AEF Bell Medical Centers Ltd. SUMMARY OF PROJECT INFORMATION (SPI)    Project Name:	Zimbabwe - Bell Medical Centers (BMC)    Region:	Sub-Saharan Africa    Sector:	Hospitals/Health    Project No:	009586    Projected Board	June 30, 1999   Date:    Company Name:	Bell Medical Centers (Private) Limited    Technical Partner and/or Major Shareholders    	The principal shareholder is Dr. Arikana Chiyedzo Chihombori (42), a Zimbabwean medical doctor presently residing in America. She has been educated and worked in the USA for the past twenty years both as a student and as a practicing medical doctor. She holds a Bachelor of Arts degree from Fisk University and she obtained her medical degree from Meharry Medical College, Tennessee in 1986. In 1992, she founded the Bell Family Medical Center in Tennessee. She is the CEO.  In addition, in 1996 she also founded and is co-owner of the Mid-Tennessee Medical Associates, which is a multi specialty clinic with 16 physicians.     Project Cost Including proposed IFC investment    	The project cost is US$1.61 million and IFC has been requested to provide quasi-equity of US$0.750 million.    Location of project and Description of site    	The project is located in industrial area of Kwekwe/Redcliff, about 200 km south of Harare, Zimbabwe.    Description of Company and Purpose of Project    The project involves the expansion of the Torwood Hospital and the Redcliff Medical Center in Kwekwe, in the midlands province of Zimbabwe. The two centers are owned by Bell Medical Centers, whose main office is in Harare. Until recently, the Zimbabwe Iron and Steel Company (ZISCO), a parastatal, owned both medical facilities through its in-house medical benefits scheme, Zisco Medical Benefits Society (ZMBS). To enable the centers to provide more services and handle the anticipated increase in the number of patients, there is need to expand the centers by adding outpatient departments and upgrading facilities. There will be a requirement to install new and up to date equipment, an in-house pharmacy, a laboratory, a radiology department, upgrading operating theatres and the kitchens    Environmental Category and Issues    	This is a Category B project according to IFC''s environmental review procedure because specific impacts may result which can be avoided or mitigated by adhering to generally recognized performance standards, guidelines, or design criteria.  Key environmental health and safety issues that were analyzed are as follows:    		handling and disposal of medical materials;   		disposal of medical and bio-hazardous wastes;   		disposal of solid and liquid wastes including sewage;   		power and water supply including fuel storage if applicable;   		hygiene and implementation of good hospital management practices;   	CFC-free air conditioning and cold storage equipment;	   		employee health and safety training and medical monitoring; and   		fire protection and safety in both the existing facilities and expansion phases.    	To mitigate impacts associated with the project the sponsor will follow US standards with respect to waste handling and disposal procedures; a high temperature incinerator will be installed to handle hazardous waste; general waste will go to the municipality; staff will receive appropriate safety training and undergo regular medial check ups; and an independent fire safety audit of the structure and/or design plans will be completed.    The Environmental Review Summary (ERS) is expected to be available on or about May 12, 1999 from the Public Information Center.    Host Country location of	Zimbabwe   environmental documents    Date SPI sent to PIC:		May 12, 1999    This Summary of Project Information is prepared and distributed to the public in advance of consideration of the proposed transaction by the Corporations Board of Directors. It is provided for the purpose of enhancing the transparency of IFCs activities and should not be construed as presuming the outcome of IFC Board consideration.    For additional Information contact: Corporate Relations Unit -    telephone: (202) 473-7711   facsimile: (202) 974-4384  Environmental documents for this project are available at http://www.ifc.org and from the World Bank InfoShop (http://www.worldbank.org/html/pic/aboutinfo.html).