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Health Care in Gujarat &

investment Opportunities!!!

VAHORA MAHAMMADURVESH
INDUKAKA IPKOWALA INSTITUTE OF MANAGEMENT
Gujarat Snapshot
Population 50 million (5% of India)

Geographical Area 196,000 sq. km (6.19% of India)

Literacy Rate 69.14 % (National Literacy Rate: 61%)

GSDP (at current price) USD 52.8 billion

Revenue Surplus INR 1802.85 Crore (2006-07 – RE*)

Exports 14.3% of India

Urbanization rate 38% (vis-à-vis India’s 28%)

Per Capita Power Consumption 1,354 units (National Average: 665)

Cellular Connection 41 per 1000 persons (National Average: 26)

Cellular Subscriber 10.3 million

Motor Vehicles 118 per 1000 persons (National Average: 57)

Irrigated area as % of GCA* 32.15%

Villages Electrified 100%

Sex Ratio at birth (CRS – 06) 870 Females : 1000 Males

Inflation rate (WPI) 9.3 %


Manpower and Education 3

Medical Infrastructure in Gujarat (Map)


Manpower Statistics

Number of Doctors - 39,734


Number of Nurses - 16,816

Medical Colleges

MBBS – 13 (6 Govt. & 7 Private)


Homeopathic – 13
Ayurvedic – 9
Dental – 12 ( 5 Govt. & 7 Private)
Physiotherapy – 17
Pharmacy - 50

Key Education Centres


• Institute of Kidney Disease and Research Centre
(IKDRC)
• Gujarat Cancer Research Institute ( GCRI)
• U.N. Mehta Cardiology Research Institute R & D Organisation
• B.J. Medical College Ahmedabad
• Gujarat Ayurvedic University , Jamnagar
Medical Colleges
• Pramukh Swami Medical College , Karamsad Anand
• Nathiba Hargovindas Lalbhai Medical College, MBBS & Dental
Ahmedabad
• Surat Municipal Institute of Medical Education &
Research Hospitals
Source : Department of Health, Government of Gujarat
Facilitating Good Health
No. of Registered Doctors (2006): 39,734 No. of Registered Nurses (2006): 16,816
41000
39461 39734
40000 17000 16755 16816
39000
38013 16500 16299
38000
36831
37000 16000 15801
36000
35086 15478
35000 15500

34000
15000
33000
32000 14500
2002 2003 2004 2005 2006 2002 2003 2004 2005 2006

Health Pyramid of Gujarat Medical Colleges - 13


Mobile Health Care
Units - 85
Community Health Centres - 273

Primary Health centres - 1072


Primary Sub centres - 7274
International healthcare expenditure perspective

India

China

Brazil

South Africa

Australia

United States

0 5 10 15 20
Public Health Expenditure(% of GDP) Private Health Expenditure (% of GDP)
Total Hospital beds
4 3.8
1.1 million additional 3.4
3.5 beds required
3 2.5
2.5
1.9
2 1.5
1.5
1
0.5
0
India India China Brazil Korea

No of beds '000 population2001-2012

At 1.9 bed per ‘000 population, India would be at 75% of


current Chinese ratio and at 50% of the level of Brazil & Korea
Private Players in Gujarat (PPP)

IKDRC
Medisurge Civil Hospital
Hospital
SAL Hospital

Atharva
Multispecialty
Ayurveda Hospital
EMRI
MOUs signed
Name of the Company Project Details Location Cost (INR Crore)
Medical College cum
Hospital
Apollo Tyres, Artemis Ayurvedic College Baroda 500
Health Science (AHS) Paramedical College
Nursing College

Wockhardt Hospitals District Hospital Tertiary Care Hospital 2 Crore


Palanpur

Anoop kothari, VC 150 bedded


Kapoor and Other Surat multispecialty and 90-100
superspecialty hospital
Public Health Ahmedabad Indian Institute of Public 140
Foundation of India Health
United Phosphorus Ltd 1.Civil Hospital Investment by GoG
& Rotary Club of Vapi Valsad
2. Medical College URMET Trust
Under Graduate and
Bombay Hospitals Ahmedabad Post Graduate Medical 150
institute with MS
Hospital

Fortis Healthcare Ahmedabad Setting up a healthcare 750


hub

Clinical Islet Transplant Clinical Islet &


Group Inc Ahmedabad Transplantation for 450
diabetes

•EMRI (Ambulance 108)


•PHFI foundation
•Swasthya Bima Yojana
•Chiranjeevi Yojana (with private gynecologists)
Expansion Projects

Hospital Investment Plans

• Surat – 150 beds hospital – INR 700 Cr

Sterling Addlife India Ltd • Rajkot- 125 beds hospital – by 2008

• Mundra SEZ – 100 beds - by 2008

• Ahmedabad Multi Specialty- 100 Cr

• Surat- Oncology – 20 Cr
Medisurge Hospital
• Rajkot- Oncology- 20 Cr

• Bhavnagar- Oncology- 20 Cr

• Medicity – Hansol Ahmedabad

Rajasthan Hospital • Transplantation Hospital- Ahmedabad

• Naturopathy Hospital –b Ahmedabad

• Palanpur – 1 Cr
Pulse Women’s Hospital Pvt. Ltd
• Surat – 25 Cr

Source: Industry Analysis


Foreign Collaborations

Krishna Heart Interfaith Medical


Institute New York Centre

Sterling Actis Equity


Addlife India Ltd. Private Equity Investor Firm

Pulse Women’s Jubail Specialist


Ghana
Hospital Pvt. Ltd Hospital

Mayflower Women’s Karl Storz,


Germany
Hospital Pvt. Ltd

Comprehensive Blood and


Apollo Hospital Bakersfield CA
Cancer center (CBCC),
Health Insurance Market
Key markets : Health spend Trend

India

Vie tnam

Singapore

China
Me xico

Indone s ia

Philippine s
Sri Lanka

Rus s ia

Brazil

Thailand
Chile

Japan

USA

UK

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Govt Fun ded Pvt. In suran ce Out of Pocket

% of Total Health Spend


Source: National Health Accounts, WHO
Also Gujarat excels in

• Cardiology
• Cardiothoracic surgery
• Joint replacement
• Orthopedic surgery
• Gastroenterology
• Ophthalmology
• Transplants
Medical Tourists visiting India, 2000-2006

250000 230000

200000

150000 140000

100000

50000 40000
10000
0
2000 2001 2002 2003 2004 2005 2006

Source: Technopak Healthcare Outlook


Medical Tourism
Gujarat’s medical expertise and the strength of its facilities are better than those of some of the South – East Asian Nations
and Gujarat hospitals are trying to do a lot more hard selling abroad. They are seeking to achieve this by measures such as
Creating centre of excellence in respective fields, Developing a Network, Customised packages available and
Quality stamp through accreditation from global certification agencies such as JCI

Experienced &
qualified
Holistic medicinal specialists No waiting list
services
Language is another
Cost Benefits plus point – English
widely spoken
Medical Tourism : Key Drivers
In Gujarat
Advantage Gujarat
State-of-art multispecialty Highest number of
hospitals airports in India
Excellent rail-road
Corporate hospitals connectivity
6 million Gujarati’s
receive about 60-70 international Gujarat contributes
spread across the world –
patients during October to to 25-31 % of Medical
constituting 32% of Indians
January each year Tourism
abroad

Source: Industry Analysis, Gujarat Infrastructure Development Board (GIDB),


Cost Benefits in Gujarat

Procedure United States (USD) India (USD) Approx


Approx
Liver Transplant USD 3,00,000 USD 69,350
Heart Surgery USD 30,000 USD 8,700
Orthopedic Surgery USD 20,000 USD 6,300
Metal Free Bridge USD 5,500 USD 600
Dental Implants USD 3,500 USD 900
Porcelain Metal Bridge USD 3,000 USD 600
Porcelain Metal Crown USD 1,000 USD 100
Tooth Impactions USD 2,000 USD 125
Root Canal Treatment USD 1,000 USD 110
Tooth Whitening USD 800 USD 125
Tooth Colored Composite USD 500 USD 30
Fillings / Tooth Cleaning USD 300 USD 90
Cause for attraction
• United States
– At a quarter or sometimes even a 10th of the cost at
home
• Canada
– Frustrated by long waiting times
• Great Britain
– Can't wait for National Health Service
– Can't afford to private practice
• For others
– A chance to combine a tropical vacation with elective
or plastic surgery.
Investment Opportunities
Integrated Medicity

Healthcare Outsourcing (BPO)

Establishing Global Accreditations Facilities

High – Tech MRI/CT Scan Facilities

DESTINATION Establishing Chain of Primary public /Community Centres

GUJARAT Holistic Wellbeing- Yoga, Physiotherapy, Acupressure

Computer Navigated Surface Replacement Surgery of the Hip


and Knee-Joint

Low Cost Paid Surrogacy through In- Vitro Fertilisation

Hospital Management on Rehabilitate, Operate and Transfer


(ROT) basis

HEALTHY GUJARAT!!!
•THANK YOU

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