Health care System Development in Kenya and Rwanda : Unlocking New Opportunities in Sub-Saharan Africa

Health care System Development in Kenya and Rwanda : Unlocking New Opportunities in Sub-Saharan Africa

  • April 2015 •
  • 103 pages •
  • Report ID: 2841918
Key Findings

•Health care is regarded as the 4th most-attractive investment sector in Africa. Economic factors and the regulatory environment are the key aspects companies take into consideration when evaluating new markets.
•The increased prevalence of chronic diseases, the rising income levels, and the augmented health awareness drive the upsurge in the per capita total health expenditure in Kenya and Rwanda.
•More than x % of the total mobile penetration, along with ICT infrastructure and connectivity, will be the backbone of new mobile applications and mHealth startups in Kenya and Rwanda.
•Kenya has the most developed economy in East Africa. From 2004 to 2014, the country’s GDP averaged x %. However, due to lack of proper facilities, about x medical tourism patients from Kenya travel abroad each year, according to the Kenya Bureau of Statistics.
•HIV/AIDS is the major cause of adult death in Kenya. Effective low-cost point-of-care (POC) HIV diagnostic kits for nucleic acid testing (NAT) and immunodiagnostics hold potential as around 60% of the population live in rural areas without proper access to care.
•Around 60% of the total pregnancies in Kenya are handled by the private sector.
•According to the World Bank, in Kenya, out-of-pocket (OOP) expenses account for $ x out of every $ x spent on private health care. Annual private health care investments in East Africa grew by an average of x %, each year, from 2003 to 2013.
•In Rwanda, patients are often in the late stage of severe disease when they approach x of the x academic referral hospitals.
•The health transformation in Rwanda over the last x years was enabled, to a large extent, by community health workers (CHWs) who offer a solution to the financial, geographical, and infrastructural barriers in the resource-constrained country, thereby improving access to health in rural communities.
•Rwanda's per capita total expenditure on health has increased by more than x % between x and 2012.
•Although the number of health facilities in the country has increased over the past decade, approximately x % of the patients still travel more than x km to reach the closest facility. Physicians lack both the equipment and the training to provide specialized care.
•At the national level, the procurement and the distribution of drugs and medical supplies have made progress; however, the same cannot be said about the intermediate and the peripheral levels.
•By the end of 2017, Rwanda aims to provide 4G LTE technology to x % of its population.
•More than half of the country’s total health expenditure is funded by external resources. The salaries of doctors and nurses have been cut by x % due to the decrease in external assistance post 2011. Community-based national health insurance schemes do not include coverage at private health centres.
•Rwanda continues to be the most densely populated country in Africa with x persons living per square km. The high population growth rate is creating a huge demand for health care infrastructure.
•The formation of the East Africa Community (EAC) could provide opportunities for the insurance companies in the region.

Health care System

•From 2000 to 2013, Rwanda was the fastest-growing African nation with a yearly growth average of x %.
•The Ministry of Health (MoH) has started a public health scheme and set up training institutes, such as the Kigali Health Institute (KHI) and the College of Medicine and Health Sciences, University of Rwanda, Butare.
•In 2013, x % of the population was covered under public health insurance. The MoH is the major provider of primary, secondary, tertiary, and preventive health services.
•To improve the current situation, the government has increased national expenditure on health care by around x % (from 1996 to 2013). Over the same period, Rwanda was able to drastically reduce mortality rates due to diarrhoea ( x %) and maternal/neo-natal conditions ( x %).
•Rwanda’s health profile remains dominated by communicable diseases. The World Health Organization (WHO) classifies the HIV/AIDS prevalence in Rwanda as a generalized epidemic with a current prevalence of x % for the total population aged x x , which has declined from x % in 2004.
•There is a serious shortage of health care professionals in the country, with only x doctors and x paramedics per x people.