There has been growing advocacy for public-private partnership (PPP) in healthcare in both policy and academic circles over the last 3 decades. However, our understanding of the tensions between the policy cycle and critical organisational trade-offs that characterise alternative How to cite this article: Dugle G, Kpinpuo SD, Ghartey BB. From paper to practice: an exploratory study of policy making and implementation in alternative forms of healthcare public-private partnership in Ghana. Int