The Medical Device Market: Peru

Opportunities and Challenges

Publication Date	September 2009
Publisher	Espicom
Product Type	Report
Pages	102
ISBN Number	not applicable
Product Code	ESP00431

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Summary

Peru is often overlooked when discussing the rapid-growth economies of South America. This report is ideal for executives wanting to understand the key drivers in the medical market and have access to a wealth of statistical data, including five-year market projections. In addition to the report are 3 free quarterly updated outlook reports, enabling you to keep up to date with market developments for a year.

Includes 3 quarterly updated outlook reports!

With an estimated population of just over 29 million in 2009, Peru is the fourth largest country in South America, behind Brazil, Colombia and Argentina. The country undertook a wide range of market reforms in the 1990s. This has improved the economic situation, although Peru remains significantly poorer than Argentina, Brazil or Chile.

Health services are predominantly provided in the public sector, although most facilities are severely under-funded. Around 7.5 million people are covered under ESSALUD, the main public insurance system, which operates its own hospitals and clinics. The private sector is small, advanced and based in Lima. A total of 15.9 million were covered by some kind of health insurance in 2008.

On 1st February 2009, a Trade Promotion Agreement came into effect between Peru and the USA. This will significantly liberalise the trade in goods between the USA and Peru and address customs administration, technical barriers to trade and intellectual property issues. At around US$201 in 2009, health expenditure per capita is low, and comparable to Central American countries such as Nicaragua or El Salvador. In South America, only Ecuador, Paraguay and Bolivia have lower levels of spending. That said, the government has invested US$333 million to improve Peru’s health establishments, building 20 new hospitals in 2008 and one a month in
2009, as part of a wider goal of decentralising health services, to ensure health coverage for all.

The medical equipment market grew well in the early 1990s, but then stagnated for much of the next decade. Imports have, however, performed well again since 2003. The market is valued at US$183 million in 2009. Per capita expenditure is US$6.2, a low level of spending for South America, ranking it 56th out of the 67 world countries. Purchases of medical equipment often rely on donations and international aid.

Peru has very little domestic manufacturing, and few multinationals have plants there. As a result, the market is heavily dependent on imports. Around 30% of imports are supplied direct from the USA, although the US share has slipped in recent years as manufacturers in Europe and Asia are able to compete well in a number of sectors. Low tech items such as bandages are often supplied from nearby countries such as Brazil.

Peru has high inflation and a rapid reduction is not foreseen in the near future. The National Statistics Institute found the 2008 domestic inflation level to be 7.3%. Purchasing power has been reduced on a large scale, particularly amongst the poorest regions of the country and the capital, Lima, has high levels of poverty. Short term GDP forecasts have been revised downwards to reflect current global economic conditions.

MARKET OUTLOOK
Key national data projections
Current market size
Unique 5-year market projections
Market outlook
Market structure
Including statistical data on imports and exports
Market access
Including distribution and medical device regulation
Healthcare analysis
Including demographics, healthcare system, health expenditure, healthcare infrastructure and personnel

HEALTHCARE DATA
A comprehensive tabula review of the market, including economic indicators, demographics, health expenditure, hospital and primary care data, and healthcare personnel.

DISTRIBUTORS
Details of the medical equipment distributors held in Espicom’s database at the time of publication.

Content

EXECUTIVE SUMMARY

Introduction
Medical Market Analysis
Size
Projections: Consumables; Diagnostic Imaging; Dental Products; Orthopaedic & Implantables
Outlook

Market Structure: Imports; Consumables; Diagnostic Imaging; Dental; Orthopaedic products; Other; Domestic Production; Exports; Consumables; Diagnostic Imaging; Dental Products; Orthopaedic & Implantable Products; Others

ACCESSING THE MARKET
Distribution
Medical Device Regulations: US/Peru TPA
Trade Fairs: EXPOMEDICA; TECNOSALUD

Healthcare Analysis
Demographics: Population; Birth Rate; Death Rate; Infant Mortality; Life Expectancy at Birth; Public Health; Causes of Death; Incidence of Communicable Disease; Incidence of Non-communicable disease; HIV/AIDS
Healthcare System: Aid Projects; Pipeline World Bank Health Sector Project; World Bank’s Health Sector Reform Project, Second Phase Approved; Peru’s 2007 Poverty Figures Released, Down 9% since 2004; IADB Projects
MINSA: MINSA Increases Outpatient Consultations by 20% Thanks to Late Shifts
ESSALUD
FFAA & PNP
Non-Public Providers
SIS: Health Insurance
Health Expenditure: Health Expenditure Projections
Healthcare Infrastructure: 1 Billion Soles for Investment in Hospitals; US$10 Million Grant for 50,000 Cataracts Operations in Peru; ESSALUD Launches Second Digital Hospital; Inpatient Analysis
Healthcare Personnel: Physician Projections; Doctors Ongoing Strikes over Pay and Working Conditions

DIRECTORY
Government Organisations
Trade Associations
Methodology and Sources
Trade Code Classifications

List of Tables: Summary Key Data Projections, 2009-2014; Summary of the Peruvian Medical Device Market, 2009; Projected Medical Device Market, 2009-14; Projected Medical Device Market by Category, 2007-14 (US$ millions); Projected Medical Device Market by Category per Capita, 2007-14 (US$); Projected Medical Device Market by Category, % of Total, 2007-14; SWOT Analysis of the Peruvian Medical Device Market; Espicom Analysis of the Peruvian Medical Market, 2009; The Top Ten Leading Medical Companies by Sales; Imports by Product Area, 2003-07 (US$000s); Imports by Product Area, 2003-07 (% of Total); Imports by Product Area, 2003-07 (% Change, US$ terms); Leading Suppliers by Product Area, 2007 (US$000s); Leading Suppliers by Product Area, 2007 (% of Total); Imports of Medical Equipment & Supplies, 2003-07 (US$000s); Medical Equipment Import Trends; Leading Suppliers, 2007 (US$000s); Leading Suppliers by Category, 2007; Exports by Product Area, 2003-07 (US$000s); Exports by Product Area, 2003-07 (% of Total); Exports by Product Area, 2004-07 (% Change, US$ terms); Leading Destinations, 2007 (US$000s); Leading Destinations, 2007 (% of Total); Exports of Medical Equipment & Supplies, 2003-07 (US$000s); Summary Demographic Data 2005/07; Projected Population, 2009-2014; World Bank Contracts Awarded, 2005-06; Percentage of Poverty by Department, 2007.; Recent IADB Projects; MINSA’s Health Plan, 2002-2012; ESSALUD’s Projects & Expenditure, 2007 & 2008; Population Affiliated to Health Insurance by Provider, 2004-2008 (% of Total); Population Affiliated to SIS by Type, 2002-2006; Population Affiliated to SIS by Location, 2002-2006; Population Affiliated to SIS by Health Establishment, 2002-2006; Healthcare Expenditure, 2006; Projected Health Expenditure, 2009-14; Hospitals and Beds, 2005/07; Hospital Bed Projections, 2009-2014; Projected Number of Physicians, 2009-14 (000s)
List of Figures: Peruvian Medical Device Market by Category, 2009 (%); Radar Graph of the Peruvian Medical Market, 2009; Medical Equipment Imports, 1992-2007 (US$000s); Percentage Change in Imports, 1993-2007; Imports by Product Area, 2007 (%); Imports by Product Area, 2003-07 (CAGR %); Leading Suppliers, 2007 (%); Exports of Medical Equipment, 1992-2007 (US$000s); Percentage Change in Exports, 1993-2007; Exports by Product Area, 2007 (%); Population Affiliated to SIS by Location, 2002-2006 (%); Population Affiliated to SIS by Health Establishment, 2002-2006 (%)