Metropolitano II

active

The Hospital is carrying out an US$11.9 million expansion project which involves the construction of (i) a Hospital Tower with Intermediate Care, Pediatric Hospitalization, and a new Hospitalization Unit; (ii) Specialized Clinics –Neuroscience, Diabetes, Chemotherapy, and Hemodialysis; (iii) Expansion of Laboratory Diagnostic; (iv) Ambulatory Surgery Rooms; and (v) an Auditorium. The proposed IFC investment in the project adds up to a total amount of US$6 million, which includes (i) US$2 million from an existing A Loan committed in 2008 disbursed on 2013; and (ii) US$4 million from a new A Loan with a maturity of up to 10 years, including a 2 year grace period on payment of principal. Hospital Metropolitano S.A. (“Metropolitano” or the “Hospital”), an IFC existing client, is the leading private hospital in Nicaragua and Central America, providing services to over 112,000 patients in 2013. IFC’s involvement with the Hospital during the implementation of the ESAP, supervision site visit and the advice it provided to the client has contributed and resulted substantial improvements in the following areas: Accreditation from the Joint Commission International (“JCI”, a healthcare quality accrediting organization); implementation of an JCI-based Environmental and Social Management System (ESMS) in full compliance with PS1 requirements; formalized the managerial duties for environmental and social performance; implementation of a procedure for monitoring and reporting environmental and social issues to senior management; improved reporting of key performance indicators; updated the human resources policy in compliance with PS2 requirements including occupational health and safety; implemented a grievance redress mechanism for employees; implemented a solid waste and infectious waste management plan; developed a community engagement and grievance mechanism, including public information procedures; updated an emergency preparedness and response including fire and life safety; and has undertaken conservation of water resource and energy conservation.