Health Care in Gujarat & investment Opportunities!!!

VAHORA MAHAMMADURVESH

INDUKAKA IPKOWALA INSTITUTE OF MANAGEMENT

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 %

Gujarat Snapshot

3 Manpower and Education

Number of Doctors - 39,734 Number of Nurses - 16,816

Manpower Statistics

Medical Colleges

Medical Infrastructure in Gujarat (Map)

MBBS – 13 (6 Govt. & 7 Private)

Homeopathic – 13

Ayurvedic – 9

Dental – 12 ( 5 Govt. & 7 Private)

Physiotherapy – 17

Pharmacy - 50

Source : Department of Health, Government of Gujarat

Key Education Centres

• Institute of Kidney Disease and Research Centre (IKDRC)

• Gujarat Cancer Research Institute ( GCRI)• U.N. Mehta Cardiology Research Institute• B.J. Medical College Ahmedabad• Gujarat Ayurvedic University , Jamnagar• Pramukh Swami Medical College , Karamsad Anand• Nathiba Hargovindas Lalbhai Medical College,

Ahmedabad• Surat Municipal Institute of Medical Education &

Research

R & D Organisation

Medical Colleges

MBBS & Dental

Hospitals

35086

36831

38013

39461 39734

32000

33000

34000

35000

36000

37000

38000

39000

40000

41000

2002 2003 2004 2005 2006

No. of Registered Doctors (2006): 39,734

15478

15801

16299

16755 16816

14500

15000

15500

16000

16500

17000

2002 2003 2004 2005 2006

No. of Registered Nurses (2006): 16,816

Primary Sub centres - 7274

Primary Health centres - 1072

Mobile Health Care Units - 85

Medical Colleges - 13

Community Health Centres - 273

Health Pyramid of GujaratHealth Pyramid of Gujarat

Facilitating Good Health

International healthcare expenditure perspective

0 5 10 15 20

United States

Australia

South Africa

Brazil

China

India

Public Health Expenditure(% of GDP) Private Health Expenditure (% of GDP)

Total Hospital beds

1.51.9

2.5

3.43.8

0

0.5

1

1.5

2

2.5

3

3.5

4

India India China Brazil Korea

No of beds '000 population2001-2012

1.1 million additional beds required

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)

SAL Hospital

MedisurgeHospital

Atharva Multispecialty

Ayurveda Hospital

Civil HospitalIKDRC

EMRI

MOUs signedName of the Company Project Details Location Cost (INR Crore)

Apollo Tyres, Artemis Health Science (AHS)

Medical College cum Hospital Ayurvedic College Paramedical CollegeNursing College

Baroda 500

Wockhardt Hospitals District Hospital Palanpur Tertiary Care Hospital 2 Crore

Anoop kothari, VC Kapoor and Other Surat

150 bedded multispecialty and superspecialty hospital

90-100

Public Health Foundation of India Ahmedabad Indian Institute of Public

Health 140

United Phosphorus Ltd & Rotary Club of Vapi Valsad

1.Civil Hospital2. Medical College

Investment by GoGURMET Trust

Bombay Hospitals Ahmedabad

Under Graduate and Post Graduate Medical institute with MS Hospital

150

Fortis Healthcare Ahmedabad Setting up a healthcare hub 750

Clinical Islet Transplant Group Inc Ahmedabad

Clinical Islet & Transplantation for diabetes

450

•EMRI (Ambulance 108) •PHFI foundation•Swasthya Bima Yojana•Chiranjeevi Yojana (with private gynecologists)

Expansion Projects

Hospital Investment Plans

Sterling Addlife India Ltd

• Surat – 150 beds hospital – INR 700 Cr

• Rajkot- 125 beds hospital – by 2008

• Mundra SEZ – 100 beds - by 2008

Medisurge Hospital

• Ahmedabad Multi Specialty- 100 Cr

• Surat- Oncology – 20 Cr

• Rajkot- Oncology- 20 Cr

• Bhavnagar- Oncology- 20 Cr

Rajasthan Hospital

• Medicity – Hansol Ahmedabad

• Transplantation Hospital- Ahmedabad

• Naturopathy Hospital –b Ahmedabad

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

• Surat – 25 Cr

Source: Industry Analysis

Foreign Collaborations

Krishna Heart Institute

Interfaith Medical Centre

Sterling Addlife India Ltd.

Pulse Women’s Hospital Pvt. Ltd

Mayflower Women’sHospital Pvt. Ltd

Actis Equity Firm

Jubail Specialist Hospital

Karl Storz,

New York

Ghana

Germany

Apollo Hospital Comprehensive Blood and

Cancer center (CBCC), Bakersfield CA

Private Equity Investor

Key markets : Health spend Trend

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

UK

USA

Japan

Chile

Thailand

Brazil

Russia

Sri Lanka

Philippines

Indonesia

Mexico

China

Singapore

Vietnam

India

Govt Funded Pvt. Insurance Out of Pocket

% of Total Health SpendSource: National Health Accounts, WHO

Health Insurance Market

Also Gujarat excels in

• Cardiology• Cardiothoracic surgery• Joint replacement• Orthopedic surgery• Gastroenterology• Ophthalmology• Transplants

Medical Tourists visiting India, 2000-2006

10000

40000

140000

230000

0

50000

100000

150000

200000

250000

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

Medical Tourism : Key DriversIn Gujarat

No waiting list

Cost Benefits

Holistic medicinal services

Experienced & qualified

specialists

Language is another plus point – English widely spoken

Gujarat contributes to 25-31 % of Medical

Tourism

6 million Gujarati’s spread across the world – constituting 32% of Indians abroad

Highest number of airports in India

Excellent rail-roadconnectivity

State-of-art multispecialtyhospitals

Corporate hospitals

receive about 60-70 international patients during October to

January each year

Advantage Gujarat

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

Procedure United States (USD) Approx

India (USD) 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

Cost Benefits in Gujarat

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

Establishing Chain of Primary public /Community Centres

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

DESTINATION

GUJARAT

HEALTHY GUJARAT!!!

•THANK YOU