USIF-VIII

Implementation period: 2021 – 2024
Donor: German Government through KfW
Budget: EUR 13,10 mln.

Territory of implementation: Dnipropetrovsk, Zaporizhzhia and Kharkiv regions, districts of Donetsk and Luhansk regions under control of Ukraine as well as other places as agreed by KfW and USIF.

Objectives: strengthening primary and secondary health care institutions’ capacities to counteract COVID-19 and pandemic consequences through energy-efficient renovation of their premises, supply of medical equipment and trainings for medical staff, heads of medical institutions as well as officials responsible for the health care sphere in partner communities and health care managers at the regional level

13 facilities (subprojects), including 6 primary health care facilities (outpatient clinics) and 7 secondary health care facilities (hospitals), located in Dnipropetrovsk (3), Donetsk (3), Zaporizhzhia (2),  Luhansk (4), and Kharkiv regions (1) were selected for implementation in July 2021.

In August 2021 USIF signed memoranda of cooperation with initial groups (subproject implementation partners) as well as owners and balance holders of all 13 medical institutions, participating in the Project.

In September-October, tenders were held to select providers of design and estimate documentation development services (DED), on the basis of which contracts with the winning bidders were concluded.

Until 23.02.2022 dynamic work to develop design and estimate documentation, prepare environmental and social management plans, examine facilities for asbestos-containing materials availability, assess and summarize the needs of partner medical institutions in equipment and capacity building activities was being carried out.

However, the russian aggression, which began on February 24, 2022, did not allow to continue the Project implementation as it had been intended initially.

Therefore, USIF Executive Committee, based on assessment of the security situation and in agreement with the donor representative (KfW Bank), in April 2022 decided to cease further implementation of 9 subprojects (SP) on the basis of medical institutions located in the Donetsk, Luhansk and Kharkiv regions. Hence, the number of SPs for implementation was reduced to 4, listed below:

• 27-12-1, outpatient clinic of Slobozhanske urban-type village primary health care center (PHCC), Dnipropetrovsk region;
• 27-12-2, Kryvyy Rih city hospital No. 9, Dnipropetrovsk region;
• 27-12-3, Kryvyi Rih infectious diseases hospital No. 1, Dnipropetrovsk region;
• 28-23-12, outpatient clinic of Gulyaypole town PHCC, Zaporizhzhia region.

In view of reduction of SPs for implementation, it was decided, in agreement with KfW, to allocate a part of the Project funds in the amount of up to EUR 1 million to procurement of equipment for one of Lviv Kyiv hospitals and select additional subprojects for implementation.

In addition to that, USIF Supervisory Board at its meeting in July 2022 provided the  recommendation on arrangement of bombshelters/shelters in selected medical facilities, where it would be deemed possible and appropriate.

 

With exclusion of SP 28-23-12, Gulyaypole outpatient clinic, Zaporizhzhia region from the implementation list and inclusion

• infectious Diseases Department of Slobozhansk Central Hospital, Dnipropetrovsk region;
• outpatient clinic No. 12 of the PHCC No. 6, Kryvyi Rih, Dnipropetrovsk region;
• outpatient clinic No. 7 of the PHCC No. 3 in Kamianske city, Dnipropetrovsk region;
• Slobozhansk hospital, Chuhuiv district, Kharkiv region;
• Krasnohrad central district hospital, Kharkiv region;
• Borodyanka central hospital

into it, 9 SPs are being implemented within the Project.

Construction works are carried out at the objects of 3 medical institutions (SP 27-12-1, 27-12-2, 27-12-3). At one of them (SP 27-12-2) a shelter is arranged already. 228 units of modern medical equipment are supplied to these institutions. Design and cost estimate documentation is being developed for the objects of 5 other SPs.

A modern rehabilitation complex designed to restore the functioning of the patients' motor apparatus and equipment for treatment and monitoring of vital functions for patients with Covid-19 are purchased and handed over to the First Lviv Medical Association.

Environmental and Social Management Framework for the Project as well as Operation and Maintenance Concept for renovated objects and a viability plan pattern as an appendix to the Concept are agreed upon by KfW and endorsed by USIF Executive Committee.  

Preparation for implementation of a large-scale training program for physicians, heads of medical institutions and officials responsible for managing the sphere of health care in the Project's partner communities is ongoing.