In 2021, the National Infrastructure Authority (ANIN) awarded the Spanish company IBT Sucursal del Perú six contracts for the construction and rehabilitation of the same number of hospitals in Áncash and La Libertad, for a total of S/543 million.
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He initial amount of the projects increased to S/2,572 million (approximately an additional 373%)and yet, the works have only advanced an average of 50%, when they should have been delivered in 2022. Three years later, the works are suspended “due to lack of budget.”
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The Republic consulted with officials from ANIN and the construction company IBT Sucursal del Perú about the reasons for non-compliance with contracts. Both accusations were exchanged.
In 2021, under the Government to Government contract typethe Authority for Reconstruction with Changes (now ANIN), awarded the United Kingdom Embassy the contract for the construction or rehabilitation of the six hospitals. In turn, the diplomatic legation awarded the contracts to IBT Sucursal del Perú, which formed a consortium with another company.
- The awarded works are the following:
- Expansion of the Caraz San Juan de Dios support hospital, Áncash.
- Reconstruction of the San Nicolás Health Center, Áncash.
- Recovery of the Provincial Hospital of Cascas, La Libertad.
- Recovery of the Casma Support Hospital, Áncash.
- Improvement of the support hospital in Recuay, Áncash.
- Expansion of the Antonio Caldas Domínguez Hospital, Áncash.
National Infrastructure Authority | ANIN | Government to government works
Hospitals only on paper
six Works began with a total of S/543 million in the transitional government of Francisco Sagasti. The execution continued during the mandates of Pedro Castillo and Dina Boluarte, who also approved million-dollar amounts up to quadrupling the original costs.
The Consortium Suyay II (IBT Sucursal del Perú and GCZ Ingenieros), is responsible for the execution of five of the six hospitals. He signed two contracts on May 25, 2021: the first included the Caraz hospital, the San Nicolás health post, both in Áncash; and the Cascas hospital located in La Libertad, all for a total of S/205 million.
For the works in Áncash, the delivery date was set for October 10, 2022, and for La Libertad, April 13 of the same year.
The second contract included the construction of the Casma and Recuay hospitals, in Áncash, for S/205 million. The delivery date for the Casma infrastructure works was set for October 10, 2022 and for Recuay on November 9, 2022.
He Consorcio Perú Health (IBT LLC Branch of Peru and PDCI Peruana de Construction and Infrastructure) was left in charge of the Antonio Caldas Domínguez hospitalin Ancash.
According to the contract signed on February 2, 2021, the work that would benefit 49 thousand Ancashinos had to be completed on May 21, 2022 and the budget allocated was S/132 million.
In none of the six cases was the date met. In reality, as of today, the works are suspended indefinitely.
However, since the signing of the contracts until this year, the budgets for the construction of the six hospitals that would benefit 240,000 Ancashinos and 31,000 Liberteños have skyrocketed indiscriminately. Neither the National Infrastructure Authority (ANIN) nor the consortia want to take responsibility for the blatant budget increase. They are also not responsible for the paralysis of the hospitals – are they the only ones harmed? The citizens.

The San Nicolás Health Center in Áncash is the work that required the most investment but made the least progress. Although it started with a budget of S/14 million and increased to S/74 million, construction only advanced 12%. Photo: Infobras
A streak of mutual accusations
ANIN spokespersons informed The Republic that the costs for the construction of the health facilities were low, because at the time of signing the contracts the missing Authority for Reconstruction with Changes (ARCC) did not consider pre-investment studiesnor complete technical files of the works.
“They were based on simple technical sheets, which basically included the reconstruction of some of the damaged elements of the health establishments and replacement of some equipment, among others,” they explained.
Consequently, major demolitions and expansion of areas had to be carried out, which is why costs had to increase.
“The technical experts carried out evaluations of the damaged structures and considered the demolition of all or most of them, so the areas that were initially planned to be built were increased,” said ANIN spokespersons.
For this public body, the change in costs is also due to market conditions, which have evolved since the award of the project (2020-2021) to the present.
Furthermore, factors such as inflation and access complications derived from the geographical location of some works, such as those of the Antonio Caldas Domínguez y Cascas hospital, gave rise to initial costs that did not adequately represent the reality of the market.
On the other hand, The Republic asked the Suyay II and Perú Health consortiums for an explanation of the reasons why there was an increase in the budget for the works and why they have not yet completed the work despite the time that has elapsed.
Only the Suyay II Consortium (in charge of five projects) responded alleging that the responsibility for the cost overruns lies with the ANIN.
“It is important to highlight that this increase has not been an initiative of the Suyay II Consortium, but is due exclusively to: (1) Deficiencies in the initial reference budgets prepared and provided by the ANIN, (2) a result of the design and conditions of the works site and, (3) Greater requirements requested by the ANIN, with the technical assistance of its advisors from the United Kingdom (UKDT) and even intervention of the Regional Health Directorate, after the respective contract has been signed and during the execution of the itself,” stated the consortium spokesmen.
They also indicated that It was at the request of the National Infrastructure Authority that the works have been paralyzed. Additionally, they were blamed for the delay in approvals and payments.
“The project has not finished within the original contract period due to: (1) ANIN delays in design approvals and procurement, and, (2) Lack of timely payment by ANIN,” they noted.
According to ANIN officials who argued before the consortium, they do not have funds to finance the continuation of the execution of the works. The initial budget shot up by 373% and has not been enough for the hospitals to deliver.

With a budget set at S/108 million, the San Juan de Dios hospital, in Áncash, promised to serve 65 thousand Ancash residents; However, although the investment rose to 544 million, the work was paralyzed at 48% of its progress.
The case is repeated in other contracts
- Spokespeople for the Suyay II Consortium, in charge of five hospitals, expressed that the problems they face with ANIN are repeated in other cases: delays, lack of budget and others.
- “All the consortia that are developing projects in the government-to-government scheme with the ANIN are suffering from situations similar to those of the Suyay II Consortium,” they indicated.
- The spokespersons for the aforementioned consortium also stated that they informed the ANIN in detail and in a timely manner about the causes of the delay in the execution of the hospitals, so they have full knowledge of the facts.

The Antonio Caldas Domínguez Hospital, in Áncash, is one of the hospitals in which the most money was invested for its construction. With an increase of 352%, the amounts went from S/132 million to S/599 million, according to the Public Investment portal of the Ministry of Economy and Finance. Photo: Infobras
