# North Macedonia health infrastructure upgrades > Live situation record from CLSTR: https://clstr.news/situations/north-macedonia-health-infrastructure-upgrades > Updated: 2026-07-31T13:28:41.000Z. Sources: 14. Developments: 3. In late July 2026, North Macedonia began a series of health‑sector upgrades. The Idadia Polyclinic in Skopje started a 31‑million‑denar reconstruction focused on energy‑efficiency measures such as thermal insulation, modern heating, LED lighting and upgraded electrical systems, under a programme run by the Ministry of Finance with World Bank and Western Balkans Investment Framework support. A few days later, the government announced a much larger €183 million commitment to two regional hospitals: €74 million to modernise the Clinical Hospital in Tetovo and €109 million to complete a new Clinical Hospital in Štip. The projects aim to expand diagnostic, treatment and emergency capacities, lessen patient referrals to the capital, and improve working conditions for staff and students. Both initiatives were presented with World Bank involvement, signalling a continuing push to modernise the country's public health facilities. The €183 million funding was formally approved on 30 July, with Health Minister Sasho Klekovski, Health Insurance Fund director Zlatko Perinski, Štip mayor Ivan Jordanov and a World Bank delegation reviewing technical and financial details. The following day, the Clinical Hospital Bitola launched a 30.4 million‑denar equipment programme, replacing outdated devices and adding advanced orthopaedic, ophthalmic, urological and imaging tools, while also hiring 61 permanent staff to boost regional diagnostic capacity. The Bitola upgrade includes a new pathology‑department digestor, electric orthopaedic burr, phaco‑cataract surgery system, ophthalmic echo unit, monopolar urology resection set, colonoscope, gastroscope, optical‑coherence‑tomography scanner, DEXA machine, a surgical robot and PACS‑linked software. It also introduces echo‑guided prostate biopsy, the first use of this method at the hospital, and is expected to markedly improve diagnostic and operative services for patients in Bitola and surrounding areas. ## Claims - Over 30.4 million denars are being invested in medical equipment for the Clinical Hospital Bitola between 2024 and 2026. (corroborated by 6 sources) - Equipment older than 20 years is being replaced at the hospital. (corroborated by 6 sources) - The pathology department's digestor, originally installed about 55 years ago, is being replaced. (corroborated by 6 sources) - New devices include an electric burr for orthopaedics, a phaco‑method cataract‑surgery system, and an echo unit for ophthalmology. (corroborated by 6 sources) - A new colonoscope and gastroscope have been supplied for the internal medicine department. (corroborated by 6 sources) - The hospital has also acquired an optical‑coherence‑tomography scanner, a DEXA machine, a robot and a PACS‑linked software solution. (corroborated by 6 sources) - A procedure for echo‑guided prostate biopsy has been started, marking its first use at the hospital. (corroborated by 6 sources) - 61 permanent staff members have been hired since July 2024. (corroborated by 6 sources) - A €109 million (6.7 billion denar) investment will complete the new Clinical Hospital in Štip. (corroborated by 2 sources) - The Štip hospital will serve around 150,000 residents directly and about 250,000 people in its wider catch‑area. (corroborated by 2 sources) - Both hospital projects aim to reduce patient referrals to Skopje and improve medical training conditions. (corroborated by 2 sources) - Health Minister Sasho Klekovski presented the hospital investment plans. (corroborated by 2 sources) ## Timeline ### 2026-07-31: Bitola Hospital Receives 30.4 million denar Modernisation Upgrade Bitola Hospital in North Macedonia is investing 30.4 million denars (2024‑26) in new medical equipment, replacing 20‑year‑old devices, adding advanced imaging and surgical tools, and hiring 61 staff. 6 sources. https://clstr.news/cluster/clinical-hospital-bitola-gets-30-million-denar-equipment-upgrade ### 2026-07-30: North Macedonia invests €183 million in new hospitals at Tetovo and Štip North Macedonia is spending €74 million on a new Tetovo clinical hospital and €109 million on a modern Štip regional hospital, aiming to improve services for up to 250,000 residents and lessen pressure on Skopj 9 sources. https://clstr.news/cluster/north-macedonia-invests-183-million-in-new-hospitals-at-tetovo-and-tip ### 2026-07-24: Skopje’s Idadia Clinic Begins 31‑Million‑Denar Reconstruction Skopje’s Idadia Polyclinic has started a 31 million‑denar reconstruction to improve energy efficiency, modernize facilities, and lower operating costs for patients and staff. 3 sources. https://clstr.news/cluster/skopjes-idadia-clinic-begins-31milliondenar-reconstruction --- Cite as: North Macedonia health infrastructure upgrades. CLSTR, https://clstr.news/situations/north-macedonia-health-infrastructure-upgrades