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Health: Problems and Challenges




Opportunity Arabia
October 1st 2012
Saudi Arabia
•Largest health care market in the GCC

•Population 28 Million

•Current health care services inadequate –
supply only 60% of requirements
Government Aims

World class health care facilities for citizens and expatriates

Massive expansion of health care sector

Centre for Medical Tourism
Achievements – Health Services 1




 408 Hospitals in total (50- 1000+ beds)

 244 Public Hospitals

 34,370 beds
Achievements – Health Services 2

• Tertiary Care – Organ transplants, 30 operations
for conjoined twins

        • 21 Medical Colleges –
                    18 Government, 3 Private
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
Health Care Sector

• Government dominated – MOH provides 60% of
expenditure

• Free of charge to all Saudis

• Limited care for expatriates fuels demand for private
medicine
Structure of Services


•Tier 1 : Primary Care Centres and Clinics
throughout the Kingdom

•Tier 2: Secondary Care Hospitals and Specialised
Treatment Hospitals largely in the urban areas
Ministry of Health (MOH)

  Ministry of                     20 MOH
 Health (MOH)                     Regions



                              Planning and
     Role                     Development
                               of Services



                       Curative         Preventative
Health Services

                   MOH

 60% MOH            40% Others
                                     Private
 KFSHRC     NGHA   MOD   Education
                                      30%
Other Providers


                                                 40% of
   Other 40%                                    Services



                                   Military &
  30% Private                      Education               Private 30%
                                     10%



Quasi Government   KFSHRC   NGHA                MODA                Universities
       10%
Private Sector

• Small hospitals 50-200 beds

• Out patient services and minor surgery

• Variable standards
Budgetary Allocations
18
16
14
12
10
 8
 6
 4
 2
 0
     KSA    USA      Japan         China   Germany
Resources

• Compared to other developed countries there is a shortage
  of beds, nurses and doctors.

• Saudi Arabia has greater shortages than other GCC
  countries with lowest number of beds, nurses and doctors.
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.
Challenges: Demographics




• 50% of population under age 25

• Population over 60 set to double

• Lifestyle diseases – obesity, diabetes, cardiac diseases
  , renal diseases
Challenges: Resources




•   Inadequate infrastructure
•   Staff shortages
•   Rural / Urban Disparity
•   Quality of Services
Solutions: MOH Medical Cities

                      6 New Medical Cities

• Additional 6200 beds

• Highly specialised centres for cancer, organ transplant
  surgery, eye surgery and cardiac diseases.
Solutions: MOH Hospital Expansion



• New hospital construction – major bed expansion in all
  regions of the country
Solutions: New Clinics




• Primary Care - SAR 7 Billion for establishing and
  funding 2000 Primary Care Services

• Rehabilitation Services

• Polyclinics
Solutions: MOH Initiatives




• Preventative Health Programmes

• E Health: Electronic Records and telemedicine

• Home Medicine Programme for ambulatory care
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
Solutions: Training




• Ministry of Education will establish Medical
  training schools in all 24 Government
  Universities.
Solutions: Quality Control


• Quality Control of Clinical Services

• Hospital Accreditation System

• Standardisation of Medical Education
Opportunities

•   Hospital design and construction
•   Private medical insurance
•   Training and Recruitment
•   Pharmaceuticals and medical equipment
Opportunity arabia oct 12   health challenges and problems

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Opportunity arabia oct 12 health challenges and problems

  • 1. Health: Problems and Challenges Opportunity Arabia October 1st 2012
  • 2. Saudi Arabia •Largest health care market in the GCC •Population 28 Million •Current health care services inadequate – supply only 60% of requirements
  • 3. Government Aims World class health care facilities for citizens and expatriates Massive expansion of health care sector Centre for Medical Tourism
  • 4. Achievements – Health Services 1 408 Hospitals in total (50- 1000+ beds) 244 Public Hospitals 34,370 beds
  • 5. Achievements – Health Services 2 • Tertiary Care – Organ transplants, 30 operations for conjoined twins • 21 Medical Colleges – 18 Government, 3 Private
  • 6. 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
  • 7. Health Care Sector • Government dominated – MOH provides 60% of expenditure • Free of charge to all Saudis • Limited care for expatriates fuels demand for private medicine
  • 8. Structure of Services •Tier 1 : Primary Care Centres and Clinics throughout the Kingdom •Tier 2: Secondary Care Hospitals and Specialised Treatment Hospitals largely in the urban areas
  • 9. Ministry of Health (MOH) Ministry of 20 MOH Health (MOH) Regions Planning and Role Development of Services Curative Preventative
  • 10. Health Services MOH 60% MOH 40% Others Private KFSHRC NGHA MOD Education 30%
  • 11. Other Providers 40% of Other 40% Services Military & 30% Private Education Private 30% 10% Quasi Government KFSHRC NGHA MODA Universities 10%
  • 12. Private Sector • Small hospitals 50-200 beds • Out patient services and minor surgery • Variable standards
  • 13. Budgetary Allocations 18 16 14 12 10 8 6 4 2 0 KSA USA Japan China Germany
  • 14. Resources • Compared to other developed countries there is a shortage of beds, nurses and doctors. • Saudi Arabia has greater shortages than other GCC countries with lowest number of beds, nurses and doctors.
  • 15. 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.
  • 16. Challenges: Demographics • 50% of population under age 25 • Population over 60 set to double • Lifestyle diseases – obesity, diabetes, cardiac diseases , renal diseases
  • 17. Challenges: Resources • Inadequate infrastructure • Staff shortages • Rural / Urban Disparity • Quality of Services
  • 18. Solutions: MOH Medical Cities 6 New Medical Cities • Additional 6200 beds • Highly specialised centres for cancer, organ transplant surgery, eye surgery and cardiac diseases.
  • 19. Solutions: MOH Hospital Expansion • New hospital construction – major bed expansion in all regions of the country
  • 20. Solutions: New Clinics • Primary Care - SAR 7 Billion for establishing and funding 2000 Primary Care Services • Rehabilitation Services • Polyclinics
  • 21. Solutions: MOH Initiatives • Preventative Health Programmes • E Health: Electronic Records and telemedicine • Home Medicine Programme for ambulatory care
  • 22. 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
  • 23. Solutions: Training • Ministry of Education will establish Medical training schools in all 24 Government Universities.
  • 24. Solutions: Quality Control • Quality Control of Clinical Services • Hospital Accreditation System • Standardisation of Medical Education
  • 25. Opportunities • Hospital design and construction • Private medical insurance • Training and Recruitment • Pharmaceuticals and medical equipment