OA10 Health Care Sector Saudi Arabia 2013
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Health Care Sector Saudi Arabia
Opportunity Arabia 10 October 4th 2013
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Saudi Arabia •Largest health care market in the GCC
•Population 28.9 Million (2012 World Bank)
•Average life expectancy 75 years
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Health Care Sector
National Health Care System
Government provides health care via several Government agencies: MOH, MODA, NGHA,MOI, MOE
(70% of services Primary to Tertiary)
Private Sector – growing role (30% of services Primary and Secondary)
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Ministry of Health (MOH)
Regulation
Planning
Finance
Management
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Ministry of Health (MOH)
Role
Ministry of Health (MOH)
20 MOH Regions
Planning and Development
of Services
Preventative Curative Rehabilitation
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Structure of Services
•Tier 1 : Primary Health Care (PHC) via network of 1925 medical centres
•Tier 2: Referral to Secondary and Tertiary Care Hospitals providing general and
specialised care (220 Hospitals)
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Governmental Providers: Armed Forces and Security Personnel
MODA
MOI
SANGHA
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Governmental Providers: Autonomous Agencies
Ministry of Education (students)
Ministry of Labour and Social Affairs (orphans and mentally retarded)
GOSI and GPYW - Sports
Royal Commission for Jubail and Yanbu
University Hospitals
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Governmental Providers: National Tertiary Referral Centres
King Faisal Specialist Hospital and Research
Centre Riyadh and Jeddah
King Khalid Eye Hospital
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Private Sector: 30% of healthcare
• Small hospitals 50-200 beds and polyclinics
• Primary and Secondary Care mainly Out patient services and minor surgery
• Variable standards of quality
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Health Services
MOH
60% MOH
KFSHRC NGHA
40% Others
MODA EducationPrivate
30%
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Government Aims
1. Massive expansion of health care sector including private sector.
2. World class health care facilities for citizens and expatriates
3. Centre for Medical Tourism
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Achievements – Health Services 1
1. Primary Care service
2. 500+ Hospitals in public and private sectors.(50- 1000+ beds)
3. New Medical Cities under construction
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Achievements – Health Services 2
• Tertiary Care – Organ transplants, 30 operations for conjoined twins
• 5 major medical schools and 21 Colleges offering medical training – 18 Government, 3 Private
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Achievements - Population
1960 population 3 million, 90% nomadic
2012 population 28 Million, mostly urbanised
Doubling of life Expectancy since 1960s
Huge reductions in mortality and morbidity rates
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Budgetary Allocations % GDP
KSA USA Japan China Germany0
2
4
6
8
10
12
14
16
18
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Challenges: Resources
Infrastructure Deficiencies and Human Resources Shortages• Compared to other developed countries there is a
shortage of beds, nurses and doctors.
• Lowest number of beds, nurses and doctors per head of population in GCC.
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Challenges: Rural/ Urban Divide
• Medical services concentrated in cities of Riyadh, Jeddah, Al Khobar and Dammam
• Delivery of quality services in other cities and rural areas is weak.
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Challenges and Opportunities •Demand Drivers for Health Care
•Megaprojects and Medical Cities
•Private Investment Incentives and Opportunities
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Demand Drivers 1
Demographics• Population Growth - 50% of population under age 25
• Population over 60 set to double
• Expatriate population not entitled to state medical care
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Demand Drivers 2
Diseases• Lifestyle diseases – obesity, diabetes, cardiac diseases ,
renal diseases• Accidents and Trauma• Cancer• Genetic Disorders
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Challenges
Infrastructure, Geography, Quality • Inadequate infrastructure• Staff shortages in all disciplines• Rural versus Urban Disparity in resources• Quality of Services – need for standard regulatory
framework
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Solutions: MOH Medical Cities
6 New Medical Cities
• Additional 6200 beds
• Highly specialised centres for cancer, organ transplant surgery, eye surgery and cardiac diseases.
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Solutions: MOH Hospital Expansion
• New hospital construction – major bed expansion in all regions of the country
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Solutions: New Clinics
• Primary Care - SAR 7 Billion for establishing and funding 2000 Primary Care Services
• Rehabilitation Services
• Polyclinics
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Solutions: MOH Initiatives
• Preventative Health Programmes
• E Health: Electronic Records and telemedicine
• Home Medicine Programme for ambulatory care
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Solutions: Private Sector Expansion 2012 -2015
• Mandatory health insurance for expats creates increased demand for private medical care.
• Health insurance may be extended to Saudi citizens• Health insurance predicted to grow by 19% by end of 2015
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Solutions: Training
• Ministry of Education will establish Medical training schools in all 24 Government Universities.
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Solutions: Quality Control
• Quality Control of Clinical Services
• Hospital Accreditation System
• Standardisation of Medical Education
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Business and Investment Opportunities
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Government and Private
Government
• Hospital megaprojects and construction• E Health Services• Preventative Care and Education• Quality Control and Regulation
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Government and Private
Private Sector• Private sector contribution in the primary and secondary
healthcare markets is heavily concentrated in 3 main provinces: Riyadh, Makkah and the Eastern regions. These make up approximately 66% of the population.
• Jazan and Al Jouf regions noted to be short of physicians and beds and require private sector investment..
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Private Sector – Evolving
Emerging
Evolving
Developed
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Government and Private
Private Sector• Private investments low – just 9 out of 125 new projects
• Strategic Initiatives to encourage private investment and reduce public sector burden..
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