Political drivers of project risk in public healthcare infrastructure: a comparison of African and EU contexts
DOI:
https://doi.org/10.3846/bm.2026.2477Abstract
Public healthcare infrastructure represents a major long-term investment essential for national health system resilience. However, financial and performance challenges undermine the successful delivery of these projects. A scoping review of 33 papers was conducted, guided by the PRISMA-ScR guidelines and Institutional Theory, to analyse the political drivers of project risk in public healthcare infrastructure in Africa and the EU. The study demonstrates that political drivers of healthcare infrastructure risks manifest across all institutional domains in both regions. The analysis of literature across both regions, with country cases focusing on Ghana and Lithuania, revealed how varying political factors, funding arrangements, and socioeconomic conditions influence project governance and interference. The analysis establishes the benefits that regional organisational involvement provides in strengthening project governance and mitigating political interference.
Keywords:
political factors, project risk, healthcare infrastructure, development assistance, Ghana, Lithuania, Africa, EUHow to Cite
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