Value-based procurement (VBP) is the practice of evaluating potential new products, services, and solutions to maximize overall value for money (VFM), rather than focusing only on the lowest purchase price. This guide is intended to support public sector procurement teams in resource-constrained health systems to implement a VBP approach when planning for and procuring new medical equipment. This guide provides information in seven sections: 1. Implementing value-based procurement 2. Leveraging health technology management systems 3. Documenting medical equipment requirements and specifications 4. Estimating, comparing, and planning for total costs of ownership 5. Considering alternative procurement models 6. Preparing for medical equipment installation, commissioning and training 7. Managing Medical Equipment Donations