Accelerating Public Health Impact Through Public-Private Partnerships:A Case Study of the Cocoa360 Model

Public-private partnerships (PPPs) occupy an increasingly prominent role in global health and development, yet their application within hybrid non-profit social enterprises operating in resource-constrained agricultural communities remains underexplored. This perspective piece examines how Cocoa360, a non-profit social enterprise based in Tarkwa Breman, Western Ghana, leverages its intermediate position on the publicness spectrum to advance health and education outcomes among rural cocoa-farming communities. Drawing on Bozeman and Bretschneider's multidimensional publicness framework and Hood's New Public Management (NPM) paradigm, this analysis argues that hybrid organizational structures can simultaneously exploit the efficiency advantages of private-sector management while preserving the equity mandates of public institutions. The Cocoa360 "farm-for-impact" model, in which community-generated agricultural revenues are reinvested in health and education services, offers a replicable framework for addressing structural social determinants of health in low-resource settings. The paper concludes by outlining a proposed PPP between Cocoa360 and the Ghana Health Service as a scalable mechanism for extending community-based healthcare financing to cocoa-growing communities across Ghana.