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Health care System Development in Kenya and Rwanda

Health care System Development in Kenya and Rwanda

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􂀀% 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 􂀀%. However, due to lack of proper facilities, about 􂀀 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 $􂀀 out of every $􂀀spent on private health care. Annual private health care investments in East Africa grew by an average of 􂀀%, each year, from 2003 to 2013.

In Rwanda, patients are often in the late stage of severe disease when they approach 􂀀 of the􂀀academic referral hospitals.

About this report

The study analyses the Kenyan and Rwandan health care landscape, market outlook, and investment and growth opportunities. It also discusses the drivers and restraints and the dynamics of the hospital construction market and concludes by providing a list of upcoming projects and strategic recommendations for the markets in Kenya and Rwanda. The research methodology is based on primary interviews and secondary sources. The forecast period is 2011–2015. The study offers insights to investors planning to enter the Kenyan and Rwandan markets, also helping existing manufacturers to understand the competition.


  • Executive Summary
    • Key Findings
    • Geographic Scope
  • Rwanda
    • Market Overview-Health care System
  • Demographics and Disease Burden
    • Population
    • Age-Sex Structure
      • Table Age-Sex Structure of the Total Urban and Rural Population, Rwanda, 2013
    • Leading Causes of Death
    • Child Health
    • Health Transformation
      • Table Key Indicators of Transformation, Rwanda, 1994 and 2014
    • Economic Overview
    • Overall Financial Assistance
      • Table Net Official Development Assistance and Official Aid Received, Rwanda, 2005-2012
  • Health care Facilities and Personnel
    • Health care Facilities-Public
    • Health care Facilities-Private
      • Table Total Number of Private Dispensaries, Rwanda, 2010-2012
    • Health care Personnel
    • Role of CHWs in Delivering Care
    • Pre-hospital Emergency Care Services (PHECS)
    • Health Service Coverage and Utilisation
  • Other Related Infrastructure
    • ICT Infrastructure
    • ICT in Health care
  • Expenditure and Funding
    • Total Health Expenditure
      • Table Total Health care Expenditure as a Percent of the GDP, Rwanda, 2005-2016
    • Health Expenditure-Per Capita
      • Table Per capita Total Expenditure on Health, Rwanda, 2000-2012
    • Health Funding-Key External Aids
  • Health Insurance
    • Structure-Public
    • Health Insurance-Public
    • CBHI Funding and Spending
    • Social Health Insurance
    • Health Insurance-Private
  • Legal Scenario
    • Vision 2020 and Key Government Policies
      • Table Key Achievements of Vision 2020, Rwanda, 2005, 2008, and 2010
    • Current Scenario and Other Health Policies
    • Investment Climate
  • External Challenges: Drivers and Restraints-Health care Market in Rwanda
    • Drivers
    • Drivers Explained
    • Restraints
    • Restraints Explained
  • Kenya
    • Market Overview-Health care System
  • Demographics and Disease Burden
    • Population
    • Age-Sex Structure
      • Table Age-Sex Structure of the Total Urban and Rural Population, Kenya, 2014
    • Economic Overview
    • Demographic and Economic Indicators
      • Table Demographic and Economic Indicators, Kenya, 2010-2014
    • Public Health System
    • Public Health Facilities
    • Public Health Facilities-Structure
    • Health care Personnel
      • Table Total Number of Registered Medical Personnel, Kenya, 2010-2013
    • Leading Causes of Death
    • Health Facilities
      • Table Total Number of Health Facilities by Type, Kenya, 2013
    • Health Facilities-Structure
  • Expenditure and Funding
    • Total Health Expenditure
    • Health Expenditure-Per Capita
      • Table Per capita Total Expenditure on Health, Kenya, 2007-2012
    • Health Funding
      • Table Net Official Development Assistance and Official Aid Received, Kenya, 2005-2012
  • Health Insurance
    • Health Insurance-Public
    • Health Insurance-Private
    • Economic Prospects
    • Health Insurance-Current Scenario
  • External Challenges: Drivers and Restraints-Health care Market in Kenya
    • Drivers
    • Drivers Explained
      • Table Total Annual Income, Kenya, 2011-2014
    • Restraints
    • Restraints Explained
  • Opportunities and Key Strategic Recommendations
    • Opportunities and Key Strategic Recommendations-Rwanda
    • Opportunities and Key Strategic Recommendations-Kenya
  • Upcoming Projects
    • Upcoming Projects-Rwanda
    • Upcoming Projects-Kenya
  • The Last Word
    • The Last Word-3 Big Predictions
    • The Last Word-Discussion
      • Table Total Mobile Penetration Rate, Kenya and Rwanda, 2013
  • Appendix
    • Market Engineering Methodology

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