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The Ministry of Health and the Environment of Saint Vincent and the Grenadines (SVG) is conducting a review of its health care facilities and of their location, and of health service needs throughout the islands, in order to determine the site and characteristics of a new hospital to be built in replacement of the Milton Cato Memorial Hospital. The overall objective of the project is to ensure a service coverage adapted to the needs identified. This study will support the development of specific functional criteria for the new hospital, particularly with respect to improvements to the national emergency medical services (EMS) system.