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Support for the appraisal of a project to upgrade the services of three Cuban public health institutions - MINSAP project

Agence Française de Développement (AFD)
Field of Expertise:
Health Policy and Governance; Infrastructure/Equipment/Logistics; Infrastructure/Equipment/Logistics; Health Service Delivery; Secondary/Tertiary Care; Hospital Services / specialised services
Narrative description of project:
The Agence Française de Développement (AFD) proposed financing the modernization of three Cuban public health institutions in the area of research and diagnosis of infectious diseases, nephrology and environmental health. The project had a budget of 23.9 million euros to be financed through a loan from the AFD to the Republic of Cuba. The objectives of the project were:
(i) develop the capacity for analysis, diagnosis and surveillance of infectious diseases of the Pedro Kouri Institute (IPK); (ii) improve the health and environmental control capacities of the National Institute of Hygiene, Epidemiology and Microbiology (INHEM), and (iii) increase and modernize the resolute capacity of the nephrology services in the country of the Nephrology Institute.
The objectives of the mission were to solve the questions and requests for clarification raised by the AFD Identification Committee; assist AFD in verifying the proposed scope of supply, services and budget; and provide support to AFD in the presentation to the Credit Committee.
Description of services provided:
The consultant provided a report with, for each of the three institutions: a). Synthetic description of the institute, missions, operation, payment policy and eventual partners for the project, b) an analysis of the suitability of the project and the budget proposed by the structure with the identified needs vis a vis the client’s request, and c) responses to a number of specific questions raised by the Identification Committee mainly related to equipment management and maintenance, safe transfer of samples, biomedical waste management, procurement policies, construction (high environmental quality), gender inclusion policies and training capacity / needs.