Healthcare Infrastructure in Nigeria, Key Opportunities 2017–2020

Rapid Urbanization, Growing Disposable Income, and Expanding Health Insurance Coverage Will Raise the Demand for Quality Specialty Care Throughout the Forecast Period

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Nigeria has the largest consumer base in Sub-Saharan region. A larger part of the population living in urban areas is a favorable indicator for market entry. Robust growth of around 7% for the past decade is threatened by macroeconomic challenges, particularly exchange-rate volatility and falling global oil prices that impact public-sector spending. Nigeria is the most populated country in the African continent with a population of approximately 186 million in 2016. The mixture of a large population, a swelling middle class with the capability to pay for services, an increasing demand for specialist facilities, and high-quality care which is evident from the large number of outbound medical tourists from the country. Despite the fact that a vast segment of Nigeria's population utilizes private health services and spends an enormous out-of-pocket share toward health expenditures, a sizable part of it is spent on low-quality services and products. Also, the unavailability of consistent and timely data on the Nigerian health sector for decision making pushes companies intending to invest in Nigeria to conduct a thorough market assessment for the specific products and services they plan to bring in. In order to harness the resources in both the public and the private healthcare sectors in Nigeria, the country has developed a National Policy on public private partnerships for health, aligned with the National Health Policy. The importance of public private partnerships is increasing due to the revitalization of the healthcare industry and the new hospital market, with the government often providing land for the project as well as security for investments. Nigeria suffers a heavy burden of infectious diseases, particularly malaria, and experiences frequent outbreaks of water-borne diseases such as cholera, which in some instances, requires hospitalization. Additionally, Nigeria has been witnessing an increase in the incidence of non-communicable diseases, which often lead to hospitalization if the condition is not well-managed. This increase in incidence of chronic and infectious diseases sets up an immense pressure to diagnose and treat faster and in a cost-effective manner. This makes requires a transformation of the healthcare infrastructure in Nigeria. This research intends to provide a clear indication of the current healthcare landscape in Nigeria as well as the level of development that currently exists in this market. The research service will highlight some key areas for investment in Nigeria, while many industries are still in a latent stage of development. In this way, the research service can begin to answer questions regarding the time horizon for future investment in key supporting industries such as private hospitals, health insurance, and more specialized devices, pharmaceuticals, and healthcare services.

Table of Contents

1. Executive Dashboard
Key Findings
Scope of the Study
2. Country Overview
Country Overview
3. Demographics and Disease Burden
Age Structure
Top Causes of Death
Key Health Indicators
4. Economic Overview
Economic Overview
5. Health System and Delivery
The Federal Ministry of Health—Key Authority Monitoring the Health Services in Nigeria
Healthcare Governance Structure
Health System—Governance and Architecture
Health System—Delivery
Public Health Services Delivery System
6. Health Financing and Expenditure
Health Expenditure
Health Care Financing
Health Financing Agents in Nigeria
7. Healthcare Facilities and Personnel
Current Healthcare Infrastructure in Nigeria
Healthcare Facilities—Ownership and Legal Status
Healthcare Facilities—Private
Target Segments of Key Hospitals in Nigeria
Key Participants in the Public Sector
Key Participants in the Private Sector
Healthcare Personnel
8. Regulatory and Legislative Framework
Regulatory and Legislative Framework
Regulatory Bodies
9. Health Insurance
Health Insurance
10. Health Policy
National Health Policy
National Health Policy—Before the Launch of Health Sector Reform Program or HSR (2004–2007)
National Health Policy—Effect of HSR on the National Health System
National Health Information Policy and Strategy
Saving One Million Lives (SOML) Program for Results
Nigeria States Health Investment Project (NSHIP)
National Health ICT Strategic Framework, 2015–2020
Current Focus on Health
11. Upcoming Projects
Upcoming Project—Public
Upcoming Projects—Greenfield and PPP
Upcoming Project—Private Investment
12. Healthcare Infrastructure Analysis
Healthcare Infrastructure Analysis—Key State: Lagos
Healthcare Infrastructure Analysis—Disease Area
13. Medical Tourism
Medical Tourism—Outbound
Medical Tourism—Inbound
14. Growth Opportunities
Growth Opportunity 1—Medical Tourism from Other West African Countries
Growth Opportunity 2—Specialty Care for NCDs: Diabetes, Eye Care, and Nephrology
Growth Opportunity 3—Rapid Urbanization and Emergence of Middle-income Population
Strategic Imperatives for Success and Growth
15. The Last Word
The Last Word—Three Big Predictions
Legal Disclaimer
16. Appendix
Market Engineering Methodology

List of Figures & Charts

1. Total Population, Nigeria, 2016
2. PEST Analysis, Nigeria, 2016
3. Key Health Indicators, Nigeria, 2005–2016
4. Healthcare Governance Structure, Nigeria, 2016
5. Public Healthcare Delivery, Nigeria, 2016
6. Healthcare Infrastructure, Nigeria, 2016
7. Key Hospitals and their Target Segments, Nigeria, 2016
8. Key Participants in the Public Sector, Nigeria, 2016
9. Key Participants in the Private Sector, Nigeria, 2016
10. Doctors and Nurses Population, Nigeria Versus OECD-34, 2016
11. Healthcare System: Structure of Main Regulatory Bodies, Nigeria, 2016
12. Healthcare System: Main Regulatory Bodies, Nigeria, 2016
13. Healthcare Facilities Break-up by Category, Lagos, Nigeria, 2016
14. Private Facilities break-up by Category, Lagos, Nigeria, 2016
15. Major Hospitals for Cancer Care, Nigeria, 2016
16. Major Hospitals for Cardiovascular Care, Nigeria, 2016

1. Historical and Projected Population, Nigeria, 2009–2020
2. Population Split By Gender, Nigeria, 2016
3. Age Profile Population, Nigeria, 2009–2020
4. Causes of Deaths by Disease, Nigeria, 2015
5. GDP and GDP Per Capita, Nigeria, 2009–2015 and 2020
6. GDP Composition by Sector, Nigeria, 2015
7. Per Capita Health Expenditure, Nigeria, 2008–2015
8. Public Versus Private Healthcare Expenditure, Nigeria, 2008–2016
9. Market Share by Subscriber Base for Top Five HMOs, Nigeria, 2014*
10. Health Financing Agents, Nigeria, 2016
11. Healthcare Facilities by Ownership, Nigeria, 2014*
12. Healthcare Facilities by Legal Status, Nigeria, 2014*
13. Private Health Facilities by Region,Nigeria, 2014
14. Health Workforce, Nigeria, 2016
15. Major Diseases That Contribute to Medical Tourism, Nigeria, 2015




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