Public Private Research Articles

Institutional quality configuration for encouraging private capital participation in PPP projects: evidence from 36 belt and road countries

PurposeThis study aims to explore how institutional quality impacts private capital participation in large-scale infrastructure development, particularly in public–private partnership (PPP) projects, aiming to enhance incentives for private sector involvement.Design/methodology/approachBuilding on new institutional theory, a triangular theoretical framework was constructed to analyze the high participation of private capital in PPP projects, focusing on seven key institutional factors. Data from 1,319 PPP projects across 36 Belt and Road Initiative (BRI) countries from 2015 to 2020 were then analyzed using a combination of necessary condition analysis (NCA) and fuzzy set qualitative comparative analysis (fsQCA) to evaluate the combined impact and interactions of these factors.FindingsResults indicate that high private capital participation does not hinge on a single institutional quality factor but results from the synergistic influence of multiple factors. The paths leading to high private capital participation can be categorized as regulatory-led, normative-cognitive synergistic, regulatory-normative synergistic and institutional failure-led. Among these, regulatory quality plays a central role in the regulatory-led; the synergy between political stability and voice and accountability is pivotal in the normative-cognitive synergistic, and the rule of law, in combination with voice and accountability, is essential to the regulatory-normative synergistic.Originality/valueThis research systematically examines the multidimensional impact of institutional quality, revealing how different institutional factors interact to influence private capital’s willingness to participate and behavior. It enriches applied research in institutional economics within PPP projects and provides a new theoretical perspective and methodological framework to the scholarly community.

Romanian water-cure resorts and the state before the Second World War: health, leisure and public-private partnership

ABSTRACT Romanian water-cure resorts were established in the mid-nineteenth century following the discovery of thermal waters. The Romanian state and prominent politicians sought to create modern spa resorts (like those established a century before in France and Germany) by allocating funds and implementing public policies and laws to develop bathing establishments for more people who suffered from different ailments. The local spa resorts could promote health tourism with active support from the state and public-private partnerships. Therefore, the two water-cure resorts analysed in this article, Băile Herculane and Băile Govora, with different histories and evolutions, designed modern medical treatments and leisure activities in the interwar period, encouraging wealthy people and people of modest income to spend a holiday and ‘take the cure’ (drinking and bathing) at these resorts.

Beyond Borders : Addressing the Legal Quagmire of Jurisdiction in Cyberspace

This article delves into the complex scenario of governing cyberspace, addressing key issues such as accessibility, digital disparities, and the regulatory challenges posed by cross-border activities, and applicable test by judiciary across the globe while resolving such emerging issues. Despite technological progress, cyberspace largely remains an unregulated realm, creating opportunities for cybercrimes such as stalking, data breaches, exploitation of minors, and hacking. The lack of a cohesive global governance structure makes tackling these issues a formidable task. The article offers a critical assessment of the Budapest Convention on Cybercrime, the sole international treaty on cybercrimes, pointing to its limited acceptance, especially among ASEAN nations. This hesitation underscores an ideological rift: some countries prioritize cyber sovereignty, while others support a multi-stakeholder model that incorporates contributions from governments, private enterprises, and civil society. These divergent views present barriers to legal harmonization and obstruct cross-border collaboration in prosecuting cyber offenders and ensuring data protection. To address these multifaceted challenges, the article suggests a layered governance approach, integrating global frameworks with regional alliances and national strategies. This model encourages international cooperation while respecting national sovereignty, emphasizing the importance of public-private partnerships to bolster cybersecurity. Furthermore, it advocates for investments in digital infrastructure and cyber literacy programs to reduce the digital divide, facilitating broader, fairer access to online spaces. Ultimately, the proposed governance model seeks a balanced approach, safeguarding individual rights alongside the imperatives of security and accountability, and aiming to cultivate a cyberspace that is safer, more inclusive, and subject to responsible oversight.

Do public-private partnerships (PPPs) promote the sustainable development of infrastructure (SDI)? Evidence from China

PurposeTo address challenges such as inadequate funding and inefficiency in public infrastructure construction, PPPs have gained significant global traction. This study aims to comprehensively assess the impacts and mechanisms of PPPs on the SDI and to provide rational policy recommendations based on the findings.Design/methodology/approachWe collated a dataset from 30 Chinese provinces covering the years 2005–2020 as our research sample. The study’s hypotheses are tested using a double fixed-effects model, a chained mediated-effects model and a multidimensional heterogeneity analysis.FindingsOur findings indicate that PPPs have a facilitating effect on SDI in general. This boost usually lags behind policy implementation and is cyclical in the time dimension. In the spatial dimension, PPPs contribute significantly to SDI in the eastern and western regions, but not in the central region. From the perspective of the dynamics of economic, social and industrial development, PPPs in economically backward areas are difficult to promote SDI, promote it the most in economically medium regions and are slightly less in economically developed regions than in medium regions. This promotion effect has an inverted U-shaped relationship with social development and diminishes with industrial structure upgrading. Finally, due to the negative relationship between PPPs and social development and between social development and SDI, PPPs are shown to contribute to SDI and are identified as critical paths. However, PPPs suppress SDI by inhibiting economic and industrial development.Originality/valueThis study makes three novel contributions to the existing body of knowledge: (1) we innovatively introduce the United Nations Sustainable Development Goals (SDGs) into the field of infrastructure research, offering fresh perspectives on SDI enhancement; (2) revealing the mechanisms by which PPPs affect SDI through the three dimensions of economic, social and industrial development enabling policymakers to better understand and optimize resource allocation and improve planning, design and management of PPP projects for sustainable infrastructure and (3) we assess the spatiotemporal variances of PPPs’ effects on SDI and the diversity across regions at different social, economic and industrial structures developmental stages, offering critical insights to global decision-makers to devise tailored policy measures.

Arts management and economic development: The role of cultural organizations in China’s regional growth

This study explores the role of arts management in regional economic development within major Chinese cities, including Beijing, Shanghai, and Shenzhen. Cultural organizations—such as museums, theaters, and galleries—contribute significantly to local economies through tourism, job creation, and the enhancement of cultural branding. Using a qualitative approach, 18 semi-structured interviews with arts managers and policymakers selected based on their influential roles in cultural organizations across these cities. The interviews were analyzed using thematic analysis, which identified key themes including the economic impact of cultural organizations, the influence of government policies, challenges in arts management, and the role of cultural tourism in fostering regional growth. The findings reveal that while government policies play a pivotal role in supporting cultural organizations, providing crucial funding, tax incentives, and infrastructure development, concerns remain about the long-term sustainability of funding due to shifting political and economic priorities. Additionally, arts managers face challenges related to balancing artistic goals with financial viability, particularly as the sector becomes increasingly competitive and technology-dependent. Key challenges identified include securing stable funding sources, adapting to digital technologies, talent retention, and maintaining artistic integrity amid commercial pressures. The study highlights the need for diversified funding models such as public-private partnerships and alternative revenue streams and suggests further exploration into the role of smaller cultural organizations in rural regions to promote inclusive regional development. Practical recommendations include developing strategies to enhance financial sustainability, investing in digital capabilities, and formulating policies that provide long-term support for the cultural sector. Overall, the research contributes to a better understanding of how effective arts management can drive regional economic development and offers practical recommendations for strengthening the sustainability of China’s cultural sector.

Evolving road networks and urban landscape transformation in the Himalayan foothills, India.

The amalgamation of Himalayan and Indo-Burmese biodiversity has made the state of Manipur, India, a unique ecosystem. In addition, the region is a strategic place for the country to establish an economic corridor to Southeast Asia. In recent times, the region has witnessed tremendous infrastructural/road development. Subsequently, forest fragmentation related to urbanization and road expansion has emerged in the Himalayan foothills. The development of roads brought rapid changes in land use and land cover (LULC) and thus subsequent environmental degradation. The current study attempts to understand how the development of road networks has impacted the natural cover in Manipur, India. A spatio-temporal analysis was performed to assess the relationship between the development of road networks and LULC changes using the Landsat satellite images over a decade (2012-2022). The results showed significant changes in the area coverage of LULC categories such as agricultural land, built-up areas, forest, and water bodies with the increase in road density. To have a holistic view, the study area was segregated into three functional zones based on their urban land use pattern, i.e., urban center, peri-urban, and urban peripheral fringes. Urban sprawl in the urban center has led to the rapid conversion of forested lands into built-up areas and agricultural lands in the peri-urban and urban peripheral fringes, respectively. The decline of forest areas to urbanization in peri-urban and urban peripheral fringes calls for conservation and restoration initiatives. The study also emphasizes how different stakeholders can be involved and empowered to strengthen public-private partnerships for conservation and restoration in such sensitive ecosystems. Urban planners and developers should be critical in making informed decisions through understanding ecological concerns in tandem with infrastructural development.

Assessing the influence of foreign direct investment on renewable energy consumption in Somalia: an ARDL model analysis

ABSTRACT This study examines the impact of Foreign Direct Investment (FDI) on renewable energy consumption in Somalia from 1990 to 2019 using the Autoregressive Distributed Lag (ARDL) model. The findings reveal a positive, statistically significant relationship between FDI, Gross Domestic Product (GDP), trade openness, and renewable energy consumption in the long run. Specifically, a 1% increase in FDI leads to a 0.0000115% increase in renewable energy consumption. Similarly, a 1% increase in GDP leads to a 0.026041% increase in renewable energy consumption. Meanwhile, a 1% rise in trade openness enhances renewable energy consumption by 0.0000280%. Increased foreign investments and economic growth promote the adoption of renewable energy, aligning with sustainable development principles. Conversely, environmental degradation negatively impacts renewable energy consumption. Specifically, a 1% increase in environmental degradation leads to a 0.570376% decrease in renewable energy consumption. Policymakers should incentivize FDI in the renewable energy industry through tax incentives, streamlined regulations, and public-private partnerships. Strategies promoting economic growth and integrating renewable energy objectives are essential, with trade openness facilitating the importation of renewable energy technologies. A limitation of this study is the reliance on yearly data, which may not capture recent developments or short-term fluctuations. Future research should use more granular, up-to-date data to understand the dynamics in Somalia better.

Application of Public-Private Partnership Mechanisms to Ensure Innovative Development of the Healthcare Sector

INTRODUCTION. The pursuit of technological sovereignty in the current geopolitical situation has led to a growing emphasis on studying relations in the field of government support for healthcare innovation, in particular, the institute of public–private partnership (PPP). In the face of the challenges presented by sanctions, the economic crisis, and a potential deficit in sustainably competitive national innovative medical products, the Russian government is confronted with the necessity of financing the development and production of innovative medical products, including through involving private partners (investors). The use of PPP mechanisms is essential for the achievement of technological sovereignty. In addition to attracting private capital and competences, PPP mechanisms can significantly accelerate the development, realisation, and introduction of innovative medical products, improve the quality of medical care, and increase the production of medicines and medical devices.AIM. This study aimed to analyse existing PPP mechanisms for the development of the Russian healthcare, science, and technology sectors within the framework of state–business relations and to identify optimal models for the development, realisation, introduction, and production of innovative medical products.MATERIALS AND METHODS. The study analysed Russian federal legislation using an information-based analytical approach to identify the most promising mechanisms for innovative development in healthcare, with a focus on PPP models.RESULTS. The article considers frequently encountered forms of possible government involvement in and support of innovative healthcare development with the aim of increasing efficiency and scaling up the realisation and introduction of innovative medical products. Additional aspects covered include the funding of technological sovereignty projects, the expansion of preferential regimes, and the concept of using PPP models. The article presents various PPP realisation mechanisms, including special investment contracts, concession agreements, and PPP agreements, which allow placing infrastructure facilities under the management of private partners. The transferred facilities may include production facilities, research centres, and other facilities necessary for innovative development. The article pays particular attention to the terms and features of concession agreements in the healthcare sector, considers the distribution of duties and responsibilities between the parties involved, and investigates the use of the risk-based approach. Additionally, the article analyses established business practices to identify conditions that are necessary for the parties to a concession agreement.CONCLUSIONS. The realisation of PPP projects in the innovative development of the healthcare sector requires taking into account and overcoming constraining factors, including technological and administrative barriers that may hinder effective development. The authors believe that the most preferable PPP form is the concession agreement model.

What determines the accessibility of early childhood education in Bangladesh?

This paper aims to understand the potential factors influencing the accessibility of early childhood education (ECE) in Bangladesh. Utilising data from the Multiple Indicator Cluster Survey (MICS) 2019, this study explored the influence of individual, household, socio-economic as well as geographical variables on ECE enrollment. It employed a comprehensive approach, which involved using descriptive statistics for univariate analysis, chi-square and t-statistics for bivariate analysis, and the logit model for multivariate analysis. The findings revealed that a child’s likelihood of attending an ECE program increases with their age, while those with functional difficulties and larger household sizes exhibit lower odds of attendance. Children with mothers possessing higher education levels demonstrated increased odds of ECE enrollment. Wealthy households and urban or Mymensingh division residency were associated with higher odds of ECE enrollment, while Barishal, Rajshahi, and Sylhet divisions indicated lower odds. To enhance ECE accessibility, the study recommends implementing a roadmap for ensuring universal early childcare and early education with an emphasis on socioeconomically underprivileged children, particularly in rural areas. Proposed strategies may include providing financial assistance to poor households and fostering public–private partnerships for ECE provision in remote regions like Barishal, Rangpur, Rajshahi, and Sylhet divisions. Moreover, it is crucial to make parents and communities aware about the significance of ECE in order to make sure that children ages 3–5 years are involved in ECE programs.

Strengthening Resilience and Sustainability for Post-Disaster Recovery: A Comparative Law and Economics Analysis on Smart Mixes Between Mechanisms

This article advocates smart mixes of mechanisms of post-disaster recovery in terms of boosting resilience and sustainability through liability rules, government intervention, insurance, and their combinations. Liability rules can provide compensation to victims and, in theory, also reduce disaster risks, while they have their limits in practice. The government widely intervenes in disaster compensation in many countries, but it faces challenges in how it can intervene fairly and efficiently, whether through informal channels, such as ad hoc charity, or structured approaches, such as compensation funds. As governments may struggle to provide efficient and effective compensation ex post, insurance may offer proactive solutions with models of first-party catastrophe insurance and third-party liability insurance ex ante. Where market failure, liability failure, and government failure may all arise, a smart mix of mechanisms is often preferable from a law and economic perspective, rather than relying solely on one framework. However, upon examining empirical evidence regarding the effectiveness of these instruments in China, the UK, France, Germany, and Turkey, it becomes apparent that a mix of mechanisms is not always applied in an effective manner. Models of mandatory comprehensive disaster insurance, and Public–Private Partnership (PPP), which both receive government intervention as a last resort to the market and liability failures, can reach the goal of more effective compensation for disaster victims, risk prevention and resilience when faced with disaster recovery, and should therefore be substantially implemented beyond the current levels. To be clear, the proposed mix of solutions mainly focuses on legal and economic dimensions which are rather limited, ignoring, for example, building codes for structures and physical interventions.

Assessment of the Critical Dispute Factors in Public–Private Partnership Infrastructure Projects

Assessment of the Critical Dispute Factors in Public–Private Partnership Infrastructure Projects

A Comparison of Medical Education Policies in Japan and Singapore with a Focus on Governance: Implications for Korea

Among Asian nations, Japan, Singapore, and South Korea exemplify countries with high standards of medical quality. This review explores the differences in medical education policies between Japan and Singapore, particularly concerning governance, and discusses the implications for South Korea’s medical education policies. Relevant documents were analyzed by referencing scholarly articles and data from governmental and expert organizations in each country. In Japan, advances in medical education policies include initiatives such as the regional quota system and the core curriculum model, which emphasize stakeholder engagement and transparency. However, challenges persist due to limited stakeholder participation, necessitating a transition toward a more equitable governance paradigm. Singapore’s model features robust public-private partnerships with minimal direct governmental intervention, emphasizing innovation and community integration, as seen in the Healthier SG project. These case studies demonstrate effective governance involving significant stakeholder collaboration and strategic financial investments. Conversely, South Korea’s medical education policies face challenges from a predominantly government-centric approach, with an absence of cohesive governance structures and inadequate involvement from essential professional stakeholders. This situation has led to policy inconsistencies and a deficit of strategic direction, exacerbated by insufficient financial support for educational infrastructure and program development. The experiences of Japan and Singapore indicate that it would be beneficial for South Korea to adopt integrated governance frameworks that prioritize transparency and collaboration. Furthermore, increasing financial investment in medical education could mitigate existing deficiencies and improve the quality and effectiveness of its healthcare education system.

Identifying the characteristics of public-private partnership projects on green energy in developing countries with different incomes

The object of the study is public-private partnership projects in green energy in developing countries. The problematics of the study is based on the intersection of the current problems of improving energy efficiency and environmental friendliness of energy innovations. The problem of analyzing such projects was solved with the following results: The findings of the study indicate the importance of country income as a factor influencing investment in public-private partnership projects in green energy. The analysis indicates the importance of the country's income as a factor influencing the established technological structure of public-private partnership projects in the green energy sector. It is proved that energy efficiency significantly depends on the technological structure of public-private partnership projects in green energy. The obtained results are explained by assuming the dependence of public-private partnership projects in green energy on the income level of the economy, based on Wallis one-way analysis of variance and cross-tabulation. Mann-Whitney U test was used to explain the dependence of energy efficiency on the technological structure of such projects. The particularity of this study is the analysis of the technological structure of public-private partnership projects in green energy, taking into account the specifics of developing countries and the application of their clustering. This research is of practical significance in the possibility of applying the results obtained by the authorities for the creation and implementation of public-private partnership projects in the field of green energy, as well as by energy companies implementing new technologies using water, wind and solar energy.

ANALYSIS OF MODERN APPROACHES TO FINANCIAL SUPPORT OF HEALTHCARE FACILITIES IN UKRAINE

The purpose of the study is to analyze modern effective approaches to the financial support of healthcare institutions, which have been successfully implemented in the leading countries of the world, in order to form a unique model of their financing in Ukraine. The uniqueness of the model is ensured by taking into account the institutional features of modern Ukrainian reality. The article analyzes the financial instruments for providing healthcare under various models of financing the healthcare system, which are used in global practice. The process of reforming the healthcare system in Ukraine was studied, which made it possible to establish changes in the financing of healthcare. The components of the healthcare institution's budget are given. The main advantages and disadvantages of approaches to financing healthcare in Ukraine are determined. The volume and structure of expenditures of the Consolidated Budget of Ukraine on healthcare, as well as the main results of the activities of medical care providers covering all regions of Ukraine, were analyzed. The problems of financing healthcare facilities at the local level in Ukraine, which negatively affect the availability and quality of medical services, have been identified. The need to develop a mixed model of healthcare financing in Ukraine through a rational partnership between state medical institutions and the private sector is substantiated. Taking into account the identified problems and needs, a comprehensive approach to improving the financing of healthcare facilities through the introduction of mandatory health insurance and the development of public-private partnerships in the form of facility management, including resource optimization and technological innovations, is proposed.

DEVELOPMENT OF AGRICULTURAL SCIENCE ON THE PLATFORM OF INNOVATIVE BIOECONOMY

Ukraine's economy is in a state of crisis caused by the war. The agricultural sector in extreme conditions is trying to fulfill its function of ensuring the food security of the state, supporting its export potential despite limited resources and logistical problems. Agrarian science in the conditions of budget funding deficit is trying to find ways to use the scientific and experimental base, developed varieties and technologies to promote the stabilization and revival of agro-industrial production in the industry and regions. Effective models of implementing the innovative potential of agrarian science on a business basis are necessary.The purpose of the study is to justify the platform of market adaptation of science to crisis conditions and the mobilization of scientific potential in the breakthrough directions of the development of the agrarian sphere on the basis of innovative bioeconomy and close cooperation between science and business.To realize the set goal, the work assessed the possibilities of integrating science and business on the platform of innovative bioeconomy in the crisis economic and legal conditions of Ukraine; the bio-ecosystem of the platform and its operational mechanism of the partnership of science and business for the implementation of joint innovation and investment projects are substantiated. For the introduction of a well-founded bioecosystem, a set of measures is proposed for the formation of a platform in the system of agrarian science on the basis of conducted tests and adopted organizational decisions based on the example of the National Academy of Agrarian Sciences of Ukraine. Cooperation between agricultural science and business on the basis of the proposed public-private partnership platform ensures the mobilization of scientific potential to solve pressing issues of innovative development of agricultural production, rural areas through the creation and transfer of breakthrough and supporting bioinnovations, the production of competitive innovative agro-food products.

Critical Success Factors for Public–Private Partnerships in Urban Regeneration Projects

Public–Private Partnership (PPP) arrangements are used in different sectors in the provision of infrastructure and public services. The use of PPP agreements in urban regeneration projects, although more recent, has been gaining prominence in different contexts. However, in many cases, PPP projects have a controversial implementation, often not achieving the proposed objectives and presenting negative results. Their controversial implementation is the result of a lack of knowledge and lack of application of the best practices and Critical Success Factors (CSFs) associated with them. Based on this, the present study aims to identify and analyze the CSFs for PPP arrangements in urban regeneration projects. The study was conducted in two distinct parts. The first part consists of a literature review on the PPP CSFs in general. The second part consists of the development of a questionnaire seeking to identify the CSFs of PPP arrangements for urban regeneration projects. Based on the literature review and the questionnaire answers, the main success factors of PPP projects for urban regeneration were identified and structured in the framework with five main clusters: two related to the external environment (enabling environment and exogenous factors) and three related to the internal environment (preparation phase, procurement phase, and contract management phase).

Designing effective policy frameworks for the implementation of microgrids in developing countries: Opportunities, challenges and pathways to sustainable energy access

Designing effective policy frameworks for the implementation of microgrids in developing countries is crucial for advancing sustainable energy access. Microgrids offer a decentralized and resilient solution to energy challenges, particularly in regions with limited grid infrastructure. However, the successful deployment of microgrids requires a nuanced understanding of the opportunities, challenges, and pathways to integration within the unique contexts of developing nations. This study explores the key factors influencing the design and implementation of microgrid policies, including regulatory environments, financial incentives, and technological innovations. It highlights the potential of microgrids to enhance energy security, reduce carbon emissions, and support economic development. At the same time, it addresses the challenges related to financing, regulatory compliance, and the need for capacity-building in local communities. By analyzing case studies from various developing countries, the study identifies best practices and strategic recommendations for policymakers to create supportive frameworks that encourage the adoption of microgrids. The research underscores the importance of international collaboration, public-private partnerships, and adaptive policy mechanisms that can respond to the evolving needs of the energy sector. Ultimately, the study provides a roadmap for leveraging microgrids as a key component of sustainable energy strategies in developing countries, contributing to broader goals of energy equity, environmental sustainability, and economic resilience.

Urban green spaces and public realm design in Cairo: Enhancing quality of life and environmental sustainability

The paper explores the pressing challenges and promising initiatives in enhancing urban green spaces and the public realm in Cairo, a metropolis grappling with rapid population growth and environmental degradation. As the city struggles with density, air pollution, and a shortage of green areas—far below the recommended standard for urban health—the article highlights key efforts to revitalize public spaces. Notable projects include the creation of large parks like Al-Azhar Park, the redevelopment of the Nile riverfront through projects such as Mamsha Ahl Misr, and the introduction of green infrastructure solutions like street trees, green roofs, and sustainable urban drainage systems. Despite these advancements, Cairo faces significant obstacles, including limited public land, budget constraints, and water scarcity. However, there are opportunities to address these challenges through innovative urban agriculture, public-private partnerships, and community participation in green space development. The paper suggests that through continued investment and thoughtful urban design, Cairo can foster a more sustainable, livable environment. By integrating green infrastructure into future development projects, the city holds potential to transform its landscape and improve the quality of life for its residents in the coming decades.

Cybersecurity and defense in intelligent transportation systems

Intelligent Transportation Systems (ITS) have become increasingly crucial for enhancing transportation networks' efficiency, safety, and security. ITS includes advanced technologies such as electronic sensors, data transmission, and intelligent control technologies, providing better driver and rider services. However, these technologies pose significant security and privacy risks, in which attackers can easily disrupt transportation systems. This paper presents a survey of the challenges with ITS, the engineering requirements, attack challenges, and related work of securing ITS. This survey also discussed the elements of ITS, including advanced traffic management systems, connected and automated vehicles, intelligent infrastructure, and integrated data analytics, as well as the role of government policies, public-private partnerships, and stakeholder engagement. The aim is to look at present security challenges associated with ITS and provide better ways to the system. which is critical for creating smart cities and increasing the importance of individual and public transportation systems.

Enhancing HIV/AIDS and TB medication logistics: A comprehensive approach to global healthcare distribution

The distribution of HIV/AIDS and tuberculosis (TB) medications is critical to the success of global healthcare initiatives, particularly in regions with limited infrastructure and resources. This review examines the logistical challenges hindering the efficient delivery of these life-saving medications, including supply chain inefficiencies, poor infrastructure, and geographical barriers. It also explores innovative approaches to optimizing logistics, such as the use of blockchain, drones, and artificial intelligence (AI), alongside public-private partnerships (PPPs) and supportive policy frameworks. These emerging technologies have the potential to enhance the availability and effectiveness of HIV/AIDS and TB treatments by improving supply chain transparency, reducing stockouts, and overcoming transportation challenges in remote areas. The paper further assesses the impact of these logistical improvements on healthcare outcomes, demonstrating how they contribute to improved patient adherence, reduced disease transmission, and cost savings. Finally, recommendations are provided for policymakers, healthcare organizations, and stakeholders to adopt these innovations, and future research directions are proposed to expand these models to other medications and diseases.