Health Access International has extensive experience arranging favourable financing for private clients, NGO’s and the public sector in countries in transition.

Phase 1 of the financing process
The first step towards a successful financing closure of a project consists of a feasibility study and a dedicated financial model accurately representing the financial variables in the project. In consultation with the client we approach different candidate lenders and present the case to them.

Financing examples
Export finance
Because Health Access International not only develops, but also implements projects, we can offer customised export finance packages. Such financing can not be obtained locally and significantly reduces interest rates, collateral and own equity required. For low and middle income countries, a concessional component (such as a grant) is often required for projects in the public sector.

Export financing proposals are influenced by:

  • Client requirements (feasibility study)
  • Country of origin of medical equipment and other products
  • Project management by exporter
  • Project sustainability
  • Guidelines for concessional loans and concessional credit insurance (sustainability, social impact, environment)

For the public sector in countries in transition, there are often significant grants available to help build critical infrastructure such as hospitals. We assist Ministries of Health obtaining such funds, which are often supplemented by development bank loans or export finance.

Development bank
Healthcare projects are usually key focus areas for development banks and they can offer attractive terms for (co-) financing. Health Access International is an approved partner of several leading development banks.

Commercial finance
A typical commercial financing package for a healthcare facility project is structured with

  • a mortgage for the building
  • a working capital facility
  • a commercial loan from an international and/or local bank
  • possibly a leasing facility

In case the feasibility study and financial model indicate a lack of equity, we can help via our network to make arrangements to compensate for it. Sources of equity can be development banks, private equity or private investors.

Phase 2 of the financing process
We structure the financing transaction, conduct the negotiations on behalf of, or together with the client and assist with the preparation of the loan documentation. After financing closure, we maintain a close relation with the financing and/or investing party.

Health Access International is independent and works closely with leading international and local commercial banks, development banks, social investment funds, governmental institutions and development agencies.