Health Infrastructure Enhancement, Lifesaving Medical Advancements, and Logistics (HILAL) Project (ADB-59413-001)

Regions
  • Europe and Central Asia
Geographic location where the impacts of the investment may be experienced.
Countries
  • Turkiye
Geographic location where the impacts of the investment may be experienced.
Financial Institutions
  • Asian Development Bank (ADB)
International, regional and national development finance institutions. Many of these banks have a public interest mission, such as poverty reduction.
Project Status
Proposed
Stage of the project cycle. Stages vary by development bank and can include: pending, approval, implementation, and closed or completed.
Bank Risk Rating
B
Environmental and social categorization assessed by the development bank as a measure of the planned project’s environmental and social impacts. A higher risk rating may require more due diligence to limit or avoid harm to people and the environment. For example, "A" or "B" are risk categories where "A" represents the highest amount of risk. Results will include projects that specifically recorded a rating, all other projects are marked ‘U’ for "Undisclosed."
Borrower
Government of Turkiye
A public entity (government or state-owned) provided with funds or financial support to manage and/or implement a project.
Sectors
  • Education and Health
The service or industry focus of the investment. A project can have several sectors.
Investment Type(s)
Loan
The categories of the bank investment: loan, grant, guarantee, technical assistance, advisory services, equity and fund.
Investment Amount (USD)
$ 390.00 million
Value listed on project documents at time of disclosure. If necessary, this amount is converted to USD ($) on the date of disclosure. Please review updated project documents for more information.
Project Cost (USD)
$ 390.00 million
Value listed on project documents at time of disclosure. If necessary, this amount is converted to USD ($) on the date of disclosure. Please review updated project documents for more information.
Primary Source

Original disclosure @ ADB website

Updated in EWS Apr 13, 2026

Disclosed by Bank Dec 3, 2025

Contribute Information
Can you contribute information about this project?
Contact the EWS Team

Project Description
If provided by the financial institution, the Early Warning System Team writes a short summary describing the purported development objective of the project and project components. Review the complete project documentation for a detailed description.

According to the Bank’s website, the project will take a systematic approach to address these constraints. Hospital and health infrastructure, including primary healthcare facilities, will be comprehensively upgraded in key areas and modernized to meet seismic safety, clinical, and energy and water efficiency standards and requirements for universal accessibility and gender responsiveness. Field assessments following the February 2023 earthquakes found that seismically isolated hospitals remained largely functional, sustaining only minor non-structural impacts and no structural damage. Investments will also support improved resilience to climate impacts such as flooding, strong wind events, and extreme heat.

Upgrading diagnostic and critical-care equipment, along with strengthening supply chain systems, will streamline logistics and expand access to high-quality health care services. Surveillance and early warning systems will be strengthened to improve prediction and mitigation of outbreaks. Pre-hospital emergency responses will be scaled through investment in new emergency health stations and ALS ambulances, ensuring equitable and timely coverage across the country.

In parallel, the MOH's rollout of AI-enabled and e-health platforms will be integrated at the facility level, enhancing prevention, triage, and clinical decision-support. Digital health investments will prioritize full interoperability to enable seamless data exchange across primary, secondary, and tertiary facilities while ensuring compliance with Turkiye's data protection and cybersecurity standards. Special attention will be given to women and vulnerable groups by expanding cancer screening, maternal and newborn services, and cultural & gender-responsive service design. Trained health personnel, supported by modern digital tools, will enhance the system's capacity to respond swiftly to emergencies. Community awareness programs on noncommunicable diseases (NCDs) will be conducted through schools, community centers, digital platforms, and media campaigns to promote prevention and healthy behaviors.

Early Warning System Project Analysis
For a project with severe or irreversible impacts to local community and natural resources, the Early Warning System Team may conduct a thorough analysis regarding its potential impacts to human and environmental rights.

Environment: B
Involuntary Resettlement: C
Indigenous Peoples: C

Investment Description
Here you can find a list of individual development financial institutions that finance the project.

The financing amount is $390,000,000, which will be financed on a loan basis by ADB’s ordinary capital resources.


Contact Information
This section aims to support the local communities and local CSO to get to know which stakeholders are involved in a project with their roles and responsibilities. If available, there may be a complaint office for the respective bank which operates independently to receive and determine violations in policy and practice. Independent Accountability Mechanisms receive and respond to complaints. Most Independent Accountability Mechanisms offer two functions for addressing complaints: dispute resolution and compliance review.

No contacts available at the time of disclosure.

ACCESS TO INFORMATION

You can submit an information request for project information at: https://www.adb.org/forms/request-information-form

ADB has a two-stage appeals process for requesters who believe that ADB has denied their request for information in violation of its Access to Information Policy. You can learn more about filing an appeal at: https://www.adb.org/site/disclosure/appeals

ACCOUNTABILITY MECHANISM OF ADB

The Accountability Mechanism is an independent complaint mechanism and fact-finding body for people who believe they are likely to be, or have been, adversely affected by an Asian Development Bank-financed project. If you submit a complaint to the Accountability Mechanism, they may investigate to assess whether the Asian Development Bank is following its own policies and procedures for preventing harm to people or the environment. You can learn more about the Accountability Mechanism and how to file a complaint at: http://www.adb.org/site/accountability-mechanism/main.

How it works

How it works