| Project Detail |
Project Description
Component 1. Building and launching of the new Sint Maarten General Hospital (US $21 million Trust
Fund (TF); US$75 million counterpart funds)
21. This component will support the construction, supervision of works and launching of the new Sint
Maarten General Hospital (SMGH). Specifically, the component will co-finance the construction of the entire
hospital. This component is leveraging counterpart funds to increase the resiliency of the new hospital, so that
the required upgrades to the original hospital design can be made to ensure that the new facility is resilient to
category 5 plus hurricanes.
22. With the support of the Tripartite, SMMC identified the need to replace the existing hospital prior to
Hurricane Irma, and agreed on the construction of a new building on the same land of the existing hospital. The
pre-design of the new hospital considered not only additional capacity in terms of beds and ambulatory services,
but also the need to incorporate new services, adding new diagnostic and treatment procedures, and new medical
specialties. In September 2016, the selection process to hire a firm to design, construct and implement the new
hospital was completed. This turn-key contract includes full design of the new hospital, construction and
equipment (medical and non-medical equipment), training (for equipment) and maintenance services for a 10-
year period (with an option to extend the maintenance period for two additional periods of 5 years). By the time
the complete design of the hospital was ready, damages caused by Hurricane Irma underlined the critical need
for the new hospital to be designed with a structure and features that will increase the hospital’s ability to
withstand category 5 plus hurricane level winds (200mph+). These changes will require an amendment to the
existing turn-key contract (variation order) and the component will co-finance the total cost of the contract to
allow for the required additional works, features and protections. The amendment will be processed after Bank
approval of the project and will be reviewed according to the relevant WB safeguards policies. Finally, the existing
contract with the construction supervision firm hired to oversee works at the new hospital will also require an
amendment to adjust the time table and cost. The additional cost of the construction supervision will be financed
with this component, and the contract amendment will be reviewed according to WB procurement procedures.
23. In addition to the expansion in the scope of services, the new hospital will: (i) increase capacity
from 66 to 110 beds; (ii) have 4 operating theaters and larger areas for ambulatory care, including a new
flow of patients for ambulatory surgery; (iii) include critical characteristics to increase the resiliency of
the hospital (external protection to withstand category 5 plus hurricanes, installation of modern and safe
medical gas, greater storage capacity for having supplies for longer periods, underground communication
through fiber optic capability, and a landing platform for helicopters for the transport of trauma patients |
