Hospital Chains to Improve Primary Healthcare Access

Hospital beds

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Hospital Chains to Improve Primary Healthcare Access
Hospital Chains to Improve Primary Healthcare Access
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SectorMost 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
Health Care Providers
Business Model Description

Invest in businesses engaged in running hospital chains across regions to improve and expand healthcare access with a focus on accessible and affordable multi bed hospital chains, especially in semi-urban regions. Examples of companies active in this space are:

Evercare Lahore opened in 2019 is a LEED-Gold certified hospital in Pakistan. The hospital is 240 bed and with multiple specialties. The investment has been made by Evercare a global healthcare investment group, wholly owned by the Evercare Health Fund, a USD 1 billion emerging markets healthcare fund (17)

IFC, a member of the World Bank Group, has invested USD 11.3 million as equity in Shifa International Hospitals Limited, a leading healthcare company in Pakistan, to help it expand and meet the needs of the country’s fast-growing population. (18)

The investment in Shifa gives IFC 12 percent equity in Shifa, a publicly listed company that operates one 600-bed tertiary care hospital and two other smaller hospitals, serving about 440,000 patients annually. It will help Shifa set up more hospitals and clinics and provide increased access to high-quality, affordable care.(18)

Expected Impact

Provision of improved healthcare delivery through establishment of hospital chains at pan-country level.

How is this information gathered?
Updated: 1 May, 2023 Date of Production: 19 Apr, 2023
Pakistan
Indicative ReturnDescribes 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 TimeframeDescribes 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 SizeDescribes 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.
USD 100 million - USD 1 billion
Average Ticket Size (USD)Describes the USD amount for a typical investment required in the IOA.
USD 500,000 - USD 1 million
Direct ImpactDescribes the primary SDG(s) the IOA addresses.
Good health and well-being (SDG 3) No Poverty (SDG 1)
Indirect ImpactDescribes the secondary SDG(s) the IOA addresses.
Quality Education (SDG 4) Gender Equality (SDG 5) Reduced Inequalities (SDG 10)

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Sector Sources
  • 1) WHO (World Health Organization). 2023. “Health Service Delivery Pakistan.” https://www.emro.who.int/pak/programmes/servicedelivery.html#:~:text=Public%20sector&text=The%20national%20health%20infrastructure%20comprises,facilities%20is%20estimated%20at%20123394. Accessed 28 March 2023. 2) Raza, A. 2020. “6 Facts About Healthcare in Pakistan.” https://borgenproject.org/facts-about-healthcare-in-pakistan/. Accessed 28 March 2023. 3) UNDP (United Nations Development Programme). 2022. “Pakistan: Flood Damages and Economic Losses over USD 30 billion and Reconstruction Needs over USD 16 billion.” UNDP press releases. https://www.undp.org/pakistan/press-releases/pdna-pakistan-floods. Accessed 28 March 2023. 4) Finance Division. 2021. “Health as a Percentage of GDP.” Pakistan Economic Survey 2021-2022. https://www.finance.gov.pk/survey/chapters_21/11-Health.pdf. Accessed 28 March 2023. 5) World Economic Forum. 2022. “Access to Healthcare: Why We Need to Prioritize Women and Girls.” https://www.weforum.org/agenda/2022/05/access-to-healthcare-prioritize-woman-and-girls/. Accessed 28 March 2023. 6) Sifton, J., and S. Ijaz. “Flood Affected Women in Pakistan Need Urgent Help.” https://www.hrw.org/news/2022/09/02/flood-affected-women-pakistan-need-urgent-help. Accessed 28 March 2023. 7) International Trade Administration. 2022. “Pakistan - Country Commercial Guide Health Care and Medical Equipment: Investment Opportunities.” https://www.trade.gov/country-commercial-guides/pakistan-healthcare-and-medical-equipment. Accessed 28 March 2023. 8) The World Bank. 2021. “Mortality Rate. Infant.” UN Inter-agency Group for Child Mortality Estimation. https://data.worldbank.org/indicator/SP.DYN.IMRT.IN?locations=PK Accessed 28 March 2023. 9) UNDP (United Nations Development Programme). 2021. “Sustainable Development Goals Framework For Sindh.” https://procurement-notices.undp.org/view_file.cfm?doc_id=277185#:~:text=As%20the%20first%20step%20towards,Decent%20Work%20and%20Economic%20Growth. Accessed 28 March 2023. 10) UNDP (United Nations Development Programme). 2022. “Pakistan: Flood Damages and Economic Losses over USD 30 billion and Reconstruction Needs over USD 16 billion.” UNDP press releases. https://www.undp.org/pakistan/press-releases/pdna-pakistan-floods. Accessed 28 March 2023. 11) WHO (World Health Organization). 2023. “Health Policy, Governance and Leadership Pakistan.” https://www.emro.who.int/pak/programmes/health-policy-governance-and-leadership.html. Accessed 28 March 2023. 12) Global Health Security Index. 2021. “2021 GHS Index Country Profile for Pakistan.” https://www.ghsindex.org/country/pakistan/. Accessed 28 March 2023. 13) WHO (World Health Organization). 2022. “WWHO Pakistan Floods Situation Report Issue 2 – 3 September 2022.” https://reliefweb.int/report/pakistan/who-pakistan-floods-situation-report-issue-2-3-september-2022. Accessed 28 March 2023. 14) Khalid, F., and W. Raza. “Health Services Utilization and Out of Pocket (OOP) Expenditures in Public and Private facilities in Pakistan: an Empirical Analysis of the 2013-2014 OOP Health Expenditure Survey”. 15) The World Bank. 2019.“Out of pocket expenditure (% of health expenditure- Pakistan”. https://data.worldbank.org/indicator/SH.XPD.OOPC.CH.ZS. Accessed 28 March 2023 16) International Trade Administration. “Healthcare Technology Resource Guide”. https://www.trade.gov/healthcare-resource-guide-pakistan. Accessed 28 March 2023.
IOA Sources
  • 17) Evercare Hospital. https://www.evercarehospitallahore.com/ehl. Accessed 28 March 2023. 18) (IFC) International Finance Cooperation. 2019. IFC invests $11 million in Shifa International to Bolster Healthcare in Pakistan. https://pressroom.ifc.org/all/pages/PressDetail.aspx?ID=16129. Accessed 28 March 2023. 19) Statista. 2023. “Beauty, Health, Personal & Household Care – Pakistan.” https://www.statista.com/outlook/dmo/ecommerce/beauty-health-personal-household-care/pakistan. Accessed 28 March 2023. 20) SMEDA (Small and Medium Enterprises Development Authority). 2016. Pre-Feasibility Study Private Hospital. https://www.commerce.gov.pk/wp-content/uploads/pdf/Private-Hospital.pdf Accessed 29 March 2023. 21) Khalid, A., and Ali. S. (2020). “COVID-19 and its Challenges for the Healthcare System in Pakistan.” Asian bioethics review. 12 (4). 551-564. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7424236/ Accessed 29 March 2023. 22) Sehat Sahulat Program. 2023. “About the Program.” https://www.pmhealthprogram.gov.pk/ Accessed 28 March 2023. 23) WHO (World Health Organization). 2022. “The Gender Pay Gap in the Health and Care Sector a Global Analysis in the Time of COVID-19.” https://www.who.int/publications/i/item/9789240052895 Accessed 28 March 2023. 24) The World Bank. 2017. “Maternal Mortality Ratio-Pakistan.” Trends in Maternal Mortality: 2000 to 2017. https://data.worldbank.org/indicator/SH.STA.MMRT?locations=PK Accessed 28 March 2023. 25) Federal SDGs Support Unit. 2022. Pakistan’s Voluntary National Review 2022. https://www.sdgpakistan.pk/uploads/pub/VNR_2022_Pakistan_Report.pdf Accessed 28 March 2023. 26) Ministry of Planning Development and Special Initiatives. 2014. Pakistan Vision 2025. https://www.pc.gov.pk/uploads/vision2025/Pakistan-Vision-2025.pdf Accessed 28 March 2023. 27) International Finance Corporation Advisory Service in the Middle East and North Africa. 2011. Health and Social Work Private Sector Hospitals. https://www.sbp.org.pk/departments/ihfd/Sub-Segment%20Booklets/Health%20and%20Social%20Work-Private%20Sector%20Hospitals.pdf Accessed 14 April 2023. 28) Business Council of International Understanding. 2021. “Women’s Health Is Wealth: How Investing in Women’s Health Directly Improves Economic Outcomes in Developed and Developing Markets.” https://bciu.org/womens-health-is-wealth-how-investing-in-womens-health-directly-improves-economic-outcomes-in-developed-and-developing-markets/ Accessed 28 March 2023. 29) Ministry of National Health Services. Regulations and Coordination. 2019. Punjab Health Sector Strategy 2019-2028. https://phkh.nhsrc.pk/sites/default/files/2021-06/Health%20Sector%20Strategy%20Punjab%202019-2028.pdf Accessed 28 March 2023. 30) Health Department Khyber Pakhtunkhwa. 2018-2025. “Health Policy Khyber Pakhtunkhwa”. https://healthkp.gov.pk/public/uploads/downloads-41.pdf. Accessed 28 March 2023. 31) Ministry of National Health Services Regulation and Coordination. 2021. Environmental and Social Management Plan (ESMP). https://nhsrc.gov.pk/SiteImage/Downloads/Environmental%20and%20Social%20Management%20Plan%20 (ESMP)%20PANDEMIC%20RESPONSE%20EFFECTIVENESS%20IN%20PAKISTAN%20 (P173796).pdf Accessed 28 March 2023. 32) Health Department Khyber Pakhtunkhwa. 2023. “Policies.” https://healthkp.gov.pk/downloads/view/7 Accessed 28 March 2023. 33) BOI (Board of Investment). 2021. “Incentives in Special Economic Zones.” Special Economic Zones Incentive Package. https://invest.gov.pk/sez#gallery-1 Accessed 28 March.