Design & Build for Hospitals: How Can We Improve the Performance of Infrastructure Projects in the Region? (Latin America and the Caribbean)

The Inter-American Development Bank published the document which
includes the study of 15 different cases of hospital infrastructure projects implemented in recent years in Bolivia, Chile, Honduras, and Nicaragua, with the goal of obtaining lessons learned and recommendations to improve project implementation practices. The analysis covers aspects related to project governance, as well as scope, timeframes, and costs, in accordance with the different execution modalities.

The analysis of variations in the scope of case studies revealed that these variations occur in any form of execution. There are key aspects to minimizing the risks of deviations from project scope, such as the technical capabilities of executing agencies, the existence of pre-investment studies, the accuracy of the Terms of Reference, and the proper management of contracts.

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