Building Health Resilience: How MIGA Enabled Turkey's Elâzığ Hospital PPP
In Turkey's eastern region of Elâzığ, accessing quality health care has historically been a significant challenge for local communities. The region's health care infrastructure struggled to meet growing demand, with facilities operating below international standards and insufficient capacity to serve the population effectively.
Against this backdrop, the Turkish government launched an ambitious healthcare transformation initiative through public-private partnerships (PPPs). The ELZ Sağlık Yatırım A.Ş. project emerged as a cornerstone of this initiative, proposing an integrated health campus that would revolutionize healthcare delivery in the region.
Elâzığ province, with a population of over a half a million people across its service area, particularly needed this health care transformation as the supply of health care facilities struggled to keep pace with the growing population. The project was designed to serve not only the immediate urban population but also residents from surrounding rural areas who previously had limited access to specialized medical care.
PROJECT HIGHLIGHTS
MIGA provided €306.4 million ($326 million) in guarantees for a state-of-the-art 1,038-bed integrated health campus in Elâzığ, Turkey.
The project directly addresses Turkey's health care capacity challenges, where hospital bed availability (2.6 beds per 1,000 people) significantly lagged behind the OECD average of 4.8 beds.
Through the public-private partnership structuring and risk mitigation, MIGA's guarantees enabled the attraction of long-term investors despite challenging market conditions.
The project's socioeconomic impact extends beyond health care delivery, creating over 7,000 direct and indirect jobs throughout construction and operation phases.