Unlocking a potential goldmine

Infertility and its treatment in India: key trends and projections

Executive Summary

Infertility, the inability to conceive by natural means, is a medical condition with high prevalence affecting nearly 10- 15% of married couples in India. Age is the single biggest factor affecting women’s chance to conceive a healthy baby. The mean female age of marriage has increased from 18.3 to 19.3 while the same increase in male is form 22.6 to 23.3 years this has improved the survival ratio amongst age groups and age specific fertility rate. All these factors have contributed to a decrease in TFR from 2.5 to 2.2.

There is an increase of 14% in the proportion of women in the age group of 20 to 44 years while the increase in age group of 30 to 44 years which exhibits low fertility is 20%. This coupled with key risk factors viz. lifestyle factors and clinical factors promise a market of an estimated 27.5 million people needing treatment.

Indians have high propensity to seek fertility treatment due to various societal pressures and the need for parenthood and social status associated with it, but awareness is a major barrier.

In India the ART market which includes IVF, GIFT and ZIFT is in its nascent stages with an estimated 1% of the total infertile couples seeking treatment. The main pain points to be addressed being affordability, awareness and treatment guarantee.

The low penetration can be attributed to high cost, multiple cycle requirements and follow ups, paucity of skilled ART doctors, low awareness and a fragmented market. The geographic skew is so evident that the top 8 metros account for more than 50 % of the cycles carried out.

IVF treatment market has the potential to grow by 18% CAGR. And increase in number of cycles amounting to 1.6 lakhs at a total market value in excess of $5 billion. The attractiveness of this field can be gauged by investments made by Bourn Hall and Goldman Sachs PE.

India has the potential to become one of the most favored destination for infertility treatments due to a cost effective healthcare system.

m, mushrooming of new state of art hospitals and the large talent pool which can be trained at this specialized treatment.

In India a typical IVF cycle cost $1000 which is paltry in comparison with western average of $8000-$10000 this represents a huge opportunity for medical tourism which will spur demand.

The expansion of the ART industry has the potential to spur growth in myriad industries at the national and international levels—clinics and hospitals, health care consultants, semen banks, cryobanks, donors and donor networks, pharmaceutical companies, the hospitality industry, state tourism departments, surrogacy agents, surrogacy law firms, and other agencies specializing in the promotion of medical tourism.

One of the potential stumbling block is lack of standardization and light regulation from the government which has spurted the growth of sole-practitioners which effects the overall

efficacy of IVF treatments. Consolidation and new regulatory policy will lead to rise in demand and foreign investments in this sector.

With 1.2 billion people and half the people under the age of 25 India provides a promising landscape for ART. Future imperatives to unlock the full potential of this sector are:

Expanding ART care which includes training, skill-building, improved financing and adoption of unique treatment techniques.

Building awareness and patient confidence. Standardization of the process and institution of a regulatory framework. Clear segmentation between regulated quality providers and non-regulated ART

practitioners.

References

Compiled by:Mihir Shah9930615334

Point of Contact:Uday Bhaskar Jha+9623781626

Websites

http://www.prnewswire.com/news-releases/india-infertility-treatments-market-to-grow-at-over-13-through-2020-says-pharmaion-560425821.html

http://www.inflexion.com/wp-content/uploads/2013/09/The-baby-makers1.pdf

http://www.slideshare.net/ishanshukla21/ivf-market-trends-and-an-overview

http://www.slideshare.net/technavio/global-in-vitrofertilization-ivf-market-20152019

http://www.technavio.com/report/global-in-vitro-fertilization-ivf-devices-market-2015-2019

http://www.babycentre.co.uk/a6155/your-age-and-fertility

http://www.communityhealth.in/~commun26/wiki/images/0/0f/Sama_Constructing_Conceptions.pdf

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3017326/

http://dhsprogram.com/publications/publication-wp52-working-papers.cfm

https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/age-and-fertility

Research papers and e-books

Fertility in India: M. M. Gandotra, Robert D. Retherford, Arvind Pandey, Norman Y. Luther, and Vinod K. Mishra.

Macro factors affecting low fertility: Tomáš Sobotka

Constructing conceptions: Sama resource group for women and health.

ON THE FUTURE OF HUMAN FERTILITY IN INDIA: Tim Dyson

Fertility trends: What have been the main drivers? - Ch3 doing better for families- OECD 2011

Call for Action: Expanding IVF treatment in India: EY report

TRENDS IN FERTILITY, MORTALITY, NUTRITION AND HEALTH INDICATORS: Padam Singh, ICMR

Medical value travel in India: KPMG and FICCI

Databases

NATIONAL FAMILY HEALTH SURVEY 4 (NFHS 4): http://rchiips.org/nfhs/

Census 2011: http://censusindia.gov.in/

SAMPLE REGISTRATION SYSTEM (SRS): http://censusindia.gov.in/vital_statistics/SRS_Bulletins/Bulletins.aspx

ICMR Surveys: http://www.icmr.nic.in/