PPP transaction for dialysis in Uzbekistan
The Government of Uzbekistan (GoU) is aiming to attract private sector participation through a public-private partnership (PPP) model. The goal is to leverage private investment, expertise, and efficiency to deliver high-quality, affordable healthcare services.
To support this effort, the Ministry of Finance and the Ministry of Health engaged IFC’s PPP Transaction Advisory as the lead transaction advisor for the preparation of the PPP.
The project is a design-build-finance-maintain-operate type of PPP contract, covering both medical and non-medical services.

The challenge
Healthcare is one of the priority sectors in the Government of Uzbekistan’s (GoU) plans to improve public services. However, the delivery of dialysis care in the country faces several challenges, including outdated infrastructure and equipment, as well as a need to improve the quality of care.
The approach
We were engaged as advisors to the IFC team, providing integrated support across financial, contractual, and technical aspects of the transaction.
Our role included developing a financial bid simulation model to assess and test the potential financing costs, helping to ensure the project’s financial viability and attractiveness to investors.
Impact
Establishment of multiple dialysis facilities with high availability and efficiency for patients.