Public Sector

Solutions for Governments & Ministries

Build sovereign healthcare infrastructure with zero fiscal burden through innovative PPP models

Partnering with Governments for Healthcare Sovereignty

CARE9 works alongside Ministries of Health, national health insurance authorities, and government agencies to build comprehensive healthcare infrastructure that reduces import dependence, creates local capacity, and improves health outcomes.

Key Value Propositions

1. Zero-Capex Infrastructure Development

  • BOOT/BOT Models: We finance, build, and operate facilities
  • No Upfront Government Investment: Infrastructure delivered without fiscal strain
  • Long-Term Agreements: 15-30 year operational partnerships
  • Transfer of Assets: Facilities transferred to government post-concession

2. Import Substitution & Local Manufacturing

  • Local Pharmaceutical Production: WHO-GMP facilities producing essential medicines
  • USD 150-200M Annual import substitution potential
  • Technology Transfer: Building local pharmaceutical capacity
  • Export Readiness: Facilities designed for regional export
  • Job Creation: 1000+ skilled jobs per manufacturing facility

3. Capacity Building & Training

  • Healthcare Worker Training: 5000+ personnel trained by 2028
  • Training Academies: Regional centers for continuous education
  • Fellowship Programs: Oncology, cardiology, neurology specializations
  • Technology Training: HIMS, diagnostic equipment, biomedical engineering

4. Universal Health Coverage (UHC) Enablement

  • Integration with National Health Insurance: Seamless claim processing
  • Equitable Access: Rural and underserved population focus
  • Affordable Care: Negotiated pricing for insured populations
  • Quality Assurance: International standards with local accessibility

Partnership Models

Public-Private Partnerships (PPPs)

Structure

  • Joint design and planning
  • Private sector financing and construction
  • Performance-based operations
  • Revenue sharing or availability payments
  • Asset transfer upon completion

Benefits for Governments

  • Risk transfer to private sector
  • Performance accountability
  • Rapid infrastructure deployment
  • Operational expertise access
  • Fiscal space preservation

Build-Own-Operate-Transfer (BOOT)

Model Overview

  • CARE9 finances and builds facilities
  • Operates for 20-30 years
  • Transfers fully operational assets to government
  • Government provides land, licensing, policy support

Typical Applications

  • Oncology institutes
  • Tertiary specialty hospitals
  • Diagnostic networks
  • Pharmaceutical manufacturing facilities

Build-Operate-Transfer (BOT)

Model Overview

  • Shared financing between government and CARE9
  • CARE9 leads construction and operations
  • Shorter concession periods (10-20 years)
  • Earlier asset transfer

Typical Applications

  • District hospitals
  • Primary care networks
  • Training academies
  • Laboratory networks

Service Offerings for Governments

1. National Pharmaceutical Procurement

  • Long-Term Procurement Agreements (LTPAs): 3-10 year contracts
  • Volume-Based Pricing: 20-35% cost savings
  • 100% Stock Availability: Performance-based SLAs
  • CARE9 Verified® Traceability: Anti-counterfeit protection
  • Emergency Stock: Strategic reserves management

2. Hospital Network Digitization

  • National HIMS Deployment: Standardized system across facilities
  • Interoperability: HL7/FHIR compliance for data exchange
  • National Health Data Repository: Centralized patient records
  • Telemedicine Infrastructure: Rural connectivity
  • Training & Support: Comprehensive change management

3. Diagnostic Network Development

  • Hub-and-Spoke Model: Regional diagnostic centers
  • Advanced Imaging: CT, MRI, PET-CT deployment
  • Molecular Diagnostics: PCR, NGS capabilities
  • Tele-Radiology/Pathology: Expert access nationwide
  • Quality Assurance: CAP/NABH accreditation pathways

4. Oncology Care Infrastructure

  • Indo-African Oncology Institutes: 250-bed tertiary centers
  • $80-120M Investment per facility
  • 30-40% Reduction in medical travel
  • Mobile Screening: Community-based early detection
  • National Cancer Registry: Epidemiological data collection

Implementation Framework

Phase 1: Assessment & Planning (3-6 months)

  • Healthcare needs assessment
  • Infrastructure gap analysis
  • Financial modeling
  • Regulatory framework review
  • Stakeholder alignment

Phase 2: Structuring & Approval (6-12 months)

  • PPP agreement drafting
  • DFI engagement for financing
  • Cabinet/parliamentary approval
  • Environmental and social impact assessments
  • Land allocation and licensing

Phase 3: Construction & Setup (18-36 months)

  • Design finalization
  • Construction management
  • Equipment procurement and installation
  • Staff recruitment and training
  • System integration and testing

Phase 4: Operations (15-30 years)

  • Service delivery as per SLAs
  • Performance monitoring
  • Quarterly reviews with government
  • Continuous improvement
  • Knowledge transfer

Phase 5: Transfer

  • Asset condition assessment
  • Documentation handover
  • Staff transition planning
  • Operations manual delivery
  • Post-transfer support period

Financial Structuring

Capital Stack

  • DFI Debt (50-60%): IFC, AfDB, DEG, Proparco
  • Export Credit (20-30%): EXIM India, UKEF
  • Sponsor Equity (15-20%): CARE9 + partners
  • Government Contribution: Land, licensing, policy support

Revenue Mechanisms

  • Availability Payments: Government pays for facility availability
  • Fee-for-Service: Direct payments per service delivered
  • Capitation: Per-capita payments for covered populations
  • Hybrid Models: Combination of above

Success Metrics

Health Outcomes

  • Reduced maternal and infant mortality
  • Improved cancer survival rates
  • Better chronic disease management
  • Enhanced emergency care response times

Economic Impact

  • Import substitution value
  • Local jobs created
  • Reduced medical travel expenditure
  • Healthcare GDP contribution

Coverage & Access

  • Population coverage increase
  • Rural-urban equity improvements
  • Reduced out-of-pocket expenses
  • Wait time reductions

Capacity Building

  • Healthcare workers trained
  • Institutions accredited
  • Research papers published
  • Technology capabilities transferred

Regulatory Compliance

  • National drug regulatory authority coordination
  • National health insurance scheme integration
  • WHO guidelines adherence
  • National building and safety codes
  • Environmental regulations compliance
  • Labor law and local hiring mandates

Current Government Partnerships

Ghana

  • Ministry of Health: $100M Indo-African Oncology Institute
  • DIHOC Partnership: Defense Industries Holding Company collaboration
  • NHIA Integration: National Health Insurance Authority coordination

Nigeria

  • NAFDAC Engagement: Pharmaceutical manufacturing approvals
  • Federal Ministry of Health: National oncology program discussions

Zimbabwe

  • Ministry of Health: 250-bed oncology center development
  • Pharmaceutical Manufacturing: Local production facility planning

Next Steps for Governments

  1. Schedule Consultation: Discuss healthcare priorities and gaps
  2. Needs Assessment: Joint evaluation of infrastructure requirements
  3. Feasibility Study: Technical and financial viability analysis
  4. Proposal Development: Detailed project proposal and business case
  5. Approval Process: Cabinet presentation and parliamentary approval
  6. Implementation: Design, construction, and operations launch

Contact our Government Relations Team: govrelations@care9.com