4. LE MARCHE DU VIEILLISSEMENT EN CHINE
UNE OPPORTUNITÉ FRANÇAISE
5. A DEMOGRAPHIC & EPIDEMIOLOGIC REVOLUTION
More than 40
million Alzheimer &
Facing a strong demographic and epidemiologic transition
Huge needs: high-end medical treatment solution
professional elderly care and an adapted high quality hospitality .
WHAT KIND OF REVOLUTION ?
China: the biggest
country facing ageing
Every 3 people - 1
is above 60 years old
2050
1,3 billions
2050
+ 400 millions
2020
40 Millions
The world is facing an ageing
transition more significantly in Asia
6. BURDEN (S)
WHAT KIND OF NEEDS?
• Old age pension is inadequate.
• Health insurance for elderly is not enough
• Less working population to support the older population
• The 4-2-1 family structure poses significant threat to healthy
ageing
• Lack efficient chronic disease management and long term care
program for the elderlies
• Low social awareness of mental health on elderly diseases
• Lack of beds, facilities, trained caregivers, geriatric doc
Social
burden
Disease
burden
Financial
burden
Huge needs of beds, home solutions & know how
Disease
burden
Financial
burden
7. INTERNATIONAL QUALITY
WHY FRENCH COMPANIES ARE WORLD LEADERS ?
France World country leader – new know how – High quality standars
Origin & Leadership
1. France faced the ageing revolution 30 years ago
2. French governement support this industry (funds, research & high
quality control)
1. French companies are market share & quality leaders in Europe
2. 2 of the 3 top companies in the world are French
3. Strong French silver including: architect, operator, tech, training…
China & France
1. Mr Xi Jinping & Mr Macron signed an agreement on the
elderly know exchange (one of the 5 key topics)
2. 5 French companies are settled in China supported by
the Chinese governement
8. COLISÉE GROUP
WHO IS COLISÉE
Strong expertise in dependent solution with a global offer
+270
Medical
nursing
home
+21000
employees
+26000
beds
30000ho
me care
(and…)
Home care
Senior appartment
Rehab clinic (SSR)
…
In 6 countries (Fr. Esp. It. Cn. Bel. All.)
9. IN CHINA: 1 JOINT VENTURE
CHINA MERCHANTS COLISÉE
VISION: International High level expert on management of solutions provided for all elderlies
3 PROJECT MODELS: ❶ Medical nursing home ❷ Geriatric hospital ❸ Senior appart. services
International know how on geriatry – Non drug therapy + Montessori – High level
hospitality & social life
10. DNA
WHAT IS OUR ADEED VALUE?
New international
geriatric know how
Permanent
Multidisplenary
healthcare team
Monitoring all the life
& healthcare patient
information
Non drug therapy
Elderlies (Alheimer, dementia
expertise…) +
MontessoriCustomized activities
Nutritious and adapted
Food (healthcare)
Delicous & beautifull food
adapted to elderlies
Elegant & comfortable
facilities
Building & equipment safe
and adapted to elderlies
Healthcare
Care & life
Facility &
hospitality
Family permanent communication
including medical education
Socialization of the elderlies
Large innovative solutions – healthcare expert - high quality standars for
11. Shenzhen 75 beds (open May 2018)
Guangzhou 132 beds (open February 2018)
2 PROJECT UNDER OPERATIONS & 3 UNDER PREPARATIONS
23. HOW MUCH MORE COSTLY IS THE OLDER GENERATION
SOME FACTS FROM SINGAPORE AND FRANCE
0
50
100
150
200
250
300
350
400
15 - 64 Years Old 65 Years Old & Above
Singapore (MoH source)
Hospital admission rate (per 1000)
Incidence rate is more than
4 times higher
0
2
4
6
8
10
12
14
16
Lessthan1
1-4
5-9
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85-89
90-94
95+
France (Eurostat online data)
Length of stay in hospital by age
LOS is > 50% higher
for the older age
group
24. 0
10
20
30
40
50
60
0~9 10~19 20~29 30~39 40~49 50~59 60~69 70~79 80~
Male Female
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
0~9 10~19 20~29 30~39 40~49 50~59 60~69 70~79 80~
Male Female
HOW MUCH MORE COSTLY IS THE OLDER GENERATION
SOME FACTS FROM SOUTH KOREA
South Korea (NHI source 2016)
Hospital admission rate (per 100)
Incidence rate is
more than 4 times
higher
South Korea (NHS source 2016)
Length of stay in hospital by age
LOS is > 50% higher
for the older age
group
25. > [4 * 1.5] higher
> 6 times higher
….without considering consequences of current sedentary lifestyle, junk food, environmental damages and new expensive treatment.
…but cost may also decrease due to cheaper or more effective drugs, revolution in elderly care…
HOW MUCH MORE COSTLY IS THE OLDER GENERATION
THE FACTS ARE FAIRLY CONSISTENT EVERYWHERE
26. HOW COULD YOU PREPARE YOURSELF?
ALONE
With enough personal savings plus adequate & sufficient protectionfor when you grow older.
TOGETHER
Through mutualisation between generations.
28. HOW MUCH COSTLIER IS THE OLDER GENERATION
SOME FACTS FROM MALAYSIA INSURANCE SECTOR
0
5
10
15
20
25
30
35
40
45
50
16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50 52 54 56 58 60 62 64 66 68 70
Malaysia (Life Insurer Critical Illness 2019)
Rate per 1000 SI by age
That’s a 10% increase every year over 25 years
for the same pay-out at the end (if any)
The curve is even steeper for insurers who have
take into account lapse of customers who don’t
want to or cannot continue to contribute,
making the older pool more exposed.
Premium x12
From 40 to 65
Tip – compare rates for old age if you are
potentially covered for the long term.
29. 0
1000
2000
3000
4000
5000
6000
16 -
20
21 -
25
26 -
30
31 -
35
36 -
40
41 -
45
46 -
50
51 -
55
56 -
60*
61 -
65*
66 -
70*
HOW MUCH COSTLIER IS THE OLDER GENERATION
SOME FACTS FROM MALAYSIA INSURANCE SECTOR
Malaysia (Life - Medical Expenses 2019)
Annual Premiums
Premium x6
From 40 to 66
Eligibility
New business only up to 55 years old
Renewal only up to 70 years old.
Pre-existing exclusion.
The premium curve will increase every couple of
years to reflect medical inflation and evolution
of the portfolio.
What to do at 71 ?
Tip - look for plans with no age limit.
31. Bring people together to form long lasting
communities where members are willing
heartedly to support each others in the
financing of their medical expenses.
With one additional constraint
This is not cheap. Contribution is 5% to 10% of
income.
Communities ties MUST be strong.
OUR APPROACH
32. People need to have a strong personal interest
when joining a ‘pay to play’ health insurance
community. If their personal interest is
fulfilled, then the community will thrive.
Family is a natural first step for our business
model but there will be other community
forms.
OUR APPROACH
37. 37
EVOLVING IN A CHANGING ENVIRONMENT
Higher
needs
For fastest
results
Dynamic
growth for
ASEAN
Market Evolution
38. 38
BIOMERIEUX MISSION AND OBJECTIVES
IMPACT PATIENT CARE
&
PROTECT CONSUMER HEALTH
PIONEERING DIAGNOSTICS
in Infectious Diseases
to
we must
bring value through
INNOVATION HEOR* SERVICE
PATIENT
MANAGEMENT**
* Health Economics & Outcomes Research
= demonstrate the vlalue / patient outcomes
we address
public health challenges
Sepsis
Antimicrobial
resistance
Respiratory
infections
Consumer
Health
** ex: LUMED
39. 39
THE AMR CHALLENGE - DEATHS ATTRIBUTABLE TO AMR NOW
AND BY 2050
Tackling a global health crisis: initial steps. The O’Neill Review on Antimicrobial Resistance. February 2015
40. 40
BIOMERIEUX ENABLING AN OPTIMIZED USE OF ANTIBIOTICS AT
EACH STEP OF THE ANTIBIOTIC PRESCRIPTION WORKFLOW,
END-TO-END
Clinician/ ID physician
Antibiotic therapy initiation Antibiotic therapy optimization
Antibiotic
discontinuation
Legend: Lab efficiency productsData analytics products“AMS” instruments and reagents
Lab
Instruments tests and software Lab informatics
Clinical Decision Support System
Hospital
41. 41
BIOMÉRIEUX - FIGHTING ON ALL FRONTS
Research & Innovation
Diagnostic solutions
Education
Partnerships
& surveys
Strengthen knowledge and proofs
Develop high medical value diagnostic solutions to combat
infectious diseases and the rise of antibiotic resistance
Prevention
Prescription
Surveillance
Improve awareness and understanding of antibiotic resistance
through communication, education and training
bioMérieux sponsors the Global-PPS to monitor antibiotic consumption
and resistance in hospitals worldwide.
The Company is also involved in several public-private partnerships
(COMBACTE & IMI).
44. Comment améliorer la prise en charge du
diabète et de l’hypertension dès le Premier
Jour en ASEAN?
Cécile GA
45. Diabète
82 millions
de diabétiques en Asie du Sud-Est
2.1% des décès en ASEAN
Hypertension
35%
des habitants d’Asie du Sud-Est
1.5 million de morts/an
Regional Health Forum – 2013
World Health Organization
IDF Diabetes Atlas 8th edition
L’hypertension et le diabète
sont des priorités de santé publique en ASEAN
46. Le premier jour est un moment critique
dans la prise en charge du diabète et de l’hypertension
DépistageSensibilisation
Compréhension de
la maladie
Adaptation du mode de
vie, observance
thérapeutique et suivi
Diagnostique et
traitement
1. Faibles connaissances et taux
de diagnostique
3. Faible observance therapeutique
2. Efficacité des
traitements
Patient
Défis
2016
2019
Programme d’éducation
thérapeutique
47. Diagnostique précoce Observance thérapeutique Contrôle de la pathologie
MEDECINS
INFIRMIERS
PHARMACIESHOPITAUX
GOUVERNEMENT
AIDANTS
Une prise en charge optimale nécessite des interactions entre tous les
acteurs de la santé, et ce dès le premier jour
48. 48
Corner éducatif dans les hôpitaux
2 pilotes en 2018 et déploiement en 2019 (objectif > 200 en 2020)
Unique source d’information en
ligne
90,000 visites uniques/mois depuis 2019
35% visiteurs redondants
Page Facebook
1,300,000 visiteurs/mois
Outils destinés aux patients
Brochures, posters,…
EN LIGNE
Groupes d’éducation
thérapeutique
Formation des professionnels de santé
2,250 docteurs + 100 infirmières
HORS LIGNE
La réussite de Mon premier jour réside dans une stratégie multicanale
Programme de dépistage
14,000 patients dépistes depuis 2016
49. Disponible pour chaque hôpital
+
consolidation au niveau national
Soutien le Ministère de la santé dans la construction d’une base de données fiable
sur l’hypertension et le diabète, a différentes échelles
Les corners Mon premier jour permettent de construire
une base de données nationale
50. Le projet Mon premier jour est porteur de trois valeurs fondamentales
MEDICALE
Réduction de 1% HbA1c
après 3 mois d’intervention1
SOCIALE
Favorise les interactions
entre tous les acteurs de la sante
1. MD. Ho Thi Kim Thanh, EASD 2019 2. PwC
ECONOMIQUE
3.5 million USD
d’economie2
53. Infectious disease issues
and challenges in SEA
Didier Fontenille
Director of Institut Pasteur du Cambodge
Atelier Santé Publique
Forum ASEAN CCE, 7 juin 2019, Phnom Penh
54. • The Institut Pasteur du Cambodge (66 years in Cambodia) is
a Cambodian non for profit international research
organization of public utility under the supervision of the
Cambodian MoH
• Main activities are focused on the fight against infectious
diseases and emerging pathogens in Cambodia and in
Southeast Asia.
• 240 staff, with 10 nationalities, including 30 Expatriates
(incl. PhD Students). 30 long term students/fellows
• Excellent facilities (incl BSL3 and 7 BSL2)
Institut Pasteur du Cambodge. An international Cambodian
Institute
55. IPC MISSIONS
PUBLIC HEALTH Services
SERVICES AND SUPPORT TO THE PUBLIC
Clinical biology and microbiology
Environment, water and food safety
Vaccinations
Rabies post-exposure prophylaxis
Anonymous testing for HIV (VCTC)
NATIONAL-INTERNATIONAL EXPERTISE :
MoH’s national programs and WHO Reference
Centers: Rabies, Influenza, Dengue, Mal RDT
BIOMEDICAL RESEARCH :
Microbiology - Virology – Parasitology
Immunology – Epidemiology - Entomology
TEACHING & TRAINING
IN PARTNERSHIP
With
- Universities
- Companies
- Hospitals
- Foundations
- Research institutes
56. Dengue, Chikungunya,Zika ..
Encephalitis (incl JE, EV71 (HFMD))
Influenza incl Avian flu
HIV - AIDS
Hepatitis (A,B,C,D,E)
Rabies
Malaria
Other Parasites
Fungal diseases
Tuberculosis
Bacterial diseases
Antimicrobial resistance
…
Infectious diseases in SEA: Majors
concerns and challenges
57. Malaria
Still present in SEA (P. falciparum, P. vivax)
No vaccine
Very high level of drug resistance
Mainly in the forest (surveillance and
treatment difficult)
Vector control difficult
Challenges
*Surveillance of cases and resistance
*Vaccine
*3rd line drugs, association of drugs
*P. vivax malaria issues
*Efficient vector control
distribution of NS-mutant in K13 gene in
SEA
58. Dengue
No drugs
No (efficient – accepted) vaccine
Mosquito vectors are resistant to
insecticides
Challenges
*Diagnostics (RDT, serotypes, 1st, 2nd, 3rd
infection)
*Vaccine
*Treatment (anti-viral drugs)
*Bio markers of severity
*Efficient vector control
59. Resistance to antibiotics
The Birdy project (2014-2018) in Cambodia: Bacteria involved, resistance rates
2477 biological samples from mothers and infants
811 bacteria isolates found, including E. coli, K. pneumoniae, Salmonella spp., Staphylococcus spp., Streptococcus spp.
Main resistances
S. aureus to methicillin: 27% of infections in children, 25% of mothers’ vaginal
carriage
S. pneumoniae to penicillin: 73% of isolates
H. influenzae to C3G: 25% of isolates
Enterobacteria ESBL: 77% in mothers’ gut, 42% in children’s gut
Challenges
*Surveillance and Rapid diagnostic tests
*3rd line antibiotics
*Better management of antibiotics (humans and animals)
*Communication, education
60. Rabies
Still present in many countries in SEA
Around 800 human deaths per year caused by rabies in
Cambodia
Around 5 millions dogs (+ cats : number unknown). Most of
them not vaccinated against rabies
Around 600 000 dog bites per year + cat bites (?)
In 2018 only 25 000 patients vaccinated at Pasteur Institute
Major panic crisis in 2019 (60 000 vaccinations expected at IPC )
Challenges
*Information, education, communication
*Access to vaccination centers
*Shortage of Rabies vaccine at the world level !!
*Dog vaccination
61. Interest of Institut Pasteur du Cambodge
for companies and private sector
Partnership in R&D : diagnostic tests, clinical research (drugs,
vaccines), Evaluation of tools, strategies and products (ie
insecticides)
CSR (RSE) : support to selected activities :ex. Total Foundation (EV71
(HFMD), pertussis), Total Cambodia (Tuberculosis, Rabies, Dengue vectors),
Vinci – Cambodia airports (Rabies, Tuberculosis), MSD avenir (Antibio-
resistance), Fondation Mérieux (Emerging viruses), Sanofi (Rabies) …
Services to staffs :medical biology (ISO 15189), International
vaccination, ..
Services to customers: water, food, and agriculture raw products
analyses (bacteriology and Chemistry)
66. Hello Health Group is the largest
health media network in South
East Asia.
Our mission: Empowering all
South East Asian population to
make better decisions for their
health in order to live a happier
and healthier life.
67. HELLO HEALTH GROUP CURRENT MARKETS
Market:
Market Position:
Monthly Users:
Monthly Pageviews:
Social Followers:
Vietnam
#1
3.9 million
14.6 million
211,639
The #1 Digital Health content platform in South East Asia.
Market:
Launch Date:
Monthly Users:
Monthly Pageviews:
Social Followers:
Malaysia
June 2018
53,751
165,275
>7,000
Market:
Market Position:
Monthly Users:
Monthly Pageviews:
Social Followers:
Indonesia
#1
23.6 million
73.1 million
1.0 million
Market:
Launch Date:
Monthly Users:
Monthly Pageviews:
Social Followers:
Thailand
August 2018
23,130
67,100
70,475
Market:
Market Position:
Monthly Users:
Monthly Pageviews:
Social Followers:
Myanmar
#1
856,053
2.8 million
3.3 million
Market:
Launch Date:
Monthly Users:
Monthly Pageviews:
Social Followers:
Cambodia
January 2019
198,880
996,352
249,546
68. WHERE HEALTHCARE & DIGITAL MEET
Hello Health is at the epicenter of the digital health revolution
HEALTHCARE DIGITAL
Search, Social Media, Paid Media,
Native Content, E-Commerce, CRM,
Content Marketing
Patient behavior, Product
understanding, Moment of care,
Diagnosis, Treatment, Adherence
69. 116 M
35 M
Monthly
Pageviews
Unique Monthly
Visitors
7.2 M Social Media
Followers
HELLO HEALTH KEY STATS
The leading digital health content platform in South East Asia.
Hello Health platforms are HON-certified for medical and content quality. HON is the most prestigious seal for health
information on the web. Same certificate as WebMD, EverdayHealth, Mayo Clinic
70. HELLO HEALTH KEY CLIENTS
We currently support over 50 healthcare companies across 4 key segments
Pharmaceuticals Consumer health
Insurance Healthcare provider
71. The first digital health content
platform in one of the top 10
fastest growing economy in the
world.
72. HELLO KRUPET USER DEMOGRAPHICS
One of the fastest growing but most underserved healthcare markets globally.
57%
Female
Users by age
18-24 25-34 35-44
12%11
%
58
%
19
%
45+
Users by province
Users by gender
43%
Male
90%
Phnom
Penh
8 M. / + 12%Internet Users
50%Internet penetration
Healthcare data (2015-2020)
0.17/1,000 habitantsDoctor / 1000 people
1,7 B. / +13.8% CAGRHEC Expenditure
65%Self medication rate:
73. Source: Asian Development Bank, World Bank for Geeks in Cambodia / We are social/Hootsuite Digital in 2019 in SEA
CAMBODIA SOCIAL MEDIA LANDSCAPE
8.3 millions
Facebook Users
FB users click 12
time per month on FB
ads
59% Male FB Users
69% of population
reachable through FB
ads
1.6 Million Fitness &
Wellness FB interests
Internet penetration
76%
95% connected
through 3G/4G
12.5 millions of
internet users
41% female FB
Users
90% internet
penetration through
mobile
74. Anne Charlotte Ficheroulle
Operation Manager & Head of Business Development
Prior to Hello Health Group, Anne Charlotte, with a dual degree in
Pharmacy & marketing management starting a career in marketing at
GE HEC and Sanofi before joining DKSH HEC in Cambodia as marketing
manager for 3 years.
Nicolas Chabanier
Business investor and developer.
Nicolas has been, during 8 years, the General Manager of Horiba Asia
(based in Bangkok and Shanghai) before accepting the leading role of
General Manager DKSH Healthcare in Cambodia for more than 9 years
before starting his journey in the Entrepreneurship life.
Chip Chet
Editor in Chief and head of Digital Strategy
Chet is the driving-force-behind News.sabay.com where he leads and
transforms the 2010 born-website to be the biggest, #1, in the
country. From News.sabay.com, he developed the creation of 8
affiliated website and participate to the development of the Sabay
Digital Plus corporation, leader in Cambodia.
OUR TEAM OF EXPERTS
Combining years of digital, healthcare, content and technology expertise
Ly Sophat
Head of Social media and Commercial Editor
Prior to joining Hello Krupet, Sophat worked 7 years at Sabay
Digital Plus. With his rich experience in digital content
development, he successfully established and managed a special
unit specializing in commercial content planning for clients and
writing advertorials.
Chan Sineth
Medical Editor
Prior to joining the Hello Krupet project, Sineth has been General
Practitioner at Sen Sok Hospital and Sokha Kampol Poly Clinic.
Sineth worked as interpret for many NGO and private company
for many year and he thrilled by using his medical knowledge to
ensure the most accurate content for Hello Krupet.
Chan Vutha
Video Editor/Motion Graphic Designer
Vutha is the video expert of online media in Cambodia. He built
during over 5 years the video department of Sabay Digital Plus .
He is an expert in Video edition, Animation, Shooting and Studio
room controller.
75. WHY USING HELLOKRUPET SERVICES ?
The four pillars that make Hello Krupet your preferred partner
Knowledge
With our in-house doctors, we have the capacity
and knowledge to delivery high quality medical
content
We have become a digital authority when it comes
to supply digital health care information
Authority
Team
Our team consists of doctors, writers and social
media and digital expert with a passion for
health care
Our digital community has grown to over 160K people
with an interest in health content
Community
76. UNIQUE DIGITAL HELATHCARE MEDIA IN CAMBODIA
Hello Krupet : where people find answers to their health related questions.
Monthly users
Monthly Pageviews
Facebook followers
Total Reach
Engaged Users
Engagement rate
Inbox
195K
1 Million
240K
6 Million
550K
10%
60/day
Analytics
800K
2 Million
600,000
8 Million
800K
12%
180/day
Target end 2019
• Hellokrupet.com : lauched in January 2019
• 2 Facebook pages: Hello Krupet & Hello Mommy (launched in April
2019)
77. HELLO KRUPET AUDIENCE & MISSION
A clear need for mother and child health.
49% 18% 16% 10%
8
%
Pregnancy & Parenting
Beauty, Nutrition
& Fitness
Reproductive &
Sexual Health
Chronic
Disease Other
Pregnancy progression
Pregnancy Tips
Miscarriage / Premature birth
Giving birth
Child development
Child nutrition
Relationship
Sexuality
Prevention
STD
Fertility
Beauty
Fitness
Nutrition
Health Tips
Mental Health
Oral care
Senior Health
Health tools
HTA
Diabetes
Heart Disease
Cancer
Asthma
Mother and child health sections represent 50% of Hello Krupet page views
There is a clear demand from the Cambodian women for more information and better knowledge about basic health needs and
prevention
It’s difficult for young mother to educate themselves in a matriarchal country where ancient traditions are still highly present
Hello Krupet mission is to provide good health practices, using highly reliable and modern content, to help those
women and the rest of the population to become more knowledgeable and responsible in terms of health
79. WHO WE ARE : AN UNIQUE POSITIONING
Combining editorial expertise and certified trustworthy medical knowledge.
An unique positioning between mass &
specialist media already successful !
Fastest growing page in Cambodia
#1 on Likelyzer in health and beauty
category
80. We look forward to working together to make Cambodia
happier and healthier.
Nicolas Chabanier
nicolas@hellohealthgroup.com
Anne Charlotte Ficheroulle
Head Business Development
annecharlotte@hellokrupet.com