HaileMariam,Damen(Prof.)Mebratie,Anagaw Derseh(PhD)Assefa,Demeke(PhD)Haileselassie,Daniel2026-06-222026-06-222025-07https://etd.aau.edu.et/handle/123456789/8482Background: Ethiopia is amid reforms targeting public assets for privatization, this presents an interesting timeline for the public health sector to leverage the abilities of the dynamic Ethiopian private sector in providing quality health care. One strategy for accomplishing that aim is the implementation of innovative and novel health financing mechanisms such as public-private partnerships (PPPs). However, there is limited evidence and a weak understanding of public-private partnerships within the healthcare sector, impeding effective implementation. Furthermore, the challenges and opportunities associated with implementing public-private partnerships remain largely unexplored, hindering knowledge and awareness of their potential benefits and risks. Objective: This study aims to assess the experiences of private-public partnerships in healthcare services in Addis Ababa, by examining the implementation processes of private-public partnership projects, and by identifying the main challenges and opportunities to inform future engagement. Methods: The study was conducted on three public-private partnership projects: the Ye Ab dialysis unit, the Clinton Health Access Immunization Program, and the Integrated Diagnostic Center within Addis Ababa. The projects were selected because of their variability to reflect the vast nature of Public-private partnerships. The study period was from February 1, 2025, to March 18, 2025. An Exploratory study design with a qualitative method and a hybrid approach was conducted to assess stakeholders' experiences. Data was collected using semi-structured informant interviews and was analyzed thematically. Results: This study has identified the implementation process and intended implementation process of the selected PPP projects in terms of planning, procurement, execution, monitoring, and evaluation. Additionally, it has identified several challenges and expected challenges such as coordination issues, capacity gaps, resource constraints, and limited technical expertise that affected service provisions. Conversely, opportunities and good practices and expected ones, such as resource mobilization, capacity building, and innovation & efficiency, were identified. Conclusions: Agreements involving the private and public sectors require synchronicity and working in tandem by each party. The private sector should be aware of the contexts and facts on the ground before engaging in terms with the public sector. The public sector should be amenable to unforeseen challenges, as that is a central issue that affects the lifetime of a project.en-USPublic-Private Partnerships in Clinical Services With in theHealthcare SectorThesis