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The Healthcare Sector in South Africa
BY Carole Veitch
South Africa
31 October 2020
R 14 400.00 (ZAR)  
estimated $ 872.54 (USD) *
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The Healthcare Sector in South Africa


Expenditure on South Africa’s public and private healthcare in the formal sector totalled more than R400bn in 2019, while traditional healers that largely operate in the informal sector generated an estimated R3.5bn. The coronavirus pandemic has focused attention on the state of the healthcare system and its capacity to respond effectively to the health crisis. While private healthcare delivery is generally of a high standard, most public sector healthcare facilities are overextended, understaffed and poorly resourced.


Prohibitive Costs


Due to the high cost of private healthcare, particularly the cost of hospitalisation, specialist fees and radiology, more than 83% of the population is reliant on overburdened public health services. The prohibitive cost of private healthcare was a focal area of an inquiry by the Competition Commission, whose findings and recommendations were published in September 2019. To redress inequities in the health sector, government plans to overhaul the system and phase in National Health Insurance.


Burden of Disease


South Africa has high maternal, infant and child mortality rates, a high incidence of infectious diseases, especially HIV/Aids and TB, a rising prevalence of non-communicable diseases, such as diabetes, cancer and hypertension and an extremely high number of trauma cases, largely related to the high levels of violent crime and road accidents. There has been considerable progress in the management of infectious diseases such as HIV and Aids. South Africa’s ARV treatment programme is the largest of its kind in the world.


Report Coverage


This report focuses on the healthcare sector in South Africa and examines the capacity and capabilities of the healthcare system and the impact of the coronavirus crisis on the sector. It includes information on the state and size of the sector, developments and corporate actions of notable players, and influencing factors including the coronavirus pandemic and regulation. There are profiles of 26 entities including the Department of Health and the South African National Blood Service, major private hospital groups Life Healthcare, Mediclinic and Netcare and laboratory services such as Ampath.


Page
1. INTRODUCTION 1
2. DESCRIPTION OF THE INDUSTRY 1
2.1. Industry Value Chain 4
2.2. Geographic Position 5
3. SIZE OF THE INDUSTRY 7
4. STATE OF THE INDUSTRY 12
4.1. Local 12
4.1.1. Corporate Actions 18
4.1.2. Regulations 19
4.1.3. Enterprise Development and Social Economic Development 23
4.2. Continental 24
4.3. International 27
5. INFLUENCING FACTORS 31
5.1. Coronavirus 31
5.2. Government Interventions 34
5.3. Economic Environment 36
5.4. Labour Resources 37
5.5. Input Costs 41
5.6. Technology, Research and Development (R&D) and Innovation 41
5.7. Environmental Concerns 45
5.8. Civil Society 46
5.9. Cyclicality 47
6. COMPETITION 47
6.1. Barriers to Entry 48
7. SWOT ANALYSIS 49
8. OUTLOOK 50
9. INDUSTRY ASSOCIATIONS AND OTHER ENTITIIES 51
10. REFERENCES 53
10.1. Publications 53
10.2. Websites 54
APPENDIX 1 - SUMMARY OF NOTABLE PLAYERS 56
Government Hospitals 56
Private Hospitals 56
Medical and Dental Practices 60
Optical 61
Blood Banks 61
Pathology Practices 62
Ambulance Services 63
COMPANY PROFILES - GOVERNMENT AND PRIVATE HOSPITALS 64
ADVANCED HEALTH LTD 64
BUSAMED (PTY) LTD 68
CLINIX HEALTH GROUP (PTY) LTD 70
LENMED INVESTMENTS LTD 74
LIFE HEALTHCARE GROUP (PTY) LTD 78
MEDICLINIC INTERNATIONAL PLC 87
NATIONAL DEPARTMENT OF HEALTH 91
NATIONAL HOSPITAL NETWORK NPC 108
NETCARE LTD 117
COMPANY PROFILES – MEDICAL AND DENTAL PRACTICES 123
KAELO PRIMECURE (PTY) LTD 123
MEDICROSS HEALTHCARE GROUP (PTY) LTD 125
MOMENTUM METROPOLITAN HOLDINGS LTD 130
NOVAHEALTH (PTY) LTD 135
COMPANY PROFILES – OPTICAL 137
MELLINS I STYLE OPTOMETRISTS INC 137
MOFFATT INC 141
SPEC SAVERS SOUTH AFRICA (PTY) LTD 143
TORGA OPTICAL (PTY) LTD 145
COMPANY PROFILES – BLOOD BANKS 150
SOUTH AFRICAN NATIONAL BLOOD SERVICE NPC 150
WESTERN CAPE BLOOD SERVICE NPC 153
COMPANY PROFILES – PATHOLOGY PRACTICES 156
AC MAUFF AND PARTNERS 156
AMPATH TRUST 159
BIO ANALYTICAL RESEARCH CORPORATION SOUTH AFRICA (PTY) LTD 162
DIETRICH VOIGT MIA (PTY) LTD 164
NATIONAL HEALTH LABORATORY SERVICE 168
COMPANY PROFILES – AMBULANCE SERVICES 172
ER24 EMS (PTY) LTD 172
GARDMED AMBULANCE SERVICE TRUST 177
NETCARE LTD 180