The healthcare system in Turkey is being developed under the Health Transformation Program (HTP) which was initiated in 2003. Within the scope of the HTP, the Ministry of Health (MoH) has planned to develop 30 Health Campuses in 22 provinces with different sizes and bed capacities to serve 29 health regions in Turkey. The location and size of the Health Campuses were determined based on the need for health services, geographical structure, patient flow, accessibility and socioeconomic conditions. Until now, 20 Health Campus projects have been introduced which are currently at different stages of planning. The Adana Integrated Health Campus Project is one of these 20 projects, which has been proposed by the Ministry of Health to the 13th health region that covers Adana, Hatay and Osmaniye provinces. The Ministry of Health has tendered a bid for the implementation of the Project as a public private partnership model, which was awarded to ADN PPP Sağlık Yatırım A.Ş. The Project comprises the design, construction, operation, maintenance and financing of a Main Hospital, a Physical Therapy and Rehabilitation Hospital and a High Security Forensic Psychiatric Hospital, with a total capacity of 1,550 beds.

To fund the development of the project, ADN PPP A.Ş. is discussing with multinational financial institutions (FIs) including the European Bank for Reconstruction and Development (EBRD) and International Finance Corporation (IFC); ADN PPP A.Ş. has commissioned ELC Group Consulting and Engineering Inc. (ELC) to undertake the ESIA study in order to meet the requirements of these FIs. The ESIA study followed IFC Performance Standards on Social and Environmental Sustainability and EBRD Performance Requirements and started in August 2013 with the initiation of a scoping study.

Within the scope of the ESIA studies, ELC has engaged with key stakeholders including governmental authorities, non-governmental organizations and the public. The ESIA study included collecting necessary baseline information including soil and groundwater investigation, the preparation of an environmental, health and safety legal register, followed by an impact assessment and identification of mitigation measures.

The ESIA study has been publicly disclosed by the lenders ( and the process is planned to be completed within the last quarter of 2014 which will enable ADN PPP A.Ş. to obtain the necessary financing to develop the Project.