Philosophiae Doctor - PhD / Since the advent of South Africa's democracy in 1994 there have been several changes in the policy and legislative arena specifically promoting public-private-partnerships in the health sector. These initiatives have given rise to opportunities for inter-sectoral policy transfer under the rubric of ―best practices‖. This exploratory study examines the character, obstacles and contested nature of a selection of policy transfers between private and public health institutions in a single province of South Africa. The study looks at the dynamics at play around envisaged, current and past transfers of policies and organisational practices in relation to administrative systems and technologies used in four different hospital settings – two public and two private hospitals in the Eastern Cape Province of South Africa. This thesis explores the views of managers and labour organisations about policy transfer focusing on local contexts, and how various parties construct policy transfer, hence providing a perspective of policy at the ―plant‖ level. In this research, special focus is placed on different agents' role and understandings of their contexts and how and why policies move and contradictions of these developments. In-depth interviews were conducted at four major Eastern Cape hospitals. The thesis argues that in practice, policy transfer is messy, politicized and traversed by power and vested interests and that organised labour plays a key role in policy transfer process. The thesis focuses on the different philosophical/ideological underpinnings, socio-political values and operational environments in each sector. This study is designed to contribute to existing knowledge on practices particularly between the public and private sectors in order to widen the understanding of the complexity of transferability.

This dissertation serves as a contribution to the larger ongoing debate on the role of religion in development in an effort to move beyond an instrumental approach. The aim is to study the role of religious agents in development through the prism of contractual partnerships between church organisations and the Tanzanian state in healthcare delivery. Three Christian denominations are included in the study: the Roman Catholic Church in Tanzania (Tanzania Episcopal Conference), the Evangelical Lutheran Church in Tanzania and the Free Pentecostal Church of Tanzania. Three theoretical perspectives are applied to the study of religion and development: (1) an instrumental perspective; (2) a bottom-up perspective and (3) an integral perspective. In order to operationalise the three theoretical perspectives to function adequately for health sector development research, three analytical concepts are included in the framework, namely resource dependency, linking social capital and intangible religious health assets. The methodology is based on an abductive qualitative approach with the use of case studies on the three church organisations (Catholic, Protestant and Pentecostal). Three key methods have been used for collecting data: policy analysis, semi-structured interviews and participant observation. Each organisation is analysed in terms of their Public Private Partnership (PPP) agreements and collaborative models, their relation towards the state, their internal health policies and their motives for delivering health services. Moreover, by including one local hospital per organisation (Turiani, Selian and Mchukwi), it is also possible to integrate the local implementation level into the study. In order to capture the views of public authorities, interviewees from the national Ministry of Health and local Council Health Management Teams have also been included. By entering into PPP health agreements, church organisations have moved to centre stage and gained more influence following the latest political and economic reforms. Their attraction as service providers follows from their existing infrastructure and previous experience and capacity in the health sector. The analysis shows that faith is a key motivator and a central factor in the running of church health services. However, the fact that church organisations are becoming increasingly dependent on the state has implications in terms of their role as a critical voice in the public debate and could potentially threaten their independence as faith-driven civil society actors. Church organisations are also becoming more vulnerable financially, as they are not compensated according to the PPP contracts. The current situation where church organisations are dominating the PPPs in health has implications on both the Tanzanian model of secularism, with its emphasis on Muslim and Christians being treated equally, and the local governments’ strive towards national ownership with their favouring of public healthcare over private alternatives. It is therefore necessary to further study the role of religion beyond an instrumental approach in order to get a deeper understanding of the religious dynamics in the PPPs in health in Tanzania. / The Impact of Religion: Challenges for Society, Law and Democracy

This thesis deals with economic impacts of the application of the Public-Private Partnerships in the Czech Republic. Public-Private Partnerships are the newest form of the cooperation between public and private sector in delivering of public goods. The theoretic part of the thesis comes close to the fundamental aspects of the Public private partnerships and their characteristics, to the reasons of participation of the subjects in the projects, to the forms of Public-Private Partnerships, their phases and to the differences between government contracts and Public-Private Partnerships. The second chapter deals with the legislation of the Public-Private Partnerships in the European Union, Czech Republic and chosen countries. The analytic part of the thesis deals with economic aspects of the Public-Private Partnerships, their advantages, disadvantages, benefits and potential risks. The aim of the thesis is to discuss presented advantages and disadvantages of the Public Private Partnerships and its possible impacts of the application in the Czech Republic.

The focus of this study is to critically analyse the legislative framework for private and public private zonemodels in Zambia. The analysisis against the background of Zambia’scommitment to promote private sector development and the initiative to use the investmentpolicy tool of special economic zones (SEZs). The analysis is based on the salient provisions of Zambia’s Development Agency Act and Public Private Partnerships Act which regulate SEZs and public private partnerships respectively.. The main question sought to be addressed is the efficacy of the legislative framework for private and public private model zones, taking into account accommodation of private sector participation and nature of the investment and business environment. In addressing this question this study will analyse the salient provisions of the aforementioned laws showing how private sector actors are accommodated in the development and operation of the zones.The provisions under the aforementioned laws are to an extent analysed in conjunction with some of Zambia’s international trade and investment obligations such as the World Trade organisation Trade Related Investment Measures. An examination of how the incentives in SEZs are used is also provided as well as some lessons from Ghana, Mauritius and identified international best practices The main findings of the study include the following:  In so far as admission of investors to develop and operate SEZs is concerned the legislative framework does not generally discriminate between local and foreign investors and that admission through PPPs accommodates various kinds of well-known PPPs, even allowing prospective investors to kick start projects through submission of unsolicited proposals;  The need for Zambia’s SEZ policy to continuously evolve and diversify by undergoing relevant changes and improvements so that it remains relevant and adapts to the evolving nature of market availability and needs of SEZs whilst leveraging on Zambia’s comparative advantages;  The interplay between SEZs and Zambia’s international obligations present challenges and opportunities and thus revealing cause for the better appreciation of opportunities and complexities of SEZ policies and consequence of Zambia’s membership in more than one regional arrangement Need to periodically review the incentive structure so that Zambia does not inadvertently loss revenue through incentives that do not necessarily prove useful to investors or yield the intended benefits for the country. Based on the foregoing findings, among others,this study concludes that factors relating to the establishment of SEZs in Zambia incorporate private sector participation through the lifecycle of SEZs, that is to say from the time the investment is sought to be made to when it is becomes operationalmaking significant stride towards achieving openness to private sector participation through private and public private zone models. Against the foregoing findings and conclusion this study recommends,interalia, forcontinuous and timely observation and assessment of the shifts in use of SEZ policies vis-à-vis changes in the macroeconomic conditions in whichthe SEZ policy is to be implemented and investor market availability. The rationale of the recommendation is so that any necessary review of the Zambian SEZ policy and pursuit of enhanced private sector development is done from an informed position. / Dissertation (LLM)--University of Pretoria, 2014. / gm2015 / Centre for Human Rights / LLM / Unrestricted

[pt] As flexibilidades observadas em contratos de Parcerias Público-Privadas (PPPs) para projetos de infraestrutura rodoviária podem também ser compreendidas como opções contratuais. O modelo desenvolvido no presente estudo teve como principal foco o estabelecimento do nível ótimo de garantia governamental a ser ofertada à iniciativa privada em uma concessão de rodovia por PPP, utilizando a teoria de opções reais de forma integrada à métrica de performance Ômega, a qual obteve melhor resposta entre demais métricas VaR e CVaR propostas. Ainda de forma original, o modelo contemplou o apreçamento de garantias de receita mínima, como parte integrante do apreçamento de opções do tipo collar europeia (calls e puts) com caps, integrado ao apreçamento da opção americana de expansão (call) do projeto. O valor presente (VP) do projeto, considerando a opção de expandir a capacidade, foi calculado em 2,73 bilhões de Reais, que comparado ao valor esperado de 2,65 bilhões de Reais sem flexibilidade, representa um aumento de 73 milhões de Reais ao valor do projeto no caso base. O valor presente do projeto com a flexibilidade de expansão (call americana) e com garantia de receita mínima (put europeia) com cap 10 por cento do Capex permite atingir o valor de 3,33 para a medida Ômega, que é muito superior ao valor anterior de 0,996 obtido somente com a modelagem de opções tipo collar. / [en] The flexibilities observed in Public-Private Partnership (PPP) contracts for road infrastructure projects can also be taken as contractual options. The model developed in the present study had as main focus the establishments of the optimal level of government guarantee to be provided to private initiative in a PPP highway concession, using real option theory integrated with Omega measure, in which had a better response among other proposed VaR and CVaR metrics. Also in an original way, the model contribute to set a minimum revenue guarantees, as part of the european collar option (call and put), integrated to an expansion american call option. The project s present value (PV), considering an option for capacity expansion, was calculated at BRL 2.73 billion, which compared to the expected value of BRL 2.65 billion without flexibility, represents an increase of BRL 73 million to the value of the project in the base case scenario. The present value of the project with the flexibility of expansion (call) and with a minimum revenue guarantee with cap 10 percent of Capex, allows to reach the value of 3.33 for the Omega measure, which is much higher than the previous value of 0.996, obtained only with the european collar option.

Philosophiae Doctor - PhD / Evolving out of my past experience as municipal manager, the study addresses one of the topical issues in municipalities, viz. the quest for more effective and sustainable local economic development (LED) in small towns. Through an extensive review of the literature and best practices of LED among South African and international municipalities, viable and reproducible strategies were examined and compared. The focus of my in depth research falls primarily on towns in the Western Cape, but lessons from other parts of South Africa also form part of this research. The conclusions drawn are not only relevant in South Africa, but can also be applied in southern Africa and other African sub-continents. Based on the qualitative evidence gathered from three in-depth case studies and a Western Cape sample of tourism places, the study explores the interaction of public- and private-sector involvement in the generation of LED momentum. As such the study focuses on the principles of successful public-private partnerships and how such partnerships can be enhanced through different types of projects. The study presents an LED framework, also referred to as a "development hub", to bring together the different elements of an integrated strategy. Based on the lessons drawn from the case studies and the literature review, the final section of the study presents a strategy framework which should be useful and applicable to other small towns, even if their growth is not tourism-based, and they are not located in South Africa's Western Cape. Hopefully the study will stimulate serious and in-depth debate among policy planners as well as key development stakeholders in small towns regarding viable LED strategising and the practical implementation of those strategies.

This study sought to explore the governance mechanisms that result in agent principal alignment in Public Private Partnerships (PPPs), with specific reference to Job Creation. This is important to understand in South Africa as infrastructure PPPs are central to the government’s economic growth strategy. The Renewable Energy Programme (REIPPPP), a decade-old PPP, was identified as the ideal context given its consistent job-creation alignment between the state and its agents, Independent Power Producers (IPPs). Agency Theory posits that agents are inherently self-interested and thus unlikely to act in the interests of principals. However, while some theoretical propositions envisage instances of agent-principal alignment, what is less known are the precise mechanisms by which this can be achieved. This study explored the questions of moral hazard and adverse selection, which refer to goal conflict and information asymmetry in agent-principal relationships. The research was undertaken through a qualitative study, comprised of secondary data analysis as well as semi-structured interviews. It was found that by aligning contracts across multiple stakeholders, agents can increase their enforcement capacity. Furthermore, a rigorous data collection system accompanied by credible penalties, results in greater compliance. This contribution enhances the theory in respect of governance mechanisms whilst simultaneously providing practical guidance for PPP structuring. / Mini Dissertation (MBA)--University of Pretoria, 2021. / Gordon Institute of Business Science (GIBS) / MBA / Unrestricted

Societies are plagued by growing healthcare expenditures and budgetary constraints. The strategy for solving the issue has been heavily debated, with proposed solutions such as Valuebased healthcare (VBHC), Public-Private Partnerships (PPP) and improved medical treatments. A novel concept that aims to improve medical treatment is strategic biobanking. Strategic biobanking is the act of saving biological samples and clinical data for future research. Access to strategic samples can speed up future clinical trials and studies, provide researchers with more useful research material, enable more thorough analyses of biomarkers, facilitate faster drug development, and increase the power of both retrospective analyses and precision medicine. This thesis studies the shared value effects of a strategic biobanking PPP by drawing on the theoretical fields of VBHC, PPP and Creating Shared Value (CSV). Specifically, the effects of hospital organisational structure, regulatory framework and public interest on strategic biobanking PPPs was studied. The research was carried out through a single holistic case study of Karolinska University Hospital in Stockholm, Sweden and multiple pharmaceutical companies, and data was collected through semi-structured interviews. Data analysis was carried out in accordance with the grounded theory framework. The researchers find that regulatory structure can limit the options when crafting the business model and the industry value proposition for a strategic biobanking PPP. Some strategies on how to deal with these restraints are outlined. Furthermore, the research highlights the importance of longitudinal data-sets and how a hospital organised according to the VBHC principles is more suitable for implementation of longitudinal sampling routines. Finally, the research shows that that the concept of CSV can act as guidance for private partner decision making to increase public interest. By adopting principles of transparency regarding financial incentives and motivations, an industry partner can garner increased trust with the general public as well as their public partner. The shared value effects are pronounced, and the study finds that a strategic biobanking PPP moves the boundary for what is scientifically possible for all stakeholders in the healthcare domain. / Samhällen plågas av skenande sjukvårdskostnader och budgetåtstramningar. Vilken strategi som kan lösa problemet har debatterats flitigt. Lösningar så som Value-based Healthcare (VBHC), Public-Private Partnerships (PPPs) och mer avancerad vård har alla föreslagits som alternativ. Ett nytt koncept som ämnar att förbättra sjukvården är strategisk biobankning. Strategisk biobankning innebär att spara biologiska prover och klinisk data inför framtiden. Detta kan snabba på framtida kliniska prövningar och studier, förse forskare med mer användbart forskningsmaterial, möjliggöra mer grundliga analyser av biomarkörer, snabbare utveckling av mediciner, samt öka potensen hos både retrospektiva studier och precision medicine. Denna uppsats studerar gemensamma värdeeffekter hos ett PPP inom strategisk biobanking genom att använda sig av de teoretiska fälten VBHC, PPP och Creating Shared Value (CSV). Mer specifikt studeras hur PPP inom strategisk biobankning påverkas av sjukhusets organisationsstruktur, rådande regelverk och allmänintresse. Forskningen utfördes genom en enkel, holistisk, fallstudie av Karolinska Universitetssjukhuset i Stockholm, Sverige. Data samlades genom semi-strukturerade intervjuer och analyserades senare enligt ramverket för Grounded Theory. Forskarna finner även att rådande regelverk begränsar möjligheten för utveckling av affärsmodell och värdeerbjudande gentemot privata partners. Några strategier för att hantera dessa begränsningar tas upp i uppsatsen. Vidare belyses vikten av longitudinella dataset, och att ett sjukhus vars organisation är strukturerad enligt VBHC-principer är mer lämpligt för implementation av longitudinell provsamling. Slutligen finner forskarna att privata CSV-conceptet utgör bra vägledning för privata partners för att skapa allmänintresse. Genom att anamma principer som premierar transparans gentemot sina ekonomiska och strategiska incitament så kan förtroende byggas gentemot allmänheten. De gemensamma värdeeffekterna är tydliga, och forskarna finner att tillgång till en strategisk biobank flyttar gränsen för vad som är vetenskapligt möjligt för alla aktörer i det sjukvårdsrelaterade ekosystemet.

Prison privatization has received notable attention in academic circles, but discussion has focused on the Global North, particularly the United States. On the other hand, little attention has been given to incarceration systems in general or prison privatization in the Global South. In this qualitative and deductive thesis, the subject of privatization in the field of correctional services is investigated with regard to South Africa, which stands out in the Global South due to it having two fully privately-run prisons, but also by having a large incarcerated population. The analysis is conducted based on an original framework of four levels of privatization, ordered from private involvement in the least crucial aspects of corrections management to the most, as well as the aspects of scope of privatization and the types of actors involved. Based on the analysis, the conclusions reached imply that private actors are involved to some degree with some aspects at all levels as well as that a variety of different actors are involved on different levels, and that the scope of privatization in South Africa is significant although this varies across levels. In total, this implies a relatively high degree of privatization in South Africa.

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