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Indian economy in a resilient mode in terms of GDP growth Mobile connections have increased from 6 mln in March 02 to 362 mln in June 09
Growth of Healthcare Industry The Healthcare Industry has grown from USD 18.7 bln in 2000 to USD 35 bln in 2008.
40 35 30 25 20 15
CAGR 9.3%
10
5 0 2000 2005 2008
Population Growth
India is the worlds second most populous country Significant population growth between 1970 - 2000
1,600 3.0% 2.5% 2.0% 1.5% 1.0% 0.5% 0.0% Indian Population Count (mn) 1,400 1,200 1,000 800 600 400 200
With a billion plus population the need for healthcare is universal for both Urban and Rural India. With an increasing incidence of life style diseases (approx. 33 percent of the total pie) and a growing geriatric and pediatric population, there is an emphasis on the need for specialty care
Derma 6% Neuro/ CNS 6% Gynaec 6% Vitamins/ minerals/ Nutrients 10% Pain/ Analgesic 10% Gastrointestinal 13% Anti-Diabetic 5% Antiinfectives 21%
-0.5%
7 - 14 yrs 15 - 59 yrs
Respiratory 11%
Cardiac 12%
3
Public Healthcare
There has been a significant increase in public infrastructure over the years. While in 1947 the number of hospital beds was 3.2 per 10,000, the present number of 9 per 10,000 is commendable, but still far behind that of other developing countries The governments share in the healthcare delivery market is only 20 percent. The current NHP aims to increase the government contribution to healthcare to touch 2 percent of the GDP by the end of the five year tenure, an increase from the present contribution of 0.9 percent. Government Initiatives like NRHM, NUHM and RSBY are working towards better healthcare for the poor.
Country Japan France Switzerland Australia United States of America Thailand Malaysia India
4
Head
Beds/ 10000 141 73 57 40 32 29 18 9
Budget FY10
INR Cr 14,127 1,448 734 350 100 10 4,344 21,113
National Rural Health Mission Institutes like AIIMS in Tier II cities AYUSH Rashtriya Swasthya Bima Yojana (RSBY) Medical education for OBC National Programme for Prevention and Control of Deafness (NPPCD) Other heads Total
Private Healthcare
India has one of the highest private spending in healthcare as compared to other countries. Nearly 80% of the total spend. In India, Out of pocket spending is one of the highest, constituting 94% of the total spend in the private health industry. Extensive landscape of private players with multi & super specialty hospitals, innovative rural models, and MediCities. Increasing Private Equity investment into the sector, with an affinity towards innovative rural models and super specialty care. With Infrastructure status, 100% FDI under the automatic route, Service Tax exemption and Rural and Tier II hospitals exempt from Income Tax for 5 yrs, Private healthcare is on a high growth path.
No. of Beds
4000
3000 2000 1000 0
Fortis
CARE Hospitals Narayana Hrudayalaya Kolkilaben Ambani Hospital Dr. Trehan's MediCity Max
2006
2008
2012
Medical Tourism
1.2 1.0 USD bn 3.5 3.0 2.5
USD bn
2006 2008 2012
70
Medical Tourism 60 Hospitals
USD Bn
50
40
30
20
10
Growth Drivers
Economic Growth
Availability of Insurance
Regulatory Support
GROWTH
Available Skilled Manpower
Recommendations
Step-up in Government funding and initiatives via a special task force Implementation of REITs and increased use of Private-Private Partnership Models Addressing geographic accessibility through PPP and harnessing local resources