This sharing update Indonesia situation after COVID-19 what we need to know and how we transform our business based on global perspective.

1. OUTLOOK FOR THE
MEDICAL DEVICE
BUSINESS IN
INDONESIA IN 2022

3. ©2021. For more information, contact Deloitte Touche Tohmatsu Limited

4. COVID-19-related Trafficking of Medical Products as a Threat to Public Health by UNODC research

5. WHO Priority medical devices list for the COVID-19 response and associated technical specifications
PRIORITY MEDICAL
DEVICES IN
THE CONTEXT OF
COVID-19

6. THE ASEAN MEDICAL DEVICE MARKET
The region’s medical device market is expected to grow strongly and access to the
market will improve in the coming years due to a number of factors:
• Size of middle class in the region is rapidly expanding. Asian Development Bank
expects this group to grow from 24% of the total population in 2010 to 65% by
2030. Additionally, demographic trends such as population aging and
urbanization, is expected to fuel demand for better quality healthcare, and
contribute to the expansion of Southeast Asia’s medical device market.
• Penetration of medical devices into ASEAN is still relatively low, thus, there is
much room for growth and market expansion. The heterogeneity of the ASEAN
market allows medical device companies to adopt different market strategies
and provides ample room for device segmentation
• Another important consideration for medical device companies entering the
ASEAN market is the lack of domestic competition in the region. Overall, ASEAN
is a net importer of medical devices. Vietnam for example, currently imports
90% of all the medical devices used in the country.
(Source: Singapore Economic Development Board, Ernst & Young Solutions, McKinsey & Company, The Business Times, Sector
Specific Accelerator (SSA) Programme / SPRING Singapore, Skyrocketing Healthcare Demand in ASEAN Opens Door to Medtech)

7. ASEAN : WHY YOU SHOULD DEFINITELY CONSIDER
EXPANDING YOUR BUSINESS TO SOUTHEAST ASIA

8. ASEAN : WHY YOU SHOULD DEFINITELY CONSIDER
EXPANDING YOUR BUSINESS TO SOUTHEAST ASIA

9. SOUTHEAST ASIA HEALTH TECH LANDSCAPE

10. GLOBAL HEALTH CARE SECTOR ISSUES
Source: Deloitte analysis

11. HEALTHCARE IN 2022

12. HEALTHCARE IN 2022

13. EVOLVING BUSINESS MODELS
Breakthrough
innovator
•Companies that adopt
this model develop
products and services
that carry high prices.
They are typically paid
for by traditional health
insurance. Such
innovative technologies
include Intuitive
Surgical’s famous da
Vinci platform.
Disease manager
•These are personalized
solutions that help end-
users manage chronic
conditions in a bespoke
way. The focus is on user
experience, convenience,
and maximum
adherence. Examples
include Echo Pharmacy’s
medication order app
Lifestyle manager
•These companies
develop products that
are aimed at maintaining
overall health and
wellbeing, as well as
encouraging behaviors
that can help to prevent
disease. Their products
are marketed directly to
the consumer. Examples
include wearables such
as the Apple Watch as
well as Fitbit's
smartwatches and
trackers.
Efficient producer
•These companies are the
developers or providers
of high-volume, low-cost
commodity products.
Such products include
protective personal
equipment (PPE) and
ventilators.
As COVID has shown, unprecedented disruption can strike at any time. With the direct impact of COVID expected to endure
for at least three to five years, businesses need to ensure they meet growing demand while keeping their operations cost-
efficient and scalable

14. FUTURE-STATE
HEALTH CARE
DELIVERY MODELS

15. THE FUNCTIONALITY AND USE OF
INCREASINGLY UNOBTRUSIVE BIO-
SENSING WEARABLES

16. MEDICAL DEVICE INDUSTRY TRENDS 2022

17. KEY FORCES SHAPING ACCESS IN EMERGING MARKETS
Source: Market access trends in the US, Europe, and emerging markets, Data monitor Healthcare, March 2019

20. HOW MANY COVID-19 PATIENTS ARE NEED TREATMENT
IN THE ICU?
• Global :
A quarter (+ 25%) of patients admitted to hospital(percentage varies)
5 - 8% of the total population infected with SARS Co-V-2
• China :
7-26% degrees of severity need ICU
• Italy (preliminary reports)
5-12% of positive cases of SARS-CoV-2
16% of patients who need to be hospitalized
• Indonesia
Immediate ICU admission 3% , Immediate intubation 2%
The proportion of occupied ICU beds for COVID-19 was 62.8% nationwide
 The five provinces with the highest proportion of occupied ICU beds were Gorontalo 88.9%), DKI Jakarta
(83.6%), West Java (79.0%), Yogyakarta (78.7%) and Banten (77.6%)
Data on November 18, 2020, the percentage of Covid-19 deaths is 3.23 percent
The Lancet Regional Health - Western Pacific 9 (2021) 100108

22. MANY OF THE TOP 10
GLOBAL CAUSES OF DEATH
ARE RELATED TO UNHEALTHY
BEHAVIORS

23. ON THE ROAD TO UNIVERSAL HEALTH CARE IN INDONESIA, 1990–2016: A
SYSTEMATIC ANALYSIS FOR THE GLOBAL BURDEN OF DISEASE STUDY 2016

28. Accelerating Economic Recovery and Strengthening Structural Reforms Prepared by Ministry of Finance
The health budget is planned at Rp255.3 trillion, or 9.4 percent of state expenditures. It will
be aimed at continuing the handling of the pandemic, reforming healthcare system,
accelerating stunting reduction, and continuing the National Health Insurance program
ON THE PRESENTATION OF THE GOVERNMENT STATEMENT ON THE BILL ON THE STATE
BUDGET FOR THE 2022 FISCAL YEAR AND ITS FINANCIAL NOTE

29. GROWTH OF THE HEALTH EQUIPMENT INDUSTRY
Types of Medical Devices
capable of producing
Number of Medical Devices
Industry domestic
Medical Device Distribution
Permit Domestic
Medical Device Production
Facilities

30. HOW MUCH IS SPENT ON HEALTH – NOW, AND IN
THE FUTURE – AND FROM WHICH SOURCES?
See related publication: https://doi.org/10.1016/S0140-6736(21)01258-7

32. THE NEW INVESTMENT LIST
CONTAINED IN PRESIDENTIAL
REGULATION NO. 10 OF 2021
REGARDING INVESTMENT SECTORS

37. NUMBER OF CRITICAL CARE BEDS
Article in Critical Care Medicine· January 2020