1. East Africa
Healthcare
Federation
Conference 2012
Strength in Brand Partnerships
Alex Alexander
General Manager, International Hospital Kampala

2. Agenda
Healthcare in Uganda
Overview of International Hospital Kampala (IHK)
Overview of Fortis Healthcare
Way Forward for International Hospital Kampala

3. Health in Uganda
• With an average annual growth rate of 3.2%, amongst the largest in the world – Uganda’s
population is expected to increase to 44 Mn by 2020
• Total Fertility Rate (TFR) of 6.7 births/woman and a contraceptive prevalence rate of 24%
both contribute significantly to the increase in Uganda’s population
• Life expectancy at birth is around 52 years
• HIV prevalence has reduced from more than 30% in the 1980s to 6.4% by the end of 2008
• Infant mortality rate was at 79 per 1,000 live births in 2005
• Hospital bed density of 0.39 beds per 1,000 population
• 0.117 physicians per 1,000 population
• Uganda’s elimination of user fees at state health facilities in 2001 has resulted in an 80%
increase in visits
• Total expenditure on health as a percentage of GDP (2009) – 8.2%

4. Healthcare Industry in Uganda
Indicator Trends
INDICATORS USA UK Singapore India China South Africa Uganda
Total Population ('000) (2006) 302,841 60,512 4,382 1,151,751 1,328,474 48,282 29,899
Gross national income per capita 44,070 33,650 43,300 2,460 4,660 8,900 880
(PPP international $)
Life expectancy at birth m/f (years) 75/80 77/81 78/83 62/64 72/75 50/53 49/51
Healthy life expectancy at birth m/f (years, 2003) 67/71 69/72 69/71 53/54 63/65 43/45 42/44
Probability of dying under 5 (per 1,000 live births) 8 6 3 76 24 69 134
Probability of dying between 15 and 60 years m/f 137/80 98/61 83/50 276/203 143/87 598/531 518/474
(per 1,000 population)
Total expenditure on health per capita 6,714 2,784 1,228 109 342 869 143
(PPP international $, 2006)
Government expenditure on health per capita 3,074 2,434 413 21 144 364 22
(PPP international $, 2006)
Private expenditure on health as % of Total 54.2 12.6 66.4 80.4 58.0 58.1 79.3
expenditure on health (2006)
Private prepaid plans as % of Private expenditure on 66.4 7.8 2.9 0.8 6.3 77.7 0.1
health (2006)
Out-of-pocket expenditure as % of Private 23.5 92.2 94.0 94.0 92.9 17.5 65.5
expenditure on health (2006)
Total expenditure on health as % of GDP (2006) 15.3 8.4 3.4 4.9 4.5 8.6 7.2
Figures are for 2006 unless indicated
Source: World Health Organization

5. Healthcare Infrastructure & Efficiency
Industry in Uganda
Key Statistics
(Per ‘000 population) Beds Physicians Nurses
High Income Countries 7.4 1.8 7.5
Middle Income Countries 4.3 1.8 1.9
Low Income Countries 1.5 1.0 1.6
Uganda 0.4 0.1 1.3
Source: CII & McKinsey Report; World Health Organization

6. Agenda
Healthcare in Uganda
Overview of International Hospital Kampala (IHK)
Overview of Fortis Healthcare
Way Forward for International Hospital Kampala

7. International Hospital Kampala (IHK)
FACT FILE:
Established In 2000; New facility constructed
and Phase I launched in 2005
Built-up Area ~7,000 sq. mts.
No. of Beds 115 (with a capacity to increase to
200)
Infrastructure - 5 Operation Theatres
- 3 Labour Delivery Rooms
- 5-bedded ICU, 1 IICU bed, 1
Paeds ICU, and 3-bedded HDU
- Well Baby and Neonatal Care
Unit
- Comprehensive Diagnostics
- Laboratory services
- 24/7 Emergency and Ambulance
services
- Speciality clinics

8. ‘Making a difference to Healthcare’ …
• >40,000 specialist consults and ~5,000 in-patients treated in 2011
• >2,600 surgical cases performed in 2011
• Holds the distinction of having performed the first Open Heart Surgery in
Uganda (April 2007)
• >1,700 newborns delivered in 2011
• >200,000 laboratory tests conducted across the streams of
haemotology, biochemistry and micro-biology
• ~20,000 diagnostic scans and non-invasive cardiology tests done in 2011
• Initiated and validated Microscopic Observation Technique for
Tuberculosis (2011)
• Development of a robust health management model that allows access
to affordable healthcare through the IAA Healthcare medical plans
• Backed by a network of 10 IMCs spread across Uganda
• Establishment of quality health-related training for health workers
through the International Health Sciences University (IHSU)
• Concretized involvement in charity services and community-based
programs through International Medical Foundation (IMF) and ‘Hope
Ward’ that provide care to needy patients for complex conditions

9. Agenda
Healthcare in Uganda
Overview of International Hospital Kampala (IHK)
Overview of Fortis Healthcare
Way Forward for International Hospital Kampala

10. Fortis Healthcare

11. Vision for Global Growth
Hospitals* 75
Vision for
Integrated Total Beds* >12,000
Healthcare
Primary Care** ~600 centres
World Class Diagnostic Labs >210
Balanced
Medical
Growth
Talent Day care Speciality ~191
Geogaphic Coverage 10 countries
Merger (India, Australia, New
Operational Clinical
Integration Zealand, Hong Kong,
Capabilities Capabilities
Capabilities Vietnam, Dubai,
Mauritius, Singapore,
Sri Lanka & Canada)
Portfolio of Doctor Network*** >3,900
Scalable
Strong healthcare
Health IT Management
Brand verticals / Total Employees >23,000
Capability
models
* Includes project hospitals and beds
** Includes affiliate centers and physiotherapy centers
*** Doctor Network includes Hygienists in Australia

12. Geographical Footprint

13. Leading Healthcare Provider in Asia-Pacific
• Amongst the leading hospital operators in India with “Patients first” culture
and 68 hospitals with > 10,000* beds under management
• Leadership across key specialties in tertiary care like cardiac
sciences, neurology and orthopaedics
• Leader in the organized diagnostics segment
• Australia’s largest operator of Dental practices with 170 sites
• Operates in top 30% of the Australian dental market
• Largest integrated primary healthcare service provider in Hong Kong with
~590 primary care centers . Market leader in the corporate client segment.
• Operates one of the largest radiology networks in Hong Kong
• Potential base for expansion into China
• One of the leading private healthcare providers in Vietnam
• 5 full service hospitals and 3 clinics across Central & Southern Vietnam
• Significant expansion plan including a brand new 204 bed hospital at the
centre of Ho Chi Minh city, one of the fastest growing cities in Asia
* including owned, managed and project beds

14. Leading Healthcare Provider in Asia-Pacific (cont…)
• The largest private diagnostic and imaging Company in Singapore
• 7 state-of-the-art diagnostics and molecular imaging centers and 5 GP clinics
• Robust business model with a strong referral network across 2000 specialist
and physicians
• Greenfield specialty hospital for colorectal treatment, South East Asia’s first
• Expected completion in mid- 2012
• Operates on a Hub-Spoke-Spike Model including 6 Reference Labs, 7 CoEs,
181 network labs and 865 collection centres in india and 1 Reference Lab in
UAE and 7 collection agents in GCC
• First CAP accredited private pathology Lab
• One of the largest hospitals in Sri Lanka with an excellent brand image as a
quality healthcare service provider
• Attractive growth opportunity on the back of rising income levels, higher
insurance penetration and stronger emphasis on the quality of healthcare in
Sri Lanka

15. Agenda
Healthcare in Uganda
Overview of International Hospital Kampala (IHK)
Overview of Fortis Healthcare
Way Forward for International Hospital Kampala

16. Going Forward…
Phase I
• Substantial investment to upgrade the current infrastructure
• Enhancing the already existing medical programs to tertiary level care by bringing in
new medical equipment & clinical skills
• Introduction of new specialties
• Introduction of high end laparoscopic equipment to bolster the General Surgery and
Gynaecology programs
• Strengthening of the Critical Care department
• Introduction of fully equipped Level III Neonatal Intensive Care Unit (NICU) to
strengthen the maternity program
• Scaling up of Emergency Medicine and Ambulance services
• Provision of comprehensive range of diagnostic services
• Creation of a robust referral mechanism so that complex surgical interventions can be
done at any of the 68 network hospitals in India at affordable costs
Phase II
• Future expansion of facility to a 200-bedded super specialty hospital providing
comprehensive medical services

17. Tremendous Back-up of Fortis Network
 Development of local medical talent through access to clinical talent across the
robust network of 75 hospitals
 Strengthening the current cardiac program with the support of “Fortis Escorts
Cardiac Program,” one of the largest and renowned cardiac programs in the World
 Back-up of Fortis Operating System, designed to provide uniform experience to
patients
 Continuous training and education for medical, paramedical, nursing and support
services staff to ensure high quality service levels
 Enhanced focus on quality standards
 Evolving International Hospital Kampala as a Medical Hub for neighboring East
African countries

18. THANK YOU
Expanding footprints
into Africa…