Are public-private partnerships the future of healthcare delivery in sub-Saharan Africa? Lessons from Lesotho

Mark Hellowell*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

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. While there is a large empirical literature on PPPs in high-income countries, we know much less about their operation in low- and middle-income countries (LMICs). This paper seeks to inform debates about the use of PPPs in sub-Saharan Africa by describing the planning and operation of a high-profile case in Maseru, Lesotho. The paper highlights several beneficial impacts of the transaction, including the achievement of high clinical standards, alongside a range of key challenges – in particular, the higher than anticipated costs to the Ministry of Health. Governments have budget-related incentives to promote the use of PPPs - even in cases in which they may threaten financial sustainability in the long term. To address this, 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.
Original languageEnglish
Article numbere001217
Pages (from-to)1-6
Number of pages6
JournalBMJ Global Health
Volume4
Issue number2
DOIs
Publication statusPublished - 3 Apr 2019

Keywords / Materials (for Non-textual outputs)

  • hospitals
  • private sector
  • public-private partnerships
  • PPPs
  • private finance
  • profits
  • capacity

Fingerprint

Dive into the research topics of 'Are public-private partnerships the future of healthcare delivery in sub-Saharan Africa? Lessons from Lesotho'. Together they form a unique fingerprint.

Cite this