Hospital Resiliency & Preparedness Project

Approval date
August 16, 2018
Effectiveness Date
September 06, 2019
First Disbursement Date
November 27, 2018
Closing date
July 31, 2023
Burn rate


The Hospital Resiliency and Preparedness project, supported by a US$ 25 million grant from the Sint Maarten Recovery, Reconstruction and Resilience Trust Fund, will help Sint Maarten rehabilitate the existing hospital, build a new hospital to be resistant to extreme weather events and improve the quality of hospital care services.

Financial Summary:


Amount pledged to finance the project.


Disbursement indicates the actual transfer of funds from the administrator to Sint Maarten's National Recovery Program Bureau (NRPB) or other implementation partners.


The ratio represents the percentage of the amount that has been transferred from the administrator to Sint Maarten's National Recovery Program Bureau (NRPB) or other implementation partners.

The project co-finances the new 110-bed hospital which will substantially increase hospital capacity and enhance health services for the growing population of Sint Maarten.

The project supports critical upgrades to the existing hospital during the transition period. The existing hospital building is being fortified to withstand category 4 hurricane force winds with a stronger roof and increased generator capacity to ensure the continuity of essential medical services in the event of major power interruptions during emergencies. The project will also finance improved operating theatres, expanded dialysis capacity and out-patient care.

The project is implemented by the Sint Maarten Medical Center in partnership with the Ministry of Health, Social Protection and Labor and Sint Maarten’s Health Insurance provider. The project has two main components:

  • Building and launching of the new hospital:

    This component finances the design upgrades, the construction and launching of the new facility.

  • Upgrading and contingency plan for SMMC:

    Apart from the upgrades to the existing hospital, this component also includes technical assistance to support the updating of clinical guidelines and quality control mechanisms. SMMC is taking steps to comply with the Joint Commission International accreditation, which improves patient safety and quality of health care, including the recent establishment of a Quality and Safety Department.

  • Extra Component - COVID-19 Preparedness and Response:

    This new component will help strengthen SMMC’s capacity to conduct public education communication campaigns to promote the prevention of COVID-19 and delay the spread of the disease; implement triage and early detection of COVID-19 cases; protect health workers; and streamline patient isolation and treatment of severe cases requiring intermediate or intensive care.

The upgrades to the existing hospital allow for adequate provision of care until the new facility is operational. The upgrades will allow the current hospital to remain operational during extreme weather conditions. The roof has been reinforced to sustain category 4 winds (up from category 2) and the installation of fire detection system at the hospital is underway. Also, emergency disaster plans have been improved.

The new hospital will significantly improve emergency operations capacity to handle medical emergencies during extreme weather conditions. One important outcome of the project will be the reduced need for medical overseas referrals by 50 percent. Eventually, the project is expected to have an impact on increased patient satisfaction, improved health systems performance and a more sustainable health system.

Project Component Sub component On-going Completed
Hospital - Existing Building and Services Roof reinforced - Cat 2 - 4  
Fire Alarm System Installed  
Hospital - New Building and Services Design Upgrade Cat 5+  
Contractual Arrangements  
Overseas Medical Referrals Reduced (%)     79%
Emergency Disaster Preparedness Plan and Evacuation plans  
Additional purchases and works related to COVID-19 Ongoing

Under the project, financing for equipment and medicines, and implementation of the triage pavilion for COVID19 related needs are ongoing.

Hurricane Irma (September 2017) damaged the existing hospital and services were limited for several days. Although the hospital regained part of its service capacity, few precarious conditions remain.

Furthermore, Irma underlined the critical need for a new hospital that could withstand category 5 plus hurricane level winds (200mph+) and prepare for disaster impacts. A new 110 bed hospital will substantially increase hospital capacity and enhance health services for the people of Sint Maarten.