Rohatyn City Council

Project description: The buildings of the Municipal Non-Commercial Medical Enterprise “Rohatyn Central District Hospital” have been in operation for more than 30–40 years. The hospital roofs, constructed approximately in 1985, are in an emergency condition: the roofing material is worn out, with numerous cracks and chips; the wooden structures (rafters and battens) have sagged and partially broken; gutters and downpipes are affected by corrosion and leak; the deformation of the roof ridge has led to multiple leakages and flooding of the upper floors. As a result of prolonged leakages, part of the load-bearing elements of the roof has rotted, the roof has sagged and become skewed.
The operating block has not undergone any capital repair since the hospital was opened in 1983. The tiles on the walls and floors are coming off, the window reveals after replacement of façade windows have not been properly finished, obsolete electrical wiring causes periodic short circuits, and the roof leaks in the pre-operative room. This situation does not comply with current sanitary and hygienic requirements and regulations of the Ministry of Health, especially taking into account that expensive equipment (laparoscopic tower, hysteroscope, modern anaesthesia machines, C-arm (RT-arc)) has already been installed in the operating block.
At the same time, the volume of surgical care has been steadily increasing: during 2020–2024, 6,313 surgical interventions were performed at Rohatyn Central District Hospital – from 998 operations in 2020 and 1,077 in 2021 to 1,148 in 2022, 1,368 in 2023 and 1,722 in 2024; in just 9 months of 2025, 1,617 operations have already been carried out. Modern minimally invasive methods are increasingly used for the treatment of patients with surgical pathology: the number of laparoscopic interventions increased from 39 in 2022 to 54 in 2023 and 59 in 2024, and 49 such operations were already performed in the first 9 months of 2025. Hip joint replacement (hip arthroplasty) is also actively developing: 51 operations were performed in 2024 and 16 – in 9 months of 2025. Against the background of such growing workload, the emergency condition of the roofs and the operating block directly threatens the continuity of access to quality surgical care for the community’s population.
The project envisages energy-efficient reconstruction of the hospital roofs (including thermal insulation, hydro- and vapour-proofing, replacement of load-bearing structures, modernisation of the drainage system) and complete modernisation of the operating block in line with current safety and infection-control standards. In addition, organisational, training and joint cross-border activities are planned, aimed at improving patient routing, the quality of surgical care and harmonisation of approaches to surgical treatment.
Thus, the project directly corresponds to Specific Objective 2.1 “Equal access to health care” of Priority 2 “A healthy and attractive border region”, as it is aimed at ensuring equal access to safe, modern and continuous surgical care services and strengthening the resilience of the local health-care system.
Objective: To ensure equal, safe and continuous access of the population of the Rohatyn City Territorial Community to modern surgical care by means of energy-efficient reconstruction of the roofs of the buildings of the Municipal Non-Commercial Medical Enterprise “Rohatyn Central District Hospital” and full modernisation of the operating block in line with the requirements of Specific Objective 2.1 “Equal access to health care”.
Lead partner (municipality from Hungary – Slovakia – Romania):
Programme Priority: Priority 2: “A healthy and attractive border region”.
Programme Objective: Specific Objective 2.1 “Equal access to health care” – ensuring equal access to health care and strengthening the resilience of health-care systems, including through modernisation of health-care infrastructure, improvement of patient safety, infection control and working conditions for medical staff.
Activities for the Ukrainian side:
1. Energy-efficient reconstruction of hospital roofs
o Technical inspection of the roofs and preparation of design and cost documentation.
o Capital repair of the roofs of all hospital buildings, including the operating block, comprising: replacement of roofing material; thermal insulation of the roofs (thermo-modernisation with installation of thermal, hydro- and vapour-proofing); replacement and strengthening of wooden load-bearing structures (rafters, battens); complete replacement and anti-corrosion protection of the drainage system (gutters, downpipes); elimination of roof-ridge deformation and leakages.
2. Modernisation of the operating block
o Capital repair of operating theatres, pre-operative and auxiliary premises using finishing materials compliant with infection-control requirements (tiles, floor coverings, walls, ceilings).
o Restoration of window reveals, door units, ventilation, lighting and air-conditioning systems.
o Modernisation of engineering networks: water supply, sewerage, medical gases, uninterruptible power systems for operating theatres.
3. Improving electrical safety and protection of medical equipment
o Complete replacement of electrical wiring, switchboards and protective devices in the operating block, taking into account the load from modern medical equipment.
o Installation of a backup power supply system for critical zones (operating block, intensive care unit) to minimise the risk of interruption of operations due to power outages.
4. Organisational strengthening of access to surgical care
o Updating internal protocols for organisation of planned and emergency surgical interventions, taking into account the capacities of the modernised infrastructure.
o Improving patient routing (in particular for the rural population) in order to reduce waiting time for surgical intervention and increase predictability of access to services.
o Streamlining the system of collecting statistical data on operations (including minimally invasive ones) for further monitoring of the project’s impact on access and quality indicators of surgical care.
5. Capacity building of medical staff
o Conducting training for surgeons, anaesthesiologists and nursing staff on working in the modernised operating block, infection control and operation of high-tech medical equipment.
6. Joint cross-border activities under Specific Objective 2.1 “Equal access to health care”
o Joint development and harmonisation, together with the partner health-care institution, of clinical protocols for planned and emergency surgical care.
o Joint online and face-to-face trainings/seminars for medical staff of both institutions on infection control, minimally invasive surgery and work with high-tech equipment.
o Introduction of regular joint (online) consultations for complex clinical cases using telemedicine solutions, improving patient access to qualified care regardless of place of residence.
o Organisation of joint information and awareness-raising activities (“health days”, campaigns for early detection of surgical pathology) in both communities with unified approaches to screening and patient routing.
o Joint collection and analysis of comparable statistical data (number of operations, share of minimally invasive procedures, number of cancelled/postponed operations due to technical reasons) to assess the project’s impact on equal access to health care and the resilience of health-care systems.
Approximate budget: The indicative total amount of grant funds for the project (EU contribution) is EUR 1500000. The following distribution is envisaged:
• 60% – to the lead partner (approximately EUR 900000) as the party bearing the main responsibility for project management, coordination and reporting;
• 40% – to the Ukrainian partner, the Municipal Non-Commercial Medical Enterprise “Rohatyn Central District Hospital” (approximately EUR 600000).
The exact budget structure by components (roofs, operating block, engineering networks, equipment, training, joint activities) will be further detailed at the stage of preparation of design and cost documentation (planned to be developed before filling in the application form).