Major repairs of the buildings of the KNP "Velikooleksandrivska Hospital", at the address: Kherson region, Beryslav district, Velyka Oleksandrivka village, Svobody st...... Correction. (I stage)
Sector
Healthcare
Stream
Ensuring access to quality medical care through the development and modernization of medical infrastructure facilities
Preliminary Investment Feasibility Study
Project Status
Investment Feasibility Study
Entry into Portfolio
Local level of SPP
Implementation
Completion
- Preparation
- General information
- Strategic Case
- Economic Case
- Commercial Case
- Financial Case
- Management Case
General information
Description of the project
The project involves major repairs to the building of the "A" building of the "Velikooleksandrivska Hospital" at the address: Kherson region, Velyka Oleksandrivka village, Svoboda st. *(I stage). The building is two-story, with load-bearing brick walls, reinforced concrete floors and a maximum height of 11.81 m. Problems being solved: worn-out structural elements; outdated interior decoration; insufficient thermal efficiency; non-compliance with accessibility requirements; lack of modern solutions for fire, technogenic and operational safety. The essence of the work: dismantling of old structures; partial redevelopment; replacement of windows; insulation of the facade and basement; installation of a drain; repair of porches and ramps; renovation of interior finishes in wards, corridors, operating rooms, bathrooms; accessibility improvements; ensuring fire, technogenic, sanitary and operational safety in accordance with current regulations. Expected results: the hospital building has been restored and brought into compliance with regulatory requirements; improving conditions for the placement of wards, surgical and administrative premises; ensuring accessibility for groups with reduced mobility; increasing the level of fire and technogenic safety; improving the energy efficiency of the building; extending the operational life by 50 years.
The purpose of the project
Main goal:
Improving the condition of infrastructure
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
To bring the building of building "A" of the KNP "Velikooleksandrivska Hospital" to the regulatory technical, operational, energy-efficient and safety level and ensure the possibility of providing medical services in accordance with current standards.
Methods of achieving the goal
Construction and structural work: dismantling of worn-out elements, partial redevelopment, repair of the roof, porches and stairs.
Energy efficiency: insulation of the facade and basement, installation of energy-efficient windows, arrangement of a drainage system.
Internal work: replacement of decoration in wards, operating rooms, corridors and bathrooms.
Barrier-free: ramps with handrails, regulatory doorways, adapted bathrooms.
Safety: compliance with fire, sanitary, technogenic and operational safety requirements.
Gap between current and target state
Current state: the building has worn structures, outdated interior surfaces, inefficient windows, no insulation, non-compliance with accessibility and fire safety standards.
Target state: a modernized building that meets the standards of strength, durability, energy efficiency, accessibility and safety.
Gap: non-compliance of the technical, sanitary and safety level of the existing building with regulatory requirements - eliminated through major repairs.
Problems and solutions resulting from project implementation
1. Worn-out structures and premises
The building is worn out: floors, partitions, doors, ceilings are subject to dismantling; redevelopment and replacement of finishes are required.
Consequences: deteriorated conditions for providing medical services.
Expected changes: renovated premises, compliance with building and sanitary standards.
2. Low energy efficiency
Uninsulated facade and basement, old windows, no effective drainage system.
Consequences: high heat loss and costs.
Expected changes: reduced energy costs, stable microclimate.
3. Lack of accessibility
There are no regulatory ramps, threshold-free entrances and adapted bathrooms.
Consequences: limited access for low-mobility groups.
Expected changes: complete barrier-free.
4. Non-compliance with fire and man-made standards
Design solutions are needed to ensure fire safety requirements of level III.
Consequences: risks of accidents and dangers.
Expected changes: compliance with current safety requirements.
5. Non-compliance with sanitary requirements
Outdated equipment in operating rooms, wards, bathrooms, corridors.
Consequences: difficulty in complying with sanitary standards.
Expected changes: modern finishing materials, safe hygienic conditions.
Socio-economic context
Indicator
Value
Number of employees of the institution/institution/organization
88 human
Number of IDP users
2188 human
Number of people who will use the service
3000 human
Number of users from low-mobility population groups
300 human
Population in the geographical area of influence of the project
15000 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
1.2.2 Renovate medical infrastructure facilities
Project objectives
Indicator
Base value
Target value
Number of buildings that will be renovated as a result of the project implementation
0 units
1 units
Project Sustainable Development Goals
Demand for the service and its dynamics
What methodology was used to estimate demand?
При оцінці попиту застосовувалася методологія аналізу фактичного та прогнозного навантаження на медичний заклад, що включала: – кількість пацієнтів, які обслуговуються лікарнею; – наявні функціональні можливості корпусу; – відповідність приміщень медичним стандартам; – потребу в забезпеченні доступності та безпеки; – прогнозоване зростання потреб населення в медичних послугах громади.
Has data from external sources been used in the demand assessment?
No
Does the demand forecast take into account the latest demographic and economic forecasts?
Yes
При розрахунку прогнозного попиту враховано останні демографічні та соціально-економічні зміни у Великоолександрівській громаді. На сьогодні на її території проживає близько 12 тисяч осіб, більшість із яких повернулися з місць внутрішнього переміщення після деокупації регіону. Крім того, спостерігається постійне зростання кількості внутрішньо переміщених осіб (ВПО), які прибувають до громади з прибережних районів Херсонської області. Це безпосередньо впливає на збільшення навантаження на медичну систему та формує стійкий приріст попиту на медичні послуги. Таким чином, прогноз попиту розроблено з урахуванням актуальних демографічних тенденцій, соціально-економічних факторів та міграційних процесів, що підтверджує обґрунтованість проєкту з точки зору реальної потреби населення.
Indicator
Year
Demand
Annual demand for services/infrastructure
1
1500 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?
Transition to a circular economy
[Response was provided in the Investment Feasibility Study]
Climate change adaptation
[Response was provided in the Investment Feasibility Study]
Pollution prevention and control
[Response was provided in the Investment Feasibility Study]
Sustainable use and protection of water and marine resources
[Response was provided in the Investment Feasibility Study]
Protecting and restoring biodiversity and ecosystems
[Response was provided in the Investment Feasibility Study]
Climate change mitigation
[Response was provided in the Investment Feasibility Study]
Is the proposed project expected to significantly harm any of the following climate or environmental objectives?
Protecting and restoring biodiversity and ecosystems
[Response was provided in the Investment Feasibility Study]
Climate change adaptation
[Response was provided in the Investment Feasibility Study]
Pollution prevention and control
[Response was provided in the Investment Feasibility Study]
Transition to a circular economy
[Response was provided in the Investment Feasibility Study]
Climate change mitigation
[Response was provided in the Investment Feasibility Study]
Sustainable use and protection of water and marine resources
[Response was provided in the Investment Feasibility Study]
Does the planned activity have a potential positive contribution to achieving climate or environmental objectives?
Sustainable use and protection of water and marine resources
[Response was provided in the Investment Feasibility Study]
Pollution prevention and control
[Response was provided in the Investment Feasibility Study]
Climate change adaptation
[Response was provided in the Investment Feasibility Study]
Protecting and restoring biodiversity and ecosystems
[Response was provided in the Investment Feasibility Study]
Transition to a circular economy
[Response was provided in the Investment Feasibility Study]
Climate change mitigation
[Response was provided in the Investment Feasibility Study]
Is the proposed project expected to significantly harm any of the following climate or environmental objectives?
Climate change adaptation
[Response was provided in the Investment Feasibility Study]
Pollution prevention and control
[Response was provided in the Investment Feasibility Study]
Transition to a circular economy
[Response was provided in the Investment Feasibility Study]
Climate change mitigation
[Response was provided in the Investment Feasibility Study]
Protecting and restoring biodiversity and ecosystems
[Response was provided in the Investment Feasibility Study]
Sustainable use and protection of water and marine resources
[Response was provided in the Investment Feasibility Study]
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]
Проєкт передбачає капітальний ремонт існуючих будівель лікарні без зміни функціонального призначення, без нового будівництва та без збільшення потужностей. Така діяльність не входить до переліків, визначених Додатками 1 і 2 Закону України «Про оцінку впливу на довкілля», тому проведення ОВД не є обов’язковим.
Project sustainability and inclusivity
Identify potential gender risks of the project and indicate possible ways to overcome them:
The project may result in the forced displacement of women, men and other gender groups or loss of access to resources
[Response was provided in the Investment Feasibility Study]
Not applicable to my project
[Response was provided in the Investment Feasibility Study]
Other gender risks
[Response was provided in the Investment Feasibility Study]
There are risks of impaired mobility or safety for women, men and other gender groups during construction/operation
[Response was provided in the Investment Feasibility Study]
There is a risk of reduced economic opportunities for women, men and other gender groups (e.g. loss of jobs or retail outlets)
[Response was provided in the Investment Feasibility Study]
Does the project provide for improving women's access to services?
Not applicable to my project
[Response was provided in the Investment Feasibility Study]
Other benefits from project implementation
[Response was provided in the Investment Feasibility Study]
Envisaged training or advanced training for women in the private sector
[Response was provided in the Investment Feasibility Study]
The project will improve women's access to education (primary, secondary, vocational)
[Response was provided in the Investment Feasibility Study]
The project will create jobs available to women (temporarily or permanently)
[Response was provided in the Investment Feasibility Study]
The project will improve women's access to safe water, food, and medical services
[Response was provided in the Investment Feasibility Study]
Are civil society organizations representing women and vulnerable groups included in the consultation process?
No
[Response was provided in the Investment Feasibility Study]
Were consultations held with representatives of target groups to take into account gender equality issues in the project?
Focus groups or consultations with women and vulnerable groups were held
[Response was provided in the Investment Feasibility Study]
Feedback on the project design was received from organizations working with women
[Response was provided in the Investment Feasibility Study]
No consultations were held with target groups.
[Response was provided in the Investment Feasibility Study]
Women's participation is ensured at various stages of planning (including public hearings)
[Response was provided in the Investment Feasibility Study]
Have the gender risks and social impacts of the project been assessed?
All possible positive impacts of the project on women, men or other gender groups have been identified
[Response was provided in the Investment Feasibility Study]
A plan to mitigate negative social impacts focused on women has been developed
[Response was provided in the Investment Feasibility Study]
The percentage of women who could be resettled has been quantified
[Response was provided in the Investment Feasibility Study]
The percentage of women who may lose or gain access to resources (water, food, healthcare) is quantified.
[Response was provided in the Investment Feasibility Study]
The percentage of women who will gain new educational/professional opportunities is quantified
[Response was provided in the Investment Feasibility Study]
All possible negative impacts of the project on women, men or other gender groups have been identified
[Response was provided in the Investment Feasibility Study]
Are there management and institutional mechanisms in place to ensure gender equality?
A policy/code of conduct on non-discrimination and gender equality has been developed
[Response was provided in the Investment Feasibility Study]
A gender specialist/advisor is included in the project management structure
[Response was provided in the Investment Feasibility Study]
Mandatory training for project staff on gender equality and inclusion is provided
[Response was provided in the Investment Feasibility Study]
Not provided for by the project
[Response was provided in the Investment Feasibility Study]
Alternative technical solutions
Technical Solution 1
Major repairs to the buildings of the KNP "Velikooleksandrivska Hospital", at the address: Kherson region, Beryslav district, Velyka Oleksandrivka village, Svobody st.* Correction. (I stage)
Technical Solution 2
Carrying out current repairs to the buildings of the “Velikoleksandrivska Hospital”
Total costs121'119'461 UAH145'520'000 UAH
Average annual costs1'800'000 UAH3'200'000 UAH
Project duration, incl.13 months4 months
Service life600 months60 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
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 Investment Feasibility Study]
Is the project of interest to small and medium-sized enterprises?
No
[Response was provided in the Investment Feasibility Study]
Will the project involve national or international suppliers and contractors?
Yes, both national and international
[Response was provided in the Investment Feasibility Study]
Has an analysis of available procurement options been conducted for the technical solution?
Yes
[Response was provided in the Investment Feasibility Study]
Було проведено аналіз, згідно вимог та обрано технічне рішення, яке найбільше відповідає потребам.
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 застосовуватимуться процедури відкритих торгів у системі Prozorro, що відповідає вимогам Закону України «Про публічні закупівлі». Така стратегія забезпечує прозорість витрачання бюджетних коштів, конкуренцію серед підрядників та вибір найбільш економічно вигідної пропозиції. Закупівлі здійснюватимуться відповідно до проектно-кошторисної документації, що пройшла державну експертизу.
[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?
Закупівлі будуть здійсненні за процедурою відкриті торги, згідно Постанови Кабінету Міністрів України № 1178 від 12.10.2022 р. "Про затвердження особливостей здійснення публічних закупівель товарів, робіт і послуг для замовників, передбачених Законом України “Про публічні закупівлі”, на період дії правового режиму воєнного стану в Україні та протягом 90 днів з дня його припинення або скасування"
[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.)?
Open competitive bidding
[Response was provided in the Investment Feasibility Study]
Other
[Response was provided in the Investment Feasibility Study]
Competitive dialogue
[Response was provided in the Investment Feasibility Study]
Direct negotiation procedures
[Response was provided in the Investment Feasibility Study]
Pre-market engagement
Очікувана вартість предмета закупівель розрахована зведеного кошторисного розрахунку, який пройшов експертизу.
[Response was provided in the Investment Feasibility Study]
Potential market participants
Не планується проводити, у зв'язку з тим, що до закупівлі буде застосована конкурентна процедура "відкритих торгів"
[Response was provided in the Investment Feasibility Study]
Market readiness assessment
ринок готовий до реалізації проєкту
[Response was provided in the Investment Feasibility Study]
Financial justification
Total project budget
Total preliminary budget121'119'461 UAH145'520'000 UAH
Capital costs121'119'461 UAH145'520'000 UAH
Operational costs0 UAH0 UAH
Preliminary cost breakdown
Operating costs for implementation0 UAH0 UAH
For preparation284'000 UAH160'000 UAH
For implementation118'635'460 UAH144'550'000 UAH
For operation2'200'000 UAH800'000 UAH
For closing1 UAH10'000 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 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 потенційного отримувача послуг
Service Unit Cost9'886 UAH
Profitability of the project
Is the project expected to generate income?
ResponseNoNo
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 Investment Feasibility Study]
Project Financing Mechanisms
Are funding sources and mechanisms identified?
Source and MechanismYesNo
Funding Sources
Approved Funds1'247'000 UAH0 UAH
Expected Funds118'635'460 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 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 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 Investment Feasibility Study]
Economic justification - economic analysis
[Response was provided in the Investment Feasibility Study]
Project management - communication with stakeholders
[Response was provided in the Investment Feasibility Study]
Project management - risk management
[Response was provided in the Investment Feasibility Study]
Economic justification - social and gender analysis
[Response was provided in the Investment Feasibility Study]
Project management - public consultations
[Response was provided in the Investment Feasibility Study]
Economic feasibility study - technical expertise
[Response was provided in the Investment Feasibility Study]
Business case - analysis of available procurement options
[Response was provided in the Investment Feasibility Study]
Project management - legal support
[Response was provided in the Investment Feasibility Study]
Strategic rationale - SDG compliance analysis
[Response was provided in the Investment Feasibility Study]
Project management - working with international financial organizations (IFOs)
[Response was provided in the Investment Feasibility Study]
Financial analysis - financial analysis
[Response was provided in the Investment Feasibility Study]
Strategic rationale - demand analysis
[Response was provided in the Investment Feasibility Study]
Economic justification - environmental expertise
[Response was provided in the Investment Feasibility Study]
Business case - analysis of the market environment
[Response was provided in the Investment Feasibility Study]
Does the team have experience implementing similar projects?
Partially, we have limited experience
[Response was provided in the 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 Investment Feasibility Study]
Economic justification - social and gender analysis
[Response was provided in the Investment Feasibility Study]
Strategic justification - forming a justification for the problem and need
[Response was provided in the Investment Feasibility Study]
Management rationale - public consultation
[Response was provided in the Investment Feasibility Study]
Business case - analysis of the market environment
[Response was provided in the Investment Feasibility Study]
Economic justification - environmental expertise
[Response was provided in the Investment Feasibility Study]
Management rationale - project management
[Response was provided in the Investment Feasibility Study]
Strategic rationale - SDG compliance analysis
[Response was provided in the Investment Feasibility Study]
Management rationale - communication with stakeholders
[Response was provided in the Investment Feasibility Study]
Business case - analysis of available procurement options
[Response was provided in the Investment Feasibility Study]
Economic justification - economic analysis
[Response was provided in the Investment Feasibility Study]
Management justification - other
[Response was provided in the Investment Feasibility Study]
Financial analysis - financial analysis
[Response was provided in the Investment Feasibility Study]
Management rationale - risk management
[Response was provided in the Investment Feasibility Study]
Strategic justification - analysis of the strategic feasibility of the project
[Response was provided in the Investment Feasibility Study]
Strategic rationale - demand analysis
[Response was provided in the Investment Feasibility Study]
Management rationale - working with international financial organizations (IFOs)
[Response was provided in the Investment Feasibility Study]
Management justification - legal support
[Response was provided in the 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 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?
Specialists in interaction with international financial organizations (IFOs)
[Response was provided in the Investment Feasibility Study]
Environmental experts
[Response was provided in the Investment Feasibility Study]
Others
[Response was provided in the Investment Feasibility Study]
Financial consultants/modelers
[Response was provided in the Investment Feasibility Study]
Legal consultants
[Response was provided in the Investment Feasibility Study]
Commercial experts
[Response was provided in the Investment Feasibility Study]
Economic analysts
[Response was provided in the Investment Feasibility Study]
Strategic consultants
[Response was provided in the Investment Feasibility Study]
Technical experts
[Response was provided in the Investment Feasibility Study]
Social/gender consultants
[Response was provided in the Investment Feasibility Study]
Management experts / project managers
[Response was provided in the Investment Feasibility Study]
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
Economic 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?
No
[Response was provided in the Investment Feasibility Study]
Does the project require preparation assistance from Project Preparation Programs (PPF)?
Development of a full feasibility study;
[Response was provided in the Investment Feasibility Study]
Finalization of existing documentation for the preparation of a preliminary feasibility study
[Response was provided in the Investment Feasibility Study]
Development of design and estimate documentation (DED);
[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]
Updating existing documentation regarding the preparation of the feasibility study
[Response was provided in the Investment Feasibility Study]
Other
[Response was provided in the Investment Feasibility Study]
Does the project require additional preparation assistance from Project Preparation Facilities (PPF)?
Other
[Response was provided in the Investment Feasibility Study]
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]
Need for financing
Does the project require additional funding for preparation?
No
[Response was provided in the Investment Feasibility Study]