医疗行业分析英文

TableofContent

ExecutiveSummary 3

AdvantageIndia 4

MarketOverviewandTrends 6

NotableStrategiesandTrendsAdopted...11

.

GrowthDrivers 15

Opportunities 27

KeyIndustryOrganisations 30

Usefulinformation 32

EXECUTIVESUMMARY

Source:BusinessStandard,MinistryofExternalAffairs,MinistryofExternalAffairs(InvestmentandTechnologyPromotionDivision),ASSOCHAM-RNCOSjointpaper,Lancetstudy

3

Healthcare

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FavourableInvestmentEnvironment

ConducivepoliciesforencouragingFDI,taxbenefits,favourablegovernmentpoliciescoupledwithpromisinggrowthprospectshavehelpedtheindustryattractprivateequity,venturecapitalsandforeignplayers.

ImpressiveGrowthProspects

Indianhealthcaresector,isexpectedtorecordathreefoldrise,ataCAGRof22percentduring2016-2022toreachUS$372billionin2022fromUS$110billionin2016.

Indiaranks145thamong195countriesintermsofqualityandaccessibilityofhealthcare.ThereisimmensescopeforenhancinghealthcareservicespenetrationinIndia,thuspresentingampleopportunityfordevelopmentofthehealthcareindustry.

StrongFundamentalsandCostAdvantage

Risingincomelevels,ageingpopulation,growinghealthawarenessandchangingattitudetowardspreventivehealthcareisexpectedtoboosthealthcareservicesdemandinfuture.

Thelowcostofmedicalserviceshasresultedinariseinthecountry’smedicaltourism,attractingpatientsfromacrosstheworld.Moreover,IndiahasemergedasahubforR&Dactivitiesforinternationalplayersduetoitsrelativelylowcostofclinicalresearch.

FourthLargestEmployer

Indiaisexpectedtorankamongstthetopthreehealthcaremarketsintermsofincrementalgrowthby2020.

InFY17,Indianhealthcaresectorstoodasthefourthlargestemployerasthesectoremployedatotalof319,780people.Thesectorisexpectedtogenerate40millionjobsinIndiaby2020.

InMay2017,theAsianResearchandTrainingInstituteforSkillTransfer(ARTIST)announcedplanstocreatearoundonemillionskilledhealthcareprovidersby2022.

100,000jobsareexpectedtobecreatedfromAyushmanBharat,theNationalHealthProtectionScheme.

HEALTHCARE

ADVANTAGEINDIA

ADVANTAGEINDIA

Investmentinhealthcareinfrastructureissettorise,benefitingboth‘hard’(hospitals)and‘soft’(R&D,education)infrastructure.

ThehospitalindustryinIndiaisexpectedtogrowCAGRof16-17percenttoreachRs8.6trillion(US$132.84billion)byFY22fromRs4trillion(US$61.79billion)inFY17.

TheGovernmentofIndiaaimstoincreasehealthcarespendingtothreepercentoftheGrossDomesticProduct(GDP)by2022.

HealthcaremarketinIndiaisexpectedtoreachUS$372billionby2022,whilemedicaldevicesmarketisexpectedtocrossUS$11billionby2022.

Risingincomes,greaterhealthawareness,lifestylediseasesandincreasingaccesstoinsurancewillcontributetogrowth.

ItisestimatedthatIndiawillrequire2.07millionmoredoctorsby2030inordertoachieveadoctor-to-populationratioof1:1,000.

ADVANTAGEINDIA

Availabilityofalargepoolofwell-trainedmedicalprofessionalsinthecountry.

Thenumberofdoctorspossessingrecognisedmedicalqualifications(Under

I.M.CAct)registeredwithstatemedicalcouncils/medicalcouncilofIndiaincreasedto841,104in2017from827,006in2010.

ThegovernmentaimstodevelopIndiaasaglobalhealthcarehub.

Creationofnewdrugtestinglaboratoriesandfurtherstrengtheningofthe31existingstatelaboratories.

Theworld’slargestgovernmentfundedhealthcarescheme,AyushmanBharatwaslaunchedonSeptember23,2018.

Note:R&D–ResearchandDevelopment

Source:KPMG,Deloitte,HospitalMarket–IndiabyResearchonIndia,FrostandSullivan,LSIFinancialServices,‘ReportonHealthcare,TelemedicineandMedicalTourisminIndia’-ASAandAssociatesLLP,ArancaResearch,IndianJournalofPublicHealth

5

Healthcare

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HEALTHCARE

MARKETOVERVIEWAND

TRENDS

THEHEALTHCAREMARKETFUNCTIONSTHROUGH

FIVESEGMENTS

Source:HospitalMarket–IndiabyResearchonIndia,ArancaResearch

7

Healthcare

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Telemedicine

MedicalInsurance

MedicalEquipmentandSupplies

Diagnostics

Healthcare

Pharmaceutical

Hospitals

Governmenthospitals–Itincludeshealthcarecentres,districthospitalsandgeneralhospitals.

Privatehospitals–Itincludesnursinghomesandmid-tierandtop-tierprivatehospitals.

Itincludesmanufacturing,extraction,processing,purificationandpackagingofchemicalmaterialsforuseasmedicationsforhumansoranimals.

Itcomprisesbusinessesandlaboratoriesthatofferanalyticalordiagnosticservices,includingbodyfluidanalysis.

Itincludesestablishmentsprimarilymanufacturingmedicalequipmentandsupplies,e.g.surgical,dental,orthopaedic,ophthalmologic,laboratoryinstruments,etc.

Itincludeshealthinsuranceandmedicalreimbursementfacility,coveringanindividual’shospitalisationexpensesincurredduetosickness.

Telemedicinehasenormouspotentialinmeetingthechallengesofhealthcaredeliverytoruralandremoteareasbesidesseveralotherapplicationsineducation,trainingandmanagementinhealthsector.

STRONGGROWTHINHEALTHCAREEXPENDITURE

OVERTHEYEARS

HealthcarehasbecomeoneofIndia'slargestsectorsbothintermsofrevenueandemployment.Theindustryisgrowingatatremendouspaceowingtoitsstrengtheningcoverage,servicesand

increasingexpenditurebypublicaswellprivateplayers.

During2008-22,themarketisexpectedtorecordaCAGRof16.28percent.

ThetotalindustrysizeisestimatedtotouchUS$160billionby2017andUS$372billionby2022.

ThehospitalindustryinIndiastoodatRs4trillion(US$61.79billion)inFY17andisexpectedtoincreaseataCompoundAnnualGrowthRate(CAGR)of16-17percenttoreachRs8.6trillion(US$132.84

billion)byFY22.

Note:F–Forecast,E-Estimate

Source:FrostandSullivan,LSIFinancialServices,Deloitte,ArancaResearch

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Healthcare

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2008

45

2009

52

2010

60

2011

68

2012

73

2014

81

2015

104

2016

140

2017E

160

2020F

280

2022F

372

HVeaisltahkchaarpeaStneacmtorpGortotwrathffiTcr(emnidlli(oUnSt$oBnnilleiosn))

400 CAGR:16.28%

350

300

250

200

150

100

50

0

PERCAPITAHEALTHCAREEXPENDITUREHASRISEN

ATAFASTPACE

Thisisduetorisingincomes,easieraccesstohigh-qualityhealthcarefacilitiesandgreaterawarenessofpersonalhealthandhygiene.

Greaterpenetrationofhealthinsuranceaidedtheriseinhealthcarespending,atrendlikelytointensifyinthecomingdecade.

Economicprosperityisdrivingtheimprovementinaffordabilityforgenericdrugsinthemarket.

Thegovernment’sexpenditureonthehealthsectorhasgrownto1.4percentofGDPinFY18Efrom1.2percentofGDPinFY14.

Note:E-Estimated,ActualdataofFY18expectedtobeavailablebyMarch2019

Source:WorldBank,EconomicSurveyFY18

9

Healthcare

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GovernmVeinstaHkhealpthactnaarmeEpxopretntrdaiftfuicre(masillaiopnetrocnenetasg)eofGDP

1.6

1.4

1.4

1.2

1.2 1.2

1

0.8

0.6

0.4

0.2

0

FY13 FY14 FY15 FY16 FY17 FY18E

1.5

1.1

1.3

HEALTHCAREINFRASTRUCTUREHASRISENATA

FASTPACE

India’smedicaleducationalinfrastructurehasgrownrapidlyinthelast26years.ThenumbermedicalcollegesinIndiaincreasedto476inFY18from314inFY11.

Thenumberofdoctorspossessingrecognisedmedical,qualifications(UnderI.M.CAct)registeredwithstatemedicalcouncils/medicalcouncilof

Indiaincreasedto841,104in2017from827,006in2010.

Source:NationalHealthProfile2018

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Healthcare

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827,006

829,017

831,029

833,042

835,056

837,071

839,087

841,104

NumberofDoctors

NumberofMedicalColleges

845,000

840,000

835,000

830,000

825,000

820,000

815,000

2010 2011 2012 2013 2014 2015 2016 2017

500

450

400

350 398

356

300

250

200

150

100

50

0

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18

462

476

314

381

381

412

HEALTHCARE

NOTABLETRENDSAND

STRATEGIESADOPTED

NOTABLETRENDSINTHEINDIANHEALTHCARE

SECTOR…(1/2)

Note:PPPisPublic–PrivatePartnerships,Managementcontracts-Anarrangementunderwhichoperationalcontrolofanenterpriseisgiventoaseparateentityforafee

Source:IRDA,CII,GrantThornton,Gartner,Technopak,ArancaResearch

12

Healthcare

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Shiftfromcommunicabletolifestylediseases

Withincreasingurbanisationandproblemsrelatedtomodern-daylivinginurbansettings,currently,about50percentofspendingonin-patientbedsisforlifestylediseases;thishasincreasedthedemandforspecialisedcare.InIndia,lifestylediseaseshavereplacedtraditionalhealthproblems.

Mostlifestylediseasesarecausedbyhighcholesterol,highbloodpressure,obesity,poordietandalcohol.

Expansiontotier-IIandtier-IIIcities

VaatsalyaHealthcareisoneofthefirsthospitalchainstostartfocusonTier2andTier3forexpansion.

Toencouragetheprivatesectortoestablishhospitalsinthesecities,thegovernmenthasrelaxedthetaxesonthesehospitalsforthefirstfiveyears.

Managementcontracts

ManyhealthcareplayerssuchasFortisandManipalGroupareenteringmanagementcontractstoprovideanadditionalrevenuestreamtohospitals.

Emergenceoftelemedicine

Telemedicineisafast-emergingsectorinIndia;majorhospitals(Apollo,AIIMS,NarayanaHrudayalaya)haveadoptedtelemedicineservicesandenteredintoanumberofPPPs.

TelemedicinemarketinIndiaisexpectedtoriseataCAGRof20percentduringFY16-20,reachingtoUS$32millionby2020.

Telemedicinecanbridgetherural-urbandivideintermsofmedicalfacilities,extendinglow-costconsultationanddiagnosisfacilitiestotheremotestofareasviahigh-speedinternetandtelecommunication.

Homehealthcare

Developmentsininformationtechnology(IT)andintegrationwithmedicalelectronics,hasmadeitpossibletoprovidehighqualitymedicalcareathomeataffordableprices.Itenablesthecustomerstosaveupto20-50percentofthecost.

ThehomehealthcaremarketisestimatedtoreachUS$4.46billionbytheendof2018andUS$6.21billionby2020.

NOTABLETRENDSINTHEINDIANHEALTHCARE

SECTOR…(2/2)

Source:BusinessStandard,MinistryofExternalAffairs,MinistryofExternalAffairs(InvestmentandTechnologyPromotionDivision)

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Healthcare

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Increasingpenetrationofhealthinsurance

InFY18,grosshealthcareinsurancestoodat25.2percentofoverallgrossdirectpremiumincomebynonlifeinsurerssegment.

HealthinsuranceisgainingmomentuminIndiawitnessing19percenty-o-ygrowthtoreachRs172.47billion(US$2.46billion)betweenApril-August2018(provisional).

Mobile-basedhealthdelivery

Strongmobiletechnologyinfrastructureandlaunchof4Gisexpectedtodrivemobilehealthinitiativesinthecountry.

CycletelHumsafarisaSMSbasedmobileservicedesignedforwomen,itenableswomentoplantheirfamilyinabetterway.

Technologicalinitiatives

DigitalHealthKnowledgeResources,ElectronicMedicalRecord,MobileHealthcare,ElectronicHealthRecord,HospitalInformationSystem,PRACTO,Technology-enabledcare,telemedicineandHospitalManagementInformationSystemsaresomeofthetechnologiesgainingwideacceptanceinthesector.

India’smedicaltechnologysectorisforecastedtoreachUS$9.60billionby2022.

Luxuryoffering

Anewtrendisemergingasluxuryofferingsinhealthcaresector.Morethanessentialrequirements,healthcareprovidersaremakingofferingsofluxuriousservices.Forexample:pickanddropservicesforpatientbyprivatehelicoptersandluxuriousarrangementsforvisitorstopatientinhospital.

STRATEGIESADOPTED

Source:ArancaResearch,PERoundup–1H2018&Jun’18reportbyEY

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Healthcare

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MergerandAcquisitions

AsofSeptember2018,RadiantHospitalacquired49.70percentstakeinMaxHealthforUS$293million.

HealthcaresectorinIndiawitnessed23dealsworthUS$679millioninH12018.

FortisHealthcarehasapprovedthede-mergerofitshospitalbusinesswithManipalHospitalEnterprises.TPGandDr.RanjanPalcouldinvestRs.3,900crore(US$602.41million)inManipalHospitalEnterprise.

InH12018,ApaxPartnersLLPacquiredHealthiumMedtechPrivateLimitedforUS$350million.

Focus

Certainplayersinindustryfocusonlyonprovidingonekindofhealthcareservicetoitscustomers.Thisalsohelpsthemtobetheleaderinthatservice.ManyexamplescanbequotedforhospitalsfocusingontreatmentofcancerandprovidingleadingcancertreatmentandeyerelatedproblemsandtreatmentsinIndia.

Differentiationanddiversifiedbusinessapproach

Playersintheindustryaretryingtodifferentiatethemselvesbyprovidingmultiplehealthcareservicesunderoneroof.

Offeringarangeofhealthcareandwellnessservicesunderasinglebrandhasbecomeatrend.Patientsandhealthcareservicesseekersfinditconvenient.Demandofsucharrangementsbooststhehealthcaresector.

Costleadership

Privateplayersintheindustryaremakingtheirsupplychainsefficientandleveragingeconomiesofscopetoreducecost.OnesuchexampleisNarayanHrudayalaya(NH)wherehealthcareisprovidedataffordablecost.NHreducescostbyhighprocurementofmedicalsupplies,high-volumebyhighcapacityutilisationandstaffproductivityandgoodhumancapitalmanagement(i.e.training).

HEALTHCARE

GROWTHDRIVERS

INDIANHEALTHCARESECTORISPOISEDTOGROW

GrowingDemand

PolicySupport

Focus

MergerandAcquisitions

Note:FDI–ForeignDirectInvestment,M&A-MergersandAcquisitionsNRHM-NationalRuralHealthMission

Source:MinistryofHealthandFamilyWelfare,GovernmentofIndia,ArancaResearch

16

Healthcare

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Risingincomesandaffordability.

Growingelderlypopulation,changingdiseasepatterns.

Riseinmedicaltourism.

Betterawarenessofwellness,preventivecareanddiagnosis.

EncouragingpoliciesforFDIandtheprivatesector.

Reductionincustomsdutyandothertaxesonlife-savingequipment.

NRHMallocatedUS$10billionforhealthcarefacilities.

NationalHealthInsuranceMissiontocoverentirepopulation.

ExpandingresearchanddevelopmentanddistributionfacilitiesinIndia.

Useofmoderntechnology.

ProvidingsupporttoglobalprojectsfromIndia.

RisingFDIandprivatesectorinvestments.

LucrativeMandAopportunities.

ForeignplayerssettingRandDcentresandhospitals.

RISINGINCOME,AGEINGPOPULATIONTOBEKEY

HEALTHCAREDEMANDDRIVER

Risingincomesmeanasteadygrowthintheabilitytoaccesshealthcareandrelatedservices.

PercapitaGDPofIndiaisexpectedtoreachUS$3,273.85in2023fromUS$1,481.56in2012.

Moreover,changingdemographicswillalsocontributetogreaterhealthcarespending;thisislikelytocontinuewiththesizeoftheelderlypopulationsettorisefromthecurrent98.9milliontoabout168millionby2026.

PercapitaGDPatcurrentpricesfor2018wasUS$2,134.75.

Note:*estimatesafter2013

Source:InternationalMonetaryFund,WorldEconomicOutlookDatabase,April2018

17

Healthcare

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2012

1,481.56

2013

1,485.60

2014

1,610.36

2015

1,638.76

2016

1,749.16

2017

1,982.70

2018

2,134.75

2019

2,334.14

2020

2,538.82

2021

2,762.31

2022

3,006.54

2023

3,273.85

VGisDakPhPaepratCnaapmitapoarttCtruarfrfeicnt(mPrililcioens*to(UnSn$e)s)

3,500

3,000

2,500

2,000

1,500

1,000

500

0

LIFESTYLEDISEASESANDGROWINGAWARENESS

TOINCREASEHOSPITALISATION

ThepurportedriseoflifestylediseasesinIndiaisexpectedtoboostindustrysalesfigures.

Increasedincidencessuchasheartdisease,obesityanddiabeteshavecontributedtorisinghealthcarespendingbyindividuals.

Growinghealthawarenessandprecautionarytreatmentscoupledwithimproveddiagnosticsareresultinginanincreaseinhospitalisation.

Indiansystemofhealthcare,AyurvedahasuniquetherapieswhicharebeneficialfortreatmentofmanychroniclifestyledisordersandthusattractingmorenumberofpatientstoavailtheseservicesinIndia.

CAGRofhospitalisedcasesfrom2008–18:

•

•

•

Cardiac–18percentOncology–16percent

Diabetes–19percent

Source:ApolloInvestorPresentationMarch2016

18

Healthcare

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VisNaukmhbaperatonfahmosppoirttaltirsaeffdicc(amseilslio(mnitlolinon)s)

9

8 8.3

7

6

5

4

3 3.4

2.9

2

2

1 1.2

0

Cardiac Oncology Diabetes2008 2018F

4.2

MEDICALTOURISM:ANEWGROWTHFACTORFOR

INDIA’SHEALTHCARESECTOR

Presenceofworld-classhospitalsandskilledmedicalprofessionalshasstrengthenedIndia’spositionasapreferreddestinationformedicaltourism.

Superiorqualityhealthcare,coupledwithlowtreatmentcostsincomparisontoothercountries,isbenefitingIndianmedicaltourismwhichhas,inturn,enhancedtheprospectsoftheIndianhealthcaremarket.

TreatmentformajorsurgeriesinIndiacostsapproximately20percentofthatindevelopedcountries.

Indiaalsoattractsmedicaltouristsfromdevelopingnationsduetolackofadvancedmedicalfacilitiesinmanyofthesecountries.AsofApril2017,medicaltourismmarketinIndiaisUS$3.0billioninsizeandisexpectedtoreachUS$6billionby2018.

Yoga,meditation,ayurveda,allopathyandothertraditionalmethodsoftreatmentaremajorserviceofferingsthatattractmedicaltouristsfromEuropeannationsandtheMiddleEasttoIndia.

TheMinistryofAYUSH,GovernmentofIndiahasbeenimplementingvariousinitiativestopromoteayurveda,yogaandotherAYUSHsystemsofmedicineonaninternationallevelandwasallocatedRs15.28crore(US$2.36million)in2017-18forthispurpose.

TheGovernmentofIndialiberaliseditspolicybyproviding100percentFDIintheAYUSHsectorforwellnessandmedicaltourismsegment.

Source:MinistryofHealth,RNCOS,KPMG,Deloitte,MedicalTourismAssociation,LSIFinancialServices,ApolloInvestorPresentation,ArancaResearch

19

Healthcare

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RE-EMERGENCEOFTRADITIONALMEDICALCARE

Source:MinistryofHealth,MakeinIndia,RNCOS,KPMG,ArancaResearch;Notes:AYUSH-Ayurveda,Yoga,Naturopathy,Unani,SiddhaandHomoeopathy

20

Healthcare

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Developinginfrastructure

Thecountryhad460Ayurvedaandhomeopathygovernmentrecognizedcollegesin2017-18.AsofOctober16,2018,numberofprimaryhealthcentres(PHCs)increasedto33,047andnumberofsubcentresreached167,880.

InDecember2017,theGovernmentofIndiaprovidedgrant-in-aidundertheNationalAYUSHMission(NAM),tosetupAYUSHeducationalinstitutionsinStatesandUnionTerritorieswheresuchinstitutionsarenotavailableinthegovernmentsector.

Notabletrends

ThetraditionalmedicalsectorisdevelopingTraditionalKnowledgeDigitalLibrarytopreventcompaniesfromclaimingpatentsonsuchremedies.ThereisgrowinginterestfromnumerousprivateequityfirmsinthetraditionalhealthcaresectorinIndia.

MarketsizeandServicesOffered

Thetraditional(ayurvedic)marketinIndiaisexpectedtoriseataCAGRof16percentover2016-2021.In2015,GovernmentofIndiahadapprovedAllIndiaInstituteofAyurvedainNewDelhi,itwouldbea200beddedhospital.TheinstitutewasinauguratedinOctober2017ontheoccasionofAyurvedaDay.

AyurvedicmedicinesoffertraditionalIndianhealthremediesbasedonnaturalandherbalingredients.

Thesectorhasbroadeneditsofferingsandnowincludesservicesondietandnutrition,yoga,herbalmedicine,humourtherapyandspa.

Leadingbrandsandplayers

ManybigplayerssuchasApollo,VLCCandManipalGrouparealsosettingupwellnesscentresacrossIndia,withtraditionalhealthcareremediesasthefocusoftheirofferings.

AsofMarch2017,PhilipsisshiftingitsfocustowardsadoptionofnewwavetechnologiesforenhancingitsholdinhealthcaresectorbyleveragingitsexpertiseinDeepLearning,MachineLearningandArtificialIntelligence.

PHARMAMARKETTURNOVERTRENDINGNORTH

Indianpharmaceuticalmarketgrew5.5percentinCY2017intermsofmovingannualturnover.WithaturnoverofRs1.16trillion(US$

18.06billion).

In2017,India’spharmaindustryturnoverreachedUS$14.97billion

andUS$3.08billionofnon-scheduledformulationsandscheduledformulations,respectively.

Source:DepartmentofPharmaceuticals

21

Healthcare

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PharmaMarketTurnover(US$Billion)

20

18

14.97

16 13.92

12.32

14

12

10

8

6

4

2 3.14 3.19 3.08

0

2015 2016 2017

ScheduledFormulations Non-ScheduledFormulations

POLICYSUPPORTANDGOVERNMENTINITIATIVES…

(1/4)

Source:ArancaResearch

22

Healthcare

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NationalNutritionMission

TheUnionCabinetapprovedsettingupofNationalNutritionMission(NNM)withathreeyearbudgetofRs85,217crore(US$13.16billion)tomonitor,supervise,fixtargetsandguidethenutritionrelatedinterventionsacrossministries.

Theprogrammeisaimedatreducingthelevelofstunting,under-nutrition,aneamiaandlowbirthbabies.

Over100millionpeopleareexpectedtobebenefitedbythisprogramme;andallstatesanddistrictswillbecoveredwithintheprogramme.

InMay2018,theGovernmentofIndiasignedaUS$200milliondealwiththeWorldBankfor315districtsacrossIndia,underNationalNutritionMission(POSHANAbhiyaan).

Taxincentives

Allhealthcareeducationandtrainingservicesareexemptedfromservicetax.

Increaseintaxholidayundersection80-IBforprivatehealthcareprovidersinnonmetrosforminimumof50beddedhospitals.

250percentdeductionforapprovedexpenditureincurredonoperatingtechnologyenableshealthcareservicessuchastelemedicine,remoteradiology.

Excisedutyonchassisforambulancereducedfrom24percentto12.5percent.

Artificialheartisexemptedfrombasiccustomdutyof5percent.

Incometaxexemptionfor15yearsfordomesticallymanufacturedmedicaltechnologyproducts.

Thebenefitofsection80-IBhasbeenextendedtonewhospitalswith100bedsormorethataresetupinruralareas;suchhospitalsareentitledto100percentdeductiononprofitsfor5years.

PradhanMantriJanArogyaYojana

OnSeptember23,2018,GovernmentofIndialaunchedPradhanMantriJanArogyaYojana(PMJAY),toprovidehealthinsuranceworthRs500,000(US$7,124.54)toovertencrorefamilieseveryyear.

POLICYSUPPORTANDGOVERNMENTINITIATIVES…

(2/4)

Source:ArancaResearch

23

Healthcare

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SingleWindowSystem

DrugControllerGeneralofIndia(DCGI)hasproposedtosetupasinglewindowsystemforstart-upsandinnovatorsseekingapprovals,consents,andinformationregardingregulatoryrequirement.

Innovation

India'sfirstever'AirDispensary',whichisbasedinahelicopter,willbelaunchedintheNortheastandtheMinistryofDevelopmentofNortheastRegion(DONER)hasalreadycontributedRs25crore(US$3.82million)foritsfunding.

OTCmedicines

Anin-principleapprovalforanewcategoryofoverthecounter(OTC)medicinehasbeengivenbytheDrugConsultativeCommittee(DCC),GovernmentofIndia,tohelpsavepatients'timeandmoney.

Incentivesinthemedicaltravelindustry

Incentivesandtaxholidaysarebeingofferedtohospitalsanddispensariesprovidinghealthtravelfacilities.Seniorcitizensabove80yearsofagewillbealloweddeductionofUS$491towardsmedicalexpenditureiftheyarenotcoveredunderhealthinsurance.

NationalHealthMission(NHS)

InMarch2018,theUnionCabinetofIndiaapprovedthecontinuationofNationalHealthMissionwithabudgetofRs85,217crore(US$13.16billion)from1stApril2017to31stMarch2020.

Tele-medicineinitiatives

StateTelemedicineNetwork(STN):ThestatesandunionterritorieshavebeenprovidedsupportundertheNationalHealthMission(NHM)underProgramImplementationPlan(PIP)tocreatereliable,ubiquitousandhighspeednetworkbackbone.

RecentInitiatives

InJune2018,GovernmentofIndialaunchedaregistrywithstandardised,authenticandupdatedgeo-spatial

dataofallpublicandprivatehealthcarecalledNationalHealthResourceRepository(NHRR).

Indiahasbilateralrelationswith53countriesinthehealthcaresector,asofAugust2018.Thisinternationalcooperationwillencouragejointinitiativesinhealthmanpowerdevelopment,training,exchangeofexperts,exchangeofinformation,capacitybuilding,andtechnicalsupportinestablishinglaboratories/hospitalsandresearch.

POLICYSUPPORTANDGOVERNMENTINITIATIVES…

(3/4)

Note:^-includesayurveda,homeopathyandunanipractitioners,alongwithallopathydoctors

Source:UnionBudget2018-19

24

Healthcare

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PradhanMantriSurakshitMatritvaAbhiyan(PMSMA)

AsofJanuary2018,PradhanMantriSurakshitMatritvaAbhiyan(PMSMA),aprogrammelaunchedin2016toensurecomprehensiveandqualityantenatalcheck-upstopregnantwomenacrossIndia,hascrossedthe10millionmark.

Medicalinstitutions

Thedoctor-populationratioiswayaheadof1:1,000theprescribedratiobyWorldHealthOrganisation(WHO)asforevery921peopleinthecountrythereisonedoctor^,asofDecember2018.

UndertheUnionBudget2018-19,thegovernmenthasallocatedRs452.25crore(US$69.86million)fortheupgradationofstategovernmentmedicalcolleges(PGseats)atthedistricthospitalsandRs794.07crore(US$122.66million)forgovernmentmedicalcolleges(UGseats)andgovernmenthealthinstitutions.

DuringFY17-FY19theGovernmentofIndiapermittedstartof86newcolleges,whichincluded51inFY17,14inFY18and21inFY19.

UnionBudget2018-19

UndertheUnionBudget2018-19,theallocationtotheMinistryofHealthandFamilyWelfarehasincreasedby11.5percentyear-on-yeartoRs52,800crore(US$8.16billion).

InAugust2018,theGovernmentofIndiaapprovedAyushmanBharat-NationalHealthProtectionMissionasacentrallySponsoredSchemecontributedbybothcenterandstategovernmentataratioof60:40forallStates,90:10forhillyNorthEasternStatesand60:40forUnionTerritorieswithlegislature.Thecenterwillcontribute100percentforUnionTerritorieswithoutlegislature.

TheNationalHealthProtectionSchemeislargestgovernmentfundedhealthcareprogrammeintheworld,whichisexpectedtobenefit100millionpoorfamiliesinthecountrybyprovidingacoverofuptoRs5