Chapter 6 Example of Investments in the Formula of Public-Private Partnership Using the Heterodox Perspective Referring to the previous chapters, this chapter presents a practical model of the deliberations into the adequacy of the proposed heterodox approach in public finance for the implementation of PPP projects. It points to the process of risk management in PPP projects, taking into account the management objectives of various partners, i.e. public and private, conventional and Islamic. The subject of the analysis is a model of a healthcare institution specialising in the provision of highly specialised medical services in the field of cardiac surgery and rehabilitation. The entity is located in one of the countries of sub-Saharan Africa—Botswana. The specific location is only intended to underline the specificities of emerging countries, especially in sub- Saharan Africa, which may become new areas of interest to investors and require the development of public finance management functions and rules. The sources of information used to create the model are the results of research carried out, among others at the Rhodes University in South Africa, within the framework of the research project “Public-private partnership as a solution for the development of the health care system in East Cape Province, SA” and at the Glasgow University (Scotland) within the framework of the scientific project “Public-private partnership projects in healthcare sector: Theoretical and practical implications for EU countries”. At the same time, the knowledge of the medical sector, especially in the area of cardiac surgery, is the result of 1.5-year scientific cooperation with a company operating in this sector in Poland. As part of the funding of scientific and implementation research by the City of Wroclaw, a research project entitled “Development of DCChS Medinet sp. z o.o. and Public-Private Partnership” was carried out within the framework of the Mozart Programme, and a project of internationalisation of this company has been developed. An example of an investment project is the establishment of a special purpose vehicle (SPV) in Botswana. The shares are distributed as follows: Polish private investor, Islamic private investor, Ministry of Health & Wellness of Botswana, any public entity from Poland. The total value of the shares is USD 7 million, including: © Springer Nature Switzerland AG 2019 H. Kociemska, Public-Private Partnership for Sub-Saharan Africa, Advances in African Economic, Social and Political Development, https://doi.org/10.1007/978-3-030-14753-2_6 155