HEALTH - CHANGE, IMPACT, SUSTAINABLE DEVELOPMENT HOW THE ISLAMIC DEVELOPMENT BANK GROUP IS IMPROVING PEOPLE'S LIVES - Islamic ...
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CHANGE, IMPACT,
SUSTAINABLE
DEVELOPMENT
HOW THE ISLAMIC DEVELOPMENT
BANK GROUP IS IMPROVING
PEOPLE’S LIVES
HEALTH
DEVELOPING STATE-OF-
THE-ART HOSPITALS
IN TURKEY
3
6
7
9
8
2020
INTRODUCTION THE CHALLENGE
Turkey is a relatively well-developed IsDB Member “We would like to crown the great transformation in the
Country. Nonetheless, as a result of the Government’s health sector with city hospitals,” said H.E. Dr Fahrettin
transformational policy efforts toward universal health Koca, Minister of Health, Turkey, who added that these
care (UHC), hospitals like the new Manisa Education and hospitals were described as “my dream” by the President
Research Hospital (MERH) aim to lift people’s health RI7XUNH\+(5HFHS7D\\LS(UGRáDQ$QGWRFDOOLWDJUHDW
and well-being further. Such state-of-the-art health transformation is no exaggeration: ambitious health-sector
infrastructure means that the quality of provision is much UHIRUPVKDYHLQFOXGHGVLJQLͤFDQWO\LQFUHDVLQJWKHQXPEHURI
better, replacing aging facilities that had too few beds. SHRSOHFRYHUHGE\XQLYHUVDOKHDOWKLQVXUDQFH̰LQDUDGLFDO
Quality care will no longer be the preserve of people who shift toward UHC. But this dream requires huge investments
FDQDIIRUGLW7KLVZDVWKHͤUVWSXEOLF̰SULYDWHSDUWQHUVKLS in infrastructure. The challenge for Turkey has not been the
(PPP) hospital project supported by the IsDB to have fully FRXQWU\̵VDELOLW\WREXLOGTXDOLW\KRVSLWDOVOLNH0(5+̰LW
6KDULDKFRPSOLDQWͤQDQFLQJ has the capacity and human resources. Instead, what the
FRXQWU\KDVQHHGHGLVDͤQDQFLQJPRGHOWRVXSSRUWVXFKELJ
investment. The PPP model is providing an answer; and the
IsDB has played a critical role in the success of the MERH, by
OHDGLQJZLWK,VODPLFͤQDQFHIRUWKLV333SURMHFW
17 1
16 2
THIS PROJECT
15
3
DIRECTLY ADDRESSED SDG
3 HEALTH AND
14
4
WELL-BEING
13
One of the key targets of SDG 3,
5
for universal health coverage, is
particularly relevant to the aims
for building the hospital and
12
6
its impact.
11 7
10 8
9
THE PROJECT RESULTS
The overall objective of this hospital project was to provide ,QMXVWWKHͤUVWPRQWKVRIRSHUDWLRQ0(5+KDGDOUHDG\
access to better healthcare for more people by increasing served over 1 million people. Operational data held by
quality hospital capacity. The IsDB has supported the PPP the hospital also show that the average occupancy
model to enable the building of MERH, assisting Turkey with UDWHKDGDOUHDG\UHDFKHGZLWKLQWKHͤUVW\HDU7KLV
its long-term efforts to improve health infrastructure. The successful population reach and uptake has been with
333PRGHOKDVDOVRZLGHO\KHOSHG7XUNH\ZLWKHIͤFLHQF\ DYHU\KLJKOHYHORITXDOLW\̰DVSDWLHQWVZRXOGH[SHFW
and productivity beyond health: between 1986 and 2018, the from a well-equipped, modern facility delivering 558 new
country implemented US$139 billion of PPP projects across general hospital beds (a number that has delivered an
all sectors, and the Government has set high ambitions for increase in bed capacity for the region). The high-tech
WKHPRGHOLQKHDOWKFDUH$UUDQJLQJWKLVͤQDQFLQJIRU0(5+ hospital has performed exceptionally well in the Ministry
was part of IsDB’s support to the Turkish Government’s plan RI+HDOWK̵V4XDOLW\6WDQGDUGVIRU+HDOWK$XGLW 6DáOóNWD
to develop numerous integrated health campuses across the .DOLWH6WDQGDUGó ̰VFRULQJ SRLQWVRXWRIDSRVVLEOH
country, adding thousands of new beds to Turkey’s relatively 6XFFHVVOLNHWKLVZKLFKGLUHFWO\EHQHͤWVEHWWHU
low per-capita bed capacity.1 Including Manisa, 10 campuses more equitable health for all, should also prove
KDGDOUHDG\RSHQHGE\$XJXVW DQGDQRWKHUZLOOEH ͤQDQFLDOO\VXVWDLQDEOHDVDUHVXOWRIWKH333PRGHO
completed by 2021.
$VDPDQGDWHGOHDGDUUDQJHUIRUWKHͤUVWWLPHLQ7XUNH\ MERH HAS
558
,V'%DUUDQJHGWKHͤQDQFLQJRIWKHZKROHSURMHFWZLWKIXOO
Shariah compliance for the repayable portion of the total cost
of building MERH. The project was a runner-up at the 2017
%RQGVDQG/RDQV$ZDUGV7XUNH\LQWKH̴6WUXFWXUHGͤQDQFHRI
WKH\HDU̵DQG̴,QIUDVWUXFWXUHͤQDQFHRIWKH\HDU̵FDWHJRULHV
GENERAL HOSPITAL BEDS
During MERH’s construction, 700 people worked on the site AND THE BED OCCUPANCY
for 24 months, and more than 2,100 staff now work in the WITHIN THE FIRST YEAR OF
hospital. The building project sponsor continues hospital OPERATION WAS ALREADY
83%
operations, and the Ministry of Health pays for both the
ORQJWHUPͤ[HGDVVHWFRVWVDQGWKHKHDOWKFDUHVHUYLFHV
delivered within, securing thousands of monthly new health
interventions, including the roughly 2,000 surgical operations.
1
̦%HGFDSDFLW\SHUSRSXODWLRQLQ7XUNH\ZDVDURXQGLQ DFURVVPHPEHU
countries of the Organisation for Economic Co-operation and Development (OECD)
it averaged 4.6.
LESSONS LEARNED The unique aspect of this project’s success was the PDQGDWHGOHDGDUUDQJHUUROHSOD\HGE\,V'%̰IRUWKH ͤUVWWLPHLQ7XUNH\,V'%ZDVDEOHWROHDGWKHͤQDQFLQJ and arranged the whole package from different Islamic ͤQDQFHLQVWLWXWLRQV7KHPDLQVXFFHVVIDFWRUIRUWKLVZDV the Government’s support and ownership in creating an enabling environment for the PPP model, making the project bankable. This PPP model could be replicated in other Member Countries. In its power to create a new hospital, it has shown impact. The construction of this hospital in Turkey has also produced positive lessons for delivering socially and environmentally sustainable UHVXOWVDVZHOODVͤQDQFLDOO\VRXQGRQHV%XLOWRQ what was already publicly owned land, the hospital serves the health needs of a sizable local population. Detailed assessments and independent audits for environmental and social responsibility have revealed no negative issues. In summary, strong bankability, smooth implementation, and completion ahead of schedule are among the important lessons for success presented by this new hospital.
EVERY MONTH IsDB MEMBERSHIP COVERS
>100,000
OUTPATIENT APPOINTMENTS ARE DELIVERED
57
COUNTRIES SPREAD
BY THE NEW HOSPITAL, AND MORE THAN OVER 4 CONTINENTS
13,000 INPATIENTS ADMITTED
UKRAINE
GEORGIA
ISTANBUL ARMENIA
ANKARA
BURSA
IZMIR
(MERH)
ANTALYA
TURKEY
ADANA
TOTAL NET COST2 SYRIA
236M
LEBANON
IRAQ
EUR 90 EGYPT
JORDAN
80
70
82 CONTRIBUTIONS
60 ○ ISLAMIC DEVELOPMENT BANK
60M
60 59
50
40 EUR ○ OTHER DONORS
30
20
35
○ OPEC FUND FOR INTERNATIONAL
DEVELOPMENT, UNDER IsDB’S
EUR 82M
10 ○ EQUITY
B-FINANCE UMBRELLA
35M 59M
0
2
̦7RWDOQHWFRVWDQGFRQWULEXWLRQVURXQGHGWRQHDUHVW
million euros. EUR EUR
DISCLAIMER THE MAP IS FOR ILLUSTRATIVE PURPOSES ONLY
“We aim to be the preferred institution for patients and
MORE THAN
staff by providing quality, comfortable and safe health
1 MILLION
services.
“We [had] served more than 1 million patients [by] our
10th month of operations.
PEOPLE SERVED WITH HIGH-QUALITY
“Since Manisa Education and Research Hospital is a
NEW HEALTH SERVICES WITHIN THE FIRST
SXEOLFKRVSLWDOHYHU\RQHEHQHͤWVIURPRXUVHUYLFHVIUHH
10 MONTHS
of charge.”
Dr Serkan Saka, Chief Physician, Manisa Education and
Research Hospital.
OF THE HOSPITAL’S OPERATION –
INSTANT IMPACT FOR A SIZABLE
LOCAL POPULATION
CONTACT US
Islamic Development Bank
8111 King Khalid St.
Al Nuzlah Al Yamania Dist.
Unit No. 1
Jeddah 22332-2444
MERH HAS STATE-OF-THE-ART
Kingdom of Saudi Arabia
IMAGING EQUIPMENT, INCLUDING
THIS MRI SCANNER info@isdb.org
12
+966 12 6361400 11
www.isdb.org
10
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