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Médipôle: New Caledonia’s future referral hospital
On 31 January, the New Caledonia Hospital Center and AFD signed a €40m loan agreement to partially fund the future Médipôle hospital in Koutio. This project – one of the largest hospital construction sites in France – is national in scope and aims to group together all the services of the current hospital on one site.
The Regional Hospital Center (RHC) is the referral hospital in New Caledonia. This public establishment receives 25,000 patients and 46,000 emergencies every year. It has a capacity of 454 beds and 28 outpatient places spread out over 4 sites, the main one dates back to 1854. The hospital is experiencing a considerable increase in the number of hospitalizations, the occupancy rate and the number of surgical operations. Despite a general effort to upgrade the hospital over the years, all the buildings are now outdated.
One of the largest investments in New Caledonia over the next 10 years
The complete reconstruction of the RHC is scheduled on a single site in Koutio, in the suburbs of Nouméa. This project will be one of the largest investments in New Caledonia over the next decade. It will mobilize all the financial stakeholders. In addition to State support, it has been registered under the French 2012 Hospitals Plan. Médipôle will eventually group together two public facilities – the main Médipôle building, which will gather all the clinical and medical-technical services of the RHC, and Logipôle, which will group together all the logistics required for the new hospital on one site – and a private facility, the health center for long-term care and rehabilitation.
The construction works are expected to begin by June 2012 and be completed by the end of 2015. Almost all the structural works and part of the finishing works will be conducted by local companies. The construction of the main Médipôle building (the new hospital) is expected to mobilize a total of 600 to 700 people during the main building phase.
A High Environmental Quality hospital
The hospital is certified High Environmental Quality (HQE), will have 645 beds and has been designed to provide 58,000 medical consultations a year. It will have a capacity of 40,000 hospitalizations a year and will include 8 operating rooms, an operating hall and two angiography rooms. Médipôle is currently one of the largest hospital construction projects in France.
AFD’s €40m of financing is in the form of a loan and aims to provide the RHC with part of the resources it will require to finance its share of the investment in the main Médipôle building and in the construction of the Logipôle.
Concrete results in sustainable coral reef management
The final report of the 2011 capitalization on the program for the protection and sustainable management of coral reefs in the Pacific (CRISP) has been published. This review reports on the impressive number of extremely concrete results in the field, the headway that has been made in the economic development of reef resources and in enhancing scientific knowledge.
What is CRISP?
The initiative for the protection and sustainable management of coral reefs in the Pacific (CRISP), led by France and prepared by AFD since 2002, aimed to develop a vision for the future of these unique environments and for the communities who are dependent on them.
The objective of the program was to define and implement strategies and projects to preserve the biodiversity of coral reefs and develop the economic and environmental services that they provide both locally and worldwide.
The CRISP program was designed to be a catalyst for the integration of Pacific States and the French Overseas Communities.
Since it was implemented in 2005, this ambitious program has relied on two regional organizations: the Secretariat of the Pacific Community (SPC) and the Pacific Regional Environment Program (PREP). They have played a decisive role in involving Oceania countries and communities in the success of this initiative.
What are the results after six years of operation ?
After six years of implementation, the time has come to look at the results. This is the main objective of this capitalization report, which is both descriptive and forward-looking. It sets out to present the main results on which to build the development of Oceania communities and the preservation of natural resources in the Pacific, particularly coral reefs and the associated environments.
Marine protected areas, aquarium industries supported
The report presents an impressive number of extremely concrete results in the field. They include the creation of around fifty marine protected areas in 11 countries, covering an area of over 400,000 km2, the development of industries for fish and shellfish post-larvae culture in order to make the profitable aquarium market sustainable, training for hundreds of technicians, students and doctoral candidates and the dissemination of technical, scientific, economic and legal knowledge related to coral reefs, notably through the CRISP website ( www.crisponline.net ).
It also presents the progress achieved in the economic development of reef resources and in enhancing scientific knowledge about these rich and complex environments. Over 200 technical reports are now available to reflect all this progress.
80 projects in 17 countries
CRISP is financed by AFD and the French Global Environment Facility (French GEF) – €5m and €2m respectively – and has had a substantial multiplier effect by mobilizing additional resources from a large number of contributors. It has consequently financed some 80 projects in 17 Pacific countries and involved around forty partners for a total amount in the region of €15m.
“The French Overseas Communities, a major area for AFD operations.” An interview with Pascal Pacaut, Director of AFD’s French Overseas Communities Department.
The definition of AFD’s latest Strategic Orientation Plan provided the opportunity to reiterate its commitment to participate in the economic and social development of the French Overseas Communities. This involves scaling up financing and advisory support to local/regional authorities, the private sector and the social housing sector. AFD can also contribute to integrating these overseas economies into their regions via its agencies in neighboring countries.
Support for local authorities
AFD focuses its support for local authorities on financing investments in the environment sector (climate change and energy, biodiversity, water and sanitation and waste treatment) and in the social cohesion sector (health, medical/social and education).
The financing is combined with advisory support for the definition of public policies, sectoral strategies and project contracting.
Finally, it will be pursuing activities to support and prevent difficulties in the financial restructuring of local authorities.
Promote SME and VSE development
Proparco will be scaling up its equity investment activity in the private sector in order to promote the development of SMEs and VSEs in the French Overseas Communities.
AFD will be using its entire range of financial tools and will be helping to structure economic sectors.
Housing plan
In the housing sector, we will be proposing a housing and urban development plan that will integrate the sector’s economic role through the activities created, particularly for companies in the building industry, the social role in response to a need for housing and the seismic constraints that are specific to the West Indies.
Enhanced regional integration
Finally, we will be encouraging the integration of local economies into their regional environment while using our resources to promote French influence.
These activities will be complemented by conducting studies and economic analyses in order to deepen knowledge of the French Overseas Communities and to contribute to the definition of the local policies of the State or the communities.
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