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Today’s Presenters
• She is a regular keynote speaker at industry conferences and is also often featured
in the media, such as BBC, Bloomberg, CNN, and CNBC.
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Globalization, consumerism and prosperity are the major
trends that will impact healthcare in SEA
Globalization:
• World is becoming smaller: cheap air- travel, connectivity,
internet, medical tourism
• Increased healthcare awareness because of multiple media
INFRASTRUCTURE
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Consumerism:
• Increased self medicating behaviour; ease of access (online)
• Increased expression of consumer individuality through brand
choices
2 3
Prosperity:
• Increasing disposable income, financial independence leading to
exploring more choices
• Increased health awareness has led to consumers spending more
on health prevention and OTC Source: Frost & Sullivan
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APAC among the fastest growing economies over the
next 5 years
CAGR
2.9%
lia
s tra
Au
Source: Data in the above charts were based on GDP per capita data in the respective country’s national currency as sourced from the WEO online database. The data above was
converted to US dollar based on the currency conversion rate for the respective years. Analysis by Frost & Sullivan
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Diverse population structures with varying levels of
purchasing power
Hi
gh
in m
c om u ris
o
G e, lt
ro 5- ica
w 10 ed y
Lo ing %
of ,m -pa
ru we m a y o r
ra r id po fl p e,c t fo
l a ec dl pu c n
re on e la Se ran da
c t io n
as o
m
la
ss n su e
ep C
ic in d
e t H
pr at en sic
of ir v
ile P nm ba
, v er
o
G
Sources: World Economic Outlook (WEO), World Bank and countries data. CAGR data is for 2006 to 2016
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Total Indonesia and Vietnam Healthcare Market Size
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Indonesia—Healthcare System
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Indonesia—Healthcare Indicators
Key Features
• The population of the country as of 2010 stands at 238.0 million people. It is recorded as the fourth
most populous country in the world.
• The population of the country is expected to grow at a consolidated pace of 1.0 percent for the 2010‒
2015 period.
• Life expectancy at birth has increased by 16 months per person from 2007 to 2011, and decreasing
mortality rates are a result of improving healthcare services.
Source: IMF, CIA World Fact Book, Indonesian Department of Health, Frost & Sullivan analysis.
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Disease Information – Major Causes of Death
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Indonesia—Health Care Delivery System
Healthcare System
Public Private
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Indonesia—Hospital Categorization
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Indonesia—Hospital Classification
Public
(Military) Mental
15.3% Leprosy
8% 6.6%
Public Pulmonary
(Ministry of Others TB
Health) 19.5% 3.0%
Public (State
36% or other govt
dept-owned)
5% Eye
3.9%
Maternity
19.5%
Pediatric
Private 32.1%
51%
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Number of Hospitals: Regional Spread
Sumatra Selatan
No. of hospitals:
34
DKI Jakarta
Jawa Tengah Bali
No. of hospitals:
No. of hospitals: No. of hospitals:
124
162 34
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National Health Strategic Plan: Infrastructure Targets
• Aim to increase the number of community health centers from 9,133 in 2010 to 10,856 in 2014
• Develop hospitals to achieve a ratio of 1 bed per 1,000 population in 2014
• Indonesia also aims to achieve sufficient numbers of medical professionals:
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Indonesia—Healthcare Expenditure Forecast
30.00
45.00
Private Government 40.00
25.00 35.00
30.00
20.00 12.8 25.00
11.3 20.00
15.00
n
ilo
b
($B
)
ilon)
15.00 9.5
E
10.00
xpenditur
7.3 5.00
10.00 0.00
GP
iam
rn
tso
e
v
4.7 2013F 2014F 2015F
D
r(U
S E
iu
d
n
p H
lth
x a
e
4.3 13.6
12.1 Private
5.00 10.3
7.8 14.66 16.96 19.95
5.1 5.7 Expenditure
0.00 Government
15.44 17.44 19.95
2007 2008 2009 2010e 2011e 2012e Expenditure
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Indonesia—Health Insurance Coverage
Enrolment (% of
Scheme Target Population Funding Source(s)
insured)
Jamkesmas Poor and near poor, based on General revenue (100%
(Askeskin) individual and household funded by central 32.3
targeting government)
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Vietnam—Healthcare System
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Vietnam—Healthcare Indicators
Key Features
• The population of the country as of 2010 stands at 88.3 million people. Vietnam’s population size is
expected to expand about 9.2 percent from 2006 to 2014, and is likely to grow 1.0 percent annually
from 2010–2014.
• The increase of life expectancy (73.9 years in 2006 to 74.7 years in 2010) have led to an increase in
aging population.
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Vietnam—Major Causes of Death
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Vietnam—Health Care Delivery System
People’s Committees
at Communes
COMMUNAL HEALTH
Village Health Workers
CENTRES
•Head
•Healthcare Workers
Source: Department of Health, Vietnam; Frost & Sullivan analysis
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Vietnam—Classification of Public Health System
Provincial Health Department of the • 304 general and specialist provincial hospitals in 64
Province of the People’s provinces, mostly with 50–100 beds and consultation and
Committee treatment rooms.
• 64 preventive medicine centres, 61 medical secondary
schools, and 61 pharmaceutical companies.
District Health Department of the • 3,014 medical specialist groups and 1,507 hospitals and
District of the People’s polyclinics (more than 600 hospitals nationwide)
Committee • About 100 beds in each of the hospitals; focus is on
obstetrics, geriatrics, and paediatrics
Commune Health Station of the • More than 10,600 commune health stations, with 4–6
Commune of the Peoples beds, a delivery room, and a cabinet stocked completely
Committee with medicines.
• Staffed with doctors, pharmacists, and nurses who
transport serious cases to district and central hospitals.
• Volunteers involved largely in providing immunization
and family planning services.
Source: The National Bureau of Asian Research, US and Frost & Sullivan analysis
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Vietnam—Key Health Care Infrastructure Statistics
CAGR %
Infrastructure 2006 2007 2008 2009
(2006–2009)
Source: General Statistics Office (GSO) of Vietnam, Frost & Sullivan analysis
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Vietnam—Regional Spread of Healthcare Infrastructure
Central hospitals in Vietnam are facing a shortage of beds; in some hospitals, a single bed is being shared by two or sometimes
even three patients. GSO statistics show that there were just 2.58 hospital beds per 1,000 people in Vietnam in 2008. According
to MOH, demand for beds in provincial hospitals is 115.0 percent while in major cities it is 250.0 percent.
Hospital Description
Hanoi
Bach Mai Hospital It is a multi-field medical facility and one of the largest in Vietnam, recognized as one of the
three specialized medical centres specializing in internal medicine.
L’Hôpital Francais de The hospital stands as a 68-bed multi-disciplinary care facility offering essential medical and
Hanoi surgical services, supported by 20 rotation doctors and 93 qualified nurses.
Viet Duc Hospital It is the largest surgical centre in Vietnam. The hospital has more than 500 beds for patients
and 18 surgery rooms and can perform over 800 open-heart operations annually.
Central Vietnam
Hue Central Hospital The hospital is one of three largest in the country, providing 2,078 beds. HCH is organized
into 52 clinics and para-clinic departments, notably the Cardiovascular Center, Blood
Transfusion Center, and Training Center.
Ho Chi Minh City
Chợ Rẫy Hospital It is the largest general hospital in Ho Chi Minh City. At present, the hospital has 35 clinical,
11 subclinical, and 8 functional departments.
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Vietnam—Healthcare Expenditure
9.00
8.00
7.00
6.00
5.00
4.00
3.00
n B
ilo
) ($
2.00
1.00
H
0.00
rE
iu
d
n
p
xlth
c a
e
25
Mega Trends and Healthcare Market Trends
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Key Mega Trends impacting Indonesia and Vietnam
Future
The Middle Economic
High
Bulge Growth
Connectivity
Generation Y
Increase in Urbanization
Working Age
Population
“She-conomy” Future Infrastructure
Degree of Impact
Private public
partnerships
Top Industries of
Wealth the Future
Innovating
Watchers
to Zero Health, Wellness “Value for Many”
and Well Being Business Model
Space
Jam
“Click-n-Connect”
Mobile users
Future Energy
Power Generation
E-Mobility
E-Governance
Low
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What’s Trending for Indonesia Between 2012 and 2015
Indonesia’s per capita expenditure on pharmaceuticals is expected to remain below the US $30 mark
by 2015 as patients continue to be responsible for the bulk of their medical bills.
Indonesian health ministry established a supervisory body, the Indonesian Hospitals Supervisory
Agency (BPRSI), in Nov 2011.
The University of Indonesia is constructing a new hospital at its Depok campus; the Japan International
Cooperation Agency will provide a loan of $158.0 million to the university to establish UI Hospital.
Indonesian Q3 GDP growth came in at a strong 6.5 percent year-on-year for 2011.
As of December 2011, the Indonesian health insurance program for the poor, Jamkesmas, covered
76.4 million people.
In Q4 2012, some of the major reforms announced by Indonesian MOH include a merger of ASKES
and JAMKESMAS, and five committees are now working to set the insurance system.
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Examples of investments into Indonesia
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Thank You!
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For Additional Information
Dewi Nuraini
Corporate Communications
Indonesia
+62 21 571 0838
dewi.nuraini@frost.com
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