Maghreb life sciences tunisia final report Finpro

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Maghreb life sciences tunisia final report Finpro

  1. 1. Life SciencesBusiness Opportunities inHealth SectorTunisiaOctober 2011
  2. 2. Introduction • Objectives – Describe the Health sector ecosystem in Tunisia – Identify concrete business opportunities for Finnish companies in the Health sector – Formulate market-entry recommendations – Initiate networking with local key players • Method – Secondary data analysis – Interviews/visits • Ministry of Public Health • Charles Nicolle public hospital • Institut Pasteur • Sidi Thabet Technopole • Clinique El Amen Mutuelleville • Clinique Générale et Cardio-Vasculaire de Tunis • Dr. Stefano Lazzarri, WHO Tunisia Representative24/10/2011 © Finpro 2
  3. 3. Contents 1. Tunisia in brief 2. Market characteristics 3. Ecosystem & main players 4. Business models 5. Tunisia SWOT24/10/2011 © Finpro 3
  4. 4. Tunisia Population 10,5 million Area 163 610 km2 Capital Tunis • Languages Arabic, French Currency Tunisian dinar (TND) (1€ = 1.94 approx.) GDP 2010 33.4 billion € (per capita € 3180) Minim. wage 121 € / month (40 h work week) Government Presidential Republic Sources: CIA World Fact Book, IMF: WEO database, Portail de l’Industrie Tunisienne, Map24/10/2011 © U4Travel, UK, Flag: CIA WFB © Finpro 4
  5. 5. Economic indicators 2010 2009 • Economic, political and social Unemployment 13.0 % 13.3% situation has been stable until GDP growth 3.7 % 3.1% the Arab Spring Inflation 4.4 % 3.5 % FDI (M€) 1140.9 1212.1 • Competitiveness: 32nd among 139 countries, 1st in Africa (WEF Investment rate 24.3 % 24.2 % 2010-2011) as a % of GDP FDI per sector 2010 (M€) GDP by sector 2010 800 Services 600 400 Manufacturing 200 industries 0 Agriculture and fisheries Non manufacturing industries Others Sources: INS, FIPA, IMF: WEO, African24/10/2011 Economic Outlook © Finpro 5
  6. 6. Trade • Tunisian economy is diversified and competitive • Tourism has traditionally been the most important sector in Tunisia followed by manufacturing industry and agriculture, but the focus is on technology and innovation based economy. • In 2010 the country’s exports amounted to EUR 16 billion, whereas imports were EUR 15 billion, leading to a trade surplus. Tunisias main exports are manufactured products (clothing, machinery and transport equipment) energy and agricultural products. Trade of Tunisia (M€) Imports of Tunisia 2010 20000 Consumption products (exc. 15000 food) Raw and semi- 2009 finished materials 10000 2010 Equipment 5000 products 0 Oil products Exports Imports Balance -5000 Sources: INS, FIPA; OBG: the report 201024/10/2011 © Finpro 6
  7. 7. Trading partners • European Union is Tunisia’s biggest trading partner. EU exports to Tunisia amounted to EUR 8.9 billion and EU imports from Tunisia EUR 7.9 billion (2009) – Tunisia has signed an Association Agreement with the EU. The trade of goods is already liberated from customs, but negotiations of services trade and agricultural products are ongoing. – Major imports from the EU include machinery and transport equipment (38%), textiles (13%), chemicals (9.9%) and energy (8.5%) • Finnish exports to Tunisia reached EUR 53.6 million in 2010, whereas imports amounted to EUR 8.6 million – Finnish exports include industrial machinery, communications equipment, wood and crude materials Major export partners Major import partners EU27 EU27 Libya Libya India Turkey United States China Algeria Algeria Sources: EU Commmission, Tullihallitus24/10/2011 © Finpro 7
  8. 8. Key Tunisian companies 1 2 3 STIR – Tunisian Tunisie Télécom STEG – Tunisian Refining Industries Leading telecom operator, partly state-owned Company for company Turnover: 827 M€ Electricity and Gas State-owned State-owned company that Turnover: 1155 M € operates under the Ministry of Industry and Technology. Turnover: 1225 M€ 4 5 GCT – Group National Company of Chimique Tunisien Oil Distribution AGIL Commercializing of oil products Phosphoric acid and fertilizer and their derivatives, State-owned production, state-owned Turnover: 675 M€ Turnover: 521 M€ Sources: Corporate websites; Classement des plus grandes entreprises tunisiennes24/10/2011 © Finpro 8
  9. 9. Development policy • Old government’s 12th Development Plan for 2010-2014 aims at improving the standard of living for all Tunisians – Goal: GDP up till 5.4 %, cutting unemployment to 11.4 % by creating 425 000 jobs – Expanding health & social coverage  improving human development index to the level of developed countries – Creating knowledge based, innovation and technology driven society  increasing the number of high-qualified engineers, creating employment for the young graduates – Developing infrastructure: EUR 12.250 billion to energy sector (e.g. solar & wind power), EUR 4.512 billion to ICT sector (digital television, modernizing telecommunication infrastructure), EUR 2.850 billion to scientific research and technological development etc. • Health sector has always been one of the privileges in Tunisia’s social and economic politics – Tunisia figures among the countries which have put in place a health policy that aims at ensuring health care access to the entire population • Future development of the country depends on the outcome of the elections in October 23, 2011 Sources: Min. of Development & Cooperation, EU delegation,24/10/2011 © Finpro 9
  10. 10. Doing business in Tunisia • Exporting to Tunisia – On the basis of the Associations Agreement, Tunisia is looking for preferential status with the EU, i.e. partenariat privilégié – The most used method of payment in Tunisia is letter of credit - international transfer and documentary remittance are also possible. • Investing in Tunisia – Good investment and business environment (69 th out of 183 countries in WB’s Doing Business 2010). Fairly good banking system. – Offshore advantages in taxation e.g. full tax exemption on exports-derived profits for the first 10 years and taxation at a low rate of 10% after this period of ten years for the life of the company. – Produced goods can be exported to third countries. – Tunisia continues to attract Foreign Direct Investment (FDI). Partnership plays a major role as nearly half of foreign companies have mixed capital; they are associated with Tunisians in joint venture. • Corruption – In 2010, Tunisia ranked 59th out of 178 countries in the Corruption Perception Index, ahead Greece, Italy and Romania, as well as most Arab and African countries. • Travel & safety issues – No visa needed for Finns staying less than 3 months – Safe country for foreign people, yet cultural issues must be considered Sources: FIPA Transparency International;. Muslim trade network,24/10/2011 World Bank: Doing Business 2010 © Finpro 10
  11. 11. 1. Tunisia in brief 2. Market characteristics 3. Ecosystem & main players 4. Business models 5. Tunisia SWOT24/10/2011 © Finpro 11
  12. 12. Market for Health and Wellbeing • Tunisia has one of the most developed health care sectors in the MENA region – Government’s goal is to transform country into regional centre for medical services by 2016 – 6.8 % of national budget spent on health care in 2009 – Country is set to meet its Millennium Development Goals by 2015 – Health tourism from neighbouring countries & Europe growing • Public sector is primary provider, private sector is expanding – There are many differences in services between public and private sectors • The prevalence of chronic, non-communicable diseases (cardio-vascular diseases, cancer) is rising sharply among Tunisians – Smoking is a common habit in Tunisia (males: 58 %, females:7 % in 2006) and obesity is increasing (males: 14 %, females: 33 % in 2008). Demographic and epidemiological change has put a strain on public health care infrastructure  private sector is encouraged to fill the cap. – Pharmaceutical production is rapidly increasing to meet rising domestic demand • Wellbeing services in the country are increasing – Thalassotherapy (seawater treatment) centres have attracted 150 000 tourists annually • Tunisia’s growing middle class is able to afford wider range of services and consumer goods Sources: OBG the report – Tunisia, EU delegation Tunis, WHO24/10/2011 © Finpro 12
  13. 13. Tunisia: Health Profile Health Expenditure % of total (2009) Public Private Consumer Expenditure on Health Goods & Medical Services (M €) 1500 1000 500 Sources: WHO Eastern Mediterranean Regional office Statistics, 0 WHO:Global Health Observatory 1990 1995 2000 2005 2010 201524/10/2011 © Finpro 13
  14. 14. Hospital framework in Tunisia24/10/2011 © Finpro 14
  15. 15. Structure of the Public Health Care The university hospitals consist of general University and specialized centres. Specialized hospitals centres offer treatment in a single medical (30) speciality whereas the general hospitals provide treatment in multiple specialities. Tunisia is divided into 24 regions and Regional each region has one or more regional hospitals hospitals. (33) Regions are further divided into delegations, and each delegation has a district hospital. District hospitals are quite District hospitals small units which ensure necessary (109) treatment in urgencies. They have beds and own laboratories, in some cases also specialists. Basic Health Facilities Basic Health facilities provide daytime (2800) care and have no beds. They concentrate on preventative care and treating common diseases.24/10/2011 © Finpro 15
  16. 16. Public Sector • Health care infrastructure comprises 30 university hospitals and 33 regional hospitals, as well as 6 policlinics. – Hospitals are located in big cities. There are limited health care resources in rural areas. – The total bed capacity of the public sector is 17 000 – 18 000. – University hospitals and basic care facilities are usually effective care providers, but regional hospitals’ operations could be improved. – Management of the public sector is highly centralized, Ministry of Resources per 10 000 people 2010 Public Health controls the whole Physicians 12.3 sector. Dentists 2.4 (2009) • Tunisian hospitals have a lot of Pharmacists 3.1 international cooperation by Nursing and midwifery 32.5 twinning with European hospitals Hospital beds 20.9 and doctor exchanges. Infrastructure - primary health 2.0 care units and centres Sources: WHO Eastern Mediterranean Regional office Statistics, OBG Report, Ministry of Public Health24/10/2011 © Finpro 16
  17. 17. Public Sector Development Plans • Politically the “privileged regions”, poorer regions in southern and western Tunisia are an important investment destination. There are many on-going and planned projects which aim at improving and reinforcing the health infrastructure in these regions. • In 2010-2014 Development Plan EUR 425 million is allocated to rehabilitation of hospitals and developing health care information systems – Need for medical equipment in hospitals (state-of-the-art equipment: scanners, MRI- equipment, sonograms) – Development of Emergency Health Care services needed • After the revolution, the Plan was revised and an additional EUR 70 million was allocated to the health sector – Supplementary support for 3 privileged regions where hospital capacity levels will be improved. – EUR 30 million for improving immaterial aspects of the sector (e.g. evaluation of the medical education, improving financial and administrative efficiency and developing hospital information and statistics systems). • Major construction projects (part of the Plan) include construction of a multidisciplinary hospital in Sfax and a multidisciplinary hospital in Manouba. • Sfax area lacks resources as far as specialized health care is concerned (at the moment only one service provider per each speciality) • The estimated cost of the Sfax hospital is about EUR 20 million and of the Manouba hospital about EUR 5 million.24/10/2011 © Finpro 17
  18. 18. Role of Public Sector in Health Care Source: WHO EMRO24/10/2011 © Finpro 18
  19. 19. Medical education and research • Tunisia has 4 medical faculties and 1 dental faculty – 1000 new physicians graduate each year, about 550 of them are specialists – Specialization studies are often done abroad (e.g. France and USA), as well as dentist studies (e.g. Romania) – Brain-drain is a problem among certain specialists (anaesthesia, radiology), therefore sending doctors abroad for specialisation studies is a controversial issue. • Education reform is under preparation – The purpose of the reform is above all to improve the status of generalists, whose low appreciation in the country is burdening specialists’ resources. – A new specialisation option will be created: family doctor . • Medical research represents one third of all scientific research done in Tunisia – For the past decade, efforts have been made to encourage people for taking a research career. – Institut Pasteur in Tunis is one of the principal research centres. Its main research areas are epidemiology, immunology of human and animal infectious diseases, molecular basis of genetic diseases, biotechnology development. – Main challenges in the scientific research field are methodology problems and language issues. Research studies are not an obligatory part of medical studies, and for this reason the Tunisian medical research often lacks certain professionalism. The use of French as the academic language limits the visibility of Tunisian research work, and it is often too costly to have the publications translated.24/10/2011 © Finpro 19
  20. 20. CNAM • CNAM, La Caisse Nationale d’Assurance Maladie, is the national health insurance scheme. It was established in 2007 in conjunction with a health insurance reform. • CNAM is under the authority of the Ministry of Social Affairs. • The health insurance reform has been carried out gradually, with more medical services and sectors little by little being added under the health insurance coverage (first the public sector services, then more and more private sector services).24/10/2011 © Finpro 20
  21. 21. CNAM • As a general rule, a Tunisian gets the CNAM coverage through his or her employ, and pays a contribution 6.75 % from the salary. – In 2010, there were more than 2.5 million insurance card (“carnet”) holders. – In theory, all Tunisian are covered by CNAM but in practise some groups still remain without coverage. – Newly graduated enjoy the CNAM coverage for one year after their graduation. – The “very poor” will get a “carnet blanc” which entitles them to get public health care services for free. The “poor” will get a carnet with which they pay 20 % of the medical fees. – The spouse and children are covered through a parent’s insurance – In the public sector those who have the carnet pay 20 % of the medical service fees (the ones without carnet pay 100 % of the fees themselves). – In the private sector the CNAM reimbursements vary according to the disease. – In case of chronic or heavy disease (e.g. diabetes, epilepsy, Parkinson’s disease, psychoses and nervosas) CNAM takes care of all the charges (in both public and private sector). For cardiovascular operations all charges are also covered.24/10/2011 © Finpro 21
  22. 22. Private sector • Private health care system is well developed, but not accessible for everyone – 116 private clinics nationwide, mostly in the greater Tunis region and in big cities in the coastal areas. In addition there are 100 dialysis centres. During last 3 years the sector received EUR 230 million investments. – 80 % of the private clinics are located in the costal area. – Sector has grown rapidly employing 86 % of country’s pharmacists and 72 % of dentists – Establishment of National Health Insurance Fund (CNAM) has broadened access to private health care, and financial solvency of insured patients have encouraged investment in modern equipment, cardiology etc. – Private care remains relatively expensive and is thus not accessible for all Tunisians – Doctors working for the private sector are not generally employed by any hospital in particular; instead, they work on commission. – Non-profit private health sector does not exist in Tunisia. – Private sector is represented by Chambre Syndicale Nationale des Etablissements de Sante Privés which works under UTICA (Union Tunisienne de l’Industrie, du Commerce et de l*Artisanat) – Many private clinics have agreements with foreign companies and embassies to cover their employees. Private clinics also often have agreements with different countries to cover the charges of their citizens. Sources: OBG report Tunisia, Euromonitor international24/10/2011 © Finpro 22
  23. 23. Private Investment Projects • Amen Santé – 68 bed clinic under construction in Béja governorate, opening scheduled for 2012. – Tunis Hospital, a 300 bed private hospital (and as such 1 st of its kind in Tunisia), under construction, opening scheduled for 2014. • Hannibal Clinic (EUR 22 million) – 153 bed clinic in Tunis, specialized in cancer treatment – There is high demand for specialized clinics in Africa, as the offering on the continent is very limited and patients often travel to Europe for treatment • Dermatologic Laser Centre Sfax – Centre opened in March 2011 and it is first one of its kind in Africa. Centre is co-financed by Lebanese and Canadian investors. – The centre offers dermatologic care for skin diseases as well as aesthetic surgeries. – http://www.centre-sante-beaute.com • Biotechnology centre in SidiThabet near Tunis – Site will allow expansion or relocation opportunities to Tunisian and foreign investors in the domains of biotechnology, pharmaceutical and para- pharmaceutical industries, life sciences and engineering applied to health. – The business incubator centre will be opened in the end of 2011. Sources: OBG The Report - Tunisia24/10/2011 © Finpro 23
  24. 24. Dental Care • Dental care sector constitutes of many small private practises (73 % of dentists practise in private) • There is a need for modernizing the equipment • Some dental clinics offer modern services and target health tourists as well as offer services for foreign organizations in Tunisia – Estetika Tour offers dental services for Health Tourists among other services – Centre de Rehabilitation Orale is frequented by African Development Bank personnel24/10/2011 © Finpro 24
  25. 25. E-Health • E-Health has been presented in ICT for all forums that were organized 2005 & 2010 • Ericsson has been active in Tunisian telemedicine market with its Mobile Health solution (http://www.ericsson.com/hr/ict_solutions/e- health/emh/index.shtml) • Coming up: Special Session on “e-Health” in International Conference on Next Generation Networks and Services, Hammamet, Tunisia 19-21 December 2011 (http://ngns2011.regim.org)24/10/2011 © Finpro 25
  26. 26. Health Tourism • Affluent people from neighbouring countries and from Europe seek medical treatment and plastic surgeries in Tunisia – Estimated 250 000 visitors travelled to Tunisia for medical purposes in 2009. After South-Africa the country ranks 2nd for medical tourism and 2nd worldwide in thalassotherapy. – Foreign patient represented almost 25 % of private clinics’ turnover. – Surgical operations in Tunisia are 40 to 60 % less expensive than in Europe. In addition there are high-quality infrastructure, qualified personnel, good price-quality ratio and high connectivity to key markets (other Maghreb- countries, Sub-Saharan Africa, Europe ) – Plastic surgeries offering is well developed – In order to increase its competitiveness in health tourism Tunisia has abolished value-added tax on medical treatment for non-residents in 2005 – The private clinics’ foreign clientele can be divided into three main groups 1. “Sanitary evacuees”, patients who cannot get treatment for their diseases in their home country (e.g. cancer, oncology) 2. Tourists seeking for relatively basic health and wellbeing services (e.g. thalassotherapy, physical examination, dental plates) 3. Tourists who come for cosmetics surgeries24/10/2011 © Finpro 26
  27. 27. Thalassotherapy • Thalassotherapy refers to the medical use of seawater as a form of therapy. These establishments usually offer also non-medical services, wellbeing, relaxation etc. • Tunisia is second destination in the world in thalassotherapy after France. • Hammamet Hasdrubal Thalassa & SPA – http://www.hasdrubal-thalassa.com/?langFilter=en-GB • Maritim Hotel Alhambra Thalasso Spa Hammamet – http://www.alhambra-thalasso.com/Publish/en/index.htm24/10/2011 © Finpro 27
  28. 28. Pharmaceuticals Industry • The Central Tunisian Pharmacy is a purchasing agency for all imported medication, previously approved by the Ministry of Public Health. • Tunisian pharmaceutical sector has sustained significant growth after its liberalization in late 1980’s, at present it is valued EUR 400 million. – Recently demand for pharmaceuticals has increased 10 -14 % yearly due to the greater access to health care and creation of the Health Insurance Fund – There are 43 production units (27 for human medicine, 6 for veterinary drugs, 10 specialized in vaccines and serums). Public sector dominates the industry with 75 % of the output, but local manufacturers are fast expanding their share of the production. – There are foreign companies in the market, e.g. Pierre Fabre, which is in a joint- venture with Tunisian SIPHAT. Also Bayer Schering, Leiras, Orion Farmos, Orion Pharma, Pfizer and Santen are present. – France used to dominate the pharmaceuticals importation with more than 80 % share, but the number has now dropped below 60 %. An important French partner is Sanofi. Tunisia is actively looking for new trading partners, and has already established important partnerships with many Arab countries as well as some Asian countries (e.g. South Korea). – Share of local manufacturing is 47 %, with steady yearly increase of 2 %. Only 5 % of the production is exported, but the target is to increase exports to 20 %. • Tunisia has a capacity to become a research platform in the region in terms of pharmaceuticals development since there are qualified people easily available. Source: Bio Santé Info No. 2424/10/2011 © Finpro 28
  29. 29. Health sector development and main drivers Developing Rapidly growing regional public private sector hospitals Social and demographic changes in the country – Health Care Epidemological Development of transition social security system in strong development phase24/10/2011 © Finpro 29
  30. 30. Main players ACDIMA Arab company for Drug Industries and Medical Amen Central Appliances Santé Pharmacy of Tunisia SIPHAT PrivateSociété des Industries clinics Pharmaceutiques de Tunisie Ministry of Public Health Public hospitals Chronic Disease Charles Prevention Nicolle Research Center of Sousse CNAM (Cooperation with THL, Finland)24/10/2011 © Finpro 30
  31. 31. Charles Nicolle public hospital • General university hospital - the biggest public hospital in Tunisia • 1 200 beds, personnel of 2 200 (300 doctors) • Medical services in most speciality fields, e.g. cardiology, rheumatology, neurology, paediatrics, orthopaedics, urology, opthalmology) • 40 000 hospitalizations, 300 000 consultations and 25 000 operations annually • Doctor training and internships • Annual budget TND 50 000, of which 80 % from CNAM • International cooperation - twinning with Charles Nicolle hospital of Rouen, France, doctor exchange with Italy, health tourism from Algeria and Libya - hospital is looking for other foreign partners • Expansion and development projects ongoing – an emergency care unit, a building for neonatology services and an endocrine- diabetes service unit24/10/2011 © Finpro 31
  32. 32. Amen Santé • El Amen is the 1st private clinic group in Tunisia, and the El Amen clinics are also the biggest private clinics in the country. The group has their own purchasing centre. • Amen Santé is a part of Amen Bank group, owned by Ben Jedder family. • Currently there are 3 operating El Amen clinics (in Mutuelleville, La Marsa and Gafsa) and two new ones under construction. A clinic in Béja will be opened in 2012 and Tunis Hospital in Place Pasteur in 2014. – The Béja clinic will be multidisciplinary medical unit with the capacity of 68 beds. – The Tunis Hospital will be the first private hospital in Tunisia, and it will employ at least 500 people. It will be a multidisciplinary hospital with 300 beds. • The Mutuelleville clinic is the oldest one of the Amen clinics, it was opened in 1995. The La Marsa clinic was opened in 2005 and the Gafsa clinic in 2010. – The Mutuelleville clinic has 64 beds and 5 operating rooms. It also has a separate cardio-vascular department, Amen Heart (Amen coeur), with 2 cardiac surgery rooms and about 20 beds. Amen Heart was opened in 2006. – La Marsa clinic has 33 beds and 5 operating rooms. The clinic is currently being expanded by 18 beds and 1 operating room. • Besides health care services, Amen Santé clinics offer esthetic surgeries, which attract international clientele. • In the Mutuelleville clinic, the vast majority of the patients is Tunisians. The percentage of foreigners has slightly decreased after the revolution. La Marsa clinic has a higher percentage of foreign patients since it is more concentrated on plastic surgery. • The Mutuelleville clinic uses e.g. Philips equipment.24/10/2011 © Finpro 32
  33. 33. Clinique Générale et Cardio-Vasculaire • The Clinique Générale et Cardio-Vasculaire is located close to Tunis city centre. • The clinic was established in 1993, as the first private cardio- vascular clinic in Tunisia. Later on the clinic has expanded, and now covers all medical specialities except maternity. • The clinic has 60 beds and 2 operating rooms. 500 open heart surgeries are performed annually. • About 60 % of the patients are Tunisians, 15 % Libyans, 20 % other Africans and the rest Europeans. • Of the hospital budget, 60 % comes from the patients and 40 % from the CNAM. • The hospital turnover is approximately EUR 6 million. • The clinic has GEHC equipment in use.24/10/2011 © Finpro 33
  34. 34. Health Sector: Overview and Challenges • In general, the health sector in Tunisia has been a success story. In the future the country has potential to become an exporter of medical services, instead of being a mere recipient of them. • The sector needs transition from providing acute care to treating and preventing chronic and lifestyle diseases. This transition is not happening fast enough. Also, treating chronic diseases is very costly. • Regional disparities remain remarkable. Inland regions suffer especially from the lack of specialists. • Doctors’ salaries are remarkably higher in the private sector than in the public one. Many specialists opt for working in the private sector, and the private sector also attracts more investments than the public sector. This is leading to a situation in which the rich get better and higher quality care than the less wealthy. • The refugee situation at the Libyan border is burdening heavily the Tunisian public health sector – Refugee camps, meant to be temporary, are becoming a permanent residence for many Sub-Saharan Africans and Asians. – Tunisia and Libya have an agreement according to which Libyan can use the Tunisian public health care services for free  there has lately been discussion whether the Libyans should be charged for the services, but this is deemed unlikely. – Hospitals in the south have already almost used their annual budgets and quotas for fuel, medicines, wages etc.24/10/2011 © Finpro 34
  35. 35. Opportunities in Life Sciences • The Tunisian Ministry of Health expressed a strong interest for international cooperation and financing in Manouba and Sfax hospital construction projects. • Medical equipment for hospitals and clinics – Local presence is crucial! Hospitals purchase equipment from providers who have a local representation because of the importance of face-to-face business negotiations, training and after-sales services. • Finnish experience for organising health care in isolated towns / regions – Telemedicine – Tunisia already has some experience, but the concept could be developed further. • Hospital ICT – ICT is efficiently utilized for hospital administration and financial functions, but otherwise there remains field for development of other applications. – A particular problem is introduction and management of ICT systems. • Rehabilitation services for ageing and disabled people • Development of Emergency Health Care services24/10/2011 © Finpro 35
  36. 36. Opportunities in Life Sciences • Biotechnology Centre in Sidi Thabet might offer interesting possibilities as a hub for life sciences once its activities get properly started (2012) – The centre is looking for partners with experience in production of biomolechyles. They are Interested in finding a partner in Finland. – The technopole CEO Noureddine Bouzouaïa also expressed interest towards Finnish technopole systems. • Institut Pasteur is interested in technology and human resources know- how transfer with Finland (and other Nordic countries). Pasteur needs consultation especially in “passage au production”, moving from academic level to implementation. • Pharmaceuticals – Finland and Tunisia used to cooperate in this field, therefore Tunisians have a positive image of the Finnish pharmaceuticals sector and would welcome new partnerships.24/10/2011 © Finpro 36
  37. 37. Tunisia SWOT Strengths Weaknesses • Public sector development needs • Good business environment financing for construction and • High education level rehabilitation of hospitals; tendering • Outsourcing and offshore activities well process is not easy for foreign developed and supported companies • Private sector well developed • Long-lasting relations and local • Strong relations with the EU presence needed Opportunities Threats • Development of regional public • Development of sustainable business hospitals needs human and financial resources • Rapidly growing private sector • Competition with local and international • Development of democracy companies • A gateway to other African countries24/10/2011 © Finpro 37

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