South African Healthcare Market Analysis by RNCOS

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                              © South African Healthcare Market Analysis
                                                RNCOS, 2008
                                                  Edition 1.0
                              All rights reserved. This publication is protected
                           by copyright. No part of it may be reproduced, stored
                           in a retrieval system or transmitted, in any form or by
                             any means, electronic mechanical, photocopying,
                               recording or otherwise without the prior written
                                         permission of the publishers.
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                                                               Table of Contents


1.   Analyst View ........................................................................................................................................8
2.   Healthcare Market Overview ............................................................................................................10
3.   Market Attractions .............................................................................................................................14
  3.1    Favorable Demographics ............................................................................................................14
  3.2    Burden of Diseases .....................................................................................................................17
  3.3    Strong Government Support........................................................................................................19
  3.4    Active Private Sector Participation ..............................................................................................23
  3.5    Traditional Medicinal Industry......................................................................................................25
  3.6    Low Penetration...........................................................................................................................27
4. Analysis by Diseases ........................................................................................................................28
  4.1    HIV/AIDS .....................................................................................................................................28
  4.2    Tuberculosis ................................................................................................................................32
  4.3    Malaria .........................................................................................................................................35
  4.4    Cardiovascular and Other Chronic Diseases ..............................................................................37
  4.5    Malnutrition ..................................................................................................................................39
5. Hospital Services Industry ...............................................................................................................41
  5.1    Hospitals and Beds......................................................................................................................41
  5.2    Occupancy Rate ..........................................................................................................................45
  5.3    Healthcare Human Resources ....................................................................................................47
6. Pharmaceutical Market .....................................................................................................................50
  6.1    Market Overview..........................................................................................................................50
  6.2    Pharmaceutical Imports and Exports...........................................................................................52
  6.3    Prescription and OTC Drugs .......................................................................................................54
  6.4    Generics ......................................................................................................................................56
7. Medical Devices Market ....................................................................................................................58
8. Emerging Market Segments .............................................................................................................62
  8.1    Health Insurance..........................................................................................................................62
  8.2    Medical Tourism ..........................................................................................................................64
  8.3    Clinical Trials ...............................................................................................................................67
9. Regulatory Environment...................................................................................................................68
  9.1    Hospital Services Market.............................................................................................................68
  9.2    Pharmaceutical Market ................................................................................................................69
  9.3    Medical Devices Market ..............................................................................................................71
10. Industry Restraints ............................................................................................................................72
  10.1 Poor Retention Rate of Healthcare Professionals .......................................................................72
  10.2 Regulations on Medicines Prices ................................................................................................73
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List of Figures:

Figure 2-1: Healthcare Sector Contribution in GDP (%), 2006-07 to 2010-11............................................10
Figure 2-2: Share of Public, Private and NGO in Healthcare Expenditure (2008-09).................................11
Figure 2-3: Share of Healthcare Expenditure in Government Expenditure (2007-08 to 2010-11)..............12
Figure 3-1: Infant Mortality Rate under Age Group 5 years (per 1000 live births), 2007-2009 ...................15
Figure 3-2: Forecast for Share of State Conditional Grants (2010-11) .......................................................21
Figure 4-1: HIV Prevalence in Sub-Saharan Africa (%) ..............................................................................28
Figure 4-2: Number of TB Cases (‘000), 2007 & 2008................................................................................32
Figure 4-3: TB Cure Rate (%), 2006 & 2007 ...............................................................................................33
Figure 4-4: Number of Malaria Cases (2007 & 2008) .................................................................................35
Figure 5-1: Number of Hospital Beds (2007-2009) .....................................................................................41
Figure 5-2: Number of Private Hospital Beds (2007-2009) .........................................................................43
Figure 5-3: Additional Demand for Number of Hospital Beds (2010-2013) ................................................44
Figure 5-4: Occupancy Rate by Hospital Type (%), 2008...........................................................................45
Figure 5-5: Private Hospital Occupancy Rate (%), 2006-2008 ...................................................................46
Figure 5-6: Number of Doctors (‘000), 2007-2009 ......................................................................................47
Figure 5-7: Number of Registered Nurses (‘000), 2007-2009.....................................................................48
Figure 5-8: Additional Demand for Number of Doctors (2010-2013) ..........................................................49
Figure 6-1: Pharmaceutical Market (Billion ZAR), 2008 & 2009 .................................................................50
Figure 6-2: Forecast for Pharmaceutical Market (Billion ZAR), 2010-2013 ................................................51
								
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