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
