Public hospitals that are directly managed by government perform poorly in many developing countries. Approaches to improving them through internal managerial reforms have failed, and effective alternatives are much needed. Policymakers are considering reforms through public-private partnerships (PPPs)--a promising but so far unevaluated approach. We present results of a successful reform in Sã...

This article provides a framework to guide the choice and design of a fitting Public Private Partnerships (PPP), which is applied to a Dutch example of biogas/sustainable energy projects. The framework focuses on ‘legitimate public governance’, merging Beetham’s dimensions of legitimacy (legality, shared beliefs and consent) with three types of governance mechanisms (market, network and hierarc...