Date
11/2021 – 11/2026

Country
Kyrgyzstan

Client
Ministry of Health (MoH)

Financing Institution
KfW Development Bank

Consortium Partner
n/a

m4h Key Areas
Health & Social Infrastructure

Supported by the German Financial Cooperation (KfW), m4h collaborated with the Ministry of Health in the Kyrgyz Republic to upgrade perinatal services in the Southern Regions and Talas Oblast. This initiative focused on the construction and equipping of new Perinatal Centers in Osh and Talas, alongside staff training and improvements in healthcare management, ensuring sustainable and high-quality maternal and child health services.

The challenge

Maternal and child health services in the Kyrgyz Republic, particularly in the Southern Regions and Talas Oblast, face significant challenges due to outdated facilities, inefficient energy use, and inadequate staff training. The existing infrastructure and services require modernization to meet contemporary healthcare standards and provide patient-centric care. Furthermore, integrating energy efficiency into healthcare facilities is essential for ensuring sustainable operations. Addressing these challenges necessitates a comprehensive approach that includes upgrading infrastructure, relocating facilities, and enhancing the skills of healthcare staff.

The assignment

m4h was commissioned to:

  • Develop modern facilities:Plan, construct, and equip new, energy-efficient Perinatal Centres in Osh and Talas, adhering to modern hospital design principles.
  • Enhance healthcare services:Improve obstetric and neonatal emergency services in Talas, ensuring the hospital meets national and international standards as an oblast reference center for maternal and child health (MCH) care.
  • Relocate and expand services:In Osh, relocate the oblast maternity facility to a new site at the Inter-Oblast Merged Hospital Osh, while in Talas, construct a perinatal annex and relocate key MCH services to the new facility.
  • Train healthcare staff:Provide comprehensive training for hospital management and medical personnel in quality management, operations, maintenance of modern equipment, and the implementation of an improved referral system.
  • Ensure compliance:Assure compliance with Environmental and Social Requirements according to domestic regulations and international standards throughout the project, adhering to FIDIC conditions of contract for construction (Pink Book).

The results

m4h’s efforts have led to the following outcomes:

  1. Comprehensive due diligence: Conducted thorough assessments of perinatal health services, medical needs, and site infrastructure conditions in the project areas, establishing a strong foundation for project planning.
  2. Inception phase achievements: Completed site investigations, including geotechnical and topographic surveys, and environmental impact assessments, which informed the development of schematic designs. These designs were reviewed and approved by key stakeholders, including the Ministry of Health and KfW.
  3. Modernised and energy-efficient facility designs: Developed schematic designs for new Perinatal Centers in Osh and Talas, incorporating modern, patient-centric, and energy-efficient principles. These designs are now being refined into detailed construction plans.
  4. Training and capacity building: Initiated the training of hospital staff in key areas such as quality management, equipment maintenance, and healthcare operations, ensuring that the new facilities will be effectively managed and maintained.
  5. Construction preparation: Currently developing detailed designs for both projects and preparing the tender process for upcoming construction works, with a continued focus on energy efficiency and modern healthcare standards.
3D animation model of the improved Perinatal Centre in Talas
Current state of the Perinatal Centre in Talas
Medical equipment currently being used in Talas
Current state of the oblast maternity in Osh