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Success factors in Turkey’s Elaziğ healthcare PPP

Matthew Jordan-Tank's picture

Editor's Note: Join us April 22nd at 10AM ET for the 2017 Global Infrastructure Forum when the Multilateral Development Banks (MDBs), the United Nations, the G-20, and development partners from around the world meet to discuss opportunities to harness public and private resources to improve infrastructure worldwide, and to ensure that investments are environmentally, social and economically sustainable. Check out the event site to view the livestream on April 22.



Imagine the difficulty of designing, financing, building and operating a €360 million, 1,000-bed hospital campus that serves a region of 1.6 million people? This is exactly what the government of Turkey is doing in Elaziğ, a city of 350,000 in eastern Anatolia. The facility will serve and accommodate about 20,000 patients and their relatives per day with a broad range of services including women and children’s health, psychiatric services, and a dental clinic.
 
A project of this size is bound to be challenging and complex. But the approach taken by the Turkish Government has been a success—to involve a private-sector partner through a public-private partnership (PPP) with support from multilateral development banks. How did they do it?

Matching institutional investors and infrastructure investments

Morten Lykke Lauridsen's picture

Editor's Note: Join us April 22nd at 10AM ET for the 2017 Global Infrastructure Forum when the Multilateral Development Banks (MDBs), the United Nations, the G-20, and development partners from around the world meet to discuss opportunities to harness public and private resources to improve infrastructure worldwide, and to ensure that investments are environmentally, social and economically sustainable. Check out the event site to view the livestream on April 22.



This post was originally published on the International Finance Corporation's Medium channel.

Looking back: Was the Queen Alia International Airport PPP a success?

Alexandre Leigh's picture



Public-private partnership (PPP) practitioners are sometimes guilty of thinking that signing the deal is the end of the story. You can’t blame them, really. Making a PPP work is a long-term process with a lot of players involved, each with his or her own priorities. Detailed technical, economic, and environmental and social reviews must be conducted to make sure the project is feasible and bankable. Often, sector reforms are required. Stakeholders – including the public – must be kept fully informed. The competitive bid, critical to any PPP, must be fully transparent so nobody will doubt the legitimacy of the outcome. It’s a long, hard slog to the end, and I can’t blame PPP practitioners from wearily planting the flag, declaring victory, and moving on.
 
But the signing is not the end; it is the beginning. And you can’t really declare success until the PPP is delivering real results for people. Sometimes, a follow-up PPP adds a new phase to a project, and sometimes new players are brought in. In any case, it’s worth going back and examining the results of PPP projects to see what happened and extract valuable lessons.

Energy storage can open doors to clean energy solutions in emerging markets

Alzbeta Klein's picture

Also available in: French

Energy storage is a crucial tool for enabling the effective integration of renewable energy and unlocking the benefits of the local generation of clean resilient energy supply. Photo credits: IFC


For over a hundred years, electrical grids have been built with the assumption that electricity has to be generated, transmitted, distributed, and used in real time because energy storage was not economically feasible.
This is now beginning to change.

Three misconceptions about women in agribusiness that hold companies back

Nathalie Hoffmann's picture

Debunking common misconceptions about women in agribusiness can unlock business opportunities for the private sector

At the recent World Economic Forum meeting in Davos, global leaders from across the world came together to deliberate on some of the most pressing issues of our time, such as agriculture and food security and greater social inclusion. With the global population projected to rise more than 9 billion by 2050 and the demand for food expected to jump sharply, the need for addressing the challenges of food security assumes greater urgency than before. There is also a growing need to adopt stronger measures to reduce the gender gap—women shouldn’t have to wait 170 years to bridge the divide.

Ahead of the Davos meeting, IFC released a report on agribusiness, Investing in Women along Agribusiness Value Chains, highlighting how companies can increase productivity and efficiency in the agriculture sector by closing economic and social gaps between women and men throughout the value chain, from farm to retail and beyond. The solution to address two of the most pressing challenges—food security and gender parity—isn’t difficult to find, as my research for the report suggests.

Women comprise over 40 percent of the agricultural labor force worldwide and play a major role in agriculture; yet they face a variety of constraints, such as limited access to agricultural inputs, technologies, finance, and networks. As the report shows, an increasing number of companies now recognize that investing in women can help increase companies’ bottom lines—while helping improve the lives of people in rural areas.

Yet, despite the clear business rationale, one wonders why more companies aren’t replicating the efforts of successful companies. The answer probably lies in the prevailing misconceptions about women in agribusiness—despite promising business case testimonials for gender-smart investments from multinational companies such as Mondelēz International and Primark.

Agribusiness companies need support in identifying where and how they can close gender gaps in their value chain. A good start would be to debunk those common misconceptions about women in the sector:

In India, a hospital that’s just what the doctor ordered

Pankaj Sinha's picture



The Indian State of Bihar, by population, is larger than the Philippines. Or, if you prefer, by the number of residents, Bihar would be the 13th largest country in the world. Yet Bihar’s health indicators are consistently worse than India’s average. And despite accounting for nearly 9% of India’s population, not a single specialty health facility in Bihar is among the nearly 340 Indian hospitals accredited by the National Accreditation Board of Hospitals & Healthcare Providers.

The combination of a high population and a significant lack of quality specialty healthcare facilities has a profound negative impact on the people of Bihar. This is an onerous burden in a state that is already one of the five poorest in India, with a per capita income only half of that of the country as a whole.


Need healthcare in India? Meghalaya is the place for you.

Pranav Mohan's picture



Imagine you fall ill or have a serious accident. You survive, but to recover you need extensive medical care. The problem? You don’t have insurance and have to pay out of pocket. Your life savings are quickly drained away, as are your dreams. Your children lose hope for higher education; your well-researched business plan becomes a work of fiction.

A tale of… cities

Jenny Chao's picture


It was the best of times, it was the worst of times, it was the age of wisdom, it was the age of foolishness, it was the epoch of belief, it was the epoch of incredulity, it was the season of Light, it was the season of Darkness, it was the spring of hope, it was the winter of despair, we had everything before us, we had nothing before us— in short, the period was so far like the present period, that some of its noisiest authorities insisted on its being received, for good or for evil, in the superlative degree of comparison only.” 
- Charles Dickens, A Tale of Two Cities

To skip or not to skip (the grid): larger and smaller energy PPPs

Philippe Valahu's picture



I recently took part in #skipthegrid, a social media forum about renewables, which has led me to ask: “Is off-grid the way of the future for energy Public-Private Partnerships (PPPs) in lower-income countries?”

At the Private Infrastructure Development Group (PIDG) we are supporting smaller, off-grid projects in the lowest income countries in Sub-Saharan Africa and South and Southeast Asia by mobilizing private investment for the provision of power to commercial off-grid properties and the construction of mini-grids.

I’ll take my coffee green, no cream, no sugar

Ellysar Baroudy's picture
Photo credit: Katie O’Gara

Ethiopia, the single largest African coffee producer and the world’s fifth largest, is commonly considered to be the birthplace of coffee.  It’s hardly a surprise that when you survey the landscape of Ethiopia’s Oromia region, an area the size of Italy, it is bespeckled with native Coffea arabica farms. 
 
In Ethiopia, about 95 percent of the coffee is produced by an estimated 1.2 million smallholder farmers. So it was quite fitting to focus on the country’s smallholder coffee farmers in Oromia for a project to help promote climate-smart “green” practices.
 
This week, the World Bank Group’s BioCarbon Fund Initiative for Sustainable Forest Landscapes (ISFL) announced it was taking part in a project together with the Bank Group’s private sector arm, the International Finance Corporation (IFC), along with the international coffee company, Nespresso and the non-profit, TechnoServe.


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