Secondary healthcare

On-demand healthcare services

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On-demand healthcare services

Country
Sector
Most major industry classification systems use sources of revenue as their basis for classifying companies into specific sectors, subsectors and industries. In order to group like companies based on their sustainability-related risks and opportunities, SASB created the Sustainable Industry Classification System® (SICS®) and the classification of sectors, subsectors and industries in the SDG Investor Platform is based on SICS.
Health Care
Sub Sector
Most major industry classification systems use sources of revenue as their basis for classifying companies into specific sectors, subsectors and industries. In order to group like companies based on their sustainability-related risks and opportunities, SASB created the Sustainable Industry Classification System® (SICS®) and the classification of sectors, subsectors and industries in the SDG Investor Platform is based on SICS.
Health Care Providers
Indicative Return
Describes the rate of growth an investment is expected to generate within the IOA. The indicative return is identified for the IOA by establishing its Internal Rate of Return (IRR), Return of Investment (ROI) or Gross Profit Margin (GPM).
> 25% (in IRR)
Investment Timeframe
Describes the time period in which the IOA will pay-back the invested resources. The estimate is based on asset expected lifetime as the IOA will start generating accumulated positive cash-flows.
Short Term (0–5 years)
Market Size
Describes the value of potential addressable market of the IOA. The market size is identified for the IOA by establishing the value in USD, identifying the Compound Annual Growth Rate (CAGR) or providing a numeric unit critical to the IOA.
Private hospitals provide about 33% of total beds in Jordan
Direct Impact
Describes the primary SDG(s) the IOA addresses.
Good health and well-being (SDG 3)
Indirect Impact
Describes the secondary SDG(s) the IOA addresses.
Gender Equality (SDG 5) Decent Work and Economic Growth (SDG 8)

Business Model Description

Scale up hospitals that offer secondary healthcare services on a pay-as-you-go basis

Expected Impact

Address inadequate health coverage and enhance access to quality essential healthcare services through scaling-up hospitals that offer on-demand secondary care services on a pay-as-you-go basis

How is this information gathered?

Investment opportunities with potential to contribute to sustainable development are based on country-level SDG Investor Maps.

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Country & Regions

Explore the country and target locations of the investment opportunity.
Country
Region
  • Jordan: Countrywide
Learn more

Sector Classification

Situate the investment opportunity within sustainability focused sector, subsector and industry classifications.
Sector

Health Care

Development need
Sustainability Development Report 2019: score of 76.3 on SDG 3 (Good Health and Well-being), with 'Major challenges remain' and 'Major challenges remaining' subscores prevalent across indicators (1).

Policy priority
Jordan's health expenditures from public and private sector is ~ 8% of GDP (5). Jordan generates over USD 1 billion in revenue by hosting around 250,000 international patients annually (6). Through its competitive ICT, Jordan now aims to maximize benefit from innovation and creativity in health sector (8).

Gender inequalities and marginalization issues
The excessive demands on the healthcare system due to the outbreak of COVID-19 pose risks to people health status and social stability (3). Many young women, youth in rural areas, and youth with disabilities suffer from inadequate health provision and poor access to health facilities (4).

Key bottlenecks introduction
The COVID-19 crisis exposed the weakness and already overburdened public health systems in the country and the challenges faced in recruiting, deploying, retaining, and protecting sufficient well-trained, supported and motivated health workers (2).

Industry

Health Care Delivery

Pipeline Opportunity

Discover the investment opportunity and its corresponding business model.
Investment Opportunity Area

On-demand healthcare services

Hospitals that offer secondary healthcare services
Business Model

Scale up hospitals that offer secondary healthcare services on a pay-as-you-go basis

Business Case

Learn about the investment opportunity’s business metrics and market risks.

Market Size and Environment

Critical IOA Unit
Describes a complementary market sizing measure exemplifying the opportunities with the IOA.

Private hospitals provide about 33% of total beds in Jordan

Private hospitals provide about 33% of total beds in Jordan and have chances to expand due to an increase in population and medical tourism (11).

Indicative Return

IRR
Describes an expected annual rate of growth of the IOA investment.

> 25%

A benchmark business operating in the subsector is targetting returns of 20-30% (10)

Investment Timeframe

Timeframe
Describes the time period in which the IOA will pay-back the invested resources. The estimate is based on asset expected lifetime as the IOA will start generating accumulated positive cash-flows.

Short Term (0–5 years)

Based on consulted benchmark projects, the projected investment timeframe is expected to be less than 5 years

Market Risks & Scale Obstacles

Business - Business Model Unproven

Ownership structure of hospitals and limited awareness and readiness to work with private equity and venture capital financing structures

Market - Highly Regulated

Changing regulation related to the heath sector

Market - High Level of Competition

Jordan will need to reestablish its regional image as medical tourism destination, requiring possibly closer regulation and supervision Competition for qualified health personnel from the region.

Impact Case

Read about impact metrics and social and environmental risks of the investment opportunity.

Sustainable Development Need

Healthcare services are insufficiently equipped to prevent, diagnose and provide care for the growing load of non-communicable diseases (NCD), even as they fight COVID-19. (9)

Healthcare services face an increasing burden due to the aging population and the related changing profile of pathologies (9)

Most healthcare institutions in Jordan do not meet international standards. Only 13% of private hospitals have international accreditation (9)

Gender & Marginalisation

The burden on health system is increasing because of the influx of Syrian refugees. Migrants and women are often the most vulnerable because of the inadequacy and the poor quality of healthcare services and medicine.

Barriers to access, utilization, and implementation of SRH services. (11)

Expected Development Outcome

Broaden access to quality primary and secondary healthcare for NCDs

Make efficient and quality healthcare available to the bottom of the pyramid

Alleviate pressure on the public healthcare system by absorbing patients that would otherwise use public healthcare

Gender & Marginalisation

Increase in employment opportunities for graduate women

Better health outcomes for women and migrant populations

Primary SDGs addressed

Good health and well-being (SDG 3)
3 - Good Health and Well-Being

3.8.2 Proportion of population with large household expenditures on health as a share of total household expenditure or income

Secondary SDGs addressed

Gender Equality (SDG 5)
5 - Gender Equality
Decent Work and Economic Growth (SDG 8)
8 - Decent Work and Economic Growth

Directly impacted stakeholders

People

International patients who will get medical treatment in Jordan

Gender inequality and/or marginalization

Women, who will get employment opportunities

Indirectly impacted stakeholders

People

Local society in Jordan who will get more income through supporting services (rent apartment, shopping, hotels and restaurants, transportation…)

Outcome Risks

Medical waste disposal and treatment

Impact Classification

B—Benefit Stakeholders

What

Hospitals need to improve health services and comply with high international standards

Who

Citizens living in the country and the region will benefit from enhanced healthcare coverage, and new employees

Risk

The existing semi-private and private of healthcare systmes may not have enough potential to move forward this required special agreement with privately owned

Impact Thesis

Address inadequate health coverage and enhance access to quality essential healthcare services through scaling-up hospitals that offer on-demand secondary care services on a pay-as-you-go basis

Enabling Environment

Explore policy, regulatory and financial factors relevant for the investment opportunity.

Policy Environment

Since the beginning of the COVID-19 outbreak, the Jordanian government considered the health sector to be a priority sector at the local and national levels (12).

The National Strategy for Health Sector in Jordan 2015- 2019 (9).

Roadmap for medical tourism.

Financial Environment

Financialincentives: The investment law provides investment incentives: Medical supplies used in hospitals and specialized medical centres are exempt from customs duty and are subject to a zero sales tax rate when imported or purchased locally.

Fiscal incentives: Tax exemptions depending on project location outside development zones.

Other incentives: Availability of attractive incentives including: Incentive and fiscal incentive; Guarantees and loan available for investors.

Regulatory Environment

The GoJ has recently endorsed a medical accountability law that will establish an insurance fund affiliated with the Higher Medical Council.

The Public Health law No. 47 of 2008 and other legislation, licenses, controls, and regulates professions and health institutions in Jordan.

The Health Professional Associations.

Marketplace Participants

Discover examples of public and private stakeholders active in this investment opportunity that were identified through secondary research and consultations.

Private Sector

The Private Hospitals Association covers 70% of private hospitals in Jordan in its membership in Jordan.

Government

Ministry of Health, Jordan investment commission, Health Professional Associations

Multilaterals

ERBD as active DFI

Target Locations

See what country regions are most suitable for the investment opportunity. All references to Kosovo shall be understood to be in the context of the Security Council Resolution 1244 (1999)
country static map
semi-urban

Jordan: Countrywide

Entire country especially outside of large population centers (Amman, Irbid, Zarqa)

References

See what sources were used to establish the investment opportunity’s data and find resources that could be consulted to explore more.
  • 1) Sustainable Development Report 2019.
  • 2) World Bank, 2019, The 2019 Project Pipeline for Jordan.
  • 3) The impact of COVID-19 pandemic on Syrian refugees and Jordan's health sector. http://jordantimes.com/opinion/mujalli-mhailan/impact-covid-19-pandemic-syrian-refugees-and-jordans-health-sector
  • 4) OECD, Key Issues affecting Youth in Jordan.
  • 5) IMF, 2018. Public Expenditure Review and Rationalization.
  • 6) Healthcare Resource Guide: Jordan. Export.gov. Accessible on https://2016.export.gov/industry/health/healthcareresourceguide/eg_main_108593.asp
  • 7) Jordan Investment Commission, 2020. https://www.jic.gov.jo/en/ict/
  • 8) National Growth Plan 2018 -2022.
  • 8b) The World Bank Group (2017). Jordan Emergency Health Project. Page 9
  • 9) The National Strategy for Health Sector in Jordan 2015- 2019
  • 10) Dalberg interviews, 2019.
  • 11) Amiri M, El-Mowafi IM, Chahien T, Yousef H, Kobeissi LH. An overview of the sexual and reproductive health status and service delivery among Syrian refugees in Jordan, nine years since the crisis: a systematic literature review. Reprod Health. 2020 Oct 28;17(1):166.