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The Healthcare Sector Updated Report Available
BY Carole Veitch
South Africa
27 June 2016
R 2 040.00 (ZAR)  
estimated $ 143.25 (USD) *
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Human Health Activities


This report focuses on the South African healthcare sector which falls under the jurisdiction of the National Department of Health and comprises the public sector, private for-profit healthcare providers and private not-for-profit healthcare providers. Stakeholders estimate that more than 80% of the country’s population relies on public health facilities, which, for the most part, are under-resourced and over-extended. This highly polarised sector, which is currently the subject of a Competition Commission inquiry, comprises 240,024 registered healthcare workers serving a population of around 55 million people. Total health expenditure for the financial year 2015/2016 increased to R357.03bn, approximately 8.8% of GDP.


A sector under pressure


The healthcare sector is confronted by numerous challenges, including what is termed the Quadruple Burden of Disease: infectious diseases, notably HIV and Tuberculosis; maternal and child mortality; non-communicable diseases such as diabetes, cancer and hypertension; and violence, injuries and trauma. Although the country’s HIV treatment programme has improved and from September 2016 all HIV-positive South Africans will have access to antiretroviral drugs regardless of their CD4 count, South Africa still has the highest number of HIV/AIDS cases in the world with 6.19 million people living with the disease.The shortage of healthcare professionals remains one of the most critical challenges facing the healthcare sector. With the doctor to population ratio having declined well below the global average of 15 doctors per 10,000 people, to six doctors per 10,000 people, many stakeholders believe that the shortage of medical professionals in South Africa is a national crisis.


Report coverage


The detailed report on the country’s healthcare industry describes current conditions, the latest developments in the public and private sectors and discusses factors influencing the success of this vital sector. The report profiles 25 role players, including Blood Banks, Pathology Practices and Ambulance Services. Also profiled are Netcare Limited, Life Healthcare and Mediclinic Southern Africa, which together account for 75% of the domestic private healthcare market.


Page
1. INTRODUCTION 1
2. DESCRIPTION OF THE INDUSTRY 1
2.1. Value Chain 3
2.2. Geographic Position 4
3. SIZE OF THE INDUSTRY 5
4. STATE OF THE INDUSTRY 17
4.1. Local 17
4.1.1. Corporate Actions 26
4.1.2. Regulations 28
4.1.3. Enterprise Development and Socio-Economic Development Initiatives 31
4.2. Continental 31
4.3. International 34
5. INFLUENCING FACTORS 37
5.1. Government Intervention 37
5.2. Economic Environment 38
5.3. Input Costs 40
5.4. Technology, Research and Development (R&D) and Innovation 40
5.5. Labour Resources 45
5.6. Lack of Facilities 48
5.7. Civil Society 50
5.8. Environmental Concerns 51
6. COMPETITION 53
6.1. Barriers to Entry 55
7. SWOT ANALYSIS 56
8. OUTLOOK 57
9. INDUSTRY ASSOCIATIONS 58
10. REFERENCES 60
10.1. Publications 60
10.2. Websites 61
APPENDIX 1 64
Classification of Public Healthcare Facilities 64
APPENDIX 2 65
APPENDIX 3 66
Total Number of Active HPCSA Registrations as at 03 May 2016 66
APPENDIX 4 71
The Potential Impact of eHealth and mHealth on Africa 71
COMPANY PROFILES – GOVERNMENT AND PRIVATE HOSPITALS 72
Advanced Health Ltd 72
Department of Health 76
Lenmed Investments Ltd 93
Life Healthcare Group (Pty) Ltd 98
Mediclinic International Plc 106
National Hospital Network 110
Netcare Ltd 119
Origin 6 Healthcare (Pty) Ltd 127
COMPANY PROFILES – BLOOD BANKS 128
South African National Blood Service 128
Western Province Blood Transfusion Services 130
COMPANY PROFILES – MEDICAL AND DENTAL PRACTICES 133
CareCross Health (Pty) Ltd 133
Medicross Healthcare Group (Pty) Ltd 135
Metropolitan Health Risk Management (Pty) Ltd 138
Prime Cure Health (Pty) Ltd 140
COMPANY PROFILES – OPTICAL 142
Mellins I Style Optometrists Inc 142
Moffatt Inc 145
Spec Savers South Africa (Pty) Ltd 147
Torga Optical (Pty) Ltd 149
COMPANY PROFILES – AMBULANCE SERVICES 154
ER24 EMS (Pty) Ltd 154
Gardmed Ambulance Services Trust 158
Netcare Ltd 161