1. Implementation progress of Activities within the competence of the Ministry of Health

2. Activities of the national programme "National programme in the field of health care 2004- 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 1.4.1  Activity 1.4.1“Primary health care infrastructure and improvement of equipment ”  Activity 1.4.2 “Improvement of infrastructure and equipment of emergency care system”

3. 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 projects

4. No.BeneficiaryPlanned end date 1.Kārsava Hospital31/05/2008 2.Jēkabpils District Central Hospital15/06/2008 3.Rēzekne Hospital30/06/2008 4.Liepāja Regional Hospital15/07/2008 5.Ventspils Hospital15/07/2008 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 Hospital31/08/2008 Overview on the implementation of projects Projects implementation of which is continuing:

5. 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 projects

6. 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.

7. Financial progress IndicatorAmountPercentage Funding allocated for implementation of projects LVL 23,047,284N/A Available ERDF fundingLVL 13,423,051100% Progress as at 31/12/2007 Submitted claims for EU SF8,544,58164% Disbursements from EU SF received6,571,53649% Number of projects repaid13/2945% Progress as at 30/04/2008 Submitted claims for EU SF8,925,86066% Disbursements from EU SF8,010,66660% Number of projects repaid16/ 2955%

8. Output indicators Planned indicator Progress on 31/12/2007 Progress on 30/04/2008 Number of health care institutions with renovated emergency care facilities 113 (27,27%) 4 (36,36%) Number of equipped emergency care centres 60 (0%) 0 (0%) Number of new operative ambulances20 (100%) 20 (100%) Number of primary health care centres85 (62.5%) 7 (87,5%) Number of hospitals connected with information system for blood donation 209 (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 min15 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 EU Structural Funds

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