Jankielsohn, RoyNkopane, Mapheello Juliet2024-02-162024-02-162023http://hdl.handle.net/11660/12441Dissertation (M.A.(Governance and Political Transformation))--University of the Free State, 2023State capacity is mostly measured through the way services are rendered to a country’s citizens. Hence, Public Private Partnerships (PPPs) in the health sector have gained popularity and they are seen by many democracies as strategic approaches to managing and governing service delivery to citizens and, therefore, are considered a policy tool for enhancing governance. However, in many developing countries PPPs have not received enough attention; this has aggravated the healthcare systems’ challenges and development. Therefore, the purpose of this study was to emphasise the importance of building state capacity in service delivery through PPPs within the health sector in Lesotho and to provide information on the role of the government in ensuring effective collaborations or interactions between the public sector and the private sector. A descriptive qualitative method was used in this research to investigate, through desktop research of various resources, how the Government of Lesotho could build state capacity through the implementation of PPPs in the health sector. The focus of the study was on the Queen ‘Mamohato Memorial Hospital PPP project. It was found in this study that building state capacity through PPPs in Lesotho’s health sector is in its initial stages and it faces many challenges. This was evident in the recently failed Queen ‘Mamohato Hospital PPP project due to the absence of PPP legislation, public sector capacity, a detailed implementation framework, risk sharing procurement, and many other factors. A well-balanced incorporation of such key factors would be essential for the successful and sustainable implementation of PPPs in the health sector in Lesotho. The study answered the research questions on how state capacity towards service delivery could be enhanced using PPPs within the health sector in Lesotho.enState Capacitypublic private partnershipsgovernancehealthcareDissertationUniversity of the Free State