‘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, KfW districts of Donetsk and Luhansk regions under control of Ukraine as well as other places, identified in agreement between KfW and USIF
Objectives: improvement conditions for provision of primary healthcare services through energy-efficient renovation of primary health care centers, supply of medical  equipment, development of the potential of the Project's focus groups: physicians, heads of medical institutions, officials responsible for managing the sphere of health care in partner communities as well as representatives of health care units at the regional level
On September 22, 2020, USIF Supervisory Board approved a list of 40 subprojects for implementation  (14 - in Dnipropetrovsk region, 9 - in Zaporizhzhia region, 6 - in Kharkiv region, 6 - in Donetsk region and 5 - in Luhansk region).
In the pre-war period, the Project was implemented quite dynamically. Design and cost estimate documentation (DED) 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.
Last preparations for  implementation of a large-scale training program for managers and doctors of the partner primary health care institutions were approaching to completion.
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 the impossibility of further implementation of 14 subprojects located in  Donetsk, Luhansk, Zaporizhia and Kharkiv regions and temporary suspension of  implementation of a number of other subprojects. Therefore, after approval of that  decision by USIF Supervisory Board, the number of SPs for implementation was reduced to 26.
In view of that, 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 the Kyiv hospitals and select additional subprojects for implementation in places, located outside the originally defined territory of the Project realization (Kharkiv, Dnipropetrovsk, Zaporizhzhia regions and districts of Luhansk and Donetsk regions  under control of Ukrainian Government).
The current status of the Project implementation:
Currently, DED development for the objects of 25 out of 26 subprojects has been ensured. Implementation of 4 SPs has been completed.  Construction works have been executed in full at the objects of 5 more SPs, in relation to which the defects liability period of construction continues. Construction works are being carried out in the framework of 10 SPs. Tender selection of contractors for construction works execution at the objects of 2 SPs is underway. DED development for the object of 1 SP is approaching completion. Implementation of 4 other  subprojects has been temporarily suspended (for details have a look at the updated list of subprojects, the link to which is given above).
All necessary measures have been taken to supply a high-value medical equipment to the specified Kyiv hospital in the shortest term.
The main preparations for implementation of the training program for managers and doctors of partner medical institutions have been completed.
It is expected that implementation of some suspended SPs will be resumed and selection of several additional SPs will be made soon.