Major renovation of the maternity ward of the Artsyz Central Support Hospital of the Artsyz City Council in the city of Artsyz, Bolgrad district, Odesa region


Sector
Healthcare
Stream
Support for motherhood and childhood in Ukraine
Maturity level
83
Preliminary Investment Feasibility Study
Project Status
Investment Feasibility Study
Entry into Portfolio
Local level of SPP
Implementation
Completion

General information

Description of the project

  1. Problem and need

The project solves the problem of the critical inconsistency of the maternity ward of the Artsyz Central Maternity Hospital with the rapidly increasing workload and modern standards.

  • Increased workload: since 2022, as a result of optimizing the network of maternity wards, the department has become a single center for 10 communities. The number of births has increased from 344 in 2022 to 434 in 2024.
  • Physical wear and tear: the building was put into operation 34 years ago (1990), and major repairs have never been carried out. Engineering communications (water supply, electricity, heating) are critically worn out, and the material and technical condition has deteriorated.
  • Health risk: the lack of proper conditions worsens the psycho-emotional state of women in labor and jeopardizes the timely and high-quality provision of medical services, on which the number of live-born babies in the region directly depends.

2. Project content and features

This is an ongoing project, which has been implemented since 2025 within the framework of the Ukraine Recovery Program III.
The project involves a comprehensive overhaul of the premises to modernize the department. Key areas of work:

  • Complete renovation of engineering networks: replacement of communications (sewerage, water supply, heating, electric lighting, ventilation) to ensure reliable and uninterrupted operation.
  • Modernization of premises: dismantling of old coatings, installation of new partitions, ceilings, screeds, replacement of windows and doors with metal-plastic blocks, as well as finishing.

3. Expected results

  • Increased reliability and quality: bringing the department to modern sanitary and hygienic standards, which guarantees safer and higher-quality services.
  • Increased throughput: the overhaul will increase the number of beds from 25 to 35, ensuring comfortable service for the growing flow of patients.
  • Social effect: improving conditions will contribute to the rapid rehabilitation of women. In addition, 5 new jobs will be created, including for IDPs.

The project is a strategic investment in the protection of motherhood and childhood, providing a vital medical service for the entire region. 

The purpose of the project

Main Goal:

Increasing compliance with modern standards

Secondary Goal:

Increasing compliance with modern standards, Improving the equality of wealth distribution, Improving the condition of infrastructure, Ensuring inclusiveness and equal opportunities, Introducing innovations and energy-efficient solutions, Creation of new jobs through project implementation, Improving the quality of services, Reducing territorial or social gaps, Meeting demand

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

1. The main goal of the project is a comprehensive modernization and overhaul of the maternity ward of the Artsyzka TsOL KNP to increase the reliability, quality and throughput of medical services in order to effectively serve the growing number of women in labor in 10 communities of the Odessa region. 2. Method of achieving the goal (list of works) The goal will be achieved through a full range of capital repair and construction works aimed at updating the internal infrastructure and engineering systems of the department. a. preparatory and dismantling works b. construction and assembly and structural works c. updating of engineering systems and communications: water supply and sewage, electricity supply, heating and ventilation d. finishing works. The implementation of these works will ensure the necessary transformation of the department from a physical, functional and sanitary-hygienic point of view, allowing to increase the number of beds and, accordingly, increase the throughput of the department.

Problems and solutions resulting from project implementation

The maternity ward of the Artsyzka Central Regional Hospital has become a critically important regional center after optimizing the network and closing smaller departments in 2022. The department serves women in labor from 10 communities of the Odessa region. The load has increased rapidly: in 2022 - 344 deliveries, in 2024 - 434 deliveries. The main problem: The existing condition of the department (worn-out infrastructure, engineering networks and outdated premises) did not meet the sharply increased load and modern requirements. This threatens the reliability of medical services, the quality of care and, accordingly, the timeliness of receiving assistance in territorial accessibility. Without major repairs, there is a high risk of emergencies and a decrease in the level of live births, since their number directly depends on the high-quality and uninterrupted operation of the department. The implementation of the maternity ward overhaul project will completely solve the problem, ensuring the reliability and quality of services for the growing number of patients: 1. Increasing reliability and quality: A complete modernization of engineering networks (electricity, heating, ventilation) will eliminate the risk of accidents, guaranteeing the uninterrupted provision of assistance, which is vital during childbirth. The creation of modern delivery rooms and comfortable wards will allow the implementation of the latest protocols for childbirth and ensure that services comply with national standards. 2. Social and demographic impact: The department has consolidated the status of a single, stably functioning center, ensuring that more than 400 women in labor per year from 10 communities receive assistance in a timely manner and close to home. Result for communities: providing a high-quality and safe environment for childbirth is a direct contribution to the positive dynamics of fertility in the region and increases the trust of communities in local medicine.

Socio-economic context

Indicator

Value

Capacity

35 beds

Number of users from low-mobility population groups

100 human

Number of IDP users

100 human

Number of employees of the institution/institution/organization

26 human

Number of jobs, including for IDPs

26 workplaces

Number of people who will use the service

700 human

Other social

95 %

Population in the geographical area of influence of the project

42321 human

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

7500 human

Strategic Case

Strategic feasibility of the project

Sector

Healthcare

Subsector

Specialized medical care

Stream

Support for motherhood and childhood in Ukraine

Strategic document

Стратегія розвитку територіальної громади

Task

2.2.3 Affordable and high-quality medical services

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?

Кількість звернень породіль до медичного закладу за медичними послугами
[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
434 human
Annual demand for services/infrastructure
2
550 human
Annual demand for services/infrastructure
3
700 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 Preliminary Investment Feasibility Study]
Climate change adaptation
[Response was provided in the Preliminary Investment Feasibility Study]
Climate change mitigation
[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?

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?

Yes
[Response was provided in the Preliminary Investment Feasibility Study]

Documents

Name
Date
Consolidated budget 2024.pdf
02.10.2025
16:44:28 UTC

Alternative technical solutions

Technical Solution 1

Major renovation of the maternity ward of the Artsyzka TsOL KNP

Technical Solution 2

New Maternity Ward Building (New Building)

Cost breakdownCost justificationCost justification
Project cost (preparation and implementation)16'437'591 UAH92'000'000 UAH
For preparation50'600 UAH7'360'000 UAH
For implementation16'386'991 UAH84'640'000 UAH
Project operation and closure cost3'181'959 UAH420'000'001 UAH
For operation3'181'958 UAH420'000'000 UAH
For closing1 UAH1 UAH
Average annual costs7'700'000 UAH0 UAH
Project duration, incl.20 months48 months
Deadline for developing a FFS5 months12 months
Implementation period15 months36 months
Service life480 months720 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
1
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?
Yes

[Response was provided in the Preliminary Investment Feasibility Study]

Financial justification

Total project budget

Total preliminary budget19'619'550 UAH512'000'001 UAH
Project cost (preparation and implementation)16'437'591 UAH92'000'000 UAH
For preparation50'600 UAH7'360'000 UAH
For implementation16'386'991 UAH84'640'000 UAH
Project operation and closure cost3'181'959 UAH420'000'001 UAH
For operation3'181'958 UAH420'000'000 UAH
For closing1 UAH1 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 Cost393 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 Funds690'000 UAH0 UAH
Expected Funds7'690'000 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 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?
Yes, negotiations are already underway.

[Response was provided in the Preliminary Investment Feasibility Study]

Risk assessment

Technical riskDefinedUndefined
Financial riskDefinedUndefined
Political riskDefinedUndefined
Social riskDefinedUndefined
Operational riskDefinedUndefined
Market riskDefinedUndefined
Environmental riskDefinedUndefined

Team involvement

How exactly are/will stakeholders be involved?
Focus group

[Response was provided in the Investment Feasibility Study]

Online survey

[Response was provided in the Investment Feasibility Study]

Meetings with local authorities

[Response was provided in the Investment Feasibility Study]

Public consultations

[Response was provided in the Investment Feasibility Study]

Public hearings

[Response was provided in the Investment Feasibility Study]

When are/will engagement activities be taking place?
At the project monitoring stage

[Response was provided in the Investment Feasibility Study]

At the project implementation stage

[Response was provided in the Investment Feasibility Study]

At the project preparation stage

[Response was provided in the Investment Feasibility Study]

How is/will the public be informed about the importance of participation and available channels for feedback?
Official websites

[Response was provided in the Investment Feasibility Study]

Social networks

[Response was provided in the Investment Feasibility Study]

Local media

[Response was provided in the Investment Feasibility Study]

Are public hearings being held/will they be held (offline, online)?
Yes, online

[Response was provided in the Investment Feasibility Study]

Громадські слухання проводяться відповідно до Порядку проведення консультацій із громадськістю Арцизької міської територіальної громади, затвердженого рішенням виконавчого комітету Арцизької міської ради від 01.07.2024 №135
Who will attend the public hearings?
Representatives of public organizations

[Response was provided in the Investment Feasibility Study]

Experts

[Response was provided in the Investment Feasibility Study]

Community representatives

[Response was provided in the Investment Feasibility Study]

Government officials

[Response was provided in the Investment Feasibility Study]

Public hearings have already been held
No

[Response was provided in the 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)?

None of the options are applicable

Project Approval History

DateDecision NumberPortfolioProject StatusDecisionReasonsMaturity level
17/12/2025SP-L-171225-A2DEBDEFCommunity SPInvestment Feasibility StudyInclude--
22/12/2025SPP-L-221225-F871F1E9Community SPPInvestment Feasibility StudyInclude-83