On-demand healthcare services
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
- Jordan: Countrywide
Sector Classification
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).
Health Care Delivery
Pipeline Opportunity
On-demand healthcare services
Scale up hospitals that offer secondary healthcare services on a pay-as-you-go basis
Business Case
Market Size and Environment
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
> 25%
A benchmark business operating in the subsector is targetting returns of 20-30% (10)
Investment Timeframe
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
Market - Highly Regulated
Market - High Level of Competition
Impact Case
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
3.8.2 Proportion of population with large household expenditures on health as a share of total household expenditure or income
Secondary SDGs addressed
Directly impacted stakeholders
People
Gender inequality and/or marginalization
Indirectly impacted stakeholders
People
Outcome Risks
Medical waste disposal and treatment
Impact Classification
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
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
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