Hospital Resiliency & Preparedness Project

Approval date
August 16, 2018
Effectiveness Date
September 06, 2019
First Disbursement Date
November 27, 2018
Closing date
July 31, 2024
Burn rate


Approved in August 2018, the objective of the US$28.6 million Hospital Resiliency and Preparedness Project (US$25 million + US$3.61 million additional financing approved in March 2020) is to improve the preparedness and capacity of hospital services at the SMMC, the only hospital on the island. To date, the project has disbursed US$23 million.

The project co-finances the building of the new Sint Maarten General Hospital alongside the Sint Maarten Medical Center Foundation, which has US$75 million of financing, and ensures its resilience against Category 5 and higher hurricanes. The new hospital will substantially increase hospital capacity and enhance health services. The project also finances critical upgrades to the existing hospital and contributes to enhancing the quality and scope of hospital services.


Financial Summary:


Amount pledged to finance the project.


Disbursement indicates the actual transfer of funds from the administrator to implementation partners.


The ratio represents the percentage of the amount that has been transferred from the administrator to 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.

As of June 2022, approximately 86% of all essential upgrades to the existing hospital facility are complete. Recent achievements include, 1) completion of an additional five double patient rooms, 2) upgrades to the medical gas distribution system, 3) upgrades and expansion of the operating room complex that now includes two level-one ORs and facilities for medical staff, and 4) opening of the new dialysis and oncology suite. 

Medical referrals continue to decline -- the total number of referrals abroad has decreased by 92% in five years. This significantly contributes to lowering Sint Maarten's healthcare costs. 

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.