PPP for Health is an advanced training program designed to equip professionals with the knowledge and tools to plan, implement, and manage Public-Private Partnerships (PPPs) in the healthcare sector. As health systems worldwide face growing pressures—including rising costs, aging populations, and increasing demand for quality care—governments are turning to PPPs as a sustainable solution to deliver better healthcare infrastructure, technology, and services.

This course provides a practical and strategic understanding of how PPPs can be used to strengthen health systems, extend service delivery, and enhance innovation while safeguarding public interest. It is ideal for health policymakers, public health professionals, hospital administrators, private investors, consultants, and NGO leaders.

Illustrative image A Doctor in a Consultation with a Mother and Her Daughter used in Accordemy®'s training on PPP for health

Public-Private Partnerships in healthcare refer to collaborative agreements where private entities participate in financing, designing, building, or operating healthcare services or facilities traditionally managed by the public sector. This model brings together public oversight and private innovation to achieve improved health outcomes, cost-efficiency, and broader access.

Why PPPs Matter in Healthcare

The healthcare sector faces chronic underfunding, outdated infrastructure, and gaps in service delivery—especially in low- and middle-income countries. PPPs offer:

  • Access to private capital and efficiency
  • Faster and more sustainable infrastructure development
  • Improved quality of care through innovation
  • Enhanced management and service delivery models
  • Risk-sharing in financing, construction, and operations

Course Objectives

By the end of the course, participants will be able to:

  • Understand various PPP models applicable to health systems.
  • Analyze the strategic role of PPPs in public health outcomes.
  • Design PPP frameworks that ensure equity, sustainability, and efficiency.
  • Evaluate legal, financial, and operational mechanisms for healthcare PPPs.
  • Assess case studies and extract practical lessons from global experiences.


Pegal and Institutional Frameworks

A sound regulatory environment is essential for PPPs in the health sector to function transparently and equitably. This module explores:

  • Health-specific PPP legislation
  • Regulatory agencies and monitoring bodies
  • Public procurement laws and dispute resolution
  • Health equity and accessibility mandates
  • Ethical considerations and patient rights

Participants will learn to evaluate whether their country’s existing legal frameworks are conducive to healthcare PPPs and what reforms might be needed.


Financial Structures and Risk Allocation

Financing Health PPPs

Financing healthcare projects through PPPs involves various strategies, including:

  • Government funding or viability gap funding
  • Private equity or corporate investments
  • Loans from multilateral development banks (e.g., IFC, ADB)
  • Blended finance models

Participants will examine cost recovery mechanisms such as:

  • User fees or insurance reimbursements
  • Government service payments
  • Pay-for-performance models

Risk Management in Health PPPs

Effective risk-sharing ensures that each partner handles the aspects they manage best. Key risks include:

  • Construction delays or cost overruns
  • Operational inefficiencies
  • Clinical quality failures
  • Technology obsolescence
  • Public dissatisfaction

This course includes frameworks for identifying, allocating, and mitigating such risks in a way that protects both patient welfare and financial sustainability.

You may also be interested in other courses in the Humanitarian and International Development

One of the key concerns in healthcare PPPs is ensuring that service quality and accessibility are maintained. The course focuses on:

  • Performance-based contracting
  • Service Level Agreements (SLAs)
  • Quality assurance indicators
  • Independent third-party evaluations
  • Public accountability mechanisms
Illustrative image Man in Black and White Long used in Accordemy®'s training on PPP for health

Global Case Studies

Participants will analyze real-world PPPs in healthcare from various countries:

Case 1: Lesotho’s Queen Mamohato Memorial Hospital (QMMH)

A flagship PPP project in sub-Saharan Africa, QMMH replaced the country’s main public hospital. While it significantly improved service quality, it also raised concerns about affordability and cost overruns—offering critical lessons in balancing cost and care.

Case 2: Managed Equipment Services in Kenya

The MES program introduced diagnostic equipment across county hospitals through a centralized PPP. Participants will study its scalability, governance challenges, and technology sustainability.

FCase 3: India’s Dialysis PPP

Through private partnerships, India scaled up access to dialysis treatment in rural and urban centers, offering a blueprint for specialized service delivery models.

Case 4: Colombia’s Public Health Insurance PPPs

A mixed-financing model combining public funds and private insurers showed how PPPs can be structured within national health insurance systems to improve access while managing costs.

This course is suitable for:

Illustrative image A Man Looking his Coronavirus Test Result used in Accordemy®'s training on PPP for health
  • Health ministry officials and regulators
  • Hospital and clinic administrators
  • Private healthcare providers and investors
  • International development agency professionals
  • Public health consultants and analysts
  • Legal and policy advisors in health sector reforms

WCourse Methodology

The training will use a combination of:

  • Expert-led lectures and presentations
  • Practical exercises and simulations
  • Case study analyses
  • Stakeholder mapping workshops
  • PPP design labs for healthcare models

Participants will leave with practical tools, customizable templates, and a strategic action plan for developing or improving PPPs in their health systems.