RNCOS
Online Business Research
RNCOS
Online Business Research
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© South African Healthcare Market Analysis
RNCOS, 2008
Edition 1.0
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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
RNCOS
Online Business Research
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 (%