Newsletter: Are public–private partnerships the future of healthcare delivery in sub-Saharan Africa?
Are public–private partnerships the future of healthcare delivery in sub-Saharan Africa?
23rd April 2019
Many governments in sub-Saharan Africa are seeking to establish public–private partnerships (PPPs) for the financing and operation of new healthcare facilities and services. This paper seeks to inform debates about the use of PPPs in the region by describing the planning and operation of a high-profile case in Lesotho. It highlights several beneficial impacts of the transaction alongside a range of key challenges. Mark Hellowell suggests that future proposals for PPPs need to be exposed to more effective scrutiny and challenge, taking into account state capacity to proficiently manage and pay for contracted services.