MOLDOVA REGIONAL HOSPITALS

The project will finance the construction and equipping of two new regional hospitals in the Republic of Moldova: the B?l?i Regional Hospital (BRH) in the north and the Cahul Regional Hospital (CRH) in the south.

The aim is to decentralise tertiary healthcare services and improve their accessibility in both the northern and southern Moldova, thereby enhancing the overall provision of healthcare in the country. The project will support the effective implementation of Moldova's National Health Strategy 2022–2030 by strengthening social assistance mechanisms and promoting an inclusive society. This will be achieved through improved access to hospital care and by enhancing the outreach and quality of healthcare services.

The Project aims to decentralise tertiary healthcare services and make them more accessible to the population in Moldova. The investment is consistent with the efforts of the Government of Moldova to improve the delivery of sustainable and quality medical services, centred in the universal access to basic, guaranteed levels of service, and align them with EU standards.

The Project addresses the sub-optimal investment situation for healthcare infrastructure in Moldova due to market failures originating from the public goods nature of hospitals and the large health externalities they generate. A more resilient healthcare system contributes to sustaining adequate social, living and working conditions for the population. The immediate outcome of the Project will be better quality, safer and more efficient healthcare services.

The EIB's loan will provide a valuable contribution to complement available resources. The tenor and other terms of the EIB financing are currently not available at comparable conditions on the financial market. In addition, the lower cost of the EIB financing improves the affordability of the Project as a whole.

The EIB health sector objectives are aligned with the overall EU strategic priorities in Moldova, with the priorities of the EU's Growth Plan for Moldova 2025-2027, the Multiannual Financial Framework 2021-2027 and the Neighbourhood, Development and International Cooperation Instrument ("NDICI"). A key block of the National Health Strategy 2022-2030 is the upgrade of Moldova's healthcare infrastructure.

If located within the EU, the project would fall under Annex II of the Environmental Impact Assessment (EIA) Directive 2014/52/EU (amending the EIA Directive 2011/92/EU). As a candidate country to the EU, the Republic of Moldova has committed to aligning its environmental legislation. The environmental assessment procedures to be applied will be verified during appraisal and should national procedures fall short of what would be required by the EIA Directive 2011/92/EU as amended by the EIA Directive 2014/52/EU, the necessary steps will be taken in order to ensure that the environmental aspects of the project will be dealt with in such a way as to meet the requirements of the EIA Directive.

The EIB will require the Promoter implementing the project (i.e., the Ministry of Health) to ensure that any procurement procedures are done in accordance with the EIB's Guide to Procurement and the relevant applicable EU public procurement rules.

Under EFSD+ Guarantee