This presentation introduces a new structural aid model inspired by years of working on structuring and financing international projects delivering public service and welfare infrastructure. It proposes a new model structured toward a project-based, financially optimized approach that uses techniques commonly found in more developed markets, including:

• The creation of Special Purpose Vehicles (SPVs) to isolate risk,
• The use of project finance to stretch development budgets, and
• The appointment of qualified international NGOs as project “sponsors”—leveraging their deep local knowledge, financial robustness, and mission-driven ethos.

We will present how this structure could allow development actors to mobilize private capital and multilateral financing at scale, improving affordability and accountability, by making projects more “bankable” through risk mitigation strategies. This, in turn, would allow for long-term collaborations and investments, making new or improved large-scale infrastructure possible and a part of a long-term aid strategy and support.

A case study concept will be presented—an integrated hospital project structure—that outlines how donors, NGOs, governments, and financial institutions can collaborate effectively over a timeline of two or three decades, culminating in local ownership and sustainable operation of the welfare infrastructure.

Under this structure, a consortium of development agencies would issue a call for proposals not only to fund but to procure—tasking a lead NGO with the design, construction, operation, and financing of a healthcare facility over a 20-year horizon.

The selected NGO, acting as the project sponsor, would create and manage a Special Purpose Vehicle (SPV) responsible for raising long-term financing. This SPV would subcontract specialized private sector firms for construction and design, while the NGO would operate the hospital and implement a capacity-building program for local medical staff throughout the project's duration.