Early-Stage Investment Readiness for Healthcare Infrastructure Projects
Building a New Frontier of African Infrastructure Sponsors through Entrepreneurship and Action-Led Learning

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Overview

We aim to bridge the Gap of lack of Bankable Deal Pipeline in Africa through an Early-Stage Investment Readiness Programme focussed on Healthcare Infrastructure.

A low-cost Open Learning Programme for building capacity of locally based project sponsors of on Healthcare Infrastructure Projects in Africa.
To provide substantial infrastructure expertise for on Healthcare Infrastructure Projects Sponsors to understand project preparation, financial structuring and have a workable development plan for the project sponsor to be taken seriously within the Early Stage investment community.
To use the programme as a basis of selection for early-stage investors to single out projects that have traction, show bankability and a sponsor team that can raise pre-development capital i.e Project Preparation Financing

Rationale

Why Healthcare Infrastructure Projects

Healthcare Infrastructure Projects are structured initiatives that focus on the creation, expansion, modernization, or management of physical and technological assets used to deliver healthcare services.

These assets include hospitals, diagnostic and treatment centers, telehealth platforms, laboratories, and related support systems.

The objective is to improve service efficiency, accessibility, and quality, often through partnerships between the public and private sectors. The Early-Stage Investment Readiness for Healthcare Infrastructure Projects focuses on the following

Core Healthcare Facility

These involve the design, construction, financing, and maintenance of healthcare facilities such as hospitals, teaching hospitals, and primary care centers.

The private sector assumes responsibility for the infrastructure delivery, often over a concession period, while the public sector provides or supervises the clinical services.

Clinical and Service Delivery

These focus on specific medical or diagnostic services delivered within public healthcare systems.

They leverage private expertise and capital to improve efficiency, technology adoption, and service quality without full privatization of the hospital.

Support and Ancillary Service

These cover non-clinical services and operational support functions that enable efficient hospital operations but are not part of direct patient care. The goal is to achieve cost savings, quality improvement, and sustainability

Example: A private operator installs and manages a solar-based energy system for a state hospital under an EPC model, with payments tied to verified energy savings.

Programme Objectives

The Programme aims to help with Early Stage Investment Readiness for Healthcare Infrastructure Projects to typically meet the following Bankability objectives

How Healthcare Infrastructure Projects can be characterized by a high degree of revenues predictability under a (partial or full) Contracted Revenue Arrangement with a creditworthy counterparty

How Healthcare Infrastructure Projects can be delivered under a fixed construction price and schedule with a Building (or EPC) Contractor with clear strategies for Optimal Operations during Post-Construction

How Healthcare Infrastructure Projects can be governed independently with strong Governance Systems and operate in an environmentally sustainable manner from development stage to post-construction phase

Programme Outline

The goal of this programme is to equip infrapreneurs with an overview of Project Finance by taking them through all the stages of a Project Development Lifecycle to be able to develop and apply the skills-set to achieve investment-ready projects in Healthcare Infrastructure Projects.

The course provides important experience and practical examples in the following areas:

Developing Healthcare Infrastructure Projects

Week 1 to 3

Introduction to Healthcare Infrastructure Projects
Overview of Project Finance
Principles of Risk Allocation
Contract Mechanics in Project Finance
Project Development of Healthcare Infrastructure Projects
Introduction to Pre-Financing Stage
Brickstone Project Bankability Framework
Achieving Bankability:
- Predictable Cashflow
- Construction & Operations
- Governance & Sustainability
De-risking for Bankability (Practical Exerices)
- Core Facility PPPs
- Clinical Service PPPs
- Support Service PPPs
Introduction to Bankability Planning Report
Infraprenuerial Guide to Financial Models
Developing Basic Financing Assumptions
Demo – Bankability Banking Report

Financing Healthcare Infrastructure Projects

Week 4 to 6

Introduction to Financing Stage
Key Concepts in Project Finance Deal Structuring
Infraprenuerial Guide to Financial Models
Developing Basic Financing Assumptions for Gas Projects
Managing Due-Diligence
Key Concepts in Finance Documents
Introduction to Security Arrangements
Introduction to Direct Agreements
Key Enhancement to FC
Ensuring Financing Close
Post-Financial Close Activities

Pitching Healthcare Projects

Week 6 to 8

We’ll dig deeply to determine the required technical, commercial, legal and environmental parameters to be included in the Infrastructure Project Deck and provide strategic advice to aimed at attracting Early Stage Financing

Upon completion students must Complete or Update their

Project Definition Report
Project Bankability Plan
Project Finance Roadmap.
Project Due-Dilligence Plan
Preliminary Financing Model
Early Stage Investment Pitch Deck

Get Involved

Participate as a Partner

As a partner in the Early Stage Infrastructure Investment Readiness (ESIR), you can contribute as a sponsor. Support the development of future African Project Sponsors by sponsoring participants, or offering employment opportunities to sector or institution graduates. You can also nominate young professionals from your organization to participate in the program for free.

Be a Speaker

The ESIR is a platform for you to share your leadership insights on infrastructure development in Africa.

If you would like to be a speaker, please send us your biography and expertise. This information will help us determine the session topics that best align with your experience and knowledge, allowing us to collaboratively define the most impactful sessions for you to contribute to.

Become a Sponsor

By becoming a sponsor, you play a crucial role in its success. your contributions can support scholarships, program materials, networking events, and mentorship opportunities.

Your sponsorship of ESIR helps nurture the next generation of infrastructure leaders in Africa, empowering them to make a significant impact in their communities and beyond.

Ready to find out more about getting Involved?

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ESIR Pathway

Project SpecificPubic Sector backedPrivate Sector CommunityOthers

Which Country is your Project Located

Project Status

No yet to secure ApprovalsNo but have all Approvals in placeYes but very little progressYes and in full operation

Does your Project Business Plan/Information provide have

A clear articulation of the projects long-term strategy to contribute to mitigation and adaptation in line with national objectives, Predictable Cashflow Arrangement and a robust financial model of the project’s future earnings and cash flows, incorporating key assumptions of its future growth strategy

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Early-Stage Investment Readiness for Healthcare Infrastructure Projects Building a New Frontier of African Infrastructure Sponsors through Entrepreneurship and Action-Led Learning