Detailed Project Report (DPR) on General Hospital of 250 Beds

Industry Overview

Bangladesh recognizes planned economic growth and improvements in public welfare as fundamental responsibilities of the State under its Constitution. The government is committed to ensuring access to essential needs such as food, clothing, shelter, education, and medical care while promoting better nutrition and public health. These constitutional principles provide the foundation for continued investment in healthcare infrastructure and the expansion of medical services across the country.

Bangladesh covers approximately 147,570 square kilometres and has one of the highest population densities in the world, with around 1,286 people per square kilometre. The country's healthcare system must therefore address the needs of a large and growing population while adapting to changing demographic, epidemiological, and economic conditions.

The report also highlights the significant influence of climate-related risks on healthcare planning. Bangladesh is among the world's most climate-vulnerable countries, experiencing frequent cyclones, floods, droughts, changing disease patterns, and the loss of agricultural land. According to the report, these hazards have caused substantial economic losses, disrupted livelihoods, and placed additional pressure on healthcare services. Future projections indicate that heat stress, river and coastal flooding, and landslides are expected to increase between 2041 and 2060, even under low-emission scenarios. Consequently, modern hospital projects require resilient infrastructure, efficient healthcare delivery systems, appropriate environmental management, and compliance with regulatory standards to ensure sustainable healthcare services for the population.

Cost Estimation

Content Index

• INTRODUCTION
• GEOGRAPHIC CONTEXT
• DEMOGRAPHIC CONTEXT
• ECONOMIC CONTEXT
• VULNERABLE GROUPS
• OVERVIEW
• FIGURE 1: ORGANOGRAM OF THE MOHFW, 2020
• ADMINISTRATIVE STRUCTURE
• TABLE 1: ADMINISTRATIVE UNITS OF BANGLADESH
• TABLE 2: THE FOUR TIERS OF THE ESSENTIAL HEALTH SERVICE PACKAGE, ADAPTED FROM MOHFW'S HEALTH NUTRITION POPULATION SECTOR STRATEGIC INVESTMENT PLAN (HNPSIP)
• PUBLIC SECTOR
• URBAN HEALTH SERVICES – PRIMARY CARE
• RURAL HEALTH SERVICES – PRIMARY CARE
• TABLE 3: PRIMARY HEALTHCARE FACILITIES RUN BY THE DGHS, ADAPTED FROM MOHFW, HEALTH BULLETIN 2020 (DECEMBER)
• SECONDARY CARE
• TERTIARY CARE
• PRIVATE SECTOR
• HEALTHCARE RESOURCES
• PHARMACEUTICAL SECTOR
• PATIENT PATHWAYS
• THE MOST IMPORTANT STATISTICS
• ECONOMIC FACTORS
• HEALTH SERVICES PROVIDED BY THE STATE/PUBLIC AUTHORITIES
• FIGURE 3: CURRENT HEALTH EXPENDITURE PER CAPITA (CURRENT USD) - BANGLADESH
• FIGURE 4: SHOWS PER CAPITA SPENDING AS A PERCENTAGE OF GROSS DOMESTIC PRODUCTS (GDP). THIS HAS RISEN GRADUALLY FROM 2.11 % IN 2000 TO 2.63 % IN 2020.
• FIGURE 4: CURRENT HEALTH EXPENDITURE AS A PERCENTAGE OF GROSS DOMESTIC PRODUCTS (GDP)
• RISK-POOLING MECHANISMS
• COMMUNITY-BASED HEALTH INSURANCE SCHEMES
• PRIVATE INSURANCE COMPANIES
• TABLE 4: PERCENTAGE OF GROSS PREMIUM IN LIFE INSURANCE (2015 TO 2019)
• OUT-OF-POCKET HEALTH EXPENDITURE
• FIGURE 5: HOUSEHOLD OUT-OF-POCKET PAYMENT AS A PERCENTAGE OF CURRENT HEALTH EXPENDITURE
• FIGURE 5: USES CURRENT HEALTH EXPENDITURE (CHE) TO SHOW THAT OOPS HAVE INCREASED SINCE 2000 AND THAT THEY HAVE BEEN ABOVE 70 % OF CHE SINCE 2014.
• FIGURE 6: SHOWS A STEADY INCREASE IN THE MONEY PAID BY EACH HOUSEHOLD RISING TO A HIGH OF USD 37.49 [EUR 34] IN 2020.
• FIGURE 6: HOUSEHOLD OUT-OF-POCKET PAYMENT IN CURRENT USD PER CAPITA
• TABLE 5: COST BURDEN ACROSS SOCIOECONOMIC GROUPS FROM A HOUSEHOLD SURVEY IN DHAKA URBAN AREA
• COST OF CONSULTATIONS
• COST OF MEDICATION
• PROJECT LOCATION
• SERVICES
• INTRODUCTION
• DRIVERS OF GROWTH
• DEMOGRAPHIC, EPIDEMIOLOGICAL AND HEALTH TRANSITIONS
• WHAT LICENSE REQUIRED TO OPEN A HOSPITAL AND THEIR PROCEDURE
• NECESSARY LICENSES REQUIRED OPENING A HOSPITAL
• REGISTRATION OF HOSPITAL
• LAND AND CONSTRUCTION
• ELECTRICITY AND WATER
• SEWAGE
• BIOMEDICAL WASTE
• FIRE AND HEALTH LICENSE
• REGULATIONS RELATING TO EMPLOYMENT OF STAFF
• SIGN BOARDS
• FOOD MANUFACTURING LICENSE FOR OPERATING A KITCHEN
• PERMIT TO STORE LPG CYLINDER
• PHARMACY REGISTRATION FOR MEDICAL SHOP
• TRADEMARK REGISTRATION
• VEHICLE REGISTRATION FOR AMBULANCES
• ARMS LICENSES UNDER ARMS ACT
• WASTE DISPOSAL
• PLANNING THE HOSPITAL INFRASTRUCTURE
• ONE MUST TAKE CARE OF THESE THINGS;
• THE OTHER IMPORTANT LICENSE REQUIRED IS:
• LIST OF 250-300 BED HOSPITAL IN BANGLADESH
• BRIEF DESCRIPTION OF SOME COMMON HOSPITAL EQUIPMENTS
• BUILDING CONSTRUCTION & FURNISHING OF HOSPITAL
• GENERAL HEALTH AMENITIES
• DRUG SITUATIONS
• MODERN MEDICAL EQUIPMENT
• CONSUMABLE STORES
• UTILITIES & OVERHEADS
• HOSPITAL/MEDICAL EQUIPMENTS AND SUPPLIERS
• MACHINERY & EQUIPMENT SUPPLIERS
• IMPORTED PLANT & MACHINERY SUPPLIERS
• LIST OF CONSULTANT FOR SETTING UP HOSPTAL
• PROPOSED MINIMUM STANDARDS FOR PRIVATE HOSPITAL
• BASIC FUNCTIONS PROVIDED BY A HOSPITAL
• HUMAN RESOURCE REQUIREMENT
• INSTRUMENTS AND EQUIPMENT
• MINIMAL FUNCTIONAL AND SPACE REQUIREMENTS
• BUILDING ENGINEERING ENVIRONMENTAL STANDARDS
• PROJECT PLANT LOCATION FACTORS
• PLANNING OF EACH FLOORS ARE AS FOLLOWS
• EXPLANATION OF TERMS USED IN THE PROJECT REPORT
• ENVIRONMENTAL MANAGEMENT PLAN
• PROJECT LOCATION
• IMPLEMENTATION SCHEDULE
• PROJECT IMPLEMENTATION WILL TAKE A PERIOD OF 18 MONTHS
• LIST PLANT & MACHINERY
• SPECIFICATIONS OF STANDARD LIST OF MEDICAL EQUIPMENT
• LIST OF USEFUL LINKS

Appendix

• 01. PLANT ECONOMICS
• 02. LAND & BUILDING
• 03. PLANT AND MACHINERY
• 04. OTHER FIXED ASSESTS
• 05. FIXED CAPITAL
• 06. RAW MATERIAL
• 07. SALARY AND WAGES
• 08. UTILITIES AND OVERHEADS
• 09. TOTAL WORKING CAPITAL
• 10. TOTAL CAPITAL INVESTMENT
• 11. COST OF PRODUCTION
• 12. TURN OVER/ANNUM
• 13. BREAK EVEN POINT
• 14. RESOURCES FOR FINANCE
• 15. INSTALMENT PAYABLE IN 5 YEARS
• 16. DEPRECIATION CHART FOR 5 YEARS
• 17. PROFIT ANALYSIS FOR 5 YEARS
• 18. PROJECTED BALANCE SHEET FOR (5 YEARS)

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