‘Promotion of Social Infrastructure Development. Improvement of rural basic health. USIF.VII’ Project
Implementation period: 2019 – 2023.
Donor: German Government through KfW
Budget: EUR 14,45 mln.
Territory of implementation: Dnipropetrovsk, Zaporizhzhia and Kharkiv regions, districts of Donetsk and Luhansk regions under control of Ukraine.
Objectives: improvement conditions for provision of primary healthcare services through energy-efficient renovation of primary health care centers and supply of medical equipment.
It is expected that renovation of not less, than 40 objects will be financed. Comprehensive capacity measures for the focus groups: physicians, health care centers managers, health care officials of the local and reginal level will be organized and held.
On September 22, 2020, USIF Supervisory Board approved a list of subprojects (hereinafter - SPs) under the Project,  40 of which  are subject to implementation and 10 SPs are included in the reserve.
Among 40 SPs approved for implementation, 14 are in Dnipropetrovsk region, 9 - in Zaporizhzhia region, 6 - in Kharkiv region, 6 - in Donetsk region, 5 - in Luhansk region.
In the pre-war period, the project was implemented quite dynamically. Design and cost estimate documentation was being developed and construction works were being executed in a timely manner, partner medical institutions were being provided with the required  equipment, rapid tests and means of personal protection. In mid-February 2022, in particular, laboratory equipment worth € 175,000 was delivered to 18 partner health establishments in addition to the equipment, rapid tests and means of personal protection worth € 360,000 supplied to all partner medical institutions in 2021.
As of February 23, 2022, the design and cost estimate documentation was developed for 37 out of 40 outpatient clinics. Construction works were completed at the objects of 6 subprojects (SPs) and were in progress at the objects of the other 23 SPs.
The last preparations for  implementation of a large-scale training program for managers and doctors of the partner primary health care institutions were completed.
Numerous measures were taken to ensure efficient work in the areas of environmental and social management and management of asbestos-containing materials.
Interested persons can get acquainted with the Project Environmental and Social Management Framework (ESMF).
Russian aggression, however, hampered further proper implementation of the Project.
As a result of the security situation assessment and consultations with a donor representative (KfW), USIF Executive Committee in April 2022 came to conclusions about:
  • impossibility of further implementation of 14 subprojects located in Donetsk, Luhansk, Zaporizhzhia and Kharkiv regions;
  • need to suspend works at the objects of 14 SPs located in Dnipropetrovsk, Zaporizhzhia and Kharkiv oblasts,
At the same time, execution of construction works at the objects of some SPs continued.  Thereby, in May of this year, after reconstruction carried out within the Project, outpatient clinic № 6 of Kryvyi Rih Primary Health Care Center № 5 resumed its work.
In June 2022, works (designing, obtaining of expert reports, construction) were renewed  at the objects of 9 SPs.
Implementation of the remaining SPs, not excluded from the implementation list, is planned to be resumed after improvement of the security situation at their locations.
It is also envisaged to purchase and deliver to National Children Specialized Hospital "Okhmadyt" a batch of essential equipment worth up to EUR 1 million and resume preparations for the training program for focus groups of the Project with a reduced number of partner medical institutions and their representatives.