions providing medical care to patients with cancer

Strategic document

National Strategy for Cancer Control until 2030

Task

1 Ensuring the effective functioning of a capable network of healthcare facilities that provide medical care to patients with cancer

Project objectives

Indicator
Base value
Target value
increasing the efficiency and quality of services provided
25 %
75 %

Project Sustainable Development Goals

Demand for the service and its dynamics

What methodology was used to estimate demand?

При визначенні закладів, які отримають обладнання, було враховано такі ключові фактори: 1. Епідеміологічна ситуація та статистика захворюваності. ● У 2023 році в Україні зареєстровано 12 683 нових випадки раку молочної залози, з них 12 582 — у жінок і 101 — у чоловіків. ● Рак молочної залози є найпоширенішим онкологічним захворюванням серед жінок в Україні, посідаючи перше місце в структурі захворюваності та смертності від злоякісних новоутворень жіночого населення. Вікові показники захворюваності: ● У віковій групі 18–24 роки рак молочної залози займає третє місце в структурі захворюваності українок (10,8%). ● У вікових групах від 30 до 74 років він стабільно лідирує, складаючи від 27,6% до 20,6% випадків. Вікові показники смертності: ● У вікових групах 30–54, 55–74 та 75+ років рак молочної залози є провідною причиною смертності від раку серед жінок, складаючи 24,5%, 20,6% та 18,5% відповідно. 2. Рівень забезпеченості медичним обладнанням. ● Багато закладів охорони здоров’я потребують оновлення або модернізації діагностичного обладнання для раннього виявлення та лікування раку молочної залози. ● Враховано технічний стан наявного обладнання, термін його експлуатації та можливість інтеграції нових технологій.
[Response was provided in the Preliminary Investment Feasibility Study]

Has data from external sources been used in the demand assessment?

No
[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
25
4500 thous. people
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:

None of the options are applicable

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

Other benefits from project implementation
[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]

Alternative technical solutions

Technical Solution 1

Modernizing breast cancer diagnosis and treatment

Technical Solution 2

High-tech radiation therapy

Total costs526'504'000 UAH420'000'000 UAH
  • For preparation
    • 26'325'000 UAH20'000'000 UAH
  • For implementation
    • 473'854'000 UAH200'000'000 UAH
  • For operation
    • 26'325'000 UAH200'000'000 UAH
    Average annual costs2'632'000 UAH20'000'000 UAH
    Project duration, incl.8 months24 months
  • Deadline for developing a FFS
    • 2 months12 months
  • Implementation period
    • 6 months12 months
    Service life120 months120 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.]

    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 budget526'504'000 UAH420'000'000 UAH
    Capital costs526'504'000 UAH420'000'000 UAH
    Operational costs0 UAH0 UAH

    Preliminary cost breakdown

    Operating costs for implementation0 UAH0 UAH
    For preparation26'325'000 UAH20'000'000 UAH
    For implementation473'854'000 UAH200'000'000 UAH
    For operation26'325'000 UAH200'000'000 UAH
    For closing0 UAH0 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]

    Average project cost per service recipient

    Service UnitДіагностика лікування раку молоченої залози
    Service Unit Cost117'000 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?
    Yes – the analysis was conducted, it was found that the tariffs correspond to the financial capabilities of consumers

    [Response was provided in the Preliminary Investment Feasibility Study]

    Project Financing Mechanisms

    Are funding sources and mechanisms identified?

    Source and MechanismYesNo

    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 - 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]

    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]

    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]

    Economic justification - social and gender analysis

    [Response was provided in the Preliminary Investment Feasibility Study]

    Strategic justification - forming a justification for the problem and need

    [Response was provided in the Preliminary Investment Feasibility Study]

    Management rationale - public consultation

    [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]

    Business case - analysis of available procurement options

    [Response was provided in the Preliminary Investment Feasibility Study]

    Economic justification - economic analysis

    [Response was provided in the Preliminary Investment Feasibility Study]

    Financial analysis - financial analysis

    [Response was provided in the Preliminary Investment Feasibility Study]

    Management rationale - risk management

    [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]

    Strategic rationale - demand analysis

    [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]

    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]

    Risk assessment

    Other riskDefinedUndefined
    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
    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
    03/03/2026SP-N-030326-5F778B57State SPPreliminary Investment Feasibility StudyInclude--
    17/03/2026SPP-N-170326-0E7D3BE9State SPPPreliminary Investment Feasibility StudyIncludeAccording to the minutes of the meeting of the Strategic Investment Council dated 12.03.2026 No. 1666