Ghana (represented by the Ministry of Health) and Hospital Engineering Gmbh, Rizzani De Eccher S.p.A., and Bergam Investment SA (HEDEBI JV) for an amount of one hundred and forty-five million, two hundred and twenty thousand euros (€145, 220,000.00) to execute the construction and equipping of a new 330-Bed Maternity Block at the Korle Bu Teaching Hospital (KBTH).
Mr Speaker, in so doing I beg to present your Committee's Report.
1.0 Introduction
2.1 On Tuesday, 24th March, 2020 the Hon Minister for Parliamentary Affairs, Mr Osei Kyei-Mensah- Bonsu, presented the following Paper in Parliament on behalf of the Hon Minister for Health, Mr Kwaku Agyeman-Manu:
“Contract Agreement between the Government of the Republic of Ghana (represented by the Ministry of Health) and Hospital Engineering Gmbh, Rizzani De Eccher S.p.A., and Bergam Investment SA (HEDEBI JV) for an amount of one hundred and forty-five million, two hundred and twenty thousand euros (€145,220,000.00) to finance the construction and
equipping of a new 330-Bed Maternity Block at the Korle Bu Teaching Hospital (KBTH).”
2.2 In accordance with the Constitution and Order 178 of the Standing Orders of the House, the Commercial Agreement was referred to the Committee on Health for consideration and report.
2.3 In attendance at the Committee's deliberations was the Hon Deputy Minister for Health, Mr Alexander Kodwo Kom Abban, and other Officials of the Ministry of Health.
3.0 Background Information
3.1 Since the establishment of Korle Bu Teaching Hospital in 1923, the Maternity Block of the Facility has not received any major rehabilitation since its construction. The Hospital has grown from an initial 200-Bed capacity to over 1,500. It is currently the third largest Hospital in Africa and the leading national referral centre in Ghana.
3.2 The Maternity Block at KBTH is identified as one of the critical health infrastructures that will enhance the health delivery system in the Country. The hospital's current operating conditions suffer from massive congestions, lack of enough theatres and delivery beds amongst a myriad
of other issues. As a result, maternal deaths have been on the rise, 60 were recorded in 2016, 57 in 2017, 41 in 2018 which rose to about 53 in 2019. Also, an average of 179 babies die annually at the Facility.
3.3 The Project, when completed, will help in the following ways:
i. Improve the health of patients (mother and child);
ii. Increase the volume of patient care to adequately manage regional needs;
iii. Improve the quality of life and care for all stakeholders;
iv. Provide enough space, capacity and equipment to meet the obstetric demands of the region and adjoining places;
v. Increase the capacity of Ghana to provide secured referral teaching hospitals; and provide medical education of international standard;
vi. Enable KBTH to position itself as one of the centres of excellence in health care in the West African Sub-region.
3.4 The completion of the KBTH maternity Block will to a large extent address issues relating to maternal and child care and will offer the latest healthcare technologies, providing a new standard of health care for the general population of Ghana.
4.0 Project Objective /Justification
4.1 The Project is required to meet the Ministry's objective of providing access to quality healthcare. It is also in the fulfillment of the government's commitment to ensure universal healthcare for all citizens in Ghana and attain Sustainable Development Goal
(SDG) 3.
5.0 Project Implementation Plan and Duration
The Project is expected to be completed in three (3) years (2019- 2021) and will be executed by Hospital Engineering Gmbh/Rizzani De Eccher/Bergam Invest AB (‘'Herebi JV''). The Ministry of Health would be the executing agency for the Project and will be responsible for the full implementation of this Project in line with the agreed loan and donor conditions. The implementation plan includes the following components:
i. Completion of financing agreement;
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ii. Provision of additional facilities in Civil Works to include Electrical and Plumbing Installations;
iii. Supply and Installation of Medical Equipment & Furniture; and
iv. Project Management and Procurement of Consultancy services.
6.0 Project Description/Scope
6.1 A total of six (6) components are clearly defined as part of the Project and are summarised below:
i. Construction and equipping of a new 330-bed Maternity Block (9-Storey Block including a basement) with all ancillary facilities;
ii. Provision of a 2-year Post Defects Notification Period Maintenance Programme and for Medical Equipment supplied;
iii. Training and Technical Assistance for selected Medical Equipment Listed;
iv. Procurement of start-up Equipment related consumables as per list;
v. Installation of ICT infrastructure; and
vi. Provision of Human Resource Training.
7.0 Observations and Recommendations
Project Scope
7.1 The Committee observed that the Project involves the construction, retooling, and the supply of equipment to the Hospital there by addressing the problems associated with maternal and child health care.
7.2 The Committee further observed that the Project also covers training on the use and maintenance of medical and non-medical equipment; professional development training for medical staff and supply of consumables to start operations. Details of the Project Scope is contained in the Appendix to the Report.
7.3 The Committee is of the strong conviction that with the training component in the scope of the Project, the Facility would not have difficulties with the maintenance of the equipment as happened in times past.
The Committee commends the Ministry of Health for negotiating to include training and the supply of consumables as part of the scope of the Project.
Value-for-Money Audit
7.4 The Committee observed that Value for Money Audit, a condition precedent to the approval and execution of the Project, had not yet been done but was in the pipe line. The Committee was assured that the outcome of the Audit would be made available to Hon Members in due course.
7.5 The Committee therefore noted that approval was being sought for the Agreement pending the outcome of the value for money audit because of the urgency attached to the Project to provide the needed services, some of which have been mentioned afore.
Payment Schedule
7.6 The Committee also noted that payment schedule was not attached to the Contract Agreement. The Officials of the Ministry of Health who participated in the deliberations explained that it is usually done during the value for money audit and so will be made available to Hon Members in due course.
8.0 Conclusion
8.1 The Committee recommends to the House to adopt the Report and approve by resolution; the
“Contract Agreement between the Government of the Republic of Ghana (represented by the Ministry of Health) and Hospital Engineering Gmbh, Rizzani De Eccher S.p.A., and Bergam Investment SA (HEDEBI JV) for an amount of one hundred and forty-five million, two hundred and twenty thousand euros (€145,220,000.00) to finance the construction and equipping of a new 330-bed maternity block at the Korle Bu Teaching Hospital (KBTH).”
Respectfully submitted.
Ranking Member (Mr Kwabena Mintah Akandoh): Mr Speaker, I beg to second the Motion and to urge the House to approve and support the Committee's Report.
Mr Speaker, this project would serve a very critical portion of the population especially mothers and children. The first paragraph on page 2 of the Report shows that the statistics for maternal deaths is not encouraging at all. For the Korle Bu Teaching Hospital (KBTH) to take its