Healthcare in the Kingdom of Saudi Arabia · Healthcare in the ... Malaysia UK Morocco USA ......

Eng. Faris Albugami, MBA

Programs Manager

Planning & Training Assistant Deputyship

Saudi Ministry of Health

Healthcare in the

Kingdom of Saudi Arabia

1970 1990 2010

Hospitals Hospital Beds

74 9,030

(1.3 / 1000)

257 41,123

(3.4 / 1000)

415 58,126

(2.14 / 1000)

Primary Care Centers

591 3,028 4,594

Physicians 1,172 22,136 66,014

Nurses 3,261 48,477 129,792

Paramedical 1,741 22,410 68,705

HISTORICAL FACTS

HISTORICAL FACTS

Article 27: The government guarantees the right to healthcare for citizens and their families in cases of emergency, sickness, disability and old age.

Article 31: The government is responsible for public health in the Kingdom and provides healthcare services to every citizen.

Guarantee provision of primary healthcare

services to all citizens Provide secondary and tertiary healthcare

services Develop strategies and implementation of plans

to ensure provision of healthcare services

Average life expectancy at birth (years)

Vaccination Coverage

Infant mortality (per 1000 live births)

Mortality of children under 5 (per 1000 live births)

Maternal Mortality per 10.000 live births

1983 2010

66 73.7

85% (cities) 27% (villages)

52

63

32

98.8%

16.9

19.5

14.0

Source: MoH Statistical Yearbook (2003 - 201)

0

20

40

60

80

100

2003 2005 2007 2009 2010

81.2

53.7 62.0

54.1

- 6.5% CAGR

39.5

Polio

Measles

Tuberculosis

1983 2010

1.0

304.4

52.2

zero

1.29

15.82

0

10

20

30

40

50

60

70

80

90

100

1 9

17

25

33

41

49

57

65

73

81

89

97

10

5

11

3

12

1

12

9

13

7

14

5

15

3

16

1

16

9

17

7

18

5

19

3

Country Ranking* * KSA is within the first ten

MoH 60%

Other Government Sectors 20%

Private Sectors 20%

Sources: OECD, EIU, IMS Flashlight

USA Europe Japan KSA

1431 1423 1427 1431 1431 1431 1427 1427 1427 1423 1423 1423

0

5

10

15

20

25

30

35

40

45

2005 2006 2007 2010 2015E 2020E

Saudis aged60 yearsabove

PopulationGrowth

23.2

0.97

23.7

1.02

24.2

1.07 31.8

1.19 31.8

1.57 37.2

2.20

Note: 1) Nauru 2) Tonga - Oceanic islands near Australia with an estimated population between 9K and 100K respectively

Source: WHO (2010)

1. Nauru (1) 71.1% 2. Tonga (2) 57.6% 3. Kuwait 42.0% 4. KSA 33.0%

5. USA 33.0% 6. UAE 32.7% 7. Bahrain 28.9%

8. UK 26.9% 9. Seychelles 23.9%

1. Nauru (1) 31.0% 2. UAE 19.0%

4. Bahrain 15.0% 3. KSA 17.0%

5. Kuwait 15.0% 6. Oman 13.0% 7. Tonga 13.0% 8. Mauritius 16.0% 9. Malaysia 12.0%

Source: 2009 Annual Report to the General Administration of Traffic / 1st Saudi and GCC Health Promotion Council (2010)

2009 WHO Statistics Report / MoH Anti-smoking Program (2010)

Roadside accidents

Smoking

Lack of physical activity

2009 – 484,000 accidents (6,142 deaths and 33,000 injuries and disabilities)

34% of the population due to climatic conditions

Male population

(35-45% = Adults and 24% = Teenagers)

Ranked 23rd in the world’s highest tobacco consumption

Source: OECD Health Data 2011 (* 2008 * 2009) / MoH

Germany Japan GCC KSA USA Canada UK Australia France

1.9 2.2

3.8* 3.3* 3.3* 3.1*

7.1

8.2

13*.7

Organization of Economic Cooperation and Development (OECD) = 5.8

France GCC Canada KSA Japan USA UK Australia Germany

1.8 2.0

3.0 2.7 2.7 2.4

2.1

3.5

3.53

OECD = 3.06

Source: WHO (2011 report)

N.B. The rate for KSA is based on MOH Statistics, WHO figures where 0.94

Source: OECD Health Data 2011 (* 2008 * 2009 *2010) / MoH

4.8

11.0*

KSA

10.2*

Australia

10.8*

USA

8.8.5*4

France

9.5*

Japan

9.5*

UK

9.4*

Canada Germany

OECD = 9.66

GCC

4.0

Source: OECD Health Data 2011 (* 2008 * 2009) / MoH

3.7% 3.4% 3.8%

11.6%* 11.8%*

USA

17.4%*

France Germany

8.7%*

Qatar

8.5%*

Australia

9.8%*

UK Japan KSA Bahrain

Source: OECD Health Data 2011 (* 2008 * 2009 *2010) / MoH

Note: In USD, PPP (Purchasing Power Parity)

KSA Kuwait Qatar Japan UK Australia Germany Canada USA

531 901

1,253

2,403

2,878* 3,487* 4,218*

4,478*

7,690*

3,445*

UAE

Government healthcare expenditure

Country As % of Total Government

Budget As % of Total Healthcare

Expenditure

15.6 81.7 UK

19.5 45.5 USA

17.6 67.5 Australia

18.1 70.0 Canada

16.6 79.0 France

18.2 76.9 Germany

17.9 81.3 Japan

8.4 79.5 KSA

Source: 2011 WHO Statistics Report

“Government funding” “Private sector”

% Participation of private sector High Low

9% 11% 15% 17%

24% 25% 30% 31% 32%

51% 52%

71% 75%

0

20

40

60

80

100

120

Small Hospitals Large Hospitals

7%

(50 beds) (400 beds and above)

71% 93%

29%

Australia South Africa

Canada Spain

Ireland Tunisia

Jordan UAE

Malaysia UK

Morocco USA

Singapore

Hospitals

Referrals Referrals

Referrals

Referrals

Referrals

Referrals

Referrals

Healthcare

Center

Healthcare

Center Healthcare

Center

Patient

Healthcare

Center

General Hospital

Local Hospital

Central Hospital

Local Hospital

Local Hospital

Healthcare

Center

Healthcare

Center

General Hospital

General Hospital

Central Hospital

Central Hospital

FUTURE TODAY

Central Hospital General Hospital Local Hospital A/B Primary Care Center

National Roll-out

Develop ambulance transportation system

Ensure adequate supply of

pharmaceuticals

Develop Human Resources

Develop medical information systems

and E-health

Improve patient referral system

Develop and restructure hospitals

Improve primary healthcare services

7

6

3

4

2

1

8

Implement accreditation of MoH facilities

5

30 Main Hospitals

100 General

Hospitals

114

Small Hospitals

2,086 Healthcare

Centers

62

Central Hospitals

120

General Hospitals

118

Local Hospital

2,736

Healthcare Centers

Current Future

305 Hospitals

249 MoH Hospitals

5 Medical Cities

Medical Specializations

Central Hospitals

General Hospitals

Local Hospital A/B

Healthcare Centers

Tertiary/Quaternary Care Services

Advance Care Services

Intermediate and Critical Care Services

Basic Medical Services

Primary Healthcare Services

5 Medical Cities

Medical City

Central Hospital

General Hospital

Local Hospital

Primary Healthcare Centers

5 national zones

Strategy and Change

Management

Patient Satisfaction

Cloud Computing

Newborn Protection Solution

National e-Health

Standards

Saudi PACS Hospital

Information Systems

Home Care Support

Patient Satisfaction

Referral Management

System

Business Process

Standards

e-Health

Tele-Medicine Support Services

E-Learning Services

Public Health (HESN)

Toxicology Management

Services

Data Center Services

Marketing And

Communications

National Healthcare Laboratory

Hospital Information Systems

(RFP Phase)

e-Health

MoH and Health Officials

Health Committee Shoura Council

MoH Heads of

Directorate

Quaternary

Referral Hospital SR1.8 m

Central Hospital SR 750,000

General Hospital SR 500,000

Operation Cost

Per Bed

Hospital

(Physician per bed) 0.7

PHC

(Physical per healthcare center) 4.32

Saudi population

x 60% x SR500 SR 5.4 bn

Workforce

Medication

Less than 100-bed Hospital 2

More than 400-bed Hospital 5

150 to 300-bed Hospital 3

Employees x SR3000

per year SR 529 m Training

Ambulance

Health Technology Assessment Knowledge Translation Clinical Practice Guidance

Healthcare Finance

Solutions

Public-Private-Partnership Health Insurance

Performance Measures

Strategic Alignment Investment in IP Localization: • Economic • Self-sufficiency • National Security

Access Quality of Care Quality of Life

Health Industry and Technology Transfer

Research EBM

1400

PHC

190 Hospitals

5 Medical

Cities

Mobile Clinics

• Medical Devices • Pharmaceuticals • E-Health

King Faisal Medical City (Southern) and Prince Mohammad bin Abdulaziz Medical City

(Northern Region)

King Khalid Medical City (Dammam)

King Abdullah Medical City (Western Region) King Fahad Medical City (Central Region)

Opportunities

Summary

Presentation of the Project to the

Custodian of the Two Holy Mosques

(September 2009)

“Nothing is more precious than the health of citizens”

-The Custodian of the Two Holy Mosques

THANK YOU...