Proyecto de inversión para la creación de un centro de hemodiálisis y diálisis peritoneal en Machala – Ecuador.

Abstract

Chronic Kidney Disease (CKD) represents a serious public health problem in Ecuador, with a high prevalence that exceeds international standards. The province of El Oro, and particularly the city of Machala, faces a growing demand for renal replacement therapy, with insufficient installed capacity to meet it. In this context, this project aims to design a hemodialysis and peritoneal dialysis center in Machala that effectively responds to this need, improving coverage and access to specialized treatments. Methodologically, this is an applied, descriptive, and cross-sectional research with a qualitative approach, based on documentary review, structured observation, and financial analysis. Theoretical and empirical methods were employed to technically and clinically support the proposal, utilizing statistical tools and economic evaluation models adapted to the local context. The results demonstrate the project's high viability. With an initial investment of $582,700, the financial analysis projects positive net cash flows from the first year, an Internal Rate of Return (IRR) of 55.15%, and a Net Present Value (NPV) of $651,036.76, figures that far exceed the 15% discount rate. The sensitivity analysis shows profitability even with rates of up to 30%, and the investment payback period is within the third year. In conclusion, the creation of a dialysis center in Machala is technically and financially feasible. The project responds to a critical public health need, ensuring a rapid return on investment, sustainability, and a significant improvement in the quality of life of CKD patients in the region.