Implementation progress of Implementation progress of Activities within the competence Activities within the competence

of the Ministry of Healthof the Ministry of Health

Implementation progress of Implementation progress of Activities within the competence Activities within the competence

of the Ministry of Healthof the Ministry of Health

Activities of the national Activities of the national programme "National programme programme "National programme in the field of health care 2004-in the field of health care 2004-2006":2006":The Ministry of Health acting as a 1st level intermediate body administers the following Activities of Measure 1.4 "Development of educational, health care and social infrastructure" of the SPD Priority 1 "Promotion of sustainable development":

Activity 1.4.1Activity 1.4.1“Primary health care infrastructure and

improvement of equipment ” Activity 1.4.2 “Improvement of infrastructure and equipment Activity 1.4.2 “Improvement of infrastructure and equipment of emergency care system”of emergency care system”

Under the national programme the Ministry of Health supervises 29 projects out of which: 15 have been approved by the ERDF Steering Committee on 23/12/2004; 14 have been approved by the ERDF Steering Committee on 15/02/2007;

By 31/12/2007 actual implementation has been completed in 18 projects.

By 30/04/2008 actual implementation has been completed in 20 projects.

Overview on the implementation of Overview on the implementation of projectsprojects

No. Beneficiary Planned end date

1. Kārsava Hospital 31/05/2008

2. Jēkabpils District Central Hospital 15/06/2008

3. Rēzekne Hospital 30/06/2008

4. Liepāja Regional Hospital 15/07/2008

5. Ventspils Hospital 15/07/2008

6. Vidzeme Hospital (Valka) 15/07/2008

7. Clinical University Hospital “Gaiļezers” 31/07/2008

8. Vidzeme Hospital (Valmiera) 31/08/2008

9. Children’s Clinical University Hospital 31/08/2008

Overview on the implementation of Overview on the implementation of projectsprojects

Projects implementation of which is continuing:

Identified problem:Increase in costs – implementation of 14 new projects was planned in Q3 2006, while actual implementation of Activities was commenced in Q2 2007, following conclusion of agreement with the Central Finance and Contracting Agency on project implementation. During this period a significant increase in construction costs was observed in the country.

Solutions proposed by the Ministry of Health:To allocate additional funding to projects from the state budget and other sources of funding;Participation in the process of approving procurement documentation, including the assessment of risk associated with increases in costs.

Problems in the implementation of Problems in the implementation of projectsprojects

Problems in the implementation of Problems in the implementation of projectsprojects

Identified problem:

Deviation from implementation timelines - extension of time for project implementation related to difficulties in the procurement procedures which arise due to increases in costs and low interest of tenderers, as well as deviations from execution of the agreements related with the low quality of technical projects prepared.

Solutions proposed by the Ministry of Health:

•An in-depth control of project implementation and provision of consultations to beneficiaries regarding project implementation

•Strict approach regarding extension of project implementation deadline

•Participation in the process of approving procurement documentation, including correction of inaccuracies in the procurement documentation.

Financial progressFinancial progress

Indicator Amount Percentage

Funding allocated for implementation of projects

LVL 23,047,284 N/A

Available ERDF funding LVL 13,423,051 100%

Progress as at 31/12/2007

Submitted claims for EU SF 8,544,581 64%

Disbursements from EU SF received 6,571,536 49%

Number of projects repaid 13/29 45%

Progress as at 30/04/2008

Submitted claims for EU SF 8,925,860 66%

Disbursements from EU SF 8,010,666 60%

Number of projects repaid 16/ 29 55%

Output indicators Planned indicator

Progress on 31/12/2007

Progress on 30/04/2008

Number of health care institutions with renovated emergency care facilities

11 3(27,27%)

4(36,36%)

Number of equipped emergency care centres

6 0(0%)

0(0%)

Number of new operative ambulances 20 20(100%)

20(100%)

Number of primary health care centres 8 5(62.5%)

7(87,5%)

Number of hospitals connected with information system for blood donation

20 9(45%)

9(45%)

Result indicators Planned indicator

Progress on 31/12/2007

Progress on 30/04/2008

Reduction of time required for provision of emergency care

15 min 15 min in towns (100%) and 25 min in

rural areas (77%)

15 min in towns (100%) and 20 min in

rural areas (88%)

Progress in attaining indicators of Progress in attaining indicators of EU Structural FundsEU Structural Funds

www.vm.gov.lvwww.vm.gov.lv

Telephone: 7876000 Telephone: 7876000