diff --git a/.github/workflows/test.yml b/.github/workflows/test.yml
index 0d759578..d03aa07e 100644
--- a/.github/workflows/test.yml
+++ b/.github/workflows/test.yml
@@ -19,10 +19,35 @@ jobs:
       options: --privileged --cgroupns=host
     steps:
     - uses: actions/checkout@v4
-    - name: Install dependencies
+    - name: Download necessary .deb files from man-compose-test-data repository
+      shell: bash
+      run: |
+        BASE_URL="https://raw.githubusercontent.com/mokibit/podman-compose-test-data/tree/main/deb_files/podman-5.4.2"
+
+        FILES=(
+          "podman_5.4.2+composetest-1_amd64.deb"
+          "podman-docker_5.4.2+composetest-1_amd64.deb"
+          "podman-remote_5.4.2+composetest-1_amd64.deb"
+          )
+        for FILE in "${FILES[@]}"; do
+          URL="${BASE_URL}/${FILE}"
+          echo "Downloading: $URL"
+          curl -L -f -O "$URL" || { echo "Failed to download $FILE"; exit 1; }
+        done
+    - name: Install podman v5.4.2 from .deb packages
+      run: |
+        dpkg -i podman_5.4.2+composetest-1_amd64.deb
+        dpkg -i podman-docker_5.4.2+composetest-1_amd64.deb
+        dpkg -i podman-remote_5.4.2+composetest-1_amd64.deb
+        apt-get install -f -y
+    - name: Verify podman installation
+      run: |
+        podman --version
+        podman-remote --version
+        podman-docker version || echo "podman-docker not available"
+    - name: Install other test dependencies
       run: |
         set -e
-        apt-get update && DEBIAN_FRONTEND=noninteractive apt-get install -y podman
         python -m pip install --upgrade pip
         pip install -r requirements.txt
         pip install -r test-requirements.txt
diff --git a/newsfragments/add-start_interval-in-healthcheck.misc b/newsfragments/add-start_interval-in-healthcheck.misc
new file mode 100644
index 00000000..eba6270e
--- /dev/null
+++ b/newsfragments/add-start_interval-in-healthcheck.misc
@@ -0,0 +1,2 @@
+Add support for `start_interval` option.
+Rename healthcheck flags to be consistent with Podman options.
diff --git a/podman_compose.py b/podman_compose.py
index b4b24d54..a155d4a6 100755
--- a/podman_compose.py
+++ b/podman_compose.py
@@ -1286,7 +1286,7 @@ async def container_to_args(
         if isinstance(healthcheck_test, str):
             # podman does not add shell to handle command with whitespace
             podman_args.extend([
-                "--healthcheck-command",
+                "--health-cmd",
                 json.dumps(["CMD-SHELL", healthcheck_test]),
             ])
         elif is_list(healthcheck_test):
@@ -1296,11 +1296,11 @@ async def container_to_args(
             if healthcheck_type == "NONE":
                 podman_args.append("--no-healthcheck")
             elif healthcheck_type == "CMD":
-                podman_args.extend(["--healthcheck-command", json.dumps(healthcheck_test)])
+                podman_args.extend(["--health-cmd", json.dumps(healthcheck_test)])
             elif healthcheck_type == "CMD-SHELL":
                 if len(healthcheck_test) != 1:
                     raise ValueError("'CMD_SHELL' takes a single string after it")
-                podman_args.extend(["--healthcheck-command", json.dumps(healthcheck_test)])
+                podman_args.extend(["--health-cmd", json.dumps(healthcheck_test)])
             else:
                 raise ValueError(
                     f"unknown healthcheck test type [{healthcheck_type}],\
@@ -1309,17 +1309,19 @@ async def container_to_args(
         else:
             raise ValueError("'healthcheck.test' either a string or a list")
 
-    # interval, timeout and start_period are specified as durations.
+    # interval, timeout, start_period, and start_interval are specified as durations.
     if "interval" in healthcheck:
-        podman_args.extend(["--healthcheck-interval", healthcheck["interval"]])
+        podman_args.extend(["--health-interval", healthcheck["interval"]])
     if "timeout" in healthcheck:
-        podman_args.extend(["--healthcheck-timeout", healthcheck["timeout"]])
+        podman_args.extend(["--health-timeout", healthcheck["timeout"]])
     if "start_period" in healthcheck:
-        podman_args.extend(["--healthcheck-start-period", healthcheck["start_period"]])
+        podman_args.extend(["--health-start-period", healthcheck["start_period"]])
+    if "start_interval" in healthcheck:
+        podman_args.extend(["--health-startup-interval", healthcheck["start_interval"]])
 
     # convert other parameters to string
     if "retries" in healthcheck:
-        podman_args.extend(["--healthcheck-retries", str(healthcheck["retries"])])
+        podman_args.extend(["--health-retries", str(healthcheck["retries"])])
 
     # handle podman extension
     if 'x-podman' in cnt:
diff --git a/tests/integration/healthcheck/__init__.py b/tests/integration/healthcheck/__init__.py
new file mode 100644
index 00000000..8b137891
--- /dev/null
+++ b/tests/integration/healthcheck/__init__.py
@@ -0,0 +1 @@
+
diff --git a/tests/integration/healthcheck/docker-compose.yml b/tests/integration/healthcheck/docker-compose.yml
new file mode 100644
index 00000000..5c12b3c3
--- /dev/null
+++ b/tests/integration/healthcheck/docker-compose.yml
@@ -0,0 +1,11 @@
+version: "3"
+services:
+  healthcheck:
+    image: nopush/podman-compose-test
+    healthcheck:
+      test: [ "CMD-SHELL", "curl -f http://localhost || exit 1" ]
+      interval: 1m
+      timeout: 10s
+      retries: 3
+      start_period: 10s
+      start_interval: 5s
diff --git a/tests/integration/healthcheck/test_podman_compose_healthcheck.py b/tests/integration/healthcheck/test_podman_compose_healthcheck.py
new file mode 100644
index 00000000..50aa3c49
--- /dev/null
+++ b/tests/integration/healthcheck/test_podman_compose_healthcheck.py
@@ -0,0 +1,59 @@
+# SPDX-License-Identifier: GPL-2.0
+
+import json
+import os
+import unittest
+
+from tests.integration.test_utils import RunSubprocessMixin
+from tests.integration.test_utils import podman_compose_path
+from tests.integration.test_utils import test_path
+
+
+def compose_yaml_path() -> str:
+    return os.path.join(os.path.join(test_path(), "healthcheck"), "docker-compose.yml")
+
+
+class TestHealthecheck(unittest.TestCase, RunSubprocessMixin):
+    def test_healthcheck(self) -> None:
+        up_cmd = [
+            "coverage",
+            "run",
+            podman_compose_path(),
+            "-f",
+            os.path.join(test_path(), "healthcheck", "docker-compose.yml"),
+            "up",
+            "-d",
+        ]
+        self.run_subprocess_assert_returncode(up_cmd)
+
+        command_container_id = [
+            "podman",
+            "ps",
+            "-a",
+            "--filter",
+            "label=io.podman.compose.project=healthcheck",
+            "--format",
+            '"{{.ID}}"',
+        ]
+        out, _ = self.run_subprocess_assert_returncode(command_container_id)
+        self.assertNotEqual(out, b"")
+        container_id = out.decode("utf-8").strip().replace('"', "")
+
+        command_inspect = ["podman", "container", "inspect", container_id]
+
+        out, _ = self.run_subprocess_assert_returncode(command_inspect)
+        out_string = out.decode("utf-8")
+        inspect = json.loads(out_string)
+        healthcheck_obj = inspect[0]["Config"]["Healthcheck"]
+        expected = {
+            "Test": ["CMD-SHELL", "curl -f http://localhost || exit 1"],
+            "StartPeriod": 10000000000,
+            "Interval": 60000000000,
+            "Timeout": 10000000000,
+            "Retries": 3,
+        }
+        self.assertEqual(healthcheck_obj, expected)
+
+        # StartInterval is not available in the config object
+        create_obj = inspect[0]["Config"]["CreateCommand"]
+        self.assertIn("--health-startup-interval", create_obj)
diff --git a/tests/unit/test_container_to_args.py b/tests/unit/test_container_to_args.py
index 3d035ae4..91490cd3 100644
--- a/tests/unit/test_container_to_args.py
+++ b/tests/unit/test_container_to_args.py
@@ -889,7 +889,7 @@ async def test_healthcheck_string(self) -> None:
                 "--name=project_name_service_name1",
                 "-d",
                 "--network=bridge:alias=service_name",
-                "--healthcheck-command",
+                "--health-cmd",
                 '["CMD-SHELL", "cmd arg1 arg2"]',
                 "busybox",
             ],
@@ -909,7 +909,7 @@ async def test_healthcheck_cmd_args(self) -> None:
                 "--name=project_name_service_name1",
                 "-d",
                 "--network=bridge:alias=service_name",
-                "--healthcheck-command",
+                "--health-cmd",
                 '["cmd", "arg1", "arg2"]',
                 "busybox",
             ],
@@ -929,7 +929,7 @@ async def test_healthcheck_cmd_shell(self) -> None:
                 "--name=project_name_service_name1",
                 "-d",
                 "--network=bridge:alias=service_name",
-                "--healthcheck-command",
+                "--health-cmd",
                 '["cmd arg1 arg2"]',
                 "busybox",
             ],