© AAMI 2019 www.aami.org

Global Best Practices in HTM/CE - Part A

Middle East & North Africa - MENA region

Riad FARAH, cHTM, B.E, MBAMedical Engineering Manager

Saint George Hospital – University Medical Center

Cleveland, OH • June 7ꟷ10, 2019

Agenda•Middle East and North Africa (MENA) region (and GulfCountries)

•Clinical Engineers CE, Societies, and Activity types in MENA

•Healthcare spending by countries

•Hospitals: Governmental vs Private, Beds Density, JCIAccreditation and Key Trends

•Medical Devices Market in MENA, Growth, Density andSuppliers

•Recommendations

2SOURCE [1]:‘REGULATORY REQUIREMENTS OF MEDICAL DEVICES IN MENA COUNTRIES’, FACULTY OF MATHEMATICS AND NATURAL SCIENCES, RHEINISCHE FRIEDRICH-WILHELMS-UNIVERSITÄT, FEBRUARY 2015

The Middle East and North Africa (MENA) Region

Gulf Countries

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CE in the Middle East and North Africa MENA Region

EgyptPopulation: 91.5 MCE: 1,000

TunisiaPopulation: 11 MCE: 20

KSAPopulation: 31.5 MCE: 300

JordanPopulation: 7.5 MCE: 500

LebanonPopulation: 5.8 MCE: 750

UAEPopulation: 9 MCE: 3

CE Societies in the Middle East and North Africa MENA Region

Egyptian Association for Medical Physics, under Mechanical Eng. www.egybs.com

TunisiaAssociation Tunisienne de Genie Biomedical www.atgbm.org.tuOthers: No clear organization, falls under electrical or computer Eng.

Saudi Society of Biomed. Eng.; www.sssbe.org

Jordan Biomed. Eng. Society www.jbmes.org

Lebanon HTMA under LHMA, soon chapter under Order of Engineers

UAE: Biomedical Committee under Society of Engineers www.soeuae.aeunder IEEE/EMBS

Main CE Work Activities

7SOURCE[7]:ANALYSIS OF IFMBE-CED 2017 WORLDWIDE CLINICAL ENGINEERING SURVEY

Healthcare spending in MENA•Share of healthcare spending by government is high in MENA and GCC

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IMF: International Monetary Fund

SOURCE [2]:‘HEALTHCARE SECTOR REPORT’, AL MASAH CAPITAL MANAGEMENT LIMITED, DUBAI 2011.

Healthcare spending by Sector - MENA

•The MENA Healthcare market is expected to be worth $144Billion and the GCC Healthcare market is projected to beworth $69 billion by 2020.

9SOURCE [3]:‘MENA HEALTHCARE SECTOR’, AL MASAH CAPITAL MANAGEMENT LIMITED, DUBAI 2014.

Healthcare Spending in MENA

10SOURCE [2]:‘HEALTHCARE SECTOR REPORT’, AL MASAH CAPITAL MANAGEMENT LIMITED, DUBAI 2011.

Healthcare Spending in MENA•Six countries form more than three-quarters of the totalhealth care market spending in the MENA and GCC regions.

•Saudi Arabia and UAE form 74% of the healthcare marketspending in the GCC.

•Demand on healthcare in MENA is expected to rise:◦ High population growth◦ Increased life expectancy and lower mortality rates◦ Higher literacy◦ Awareness of health insurance

11SOURCE [2]:‘HEALTHCARE SECTOR REPORT’, AL MASAH CAPITAL MANAGEMENT LIMITED, DUBAI 2011.

Low Private Sector Participation

•The Private sector healthcare market in most MENAremains underdeveloped, a major portion of the healthcarespending is done by the Government.

•Nearly two-thirds of all hospitals in MENA are governmentowned

•Some Governments have attempted to engage privatesector firms in the healthcare sector.

•This situation is reversed in Lebanon and Jordan. PrivateHospitals are much developed than governmental hospital.

12SOURCE [2]:‘HEALTHCARE SECTOR REPORT’, AL MASAH CAPITAL MANAGEMENT LIMITED, DUBAI 2011.

Hospital Beds density

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Hosp

ital B

eds

SOURCE [2]:‘HEALTHCARE SECTOR REPORT’, AL MASAH CAPITAL MANAGEMENT LIMITED, DUBAI 2011.

Accreditations•There are over 100 JCI accredited hospitals in MENA

16SOURCE [3]:‘MENA HEALTHCARE SECTOR’, AL MASAH CAPITAL MANAGEMENT LIMITED, DUBAI 2014.

Medical Devices Market in MENA

•Arabian Peninsula or GCC[1]

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KSA UAE QATAR OMAN

2013 2013 2018 2013 2018 2013 2018

Total MedicalDevices Import ($) 1,864.5mn 800mn 1,000.3mn 200mn 400mn 108.1mn 191.4mn

LeadingSupplier

EU(40%)USA(22.6%)China(7%)

EUUSA

China

EUUSA

SOURCE [1]:‘REGULATORY REQUIREMENTS OF MEDICAL DEVICES IN MENA COUNTRIES’, FACULTY OF MATHEMATICS AND NATURAL SCIENCES, RHEINISCHE FRIEDRICH-WILHELMS-UNIVERSITÄT,

FEBRUARY 2015

Medical Device Market Growth-MENA

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https://blog.euromonitor.com/medical-device-market-2016-opportunities-in-asia-pacific/

SOURCE [4]:MEDICAL DEVICE MARKET IN 2016: CHALLENGES IN THE TRADITIONAL MARKETS AND NEW OPPORTUNITIES IN ASIA

PACIFIC

Medical Devices density

20SOURCE [5]:IDAL INVESTMENT DEVELOPMENT AUTHORITY IN LEBANON; “TECHNOLOGY FACT BOOK 2015, LEBANON 2015.

Suppliers – Medical Devices •MENA has strong demand for the import of electro-medicalequipment, general medical, surgical and X-Ray, in additionto syringes, needles and catheters.

•Large medical equipment are bought from USA andGermany, small to medium-sized equipment are boughtfrom UK, Japan, and European countries. China market isrestricted to consumables and other lower end items.

24SOURCE [2]:‘HEALTHCARE SECTOR REPORT’, AL MASAH CAPITAL MANAGEMENT LIMITED, DUBAI 2011.

Summary and Recommendations (MENA)

•High Demand in MENA region:oRelatively low number of registered Clinical Engineers in MENA –

high demand for CertificationsoMedical Devices growth is very bigoavailability of Hospital Beds is relatively still lower than other regionsoBids for Governmental Hospitals are more significant in most MENA

countriesoBiggest Healthcare spending is in KSA, Egypt, UAE, but Lebanon has

the higher spending by population.oExpect a High demand for Certifications of available Clinical

Engineers, mainly in KSA, UAE, Egypt, Kuwait, Lebanon and Jordan

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Recommendations (Int’l)•Awareness programs in all over the world on CE/HTMimportant role in management of Healthcare Technology

•CE/HTM should encompass more IT and Cybersecurityprograms in the curriculum, and development of standardsthat define each role and responsibilities to support newsystems

•Unify CE/HTM professionals’ definitions for National andInternational Certifications and Education

•Need to expand CE/HTM fields and opportunities; moreStrategic Planning, and Technology Assessment

•Need to unify Medical Devices Nomenclature•Need to develop more Benchmarking Indicators valid inmost Countries

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References [1]‘Regulatory requirements of Medical Devices in MENAcountries’, Faculty of Mathematics and Natural Sciences,Rheinische Friedrich-Wilhelms-Universität, February 2015.[2]‘Healthcare Sector Report’, Al Masah Capital ManagementLimited, Dubai 2011.[3]‘MENA Healthcare Sector’, Al Masah Capital ManagementLimited, Dubai 2014.[4]Medical Device Market in 2016: Challenges In The TraditionalMarkets And New Opportunities In Asia Pacific.[5]IDAL Investment Development Authority in Lebanon;“Technology Fact Book 2015, LEBANON 2015.[6]Ministry of Public Health: https://www.moph.gov.lb/en/[7]Analysis of IFMBE-CED 2017 Worldwide ClinicalEngineering Survey

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THANK YOU!

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