Industries

Healthcare

Specialised advisory for hospitals, clinics, primary care networks, pharmaceutical distributors, health-tech companies and institutional investors operating in the healthcare sector in Mozambique, Angola, Malawi, South Africa and international markets.

The context

Healthcare in Africa faces a decisive decade

The healthcare sector in Lusophone Africa faces unprecedented pressure. Demand for quality services is growing structurally, with the rise of the urban middle class and population ageing. In parallel, public systems remain constrained by budget restrictions, infrastructure deficits and shortages of qualified professionals. And the pandemic exposed operational and financial fragilities that have not yet been fully resolved.

In response, new models are emerging. Private primary care networks are expanding rapidly in major cities. Digital health platforms are bringing patients and professionals closer, with measurable results in access and quality. And institutional investors — impact funds, healthcare-focused private equity and development institutions — are channelling significant capital into hospital infrastructure projects, pharmaceutical cold chains and health technology.

Our experience shows that the healthcare organisations that will lead are those able to balance three things: clinical quality, financial sustainability and institutional governance. This is precisely where we come in.

What we do

Specialised services for the healthcare sector

Six areas where our engagement creates direct value for providers, distributors and investors.

§

Strategy & Network Expansion

Healthcare network strategy — care delivery model design, installed capacity assessment, geographic expansion, economic viability analysis and competitive positioning in healthcare markets with multiple providers.

Healthcare Finance & Investment

Financial structuring of healthcare projects — hospital expansion, medical equipment acquisition, clinic construction, clinical technology investment. Negotiation with multilateral banks, impact funds and institutional investors.

Clinical Governance & Quality

Clinical governance and quality frameworks — including international accreditation (JCI, ISO 9001), clinical protocols, clinical risk management, patient safety and quality systems. Preparation for audits and certifications.

Operations & Supply Chain

Optimisation of clinical operations and pharmaceutical supply chains — inventory management, medicine cold chain, hospital procurement and pharmaceutical distribution logistics.

Digital Health & Data

Digital health strategy — implementation of electronic health records, telemedicine, hospital management platforms, clinical data governance and preparation for compliance with health data protection regulation.

Tax & Regulatory

Specialised tax and regulatory advisory in healthcare — including healthcare unit licensing, sector tax regimes, tax compliance across multiple jurisdictions, and negotiation of specific regimes with health authorities.

Solutions

How we structure engagement in the healthcare sector

Three dimensions that respond to the real challenges of healthcare organisations.

Solution 01 · Strategy & Network Expansion

Expand healthcare networks with economic sustainability

Healthcare network expansion in Africa requires more than clinical vision — it requires financial discipline, per-unit viability analysis and operational execution capacity. We help providers expand with method and sustainability.

  • Care delivery model design
  • Per-unit and geographic economic viability analysis
  • Geographic expansion of hospital and clinic networks
  • Structuring of partnerships with public health systems
  • Competitive positioning in multi-provider healthcare markets
Solution 02 · Healthcare Finance & Structuring

Financially structure large-scale healthcare projects

Healthcare infrastructure requires significant capital — for hospital expansion, medical equipment acquisition and construction of new units. We work with providers and investors to structure that financing with multilateral banks, impact funds and institutional investors.

  • Financial models for healthcare projects
  • Senior debt and impact capital structuring
  • Coordinated technical, clinical and financial due diligence
  • Negotiation with multilateral banks (IFC, AfDB, EIB) and impact funds
  • Structuring of public-private partnerships in healthcare
Solution 03 · Clinical Governance & Quality

Raise clinical standards and international accreditation

Clinical quality and international accreditation are increasingly requirements for access to financing, partnerships with public systems and patient trust. We help providers raise clinical standards with method and preparation for certifications.

  • Roadmap for JCI, ISO 9001 and sector-specific accreditations
  • Evidence-based clinical protocols
  • Clinical risk management and patient safety
  • Integrated quality management systems
  • Preparation for international accreditation audits
Where we operate

Three segments of the healthcare sector

Concrete experience in each segment, with dedicated teams and local presence through member firms.

Care Providers

We support hospitals, clinics, primary care networks and specialised care providers in expansion, operational optimisation, accreditation and financial structuring.

  • General and specialised hospitals
  • Clinics and primary care networks
  • Diagnostic and imaging centres
  • Long-term care and mental health

Pharmaceutical & Distribution

We work with pharmaceutical distributors, local medicine producers and pharmacy chains in operational structuring, certification and access to institutional markets.

  • Pharmaceutical distribution and cold chains
  • Local production of medicines and devices
  • Pharmacy networks and pharmaceutical retail
  • Access to public and institutional procurement

Health-tech & Digital Health

We support health-tech companies, digital health platforms and clinical technology providers at all stages of growth — from initial structuring to fundraising and regional expansion.

  • Telemedicine and digital consultation platforms
  • Electronic health records and hospital management
  • Digital diagnostic and imaging solutions
  • Clinical data management platforms
Products

Products developed for the healthcare sector

Structured products that solve specific problems of providers, distributors and investors.

S01

Clinical Accreditation Programme

Complete programme to obtain JCI, ISO 9001 or sector-specific healthcare accreditations — from initial diagnosis to effective accreditation. Includes roadmap, document preparation, team training and support during audits.

Diagnosis · Roadmap · Training · Accreditation
S02

Healthcare Network Expansion Framework

Complete framework to expand healthcare networks — including per-unit viability analysis, care delivery model design, partnership structuring and expansion roadmap. Optimised for the African context.

Viability · Model · Partnerships · Roadmap
S03

Hospital Financial Structuring

Specialised financial structuring service for hospital projects — including multi-currency financial model, guarantee structure, covenant package and roadmap to financial close. Optimised for international financiers.

Model · Structure · Covenants · Financial Close
S04

Clinical Governance Programme

Structured clinical governance programme — including evidence-based clinical protocols, clinical risk management, quality systems and preparation for international accreditation audits.

Protocols · Risk · Quality · Audit
How we work

A structured engagement in four phases

Methodology tested in healthcare projects across Mozambique, Angola and Malawi. Senior dedicated teams, with local presence through member firms.

01

Deep diagnosis

We understand the clinical operation, the market, the regulatory framework, the financiers and the communities served before proposing any solution.

02

Tailored strategy

We design executable plans, with clear priorities, realistic budget, defined owners and success metrics established before starting.

03

Supported execution

We stay alongside the teams during implementation — in healthcare units, in offices and in accreditation processes, not from the outside.

04

Measurable impact

We measure progress at every stage. We report to the board, to financiers and to regulatory bodies whenever it makes sense.

Results

The impact of our work in healthcare

Concrete examples of projects delivered for providers, distributors and health-tech companies in the region.

$22M

Structured financing

Financial structuring of a hospital project in Mozambique, resulting in USD 22 million of financing from a consortium of multilateral banks and impact funds.

2

Accreditations obtained

Two international accreditations (JCI and ISO 9001) obtained by a clinic network within 18 months, with subsequent access to partnerships with public health systems.

+35%

Patient satisfaction

Operational and clinical redesign that increased patient satisfaction by 35% at a mid-sized private hospital unit.

+48%

Operational efficiency

Optimisation of clinical and operational processes that increased operational efficiency by 48% at a private hospital, without compromising clinical quality.

Next step

Let's talk about your healthcare project

We meet with your team to understand the operation's context and propose a concrete path — whether expansion, financial structuring, accreditation or digital transformation.

Contact us

Receive our perspectives first

Analysis on strategy, tax and governance in Lusophone Africa, straight to your inbox.