The Health Technology Project will: (a) expand the diagnostic and treatment capabilities of noncommunicable disease (NCD) specialty units in large referral hospitals, (b) replace and add biomedical equipment in hospitals located in large and medium-size cities and distribute it more equitably, and (iii) provide equipment to medium-size city hospitals designated as emergency centers in the national Emergency Medical Services network. Agreed criteria will be strictly applied to the selection of participating hospitals and of equipment. The selection criteria for hospitals will consider the hospital's financial status, its location, its size, and the need for and potential efficient utilization of the requested equipment. The selection of the biomedical equipment will take into consideration the regional distribution among the eight medical regions, the relevance of equipment to medical needs, training of equipment users, availability of a recurrent cost budget for operating the equipment, and sharing of equipment by several facilities. The financing of high cost equipment will be excluded from the project, partly because there is an active leasing market for this type of equipment, and partly because some procedures are not reimbursable by the national insurance and will therefore not be accessible to the poor.