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Investing on Health Services in Ethiopia – A Snap Shot of WDC

Investing on Health Services in Ethiopia – A Snap Shot of WDC. Dawit Hailu Managing Director, Wudassie Diagnostic Center October, 2018 London, UK. Introduction.

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Investing on Health Services in Ethiopia – A Snap Shot of WDC

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  1. Investing on Health Services in Ethiopia – A Snap Shot of WDC DawitHailu Managing Director, Wudassie Diagnostic Center October, 2018 London, UK

  2. Introduction • Let me share with you what I read, “Two entrepreneurs want to sell shoes in Africa. They came to Africa to explore the options. Both saw that some Africans would not wear shoes. • One of them felt excited because he perceived it Africa is a place to invest for there are many people who need shoes and he can sell to them – For him, the right place to sell shoes is Africa because of the need. He saw the absence of shoes as possibilities for his market. • The second man was disappointed that some people would not even wear shoes. He concluded that since they don’t wear shoes, Africa would not be a good market place. This guy could not see possibilities – he saw blockades. • Which one are you?

  3. Location

  4. Ethiopia’s Strategic Location • EAL is instrumental to connecting Africa to the world. • 82 international destinations across 5 continents with over 200 daily departures • Operating 66 modern aircraft such as the B777s and B787s.

  5. Ethiopia’s Strategic Location • Ethiopia is a seat for the UN offices next to the USA. • Ethiopia is also a seat for the African Union.

  6. Population Ethiopia is the second-most populous country in Sub-Saharan Africa with a population of about 100 million

  7. Population100 million + = 7 East African Countries • Eritrea • Burundi • Rwanda • Somalia • Djibouti • South Sudan • Tanzania = ETHIOPIA

  8. Population: Threat or Opportunity? • 100+ million can be taken as an opportunity or threat. As opportunity: • The human resources is the major capital of the country • We have millions of young people who can change the face of the Country. • We have so many talented, creative, educated people that can innovate and make a difference with exchange of technology.

  9. As a Threat • The extreme poverty,inequity, high mortality and high fertility are linked in a vicious cycle. • Unbalanced infrastructure and people lead to deterioration of what is available. • High migration to city destroys urbanization provess.

  10. Ethiopia’s Economic growth • According to Ministry of Finance and Economic Development, the country has registered over 11% Economic Growth rate for the past ten years. • The government aspires to reach middle income status over the next decade.

  11. The Economist “Ethiopia is recovering its past glory! Its economy is getting stronger.... It is time for you to seize business opportunities offered by Ethiopia in many sectors...” • See Mega projects of Ethiopia: • “Necessity is the mother of invention.” (Boserup)

  12. Grand Renaissance Dam

  13. Condo Housing

  14. Construction of Road Network

  15. Addis Ababa Light Railway Transit

  16. Health Facilities under Construction - 800 new hospitals are expected to be finalized by 2020 - Construction of 54% of the hospitals are on their final stage of completion. - Procurement of high tech equipment is underway.

  17. Health Care Strategies and Challenges in Ethiopia • New Technologies • Developments and Opportunities • The Role of Diagnostic Center in Ethiopia

  18. Ten Strategic Objectives of Health Sector • Improve access to health services; • Improve community ownership; • Improve quality of health services; • Improve public health emergency preparedness and response; • Improve pharmaceutical supply and services; • Improve evidence-based decision making, harmonization and alignment; • Improve regulatory system; • Improve health infrastructure; • Improve human capital and leadership; and • Maximize resource mobilization and utilization.

  19. Ethiopian health tier system Specialized Hospital 3.5 – 5.0 Million Tertiary level health care General hospital (1000000-1500000) people Secondary level health care Health center 40000 Primary hospital 60000-100000 Primary level health care Health center 15000-25000 Health post 3000-5000 FMOH-MSD UrbanRural

  20. FMOH-MSD Distribution of Hospitals by ownership

  21. Distribution of Hospitals by Regional States • Ethiopia is structured into 9 regional states and 2 cities.

  22. FMOH-MSD Specialized Hospitals Examples include: • MCH: Gandhi Memorial hospital • Ethio Swedish pediatric hospital under AAUMF • Fistula :Hamlin Addis Ababa Fistula hospital • TBs: St Peter Tb specialized hospital • Psychiatric; Amanuel specialized mental hospital • Many Private hospitals providing -MCH, Cardiac, etc services

  23. FMOH-MSD Hospital capacity and capability • No accreditation hence difficult to talk about international standard • National regulatory standard under preparation • Few high tech equipment such MRI,CT available In response to this: • Procurement of high tech equipment underway such as MRI,CT,ICU and OR equipment for major teaching hospitals • Efforts underway to equip all hospitals as per national standard

  24. Tertiary care specialized hospital Public/private Community Secondary care General Hospital Public/private Community based care Health Post Health Center Private Clinic Primary Hospital Primary care FMOH-MSD

  25. FMOH-MSD Teaching hospitals MD Teaching Universities and Hospitals

  26. FMOH-MSD Health professionals • Doctors to Patients raio - 1:36,158 • Nurses to patients ratio - 1:3869 • Mid wives to patients radio -1:56,427 • Health extension workers to patients -1:2301

  27. FMOH-MSD Health Professionals

  28. FMOH-MSD Health Professionals

  29. FMOH-MSD Major Challenges: Unavailability, un affordability, poor storage irrational use of Resources and Drugs Governments response includes: • Establishment of PFSA • Design of the LMIS • Implementing pharmacy services reform addressing supply and service • Opening investment opportunities in hospitals and manufacturing industry for foreigners.

  30. Global Trends • By the year 2030, the three most prevalent causes of death in “low income” countries are expected to be: 1. Ischemic Heart disease (13.4%); 2. HIV/AIDS (13.2%) and 3. Ceredrovascular disease (8.2%). Hence, Cardiovascular diseases will continue to increase in the “developing world” like an epidemic! • The upside of the picture is that medical science has developed tremendously during the past few decades concerning CVD.

  31. Opportunities • Unprecedented priority by the government is being given to the quality of services by hospitals lately. • The government openness for private public partnership in health care system. • The private health care still only services a very small percentage of the Ethiopian public, primarily in the major urban areas where less than 15% of the population lives. Health investment as partner as well as big projects such as hospitals, manufacturing of drugs is possible for foreign investment.

  32. Opportunities • Introducing new technologies is an answer for resource constraints.

  33. Business Perspectives – The Role of Diagnostic Centers • The demand for quality • Health sells • Demand for technology

  34. Wudassie Diagnostic Center

  35. BACKGROUND: • Wudassie PLC was established in 2004, and progressively incorporated multi-disciplinary retail and service providing business in Addis Ababa, Ethiopia. • Through the business, and role within community, we aim to support local causes, medical professionals, patients from government hospitals and people less advantaged. • WDC has restructured its operations by including partners and increased its capital as well as its operations.

  36. BACKGROUND • Established in 2009 • Services Provided – Focuses on providing imaging and diagnostic services • MRI; • CT scan; • Digital x-ray; • Ultrasound and EKG; • GI Center • Complete Laboratory • Ambulance services

  37. BACKGROUND CONT’D • Major Milestones • 2009 – Established with twin slice CT • 2010 – Added Digital X-ray • 2011 – Added Ultrasound & EKG • 2014 – Opened new branch, added 16 slice CT & additional Ultrasound • 2015 – Added MRI at second branch • 2017 – Added GI Center • 2018 – Added Complete Laboratory • Target Customer • Referees from Hospitals and physicians, • Targets patients with low to middle income level status

  38. Why Should the Business World Need to Assume Social Responsibility? • It is a global initiative and a human right issue. • It is poverty alleviation strategy. • It is being human to care for the less advantaged and benefiting others. • It provides personal satisfaction.

  39. What is CSR to Wudassie?Experience sharing • CSR to Wudassie is • Our community: workplace, neighborhood, government hospitals. • A commitment to support local causes, • Involving in within our local community and the wider environment initiatives • Caring for the health and well being of our staff and ensuring they have sufficient training and development. • In addition to respecting human rights, WDC focuses on actively being involved in societal causes.

  40. Conclusion • Ethiopia attracts investment in the area of health. • Would you like to focus on the poverty and hence impossibility or poverty and hence opportunity?

  41. Et

  42. I will be your Master of Ceremony for today • Honorable His Excellency FAM XXX • Honorable His Excellency M • Dear Ethiopian Business Delegates • Invited guests, Ladies and Gentlemen • Protocol

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