This engagement addresses a significant structural gap in Uzbekistan's healthcare sector, where out-of-pocket expenditure accounting for 65% of total health spending and higher-income patients increasingly seeking care abroad. The Project is expected to be highly impactful and serve as an important demonstration of commercially viable, privately led healthcare delivery in an underserved market. Project Outcomes: The proposed hospital is expected to drive significant impacts across multiple dimensions. For patients and the local community, it will expand access to high-quality, professionally managed acute and rehabilitative care services in Tashkent. By introducing internationally recognized clinical standards, Japanese medical management expertise, and AI-enabled care models, the Project will help raise the quality bar for private healthcare delivery in Uzbekistan. For the health system more broadly, it will help reduce reliance on outbound medical travel and out-of-pocket expenditure, contributing to the Government of Uzbekistan's Population Health-2030 Strategy targets. Market Creation and Private Sector Development: The Project directly supports the Government of Uzbekistan's "New Uzbekistan" development agenda and its target of raising the private sector share of healthcare services to 50% by 2030. By developing the first internationally operated, bankable greenfield hospital project in Uzbekistan, the engagement has a strong potential demonstration effect, showing that sovereign bilateral capital and international clinical operators can be successfully mobilized into a sector long dominated by the state. The Project aligns with IFC's strategy to foster private sector solutions that increase access to quality and affordable healthcare in emerging markets, and with the Uzbekistan National Health Compact's goals of expanding State Health Insurance Fund contracting with accredited private facilities and reducing out-of-pocket expenditure.

Performance Standard	Description and Potential Impact	Mitigation
PS 1. Assessment and Management of Environmental and Social Risks and Impacts	As part of its Due Diligence process, and as mandated by IFCs Sustainability Policy, IFC team is screening this project to assess consistency with the IFC Performance Standards. Environmental and social risks will be further reviewed throughout the lifecycle of the project.	IFC's advice will be provided in a manner consistent with the relevant Performance Standards. The IFC team will assist the client in gaining a good understanding of IFCs Performance Standards, and provide recommendations for appropriate mitigation measures whenever warranted.