The Government of Andhra Pradesh was faced with a high demand for dialysis service requests from below poverty line (BPL) patients. However, the existing public facilities had limited capacity to perform such services.

The National Kidney and Transplant Institute (NKTI), a government hospital specializing in renal care in Quezon City, Manila, was facing numerous problems, including an insufficient number of hemodialysis machines, outdated equipment, and increasing costs stemming from the maintenance and repair of old equipment.

The Puerta de Hierro Hospital, constructed in the 1960’s, was nearing obsolescence, while Madrid’s population had been increasing exponentially in the intervening decades. Accordingly, the new Hospital of Majadahonda was included in the Sanitary Infrastructure Plan 2004-2007.

The Bangladesh PPP Office requested IFC’s PPP transaction advisory team to help structure a PPP transaction for the construction, operation, and maintenance of dialysis facilities in select hospitals in the country’s biggest cities, namely the National Institute of Kidney Diseases and Urology (NIKDU) in Dhaka and Chittagong Medical College and Hospital (CMCH) in Chittagong.

The City of Żywiec, with help from Poland’s National Health Fund (NFZ), decided to pursue a PPP to build a new hospital to replace an existing, 100-year-old hospital.

In the 1990s, the Provincial Government of KwaZulu-Natal wanted to create one of the best hospitals in the Country.

Kenyatta University pursued a PPP to build and operate more hostels to accommodate the growing number of students. The project received IFC advisory support.

Belo Horizonte was facing a critical deficiency in access to education. The school buildings and resources available to the municipality could only meet about 35 percent of the demand for education. Over 11,000 children, many of which were underprivileged, were on a waiting list to enroll in schools.

The Toronto District School Board (TDSB) was struggling to fulfill its mandate due to limited funds and land availability. One immediate priority was rehabilitating the NTCI, a public high school founded in 1912 with aging and deteriorating facilities.

At the time this project was initiated in 2006, the schools in Varaždin County, Croatia had become significantly overcrowded. To accommodate all students, schools had started organizing their classes into two core sessions per day, one morning school and one afternoon school, for six days each week instead of five.