Last review: September, 2026
Banobras offers interested parties information on the sector in Mexico with data from various sources in order to provide knowledge and useful elements for decision-making on the subject. The content presented does not reflect the position of Banobras.
DOF: Agreement issuing the Operating Guidelines of the “Universal Health Service Clinics” Program for Fiscal Year 2026 (September, 2026). Consult
Projects
Projects under development (pre-investment, bidding, and execution) and operational projects available on the Projects Mexico platform that, at some stage, were considered investment opportunities and do not necessarily include Banobras participation.
Projects under development
| Project | Sector | Subsector | Stage | Sustainability | With Ally Networks |
|---|---|---|---|---|---|
| 1125 Community hospital in Atlixtac, Guerrero | Social Infrastructure | Health | Execution | No | Yes |
| 1077 Second-level care hospital in the municipality of Ures, Sonora | Social Infrastructure | Health | Execution | No | Yes |
| 1066 General Hospital “Dr. Gonzalo Castañeda Escobar”, Tlatelolco, Mexico City | Social Infrastructure | Health | Execution | No | Yes |
| 1063 General Hospital in Cancun, Quintana Roo | Social Infrastructure | Health | Execution | No | Yes |
| 1053 General Zone Hospital in Manzanillo, Colima | Social Infrastructure | Health | Execution | No | Yes |
| 1052 Hospital Clinic in Cherán, Michoacán | Social Infrastructure | Health | Execution | No | Yes |
| 1050 Regional General Hospital in Morelia, Michoacán | Social Infrastructure | Health | Execution | No | Yes |
| 1008 Regional High Specialty Hospital in San Lorenzo Cacaotepec, Oaxaca | Social Infrastructure | Health | Execution | No | Yes |
Projects in operation
| Project | Sector | Subsector | Stage | Sustainability | With Ally Networks |
|---|---|---|---|---|---|
| 0790 Zumpango High Speciality Regional Hospital | Social Infrastructure | Health | Operation | Yes | Yes |
| 0371 Bajio Hospital | Social Infrastructure | Health | Operation | Yes | No |
| 0370 Ciudad Victoria Hospital | Social Infrastructure | Health | Operation | Yes | No |
| 0368 Ixtapaluca Hospital | Social Infrastructure | Health | Operation | Yes | No |
| 0005 General Hospital in the Mexico City South Regional Delegation (Tlahuac) | Social Infrastructure | Health | Operation | Yes | Yes |
Current status
The National Health System is made up of federal and state institutions, as well as specialized agencies that coordinate the provision of medical services, disease prevention, epidemiological surveillance, and health regulation in Mexico. Its objective is to guarantee timely access to quality health services for the entire population.

ISSSTE, Torreón Regional High Specialty Hospital
Medical Infrastructure
Healthcare infrastructure is one of the main pillars for guaranteeing universal access to health services and strengthening the care capacity of the National Health System. Within the framework of the 2025-2030 Health Sector Program, infrastructure actions are aimed not only at the construction, expansion, or rehabilitation of medical facilities, but also at reducing healthcare deserts, strengthening the problem-solving capacity of primary healthcare services, expanding coverage in rural and marginalized areas, and promoting remote care mechanisms through telehealth and telemedicine.
Healthcare Infrastructure
Healthcare infrastructure is one of the main pillars for ensuring universal access to healthcare services and strengthening the National Health System’s capacity. Under the 2025–2030 Health Sector Program, infrastructure actions focus not only on constructing, expanding, and rehabilitating medical facilities but also on reducing underserved areas, strengthening primary healthcare capacity, expanding coverage in rural and marginalized communities, and promoting telehealth and telemedicine services.
As part of this strategy, the Government of Mexico is implementing the National Hospital Infrastructure Plan, which includes 152 hospital projects by 2030, consisting of 50 new hospitals, 47 expansions and 55 replacements or major upgrades. These initiatives represent an estimated investment of 181 billion pesos and will increase national hospital capacity from 96,966 to 106,105 hospital beds. Consult
Planning for these investments is carried out through the Master Plan for Physical Health Infrastructure (PMIFS), an instrument that identifies healthcare infrastructure and medical equipment needs based on service demand and guides public investment in the health sector.
Installed Capacity
- 86,304 medical consulting rooms
- 4,495 operating rooms
- 150,148 hospital beds
- 483 CT scanners
- 148 magnetic resonance imaging (MRI) units
- 763 mammography units
- 84 linear accelerators for cancer treatment
Private Sector Participation
Institutional Arrangement
Mexico’s health sector has an institutional and planning framework that coordinates the participation of the three levels of government and various stakeholders to improve healthcare infrastructure and medical equipment, strengthen the supply of medicines, and modernize healthcare services, with the goal of ensuring universal, free, and high-quality healthcare.
To access additional information, please consult the following documents:
Health Sector Program 2025–2030
Master Plan for Physical Health Infrastructure (PMIFS)
National Healthcare Infrastructure Action Compendium under the Master Plan for Physical Health Infrastructure
Organizational Structure
Description of the hierarchy and roles of the various entities and actors involved in the sector, including how the different institutions and bodies coordinate and collaborate.
The federal agency responsible for formulating national health policy, coordinating national health programs, establishing healthcare priorities, and issuing regulatory provisions for the healthcare system. As Mexico’s national health authority, it leads public policy for the sector.
Its main responsibilities include:
- Formulating national health policies.
- Coordinating the National Health System.
- Designing disease prevention and health promotion programs.
- Issuing health regulations.
- Coordinating responses to epidemiological emergencies.
- Implementing priority public health programs.
- Supervising the institutions that make up the National Health System.
A unit within the Ministry of Health responsible for proposing national policies to improve the quality of healthcare and social assistance services. It also coordinates efforts between the health and education sectors for the training and continuing education of healthcare professionals based on current and future healthcare needs.
Coordinated by the Ministry of Health, SINAIS collects, manages, and disseminates information related to human resources, infrastructure, healthcare services, epidemiological indicators, and health outcomes. As part of the modernization of the National Health System, it promotes interoperability and the secure exchange of information among institutions.
Administrative unit of the Ministry of Health responsible for promoting the technological and digital modernization of the National Health System through health technology assessment, evidence-based information, telehealth, digital health, and clinical practice guidelines.
An autonomous federal institution with tripartite governance involving the government, employers, and workers. It is Mexico’s primary social security institution, providing healthcare, financial benefits, and social protection while serving as one of the country’s main pillars of hospital and healthcare infrastructure.
Mexico’s principal healthcare provider for the population without social security, ensuring free access to healthcare services, medicines, and medical supplies, particularly in rural, Indigenous, and vulnerable communities.
A decentralized public institution providing healthcare and social security services to government employees, retirees, and their beneficiaries through a nationwide network of hospitals, clinics, and healthcare facilities.
A federal government agency responsible for the planning, construction, modernization, and oversight of the country’s strategic infrastructure. Following the reform to the Organic Law of the Federal Public Administration published in May 2026, and at the request of competent federal authorities and in coordination with all three levels of government it participates in the construction, equipping, rehabilitation, reinforcement, reconstruction, expansion, and outfitting of public works linked to the health sector, thereby contributing to the strengthening of national healthcare infrastructure.
State-level agencies responsible for implementing healthcare policies and providing healthcare services according to the needs of each state. They manage hospitals, health centers, and state medical facilities while coordinating prevention programs and public health campaigns.
The institution responsible for generating scientific evidence to support public health policy, conducting epidemiological research, evaluating health programs, and carrying out the National Health and Nutrition Survey (ENSANUT).
Legal system
The legal framework governing Mexico’s health sector establishes the constitutional right to health protection through mandatory laws, programs, and procedures.
The main legal instruments include:
General Health Law
Social Security Law
Law of the Institute for Social Security and Services for State Workers (ISSSTE)
Public Works and Related Services Law

Investment cycle

At this stage, the country’s medical and hospital infrastructure needs are identified. Coverage gaps, population growth, demand for services, the condition of existing hospitals, and the need to expand the healthcare network are analyzed. Planning is aligned with the 2025-2030 Health Sector Program, which prioritizes universal access, the expansion of healthcare delivery capacity, and the modernization of the healthcare system.
Key Stakeholders
Ministry of Health (Secretaría de Salud)
- Defines the national health policy.
- Determines hospital infrastructure needs.
- Prioritizes strategic projects related to healthcare coverage and service delivery.
Mexican Social Security Institute (IMSS)
- Identifies the need for new hospitals and clinics for beneficiaries.
- Plans expansions of installed healthcare capacity.
Institute for Social Security and Services for State Workers (ISSSTE)
- Plans infrastructure to provide healthcare services for government employees.
IMSS-Bienestar
- Identifies healthcare needs for individuals without social security coverage.
- Prioritizes hospitals and medical facilities in underserved areas.
State Health Services (SESA)
- Identify regional healthcare needs.
- Promote hospital and health center projects.
Technical studies, detailed engineering designs, functional analyses, and medical requirements are developed for the construction or expansion of healthcare infrastructure. Hospital capacity, number of beds, medical specialties, biomedical equipment, and technological requirements are defined.
- Defines technical and functional guidelines.
- Validates alignment with healthcare service objectives.
- Define operational and medical requirements.
- Determine the required capacity.
- Develop detailed engineering and construction designs.
- Design hospitals, clinics, and specialized laboratories.
- Conduct structural, sanitary, electrical, and electromechanical studies.
- Integrate specifications for medical equipment.
The technical, economic, and social feasibility of the project is assessed. Cost-benefit analyses and the documentation required to register projects within public investment mechanisms are prepared. Projects are also submitted through the Strategic Assessment Form (FIVE or FIVE-S) for evaluation and, once the requirements have been met, are registered in the Investment Programs and Projects Portfolio.
- Evaluates the project’s contribution to the sectoral strategy.
- Assesses financial viability.
- Participates in the registration of public investment projects.
- IMSS.
- ISSSTE.
- IMSS-Bienestar.
- State Health Services.
- Evaluates the project’s environmental aspects.
Resources are allocated, investment schedules are defined, and projects are incorporated into annual and multi-year public spending programs.
- Defines budget allocations.
- Authorizes funding for investment projects.
- Prioritizes projects to be financed.
- Coordinates national healthcare infrastructure programs.
- Allocates resources for hospitals and medical facilities.
- Allocates resources for its own infrastructure projects.
- Provide complementary funding for local infrastructure projects.
The necessary permits, authorizations, and registrations required to execute the projects are obtained. Public works procurement procedures, construction supervision processes, and hospital equipment acquisitions are also carried out.
- May act as the executing agency for federal public works projects.
- Prepares bidding documents.
- Conducts procurement processes.
- Awards construction contracts when entrusted with healthcare infrastructure projects.
- Establishes functional and operational requirements.
- Participates in authorizations related to healthcare facilities and medical equipment, when applicable.
- Tender and contract their own projects.
- Participate in bidding processes.
- Offer biomedical equipment, laboratory systems, medical imaging equipment, and hospital technology.
Consulta y difusión:
- Proyectos Estratégicos MX
- Compras MX
- Diario Oficial de la Federación (DOF)
- Gacetas y medios oficiales de gobiernos estatales y municipales
It includes the construction, equipping, and commissioning of hospitals, clinics, and healthcare facilities. It also encompasses the physical and financial monitoring of the project, quality control, and supervision of technical compliance.
- Manages construction contracts when acting as the executing agency.
- Monitors physical and financial progress.
- Coordinates technical supervision.
- Participates in the acceptance of completed facilities.
- Build hospitals, clinics, and medical centers.
- Install medical gas systems.
- Hospital electrical systems.
- HVAC systems.
- Medical equipment.
- Supervise compliance with operational requirements.
- Monitor quality, costs, and timelines.
- General hospitals.
- High-specialty hospitals.
- Family medicine clinics.
- Health centers.
- Laboratories.
- Blood banks.
- Medical specialty centers.
Once the project is completed, the results achieved are evaluated against the objectives originally established. Improvements in healthcare coverage, hospital capacity, service delivery times, quality of services, and investment efficiency are analyzed.
- Evaluates the project’s impact on service coverage.
- Analyzes the operational performance of hospitals and clinics.
- Evaluates infrastructure utilization and outcomes.
- Measures improvements in access for populations without social security coverage.
- Review the efficient use of public resources.
Banobras
The National Bank for Public Works and Services (Banobras) participates in financing infrastructure projects in Mexico.
Banobras supports the development of infrastructure and public services by providing financing solutions, guarantees, and technical assistance for both public-sector and public-private investment projects.

Financing for States and Municipalities and Decentralized Public Organizations: Banobras’ products and services are tailored to address the infrastructure requirements of state and municipal governments, as well as their decentralized public entities, with the aim of improving citizens’ quality of life and strengthening economic competitiveness.
Products:
Project Development: Banobras offers services aimed at assisting public sector agencies and entities in the development of infrastructure projects.
Financial structuring of the project:
- Elaborate and/or update studies required by the Public-Private Partnerships Law.
- Support in the review of the bidding conditions and contract model.
- Assist in obtaining financing for the project.
- Assist in the registration process of the project in the portfolio of the Investment Unit of the Ministry of Finance and Public Credit (SHCP).
- Assist in dealing with any observations made by the SHCP Investment Unit.
- Support in the financial closing of the project.
Sustainability
Banobras makes available to interested parties, analysis sheets for the detection of sustainability practices in infrastructure projects, in accordance with the methodological framework “Attributes and Framework for Sustainable Infrastructure” of the Inter-American Development Bank (IDB). Its objective is to highlight sustainable practices, encourage their adoption in future projects and provide relevant information for investors in their economic, environmental, social and institutional dimensions.
To review the projects that already have a sustainability record, select the “SEARCH CRITERIA>” option in the PROJECTS section, and then select “With Sustainability Analysis” at the end of the criteria; the projects that have a record will be displayed below.
In addition, Banobras offers an analysis tool that presents the potential relationship of the different infrastructure projects of the Mexico Projects platform with the 17 Sustainable Development Goals (SDGs) of the 2030 Agenda and their targets. This comparative analysis facilitates the use of data according to different criteria, such as the potential impact of projects and sectors against national and global development goals.
The comparison is only made between projects in the same subsector. To select and consult here.
The alignment of a project with the SDGs provides information on the degree of focus on sustainability; it provides a comparison between projects in the same sector and sub-sector and facilitates investment decisions, showing the highest and lowest alignment of projects to the SDGs. Comparative analysis facilitates the use of data according to different criteria, such as the potential impact of projects and sectors against national and global development goals.
In the case of the sector, 5 projects are identified in the platform that have sustainability practices detection sheets, which allows to know, among other things, the projects with more and better alignments to the SDGs. For more information, access the Sustainable Development Goals application:

Highest alignment:
- SDG 9: Industry, Innovation and Infrastructure.
- SDG 8: Decent Work and Economic Growth.
- SDG 3: Good Health and Well-being.
Lowest alignment:
- SDG 17: Partnerships for the Goals.
- SDG 14: Life Below Water.
- SDG 4: Quality Education.
Ally Networks
Banobras, through its Ally Networks application, provides information on companies participating in competitive public procurement processes for infrastructure projects in Mexico, based on official sources such as ComprasMX. It includes details on investment amounts, number of participations in bids, projects awarded, consortiums, and business associations, which allows the user to identify potential actors for the establishment of investments in the country.
To consult the projects that have information on the participating companies, select the option “SEARCH CRITERIA>” in the PROJECTS section, and then select “With applicant companies” at the end of the criteria.
In the application, you can consult on the sector:
- 13 projects
- 51 companies
- 20 consortiums
Reference documents:
This section offers documents, reports and reports with technical, statistical and regulatory information on the sector:
Official statements:
2026
- 09/28/2026 Official Gazette (DOF): Agreement issuing the Operating Guidelines of the “Universal Health Service Clinics” Program for Fiscal Year 2026.
- 08/10/2026 Official Gazette (DOF): Agreement issuing the Guidelines for obtaining the Registration Number in the National Master Plan for Health Infrastructure and High-Technology Medical Equipment.
- 08/10/2026 SICT: SICT to build 43 IMSS Child Education and Care Centers (CECI).
- 06/04/2026 IMSS: SICT and IMSS sign a framework agreement for the construction of early childhood education and care centers.
- 05/07/2026 SICT: SICT Authorized to Carry Out Infrastructure Works Related to the Health Sector
- 01/14/2026 IMSS: Building one thousand early childhood education and care centers an IMSS commitment to early childhood and working women.
Additional information:
2026



