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Towards better Understanding



Healthcare Market
in Egypt and it's
Relation to
Internet Growth
Based on 1ry market Research




Dr. Osama Ahmed Abou ElKhir, MD,CPHQ, LSSGB, OSHA
4/4/2012
Introduction:
Egypt is a country mainly in North Africa, with the Sinai forming a land bridge in Southwest
Asia. Egypt is thus transcontinental, and a major power in Africa, the Mediterranean Basin,
the Middle East and the Arabic world. It is one of the most populous countries in Africa and
the Middle East with over 81 million people. Egypt's Internet users are currently exceeding 30
million users with annual growth reaching 26.01%. Social media is major area of concern for
the consumers; Facebook reported 20 million users from Egypt where it ranks #20 in the
country list per volume.


Egypt's Population:

Age Distribution:
Egypt is a young country, Egyptians below the age of 40 accounts for more than 75% of the
entire population; about 30% are under 15 years. The figure (1) shows % age groups of
Egyptians.


                              Egyptians Age Groups %
                                                            1.6   1.1
    Less than 5 years old
                                                                        1
    5-                                                      2.3                    10.6
                                                      3.1
    10-                                        4.2
    15-
                                         5                                                   10.5
    20-
    25-
                                   5.6
    30-
    35-
                                                                                                    10.6
    40-                           6.4
    45-
    50-
                                         6.5
    55-
                                                                                          11.7
    60-
                                                     8.8
    65-
                                                                            10.8
    70-




                                         Figure 1 Age Group %
Geographical Regions and Density:
At 1,001,450 square kilometers; Egypt is the world's 30th-largest country. Population are
concentrated along the narrow Nile Valley and Delta, meaning that about 99% of the
population uses only about 5.5% of the total land area. Egypt's largest urban areas are Cairo,
Alexandria, Giza, Shubra, Helwan, Port Saied and Suez. More than 45% of Egyptians are living
in urban areas. Figure (2) shows population density (people per km2)




                                Figure 2 Egypt's population density

Family Size:
At 2006, average family size was 4.2 individual.
Consumers' Expenditure & Healthcare:
Expenditure on healthcare comes as the third sector accounting for 10% of the total income.
    55% is spent on "Medical Equipment and Products"
    30% is spent on "outpatients service"
    And only 15% is spent on inpatient services in the hospital.
   Figure (3) and (4) visualize the mentioned information.


                              Beverages and                                   Recreation &
                                Tobacco Communications                          culture
                                   3%                                             2%
                    Miscellaneous           3%
                 goods& services
       Education      3%
          3%
     Hotels &
   Restaurants
       4%
    Furniture, domestic
       equipments &
                                                                     Food and drink
       maintenance
                                                                          36%
            4%
      Clothing,
     textiles and
      footwear               Transports
          6%                    6%

                                 Services &
                                 Health Care
                                                           Housing
                                    10%
                                                            20%


                              Expenditure per sector (%)
                                  Figure 3 %Expenditure per sector


                          %Distribution of expendture on Healthcare
             Inpatient
           services in the
              hospital
                15%

                                                           Medical
                                                          Equipment
                                       outpatients           and
                                         service           Products
                                          30%                55%




                               Figure 4 %Distribution of expendture on Healthcare
Top #of patients seen at outpatient per specialty per year in Public &
Central Hospitals:
Patients are encountered for: Internal medicine, Pediatric, dermatology/ venereal disease,
ophthalmology and Isolation/fever more than 2 million times each.


        # visitors seen at outpatient per specialty per year
                                                                                             6000000

                                                                                             5000000

                                                                                             4000000




                                                                                                       # Encounters
                                                                                             3000000

                                                                                             2000000

                                                                                             1000000

                                                                                             0




                                              Figure5
Top # of patients seen at Causality area per specialty per year in
Public & Central Hospitals:
Encounters for internal medicine are also the highest in volume.


       #patients seen at Casuality area per specialty per year
                                                                     2500000


                                                                     2000000




                                                                               # Encounters
                                                                     1500000


                                                                     1000000


                                                                     500000


                                                                     0




                                           Figure 6
# Of Licensed physician per year with trending and distribution:
 There are more than 180,000 licensed physician currently registered in Egypt at
 governmental, general and private sectors. Almost 80% are working in governmental
 hospitals, 18% are working in private practice and the rest in general sector.

                                                                                            200
                                    No. of Physicians                                       180
                                                                                            160
                                                                                            140




                                                                                                  No. in Thousands
                                                                                            120
                                                                                            100
                                                                                            80
                                                                                            60
                                                                                            40
                                                                                            20
                                                                                            0
1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

                                             Figure7




                      Liscinced Physician distribution / place


                        General        Private
                        Hospitals       18%
                          1%




                                                 Governmental
                                                     81%




                                                 Figure8
Top places with the highest # of licensed physicians:




                                                                                                  50000



                                                                                                  40000



                                                                                                  30000



                                                                                                  20000



                                                                                                  10000



                                                                                                  0
Therapeutic Cabinet of the    Police      General     Hospitals and   University   Directorates
institutions Ministry of     Hospital   Authority for educational     Hospitals       of the
               Health                      Health      institutions                governorates
                                         Insurance                                   of Health
                                                                                      Affairs


                                             Figure 9
Egypt and Internet Economy:

Internet Supply:
Egypt's International Bandwidth increase over the period 2001-2010 with an average annual
growth rate of 105%




                                         Figure 10
Internet Demand:
During the last decade (2000-2010), Egypt's Internet users boomed from almost half million
users to about 23 million users; the internet penetration jumped from almost 1% to about
30%. 86% of the users are accessing through broadband connection.

Currently there are, estimated, 30 million users for internet in Egypt




                                           Figure 11




                                              Figure 12
Internet and Mobility:
Egyptian are now shifting for usage of mobile services for internet connection (USB modems,
Mobile Phone connection, Tablets, …). The growth rate in USB modem subscribers increase
from 2009 to 2010 202%. At 2010, Mobile Phone internet users represent 34% of total
internet users and accounts only for 11% of total mobile subscribers. As of 2010, the total
mobile phones those are ready to access internet through 3G network are 16 million
handsets; however only half of them (8.6 million) are actually using mobile phone internet
connection. This market is potential for growth by more attraction and promotion from
service providers.




                                            Figure 13




                          Figure 14: Proportion of mobile internet users
Intentionally Blank

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Healthcare Market in Egypt and it's Relation to Internet Growth

  • 1. Towards better Understanding Healthcare Market in Egypt and it's Relation to Internet Growth Based on 1ry market Research Dr. Osama Ahmed Abou ElKhir, MD,CPHQ, LSSGB, OSHA 4/4/2012
  • 2. Introduction: Egypt is a country mainly in North Africa, with the Sinai forming a land bridge in Southwest Asia. Egypt is thus transcontinental, and a major power in Africa, the Mediterranean Basin, the Middle East and the Arabic world. It is one of the most populous countries in Africa and the Middle East with over 81 million people. Egypt's Internet users are currently exceeding 30 million users with annual growth reaching 26.01%. Social media is major area of concern for the consumers; Facebook reported 20 million users from Egypt where it ranks #20 in the country list per volume. Egypt's Population: Age Distribution: Egypt is a young country, Egyptians below the age of 40 accounts for more than 75% of the entire population; about 30% are under 15 years. The figure (1) shows % age groups of Egyptians. Egyptians Age Groups % 1.6 1.1 Less than 5 years old 1 5- 2.3 10.6 3.1 10- 4.2 15- 5 10.5 20- 25- 5.6 30- 35- 10.6 40- 6.4 45- 50- 6.5 55- 11.7 60- 8.8 65- 10.8 70- Figure 1 Age Group %
  • 3. Geographical Regions and Density: At 1,001,450 square kilometers; Egypt is the world's 30th-largest country. Population are concentrated along the narrow Nile Valley and Delta, meaning that about 99% of the population uses only about 5.5% of the total land area. Egypt's largest urban areas are Cairo, Alexandria, Giza, Shubra, Helwan, Port Saied and Suez. More than 45% of Egyptians are living in urban areas. Figure (2) shows population density (people per km2) Figure 2 Egypt's population density Family Size: At 2006, average family size was 4.2 individual.
  • 4. Consumers' Expenditure & Healthcare: Expenditure on healthcare comes as the third sector accounting for 10% of the total income.  55% is spent on "Medical Equipment and Products"  30% is spent on "outpatients service"  And only 15% is spent on inpatient services in the hospital. Figure (3) and (4) visualize the mentioned information. Beverages and Recreation & Tobacco Communications culture 3% 2% Miscellaneous 3% goods& services Education 3% 3% Hotels & Restaurants 4% Furniture, domestic equipments & Food and drink maintenance 36% 4% Clothing, textiles and footwear Transports 6% 6% Services & Health Care Housing 10% 20% Expenditure per sector (%) Figure 3 %Expenditure per sector %Distribution of expendture on Healthcare Inpatient services in the hospital 15% Medical Equipment outpatients and service Products 30% 55% Figure 4 %Distribution of expendture on Healthcare
  • 5. Top #of patients seen at outpatient per specialty per year in Public & Central Hospitals: Patients are encountered for: Internal medicine, Pediatric, dermatology/ venereal disease, ophthalmology and Isolation/fever more than 2 million times each. # visitors seen at outpatient per specialty per year 6000000 5000000 4000000 # Encounters 3000000 2000000 1000000 0 Figure5
  • 6. Top # of patients seen at Causality area per specialty per year in Public & Central Hospitals: Encounters for internal medicine are also the highest in volume. #patients seen at Casuality area per specialty per year 2500000 2000000 # Encounters 1500000 1000000 500000 0 Figure 6
  • 7. # Of Licensed physician per year with trending and distribution: There are more than 180,000 licensed physician currently registered in Egypt at governmental, general and private sectors. Almost 80% are working in governmental hospitals, 18% are working in private practice and the rest in general sector. 200 No. of Physicians 180 160 140 No. in Thousands 120 100 80 60 40 20 0 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Figure7 Liscinced Physician distribution / place General Private Hospitals 18% 1% Governmental 81% Figure8
  • 8. Top places with the highest # of licensed physicians: 50000 40000 30000 20000 10000 0 Therapeutic Cabinet of the Police General Hospitals and University Directorates institutions Ministry of Hospital Authority for educational Hospitals of the Health Health institutions governorates Insurance of Health Affairs Figure 9
  • 9. Egypt and Internet Economy: Internet Supply: Egypt's International Bandwidth increase over the period 2001-2010 with an average annual growth rate of 105% Figure 10
  • 10. Internet Demand: During the last decade (2000-2010), Egypt's Internet users boomed from almost half million users to about 23 million users; the internet penetration jumped from almost 1% to about 30%. 86% of the users are accessing through broadband connection. Currently there are, estimated, 30 million users for internet in Egypt Figure 11 Figure 12
  • 11. Internet and Mobility: Egyptian are now shifting for usage of mobile services for internet connection (USB modems, Mobile Phone connection, Tablets, …). The growth rate in USB modem subscribers increase from 2009 to 2010 202%. At 2010, Mobile Phone internet users represent 34% of total internet users and accounts only for 11% of total mobile subscribers. As of 2010, the total mobile phones those are ready to access internet through 3G network are 16 million handsets; however only half of them (8.6 million) are actually using mobile phone internet connection. This market is potential for growth by more attraction and promotion from service providers. Figure 13 Figure 14: Proportion of mobile internet users