pl_PL en_EN de_DE







Medical equipment


The demand for medical equipment in Egypt is set to rise in almost all fields. Demographic development, low cost of living and increasing demands and expectations as to the range and quality of services – all make perfect conditions for development of this sector. Primary health care has already improved significantly, however its further expansion requires huge investments. In order to achieve this, it is necessary to increase the private sector engagement. It is done by inviting representatives of the private sector to participate in various public-private cooperation based projects. About 70 hospitals is going to be built or modernized in the years 2013/14. There are plenty of competitions for public contracts being held. Delays in payments may occur due to tight budgets or currency fluctuations. Domestic production is limited mainly to consumer goods or less complicated technical devices.



Tunisia became an important region for health care market. Its well-developed health system, as well as abroad patients, both constitute to a good condition of this sector. After the fall of Ben Ali’s regime, hospitals in less developed regions were expanded and modernized. The rise of private investments in hospitals’ building is probably going to happen, but due to unstable political situation it is difficult to determine when. There is one Japanese company building a hospital (400 beds). Almost all operators of hospitals in Tunisia are going to participate in re-building the health sector in Libya. Also China declared to financially participate in building the university hospital in the seaside town Sfax.

Relatively small private sector in Algeria is developing dynamically nowadays. There are quite a lot of private, well equipped clinics emerging. In connection with the growth of private sector, it is predicted that in 2013 and 2014 the import of medical equipment will grow by a two-digit percentage number. However, it is necessary to catch up after all the years of negligence in the public medical sector. In the budget of Algeria for the year 2013, about 2.9 billion of Euro is planned to be spent for the medical sector. 900.000 Euros of this sum is going to cover all the current and new investments. If building new public hospitals is successfully accelerated, then resuming and finishing the overdue projects will only be a matter of time.

Both improvement and modernization of neglected in the 90s health care is one of the key elements of new policy of Morocco government. In the budget for 2013, as much as 260 million is intended to cover expenses related to the medical sector. Because of huge savings of the government, this sum is unlikely going to be entirely spent for the mentioned purpose. Building huge new clinics that was scheduled for this year is probably going to be postponed. It can be assumed that the government is going to work on improving the access to health care system for the population from the rural areas. There is a hospital currently built in Casablanca - fully financed by the emirate of Abu Dhabi. Its value amounts to 100 million USD.

The Libyan health care system has been almost entirely destroyed during the revolution, because of the intense military operations. There were cases of transporting the patients abroad by planes. Medical sector has already been in the turning point in 2011, however, the patients who could afford it, preferred to be treated abroad. In 2013, further direction of development of the medical sector in this country was still difficult to predict. Private health care before the revolution had still been on a relatively low level, but the prognosis were good. The government still dominated with their – theoretically – wide and free offer of health care services. In spite of that, the private sector was still renovating and re-building the existing clinics and hospitals. Dynamic development on the Libyan market can still be expected. The biggest investments are still going to be supervised by the public institutions that are directly subjected to the Ministry of Health.

Purchasing the medical equipment in Israel is mainly funded from the public means, so the budget problems may have direct impact on the amount of orders. On the other side, however, thanks to the support of the government, a lot of failures can be avoided. Despite of the low economic growth in 2012, import of the medical equipment has grown for 4.2 %. In the following year, due to co-operation with abroad contractors, this index has grown up to 11.1 %. There are also fields of medicine that are entirely in the hands of private investors – for example dentistry and plastic surgery. It can be clearly seen on the market that demand for medical equipment is very high.

Saudi Arabia is planning to extend and intensively modernize health care. On their territory there are huge arrears that need to be worked on by the government. Due to the huge growth of population, growing number of elderly people, and spreading of civilization diseases, the demand for health care services is increasing fast. Big investments in new hospitals and clinics are the main factors that contribute to dynamic development of medical technology. Business Monitor International presumes that the sum of expenses in the medical segment in 2012 will rise to 18%, and the amount will be about 1.7 billion USD. Germany, right after the USA, is the second biggest deliverer of medical equipment to Saudi Arabia. According to Eurostat, export of medical equipment from Germany to Saudi Arabia in 2013 will grow for 45.8%, to the sum of 235 million of Euros.

Government of the United Arab Emirates invests millions to developing health care in this country. Money are primarily designed to building new hospitals. Quite a big growth in movement on the market of different kinds of medical equipment can be noticed. The turnover in this sector in 2012 rose from 550 million to 580 million. It is estimated that this tendency is going continue to 2015 at least. In the United Arab Emirates, in 2011 92 new hospitals were built, and therefore there are 9.585 beds available for the patients, 2.556 of which belong to private investors. According to data gathered within the MEED project in the health care sector, the government has started building 24 new medical objects (mainly hospitals), of approximate value about 4.0 billion USD. If all the planned investments would be finished, the number of beds available for patients is going to rise for the next 3.800 in the two following years. However, observers are warning that the number of places may not be fully used, and other areas of the medical sector can remain neglected. The Ministry of Health in Dubai for the first time conducted the research (in autumn 2012) of supply and demand in the medical sector, in order to comprehensively define what investments should be additionally started.

Expansion of the health care segment in the State of Qatar has greatly accelerated. According to the newest report of the Supreme Council of Health (SCH), in 2011 the State of Qatar was placed below the average of GCC countries as far as the number of hospital beds for a 1000 citizens is concerned (1.3 bed for 1000 citizens). Number of public hospitals in 2012 has grown from six to eight, and the number of beds from 300 to about 2.200. Four private hospitals have 430 beds altogether. According to statistics of the Supreme Council of Health, there are currently seven public hospitals under construction. Three of them are going to be finished in 2014, and the other four in 2015. Thanks to the current projects, 840 new beds is going to be given to use. There is a wide debate being held at the moment on opening a special hospital for patients with cancer. In 2021 the so called Mass Casualty Trauma Hospital is planned to be opened.

Money spend for the health care sector in Iraq in 2014 are estimated to be from 10 to 12 billion USD. There are plenty of investments opened in the private sector. A lot of projects connected with building both private and public medical facilities are being prepared or realized already. The list of projects includes about 50 new investments, worth about 3 billion USD. Actual number of finished projects may, however, differ from the number of planned investments. The Iraqi health care market in 2013 was still difficult to manage due to continuing problems with safety, as well as contradictory laws. In addition, there significantly lacks health care specialists who emigrated during the war in 2003. It is estimated that the market of medical services in Iraq in 2011 was worth about 4.1 billion USD, while in the previous year this value was somewhere about 3.7 billion USD. The medical equipment market in 2011 looks pretty well (+ 9.2% for 274 million USD).

Health care in Nigeria is in bad condition, so there is an enormous demand for improvement. The government of Nigeria is aware of the seriousness of the situation , and therefore is striving to encourage investors to engage in developing the health care segment, by - for example – introducing tax reliefs. The government continuously admits larger sums for modernization of already existing, as well as building new hospitals. The projects are often supported by international donors. Experts claim that the key issue is to establish good relationships with medical equipment suppliers, such as Simed from Utrecht or Crown Agents (having their office in Abuja).

Health care sector in Ghana, just like in other countries in Sub-Saharan Africa, is in relatively good condition. In 2003 there was the National Health Insurance System (NHIS) established. Almost 60% of the citizens of Ghana registered in the system, which contributed to improving their access to medical services. Private health care sector has also gained on establishing the NHIS, and thus is continuously growing. Especially private hospitals offer outstanding quality medical services. The ability of maintaining this situation depends on the solvency of the NHIS mainly. The organization has to find new sources of financing in a relatively short time, because their current budget is not able to cover all the running costs.

Health care in Angola is still in poor condition. There is an enormous need for hospitals and other medical institutions. If all the started investments were be finished, Angola would became quite large sales market for importers of medical equipment. The government of Angola created a special program for preventing poverty, and therefore enlarging expenses for public health care in the future can be anticipated. Angola focuses on the private sector development as well, but only big cities are considered places for investments (mainly Luanda).

Health care in Kenya is still in a better shape, when compared to its neighboring countries, but the quality of services leaves much to be desired. Public medical institutions suffer underfinancing. Private hospitals and institutions with a satisfying quality of health care, can only be found in Nairobi. Those who can afford it, prefer to travel to the South Africa or to Europe to be treated. Because of low income of the population, as well as poor condition of the Kenyan economy, the dream about well prospering and offering high quality of services health care in this country remains illusion.

Because of growing demand for medical services in the Republic of South Africa it is presumed that this sector is going to grow on the level of 7%. The privately insured part of population constitutes mostly of elderly and prone to chronic diseases people. The private sector is able to offer them high quality of medical equipment. In comparison to previous years, expenses for medical sector grown significantly. Due to that, there is a noticeable number of public hospitals on the territory of the Republic of South Africa. The government is planning to introduce public health insurance (NHI) till 2024, perform a general restoration of already existing hospitals, and increase the number of public medical institutions.