cardiac rhythm management in vietnam and indonesia

Cardiac Rhythm Management in Vietnam and Cardiac Rhythm Management in Vietnam and IndonesiaIndonesia

Poornima Srinivasan, ConsultantHealthcare

01 June 2012

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Today’s Presenter

• 5+ years industry expertise in healthcare consulting and research with expertise across verticals

• Held senior research analyst in market research firms

• Received Masters in Business Administration and graduation in Biomedical Engineering

Poornima Srinivasan, ConsultantFrost & Sullivan

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Focus Points

• Vietnam and Indonesia Cardiac Rhythm Management Market • Market Dynamics and Trends• Competitive Landscape• Conclusion

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Vietnam and Indonesian Cardiac Rhythm Management Market Overview

• Although interventional cardiology procedures have been performed in Indonesia since as early as 1984, growth in terms of infrastructure and workforce remains relatively low.

• The number of facilities to perform electrophysiology procedures and interventional cardiology is as low as 6 and 17, respectively, for a cardiac-disease-affected population of 17.0 million.

• Similarly, Indonesia has only 5 competent physicians to perform electrophysiology, and 20 for interventional cardiology procedures.

Source: Frost & Sullivan analysis

•In the field of cardiac rhythm management, advancements in the field of cardiology and interventional cardiology have witnessed rapid growth over the past 10 years. Annually, there are around 15,000 cases of coronary, valvular, and congenital heart diseases in Vietnam.

•Vietnam has 21 centers that perform cardiac surgeries. However, only 13 centers perform cardiac rhythm management procedures and most of them are concentrated in Hanoi and Ho Chi Minh City.

•Though there are more than 100 cardiologists in Vietnam, physicians specializing in cardiac rhythm management procedures are limited to 30.

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Market Overview—Segmentation

Total Cardiac Rhythm Management Market: Segmentation, Vietnam and Indonesia, 2011


Cardiac Rhythm Management

PacemakerImplantable Cardioverter-

Defibrillator (ICD)Cardiac Resynchronization Therapy

(CRT)Cardiac Ablation

Single Chamber

Dual Chamber

Dual Chamber

Single Chamber

CRT-DCRT-P

Radio Frequency

Thermal

Laser

Microwave

Cryogenics

Ultrasound

Electrode

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Market Overview—Patient Demographics

Note: All figures are rounded. The base year is 2011. Source: Frost & Sullivan

Total Cardiac Rhythm Management Market: Patient Demographics, 2011

Patient Demographics Pacemaker ICD CRT Cardiac Ablation

Age (Years)

Older than 52 Older than 60 Older than 55 Between 47 to

65

Gender (%)Male

Female

44

56

40

60

45

55

40

60

Patient Demographics Pacemaker ICD CRT Cardiac Ablation

Age (Years)

Older than 52 Older than 60 Older than 55 Between 47 to 65

Gender (%)

Male

Female

70

30

60

40

60

40

70

30

Vietnam

Indonesia

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Market Trends

• In Indonesia, cardiac disease was prevalent in 7.2 percent of the population (17.7 million) in 2010.

• Cardiac prevalence is higher among women, and predominantly in homemakers. This is attributed to lack of physical activity and uncontrolled nutrition.

• According to studies conducted by the Ministry of Health, risk of cardiac disease is high in households with a high expenditure. It is high in urban areas, and mostly remains undiagnosed due to lack of awareness of the symptoms.

• The Ministry of Health estimates that 2.1 million of the population are affected by arrhythmic disorders.

• Conventional interventional cardiology procedures were introduced in Indonesia in 1995, but advanced interventions that require device implants are being performed only in recent years.

Source: MOH Indonesia, Frost & Sullivan analysis

•According to studies conducted by the Ministry of Health, it has been observed that CVD in Vietnam is on the rise at an alarming levels. The Vietnam National Health Survey (VNHS) estimated that the prevalence of hypertension was 16.9 percent among people aged 25–65 years. By 65 years of age, around half of all men and women in Vietnam are expected to suffer from hypertension. •It is also found that the prevalence obesity in adults is 6.4 percent in Ho Chi Minh City, contributing to the fact that CVD is an emerging public health problem in urban areas.

•Vietnam is working on a universal health care system. The government plans to cover all Vietnamese people under insurance by 2014. This new system in Vietnam would force all citizens to be covered under the universal health care system, even if some would rather be on a private plan with more benefits.

•As of 2010, 62 percent of the Vietnamese population (52.96 million) were covered under insurance. Of this number, 14.96 million were poor people, 8.12 million were under the age of 6, 9.89 million were students, and 3.7 million were under the voluntary program

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Major Drivers


Ma

rke

t D

riv

ers

1-2 years 3-4 years 5th Year

Aging population and increase in non-communicable diseases increase the need for cardiovascular interventions

Increasing health expenditure anticipated to enable greater access to CVD treatment

Increase in the demand for quality healthcare leads to growth of private facilities

Cardiac Rhythm Management Market: Key Market Drivers and Restraints Indonesia and Vietnam, 2011-2016

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Competitive Landscape

Number of Companies in the Market

• 4 large global players

Distribution Structure

• Local distributors

Market Participants

• St. Jude Medical, Inc., Biotronik, , Medtronic, Inc, Boston Scientific, Arrow Scientific, and

Sorin

Mode of Availability

• 100% Imported


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Conclusion : Key Take-Aways

22Changes in healthcare services legislation, a revamp of health insurance policies, aging population, affluent and dormant lifestyle, unhealthy food habits, smoking, and the urge to get treatment are likely to drive the total Indonesian CRM market.

Changes in healthcare services legislation, a revamp of health insurance policies, aging population, affluent and dormant lifestyle, unhealthy food habits, smoking, and the urge to get treatment are likely to drive the total Indonesian CRM market.

33The Indonesian Government is encouraging foreign participants to establish hospitals in the country. This is seen as a move to curtail Indonesian patients having to travel abroad for treatment, while at the same time providing quality healthcare services within the country.

The Indonesian Government is encouraging foreign participants to establish hospitals in the country. This is seen as a move to curtail Indonesian patients having to travel abroad for treatment, while at the same time providing quality healthcare services within the country.

44 Though a high incidence of CVD exists in Vietnam, only a marginal portion of affected individuals are treated due to lack of awareness and affordability Though a high incidence of CVD exists in Vietnam, only a marginal portion of affected individuals are treated due to lack of awareness and affordability

55The Vietnam government is in the process of implementing new insurance policies to cover the entire population. With such a move, additional coverage, schemes, and policies are likely to cover the cardiac rhythm management procedures, thereby enhancing growth.

The Vietnam government is in the process of implementing new insurance policies to cover the entire population. With such a move, additional coverage, schemes, and policies are likely to cover the cardiac rhythm management procedures, thereby enhancing growth.

11An estimated 7.2 million Indonesians are suffering from cardiac disorders, but only a marginal number get treated. Most of them are not treated due to the high cost of procedures.

An estimated 7.2 million Indonesians are suffering from cardiac disorders, but only a marginal number get treated. Most of them are not treated due to the high cost of procedures.

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For Additional Information

Donna JeremiahCorporate CommunicationsAsia Pacific+61 (0) 8247 8927 [email protected]

Carrie LowCorporate CommunicationsAsia Pacific+603 6204 [email protected]

Dewi NurainiCorporate CommunicationsIndonesia+62 21 571 [email protected]