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Understanding South Africa’s Regional Healthcare Markets

  • March 2014
  • -
  • Espicom Business Intelligence
  • -
  • 73 pages

With a new National Health Insurance system being implemented, what will the effects be on the under-resourced public sector and the expensive private sector? And what changes can be seen at the varied regional and provincial levels?

Any assessment of South Africa must consider the potential variations across Eastern Cape, Free State, Gauteng, KwaZulu-Natal, Limpopo, Mpumalanga, North West, Northern Cape and Western Cape, as well as down to provincial levels. Geographical diversity will impact on medical services and this report answers those key questions that will arise:

•How is the population distributed? How is healthcare divided?
•Health funding: How is the Government expenditure vs. private expenditure indicated?
•What are the long-term macroeconomic forecasts?
•Which regions are better provided for and which still need investment'Identifying opportunities in South Africa’s growing health economy requires detailed knowledge of the economic performance and health infrastructure at a regional and province level. Being able to see that in the context of neighboring provinces and the national picture brings focus to areas of opportunity.

Rich in statistics and charts, this newly updated report from Espicom, Understanding South Africa’s Regional Healthcare Markets is part of a series on major markets; taking you further into understanding the growing regional health environments.

Our valued expert views from our analysts provide you with key opinions not found anywhere else:

A two-tiered healthcare system currently operates in South Africa, compromised of the under-resourced public sector (which supports the majority of the population) and expensive private sector (which attracts the wealthy minority). This divergence is attributed mainly to disparity in the provision and standard of healthcare services, infrastructure and resource allocation between the public and private sectors.Against this backdrop, despite high expenditure on healthcare (8.8% of GDP in 2012), health outcomes remain poor in comparison with similar middle-income countries. To abolish this inequality, the African National Congress (ANC) is in the process of implementing National Health Insurance (NHI) to realize its goal of universal healthcare in the country, aiming to provide the population with the required health services while making financial contributions according to an individual’s ability to pay. This report gives a picture of the current state of regional healthcare systems, trends and forecasts within the nine provinces of South Africa.

Table Of Contents

Understanding South Africa’s Regional Healthcare Markets
CONTENTS
BMI View 9
Economic Analysis 11
Table: Nominal GDP, ZAR, mn 16
Table: GDP Per Capita, ZAR 16
Sub National Economic Analysis 17
Table: South Africa Gross State Product, US$bn 17
Table: South Africa Gross State Product Per Capita, US$ 17
Industry Forecast 18
Healthcare Market Forecast 18
Table: South Africa Healthcare Expenditure Trends, Historical Data And Forecasts 20
Table: South Africa Government Healthcare Expenditure Trends, Historical Data And Forecasts 20
Table: South Africa Private Healthcare Expenditure Trends, Historical Data And Forecasts 21
Demographic Forecast 22
Table: South Africa's Population By Age Group, 1990-2020 ('000) 23
Table: South Africa's Population By Age Group, 1990-2020 (% of total) 24
Table: South Africa's Key Population Ratios, 1990-2020 25
Table: South Africa's Rural And Urban Population, 1990-2020 25
Sub-National Demographic Forecast 26
Table: South Africa Population By Province, mn 30
Table: South Africa Live Births By Province 31
Table: South Africa Crude Birth Rate By Province 31
Table: South Africa Deaths By Province 32
Table: South Africa Crude Death Rate By Province 32
Table: South Africa Life Expectancy By Province 33
Eastern Cape 34
Table: GSP and Population 35
Table: Total Hospitals 35
Table: Public Hospitals 35
Table: Private Hospitals 36
Table: Hospital Activity 36
Table: Public Sector Medical Personnel 36
Table: Registered Medical Personnel 36
Table: Historical Demographic Data 37
Free State 38
Table: GSP and Population 39
Table: Total Hospitals 39
Table: Public Hospitals 40
Table: Private Hospitals 40
Table: Hospital Activity 40
Table: Public Sector Medical Personnel 40
Table: Registered Medical Personnel 41
Table: Historical Demographic Data 42
Gauteng 43
Table: GSP and Population 44
Table: Total Hospitals 44
Table: Public Hospitals 45
Table: Private Hospitals 45
Table: Hospital Activity 45
Table: Public Sector Medical Personnel 45
Table: Registered Medical Personnel 46
Table: Historical Demographic Data 47
KwaZulu-Natal 48
Table: GSP and Population 48
Table: Total Hospitals 49
Table: Public Hospitals 49
Table: Private Hospitals 49
Table: Hospital Activity 50
Table: Public Sector Medical Personnel 50
Table: Registered Medical Personnel 50
Table: Historical Demographic Data 51
Limpopo 52
Table: GSP and Population 52
Table: Total Hospitals 53
Table: Public Hospitals 53
Table: Private Hospitals 53
Table: Hospital Activity 54
Table: Public Sector Medical Personnel 54
Table: Registered Medical Personnel 54
Table: Historical Demographic Data 55
Mpumalanga 56
Table: GSP and Population 57
Table: Total Hospitals 57
Table: Public Hospitals 57
Table: Private Hospitals 58
Table: Hospital Activity 58
Table: Public Sector Medical Personnel 58
Table: Registered Medical Personnel 58
Table: Historical Demographic Data 59
North West 60
Table: GSP and Population 60
Table: Total Hospitals 61
Table: Public Hospitals 61
Table: Private Hospitals 61
Table: Hospital Activity 62
Table: Public Sector Medical Personnel 62
Table: Registered Medical Personnel 62
Table: Historical Demographic Data 63
Northern Cape 64
Table: GSP and Population 64
Table: Total Hospitals 65
Table: Public Hospitals 65
Table: Private Hospitals 65
Table: Hospital Activity 66
Table: Public Sector Medical Personnel 66
Table: Registered Medical Personnel 66
Table: Historical Demographic Data 67
Western Cape 68
Table: GSP and Population 69
Table: Total Hospitals 69
Table: Public Hospitals 69
Table: Private Hospitals 70
Table: Hospital Activity 70
Table: Public Sector Medical Personnel 70
Table: Registered Medical Personnel 70
Table: Historical Demographic Data 71
Methodology 72
Methodology and Sources 72

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