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Contracted by the French Development Agency (AFD), management4health has conducted pre-feasibility studies for five hospitals in the Comoros that will benefit from a 22.5 M € “Healthcare services” project, part of the France – Comoros Development Plan to improve capacity and quality of care.

The objective of the study was to help the AFD and the Government of the Union of the Comoros, to identify intervention options for the project, in order to significantly improve access to quality hospital care for the population, in one of the poorest countries of the region which suffers from low utilization of health services due to low quality.

The team composed of an expert in hospital services planning, a health facility architect, a public health expert, a biomedical expert, and an expert in renewable energy/environmental protection, prepared a detailed assessment in terms of performance and quality of services, state of infrastructure, equipment, and the situation regarding environmental issues.

m4h was then able to propose recommendations for the future development of these hospitals based on projections over a period of 40 years, in a detailed proposal for the development of the facilities, not only in terms of buildings to be rehabilitated or constructed and equipment to be provided, but also in terms of the reorganization of services to achieve greater efficiency and effectiveness. We have developed various scenarios for each site to allow the project partners to identify priority actions to find an optimal balance between the commitment of financial resources needed for investments on the one hand and the expected impact of the measures on the health status of the population on the other hand.

m4h has received full recognition and appreciation for the diversity of the team as well the quality of work and results developed in such a restricted amount of time.