Presentation of PPP healthcare in Kyrgyzstan 2016 English language (Creted by Ch.Bapanov)

The State Agency for Investment and Export Promotion under The Ministry of Economy of Kyrgyz Republic

PPP projects in Healthcare

Presenter – Bapanov Chingiz - PPP expert

New Delhi December 2016

c.bapanov@gmail.com

Content

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PPP structure in Kyrgyz Republic;

• Organization of dialysis services in the cities of Bishkek, Osh and Jalal-Abad • Creating angiographic center at the National Hospital • Organization of centralized laboratory in Bishkek • Installation of CT scanners in medical health care organizations • Medical educational institutions in the Kyrgyz Republic

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PPP structure in Kyrgyz Republic 4

• non-interference by the state; • protection of the private partner’s property; • the right to freely use the dividents from the investments, the right to freely convert national currency to any other currency; • right to compensation of losses

• policy; • Project preparation; • Project initiation

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Financing of a feasibility study

State guarantees

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PPP program PPP program5

4 3 Financial Institutional Pillar Pillar Financial Institutional • MoE Pillar PPP fund Pillar • MoF 4 mln. $ • MoE PPP fund • SAoIE for • MoF 4 mln. $ • Public feasibility • SAoIE for Partner studies” • Public feasibility Partner studies” 2 2020 ppp strategy

5 Legal Pillar Legal Pillaron Law PPP Law on +15 PPP documents +15 documents

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Economic support

• full rights to personal property and real estate; • assistance in obtaining licenses; • granting an easement on state and/or municipal property; • rights to receive income from other sources apart from PPP; • the establishment of preferential rental rates for the use of property owned by the state and/or municipal property; • granting exclusive rights; • and other types of support that do not contradict the legislation of the Kyrgyz Republic.

Development 2020 ppp strategyStrategy 12 National 1 National Development Strategy 1

PPP progress timeline in Kyrgyz Republic

2016 24 projects in process

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24

Projects

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15

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IPA creation Formation of IPA in 2014 PPP Law came PPP Law to effect 2012 release

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0

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4

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2011

2012

2013

2014

Years

2015

2016

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Current PPP projects

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4 Ministry of transport and road Ministry of Health City Hall

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Ministry of health City Hall Ministry of transport and roads State Custom Services Tourism Department

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Talent training Regular trainings for PPP experts - on risks, and assessment; - financial analysis; - screening; - analysis of the international experience in preparation of projects; - preparation of contracts of the project of PPP; - economic analysis; - market research; - legislation.

Manual for implementing PPP in the Kyrgyz Republic

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List of accepted projects

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«Uzgen» Bypass Ministry of transport and roads

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Ministry of Health City Hall

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Dialysis (tender private partner) CT scan (feasibility study) Angiographic center (feasibility study) Central laboratory (feasibility study)

Ministry of Health City Hall Ministry of Transport and Roads

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Street parking (feasibility study) Urban transport(feasibility study) Kindergartens (feasibility study)

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Dialysis services in Bishkek, Osh and Jalal Abad (3 cities with the largest populations)

 PPP Model: BOT  Objective: The reorganization and consolidation of existing dialysis services in the 4 existing government hemodialysis centres (2 - Bishkek; 1 - Osh; 1 - Jalal-Abad) Value: approximately 4 million USD Project duration: 10 years Status: Tender on determining private partner Tender dates: 2017 г.

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Creating angiographic center at the National Hospital

 PPP Model: BOT  Objective: Installing angiographic complex in health institutions and increase availability of angiographic diagnosis and treatment methods to locals  Value: 2,6 million USD  Project duration: 10 years  Status: Tender on acquiring consulting services (feasibility studies)  Tender Date: 2017.  Tender date for private partner identification: 2017.

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Organization of centralized laboratory in Bishkek

 PPP Model: BOT  Objective: Organization of centralized laboratories, covering 16 hospitals and rapid laboratory network in Bishkek  Value: approximately 4 million USD Duration: 10 years Current Status: Tender on acquiring consulting services (feasibility studies)  Tender Date: 2017.  Tender date for private partner identification: 2017.

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Installation of CT scanners in medical health care organizations

 PPP Model: BOT  Objective: Establishment of diagnostic CT in 10 health facilities (2 - Bishkek, 8 - regions)  Стоимость: approximately 4,4 million USD. Project Duration: 10 years Status: Tender on acquiring consulting services (feasibility studies)  Tender Date: 2017.  Tender date for private partner identification: 2017.

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Medical educational institutions in the Kyrgyz Republic The existing medical faculties in: • Kyrgyz State Medical Academy • Kyrgyz-Russian Slavic University • International University of Kyrgyzstan • Osh city • Kant city • Jalal-abad city

Total of students from India in the Kyrgyz Republic - 3500 people

the faculties opened in 2016: • “Ata-Turk” University • “Adam” University The faculties planned to open in 2017 • “Isito” College

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http://www.ppp.gov.kg

Presenter – Bapanov Chingiz - PPP expert

New Delhi December 2016

c.bapanov@gmail.com