The Polyclinique Fanandratana in Antananarivo, Madagascar received a loan from the Trade and Development Bank (TDB) to expand its facility. To conduct a complete due diligence study for the project, TDB hired AMPC as its Lenders Technical Advisor (LTA). The goal of the study was to review the technical, operational and financial aspects of the project and to advice TDB on the completeness and appropriateness of the arrangements proposed and the financial projections developed. A due diligence framework was designed, and based on a review of project documentation, site visits, and stakeholder consultations, all relevant aspects were scored based on the availability of information as well as its quality, and the level of risk the absence or incompleteness of information presented for the decision-making process. Finally, recommendations were made to improve the project and increase its chances of success.