Benutten van kansen op de Indiase medische markt! 18 april 2013
Programma: Benutten van kansen op de Indiase medische markt 12:15
Opening en Welkom door Thijs Teeling, Voorzitter van de Task Force Health Care
12:25
Achtergrond Indiase Medische Markt + Q&A Freek Jan Frerichs, Nederlandse Ambassade te New Dehli
12:55
Bedrijfservaringen met zakendoen in India Stephen Tierney, IKS International Arthur ten Have, Ecorys
13:25
Nederlandse aanpak: gezamenlijk betreden Indiase markt! Peter Post, Task Force Health Care
13:45
Panel Discussie
14:00
Netwerk koffie
14:30
Einde bijeenkomst
Sessie 1: Benutten van kansen op de Indiase medische markt
Opening en Welkom Thijs Teeling, Task Force Health Care
Sessie 1: Benutten van kansen op de Indiase medische markt
Achtergrond Indiase Medische Markt + Q&A Freek Jan Frerichs, Nederlandse Ambassade te New Dehli
The Indian Healthcare Sector Presentation for TFHC
Name: Freek Jan Frerichs Date:18-4-2013
Content
Introduction Healthcare in India Demography, Market dynamics, regional disparity, health status Access and affordability, Public & Private Investment
Medical Device Market
The Dutch Trade Network in India Embassy In New Delhi Consulate General in Mumbai Honorary consulates in Bangalore and Calcutta NBSO’s in Chennai & Ahmedabad & Netherlands Desk in Hyderabad Team for top sector LSH
Jeroen Vlutters Embassy New Delhi
Ravleen Pal Embassy New Delhi
Freek Jan Frerichs CG Mumbai
Vijay Kumar NBSO Chennai
Phaedra Veenendaal Netherlands Desk Hyderabad
India 1.2 Billion a nd Gr ow ing India’s p pulation is equal o to cmb i n ed population of 6 following nations 1.21 Billion US
Indonesia o
Brazil
Pakistan
Bangladesh
Japan
Growth in India’s Population
17.6% 1 out of 6 people on this planet live in India
Decadal growth from 2001 to 2011
Source: PWC
Brazil
equals Brazil’s population
Population Density 20 01 Current
pw c.com
181 Million
class325 170
Population million and per sq Km
middle emerging middle class 470 Million Population is young 20 11 These are expected to reach 385 50% under 25 People can expect to 300million and 570 Million people in 3 2021 respectively Live longer
Indian healthcare Market M a r ket Size Others: $3 Bn Medical Devices: $4 Bn
Diagnostics $3.4 Bn
Industry Growth
Pharma $14 Bn
Indian Healthcare a $65 Bn Industry and Growing at 15% CAGR
Laboratory $1.9 Bn Radiology $1.5 Bn
5.5%
Source: pw c.comPWC
Increase in disease burden
3.5%
Population growth
2% 1.5% 1% 1.5%
Insurance coverage Delivery $40.6 Bn
Medical Services $44 Bn
Indian Healthcare $65 Bn
Increased Accessibility
Others*
*Increasing Government spending, Increased Health awareness, Quality of Care, Lower costs, Newer delivery formats, Demand for life enhancing procedures are among the other drivers
Growth Drivers
Rising disposable incomes
7
Regional differences Government aims at boosting health spending to 2.5% in 2017. Health is a state subject. implementation of national policy is the responsibility of the states
West Maharashtra and Gujarat have good infrastructure
• Existing National Rural Health Mission. and Plans for schemes for Urban poor • National Health insurance scheme for the poor (ministry of Labour) plans for universal healthcare
Government can’t do it alone PPP increasingly used to achieve policy goals in healthcare sector
North Lags behind but is Seeing investment grow
East Lags Behind in most indicators South Performs best
Source: adapted from PWC
India has lowest per capita availability of Hospital beds, Doctors and Nurses. Even Secondary and Primary care can be elusive in rural areas Public sector investment targeted at rural health care
Destination for medical tourism, modern urban medi-cities staffed by world class doctors • The private sector is driving expansion in healthcare delivery. • 95% of new hospital bed additions are in Private hospitals
• 80% of Health care expenditures take place in private hospitals
Highest Infectious Disease burden globally Fears of TDR-TB 2012 Dengue Epidemic 2012
Rapid rise in Non communicative Diseases India is bracing for a massive surge in type 2 diabetes, with credible estimates putting the number of sufferers in the next 20 years at more than 100 million
Need for solutions addressing the demand and supply gap •Innovations in health service delivery •Point of care diagnostics •Mobile health clinics & tele medicine With a rising life expectancy India will also increasingly need solutions for elderly care. The rise in chronic disease requires a shift to preventative care, Chronic disease management and assisted living.
Indian healthcare delivery Innovation
Narayana Aravind Eyecare Low Cost Eye Care
Hrudayalaya Hart surgery<$2000
Life Spring $40 Delivery
Private Investment in Healthcare delivery
• All major Indian hospital chains have expansion plans • Narayana Hrudayalaya and Fortis healthcare and Hinduja are investing up to 1 billion dollars in their expansion plans • NH aims at 100 low-cost specialty hospitals and three more health cities in the country. Fortis is working on a chain of 200-450 bed hospitals in 31 cities over the next three to five years
Medical Device Market • 4 billion dollar market growing more than 15% per year • India’s medical device industry is ranked fourth in Asia After Japan, China and South Korea • top three globally with regard to MNC investments • high imports 70% but government focused on stimulating domestic production and local innovation
Hightech
• MNC • Import
Medium
• transition • Growth area
Low tech
• Local firms • production
Source: Adapted from yesbank
• Rapid growth and dynamic market Increasingly makes long term success dependent on adapting to local market requirements • Need to move beyond import strategy, local manufacturing and innovation
GE leverages India for cost innovation Medical devices available at 25% of their western counterparts
New mobile diagnostics devices
Opportunities in India • Indian healthcare represents a rapidly growing market opportunity • Medical device market is increasingly attracting investment • India requires solutions to improve accessibility and affordability of healthcare • Dutch representation in India can help find partners, and provide platform for consortia interested to explore these opportunities
Questions? Consulate General of the kingdom of the the Netherlands in Mumbai Email:
[email protected]
Sessie 1: Benutten van kansen op de Indiase medische markt
Bedrijfservaringen met zakendoen in India Stephen Tierney, IKS International
Ervaringen in India
Stephen Tierney 18 april 2013
IKS Healthcare India Pvt. Ltd. ►
Op ongeveer zes maanden tijd ►
Eigen kantoor op goede locatie in Bangalore
►
Ruggengraat van de personeelsstructuur is er
►
Offertes worden quasi zelfstandig uitgebracht
►
Drie pilots opgezet
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Eigen productie startklaar
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Eigen ontwikkelingen startklaar
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Contacten op erg hoog niveau: ►
Politiek
►
Regelgeving
►
Eigenaars en CEO’s
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De eerste order is binnen!
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Meer geduld is nodig…
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Kansen blijven reëel en enorm
Waarom India ►
IKS International als groeiend MKB bedrijf
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Grote en groeiende markt in India
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Kansen voor verkoop, productie en ontwikkeling
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Springplank naar nieuwe markten: VS, Azië, …
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Toegankelijkheid
De grote stap ►
Grondig vooronderzoek ►
Markten, concurrenten, contactpersonen, realiteit polsen aan gedachtengoed, …
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Logistiek erg complex
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Extreem complexe administratie
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Veel extra kosten
Algemene ervaringen ►
Traag land langs één kant, alles kan NU langs de andere kant ►
Geduld is een schone deugd
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Moeilijk om afspraken naar waarde in te schatten
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Indiërs kunnen nooit toegeven dat ze iets niet weten / kunnen
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Kosten zijn hoger dan verwacht: ►
Lonen
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Reis en verblijf
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Verborgen kleine kosten
Essentials ►
►
►
Vertrouwen is key: wederzijds ►
Een ‘India Face’ is nodig
►
Controle op afstand moet mogelijk zijn
Eigen inzet moet volledig zijn ►
Lang weg van thuis
►
‘Even proberen’ is geen optie
►
Indiërs hebben een zesde zintuig om een gebrek aan commitment te voelen
Religie en gevoeligheden goed snappen ►
►
De typisch Nederlandse directe aanpak past niet: alles moet genuanceerd worden
Status is alles ►
Belangrijker dan religie
►
Auto, horloge, merken, …
“Your network = your net worth”
Sessie 1: Benutten van kansen op de Indiase medische markt
Bedrijfservaringen met zakendoen in India Arthur ten Have, Ecorys
ECORYS Entering India Just another market?
Arthur ten Have Partner
ECORYS : More than 80 years of experience • One of the oldest economic research and consultancy companies in Europe • Head office in Rotterdam, the Netherlands • 16 offices in 11 countries
• Approximately 560 in house staff • Extensive, global network of external experts and partners
Our knowledge areas • Economy and competitiveness • Regions, cities and real estate • Energy, environment and water • Transport and mobility • Social policy • Education
• Health • Governance
Our services include • Policy analysis • Sector analysis • Feasibility studies • Investment appraisal • Expenditure reviews • Cost-benefit analysis • (Regulatory) impact assessment • Monitoring and evaluation • Health Technology Assessment
Project examples in India Health • Technical Assistance Provider (TAP) under Uttar Pradesh Health Systems Strengthening Project (Ongoing) (World Bank funded) Ports • Reviewing the Indian Port Sector Policies for the World Bank • Preparing a market demand study for the Port of Sutrapada in Gujarat • Providing technical assistance for a strategic port and governance restructuring for the Gujarat Maritime Board Transportation • Supporting the drafting of an integrated transport policy and strategy, as well as strategic investment plans for the Government of Punjab (World Bank funded) • Reviewing the performance of Highways Agencies in South Asia for World Bank India
Project examples in India (2) Water and Sanitation • Karnataka Rural Water Supply and Sanitation Project (KRWSSA) Sustainability Monitoring Exercise under World Bank Concluded Jal Nirmal Project and Additional Financing • KRWSSA - Support Agency for Implementation of Multi Village Water Supply Schemes in Hutti, Raichur District Monitoring and Evaluations • Supporting DFID India with impact and other evaluations • Evaluation of the EU - India Trade and Investment Development Programme and identification of the follow-up programme Industrial policy • Preparing the Development Plan for the Khushkhera – Bhiwadi – Neemrana Investment Region in Rajasthan, for DMICDC • Formulating the new Industrial Policy for the Government of Maharashtra • Evaluating the EU – India Trade and Investment Development Programme for the Delegation of the EU to India
Why India and how we started • International development consultancy is a global business with increasing competition from upcoming countries in terms of expertise > India presents a global resource • India is a development market on its own, but fees too low for European consultants. • India combines several worlds in one: also demand for non-development related consultancy services. Dutch and European experience of Ecorys can be provided as well and is considered attractive in specialised areas. • Indian market is Anglophone • Indian office takes up certain corporate support functions • Own office and presence indispensable – Until 2008 project based presence – 2009-2011 MOU with large Indian consultant – 2012 set-up of own office • Strategic vision is that India becomes one of Ecorys’ ‘home’ markets in the next five years
Sessie 1: Benutten van kansen op de Indiase medische markt
Nederlandse aanpak: gezamenlijk betreden Indiase markt! Peter Post, Task Force Health Care
A collective approach on India 18 April 2013 Zoetermeer, Nederland
ORET Project in India (1996 – origin of TFHC) Title: Country: Period: Budget: Client: Financed by:
Development of Sustainable Healthcare Infrastructure in Gujarat India (Gujarat) 1996 - 2004 € 45.000.000,Regional Government of Gujarat Dutch Government (ORET-loan)
Feasibility - Financial Facility - Design/Build/Equip - Maintenance – Training Description: The improvement of intermediate level medical services in the state of Gujarat. The project provided assistance for: (1) Maternity & Child Health; (2) Traumatology; (3) Nephrology and Virology. Among others it encompassed equipping 65 health institutes (36 community health centres; 23 district hospitals; 6 referral centres and 6 Mobile Ophtalmology units). Consortium:
Life Sciences & Health Mission to India (6 – 12 May 2012) Headed by Mrs. Edith Schippers, Minister of Health, Welfare and Sport Business Delegation Lead by Mr. Thijs Teeling, Chairman TFHC
A collective approach on India: TFHC Mission & Approach Mission:
“To provide a structural contribution to the improvement and sustainability of healthcare infrastructures in emerging and developing countries with the maximum use of Dutch expertise and technology”
Approach: •
Connecting healthcare challenges to available health solutions.
•
Stimulating knowledge-sharing and cooperation.
•
Facilitating government-to-government relations
A collective approach on India: Combining Forces
A collective approach on India: TFHC Working Groups • Working Group Russia (since March 2012) • Working Group International Organisations (since November 2012) • Working Group Indonesia (kick-off May 2013) • Working Group China
• Working Group India
A collective approach on India: When is a WG applicable?
1.
Market Size
2.
Market Opportunity / Developments
3.
Market Accessibility (Collective vs. Individual)
A collective approach on India: Collective vs. Individual 1.
Access to Decision Makers • •
2.
The Netherlands India
Knowledge Sharing • •
New Insights Existing knowledge within the network
3.
Cooperation
4.
(Together) Access to larger projects
5.
Sharing Risk & Investment
6.
Creating Opportunities Together
7.
Creating Exposure
8.
Creating a Portal / Desk
A collective approach on India: Each approach, different WG
Light
Heavy
-
-
WG Coördination / Portal WG Centre of Excellence WG Meetings 1 á 2 Collective Activities
€ 950
Cost per year per member
WG Coördination / Portal WG Centre of Excellence WG Meetings 3 á 6 Collective Activities PIB-proposal WG Promotional Material Memorandum of Understanding
€ 3.000
A collective approach on India: TFHC WG IO (example) Global Health Challenges
Working Visit Ethiopië (with Minister Ploumen):
Working Group IO: TFHC Conference ‘Global Health Challenges’
Chairman:
Sierd Hoekstra
Vice-Chairmen:
Hilbrand Haak & Arthur ten Have
Programme Mgr.: Peter Post Members:
18
Healthcare Mission Ghana
A collective approach on India: Russia (example) TFHC signing MoU with Russia TFHC goes Russia Website
Working Group Russia: Chairman:
Thijs Teeling
TFHC WG Russia Activities
Vice-Chairmen:
Mark Sluiters
2012
Programme Mgr.: Marcel Linders
3 April
Delegation Tartastan to The Netherlands
18 – 19 July
Official Delegation Visit to The Netherlands
3 – 6 Dec.
Visit to “Zdravookhraneniye” in Moscow
2013 21 – 25 Jan.
WG Visit to Moscow
21 Febr.
Dutch Trade Board Russia
8 April
Official Delegation (PM Poetin) to The Netherlnads
Members:
14
Approved PIB! “More than €400.000 subsidy for export promotion in the coming 3 years.”
A collective approach on India: Key-Succesfactors of a WG Lessons-learned over the past 15 years
• Committed members (invest time and money) • Involved Chairman
• Involved Vice-Chairman • Active Programme Manager
Teamwork
A collective approach on India: Next step!
1. Consultation with Dutch LSH sector
2. Join the Working Group (CPoA) 3. Kick-off meeting (planning 2013 / 2014) 4. Set-up Desk and Centre-of-Excellence 5. Go! (Co-)Create! and Anticipate!
Task Force Health Care Get Involved
Peter Post Boerhaavelaan 40 P.O. Box 190, 2700 AD Zoetermeer T. +31 79 3531 283 E.
[email protected] W. www.tfhc.nl
Sessie 1: Benutten van kansen op de Indiase medische markt
Panel Discussie
Sessie 1: Benutten van kansen op de Indiase medische markt
Netwerk koffie / Sluiting
