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UNDERSTANDING THE POTENTIAL INVESTMENT IN 
DIABETES HEALTHCARE - INDIA 
By 
DR. JONATHAN D’SOUZA 
PhD (Alternative Medicine), MSc. MBA
INDIA DEMOGRAPHICS 
Urban 
Rural 
Population 
31 % 
38 % 
69% 62 % 
2011 2020 E 
CAGR = 10% 
1.32bn 
1.2bn 
Per Capita Income 
2011 2020 E 
CAGR = 13% 
USD 4200 
USD 1219 
15.7 
32.6 
19.8 
11.6 
7.7 
4.6 
4.8 
2011 
59.7 
28 
25.1 
22.3 
23.1 
6 
5 
5 
6.5 
There is a distinct trend of urbanization, rising per capita income, discretionary spending power, 
fuelling domestic pvt. Consumption. 
Disc 
spending 
Basic 
Discretionary spending 
40.3 
72 
2011 2020 E 
Consumption Expenditure 
(Excl. Govt) 
2020 E 
3.2 
4 
Misc 
F &B 
Transport 
Rent, Fuel 
Clothing 
Furniture 
Medical 
Recreation 
Source : India Census, Source : Pharmatutor, M Da &rk eBt irnegp oWrthite book, D&B report
HEALTHCARE INFRASTRUCTURE 
Healthcare Infrastructure is well below global Avg. & WHO 
guidelines 
2.6 3.5 
WHO 
guideline 
Global 
Avg. 
1.3 
0.9 
0.7 
2012 
2005 
2002 
92 % of Healthcare Delivery is through stand alone clinics 
(Trade) 
Specialized 
care centers 
8% 
Stand alone clinics 
92% 
Expertise is Scattered & No two doctors are the same Protocols are non standardized and most records 
Source : Pharmatutor, Marketing White book 
are on paper 
India 
Drs / Nurses 
Per 1000
CHRONIC DISEASE MARKET IN INDIA 
Chronic Disease market size (people in mn) 
95 60 55 
Hypertension Diabetes Respiratory 
Chronic Disease market size ($ in bn) 
300 286 256 
Diabetes Respiratory Hypertension 
Lifetime value of a patient ( in $) 
5,200 5,000 2,700 
Respiratory Diabetes Hypertension 
CHRONIC DISEASE 
MARKET GROWTH RATE 
IS ESTIMATED @ 20 % 
BARRIERS TO CARE 
 Tracking of multiple 
indicators 
 Current system is curative 
& not preventive 
 Time is a constraint 
 Emotional & Psychological 
Burden attached 
CHRONIC DISEASE MARKET IN INDIA
Diagnosis 
Diabetic 
Counselling 
Diet & 
lifestyle 
UNDERSTANDING DIABETES 
DIABETES MELLITUS DIABETIC TYPES 
Devices 
Drugs 
“Is an endocrine disorder where pancreas 
are unable to secrete enough insulin to 
control blood sugar levels” 
i. e : A disease in which the body doesn't 
produce or properly use insulin 
Common causes include 
• Family History 
• Age 
• Sedentary lifestyle 
• Stress 
• Processed Foods 
Diabetes growth rate est. @ 21% 
Est. of undetected diabetes is @ 5 % of 
population 
Official estimates are @ 6 % of population 
Type 1: Insulin dependent Diabetes 
Type 2 :Non Insulin dependent Diabetes 
Gestational Diabetes 
DIABETES CARE COMPONENTS
UNDERSTANDING DIABETES - BEHAVOURIAL 
DIABETES MELLITUS 
Diabetes is a silent killer. Does not harm the 
Patient itself. Fatalities due to complications 
Est. 5% of population remains undetected 
Needs lifestyle control along with medication 
Allied issues are 
• Foot 
• Optha 
• Renal 
• Cardiac 
• ED 
Requires specific products / treatment suited to 
them 
IMPLICATIONS 
Need to create awareness 
Early diagnosis is important 
“Reversal” of diabetes possible 
In early and pre diabetes stages 
Need for “complete care” 
Demand for specific diabetes 
related products
Disorganized Organized 
Centralized 
EMR 
Continuous 
Contact 
Personal Brilliance 
Process 
based 
Reactive 
Proactive 
Sporadic Connect 
‘No’ or Paper 
Records 
DIABETES OPPORTUNITY 
CURRENT HEALTHCARE SYSTEM (GAPS) IDEAL SYSTEM (OPPORTUNITY)
BEHAVOURIAL CHANGE NEEDED DUE TO CURRENT MINDSET / INFRA 
NEED TO ALTER CONSUMER MINDSET TOWARDS BRANDED HEALTHCARE 
AWARENESS FAMILIARITY CONSIDERATION PURCHASE LOYALTY 
BRAND INVESTMENT (% of revenue) 
EXAMPLES OF MINDSET CHANGE IN OTHER INDUSTRIES 
COOKING 
BRICK & MORTAR 
SHOPPING 
ON SITE SCHOOLS 
/ COLLEGE 
ORDERING FOOD 
E COMMERCE 
DISTANCE 
EDUCATION / SHORT 
TERM COURSES 
LONG TERM PLAY WITH HEAVY INVESTMENT IN MARKETING / ADVERTISING 
FOOD 
INDUSTRY 
SHOPPING 
EDUCATION
9 
THANK YOU

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Understanding the Potential for Diabetes Healthcare Investment in India

  • 1. 1 UNDERSTANDING THE POTENTIAL INVESTMENT IN DIABETES HEALTHCARE - INDIA By DR. JONATHAN D’SOUZA PhD (Alternative Medicine), MSc. MBA
  • 2. INDIA DEMOGRAPHICS Urban Rural Population 31 % 38 % 69% 62 % 2011 2020 E CAGR = 10% 1.32bn 1.2bn Per Capita Income 2011 2020 E CAGR = 13% USD 4200 USD 1219 15.7 32.6 19.8 11.6 7.7 4.6 4.8 2011 59.7 28 25.1 22.3 23.1 6 5 5 6.5 There is a distinct trend of urbanization, rising per capita income, discretionary spending power, fuelling domestic pvt. Consumption. Disc spending Basic Discretionary spending 40.3 72 2011 2020 E Consumption Expenditure (Excl. Govt) 2020 E 3.2 4 Misc F &B Transport Rent, Fuel Clothing Furniture Medical Recreation Source : India Census, Source : Pharmatutor, M Da &rk eBt irnegp oWrthite book, D&B report
  • 3. HEALTHCARE INFRASTRUCTURE Healthcare Infrastructure is well below global Avg. & WHO guidelines 2.6 3.5 WHO guideline Global Avg. 1.3 0.9 0.7 2012 2005 2002 92 % of Healthcare Delivery is through stand alone clinics (Trade) Specialized care centers 8% Stand alone clinics 92% Expertise is Scattered & No two doctors are the same Protocols are non standardized and most records Source : Pharmatutor, Marketing White book are on paper India Drs / Nurses Per 1000
  • 4. CHRONIC DISEASE MARKET IN INDIA Chronic Disease market size (people in mn) 95 60 55 Hypertension Diabetes Respiratory Chronic Disease market size ($ in bn) 300 286 256 Diabetes Respiratory Hypertension Lifetime value of a patient ( in $) 5,200 5,000 2,700 Respiratory Diabetes Hypertension CHRONIC DISEASE MARKET GROWTH RATE IS ESTIMATED @ 20 % BARRIERS TO CARE  Tracking of multiple indicators  Current system is curative & not preventive  Time is a constraint  Emotional & Psychological Burden attached CHRONIC DISEASE MARKET IN INDIA
  • 5. Diagnosis Diabetic Counselling Diet & lifestyle UNDERSTANDING DIABETES DIABETES MELLITUS DIABETIC TYPES Devices Drugs “Is an endocrine disorder where pancreas are unable to secrete enough insulin to control blood sugar levels” i. e : A disease in which the body doesn't produce or properly use insulin Common causes include • Family History • Age • Sedentary lifestyle • Stress • Processed Foods Diabetes growth rate est. @ 21% Est. of undetected diabetes is @ 5 % of population Official estimates are @ 6 % of population Type 1: Insulin dependent Diabetes Type 2 :Non Insulin dependent Diabetes Gestational Diabetes DIABETES CARE COMPONENTS
  • 6. UNDERSTANDING DIABETES - BEHAVOURIAL DIABETES MELLITUS Diabetes is a silent killer. Does not harm the Patient itself. Fatalities due to complications Est. 5% of population remains undetected Needs lifestyle control along with medication Allied issues are • Foot • Optha • Renal • Cardiac • ED Requires specific products / treatment suited to them IMPLICATIONS Need to create awareness Early diagnosis is important “Reversal” of diabetes possible In early and pre diabetes stages Need for “complete care” Demand for specific diabetes related products
  • 7. Disorganized Organized Centralized EMR Continuous Contact Personal Brilliance Process based Reactive Proactive Sporadic Connect ‘No’ or Paper Records DIABETES OPPORTUNITY CURRENT HEALTHCARE SYSTEM (GAPS) IDEAL SYSTEM (OPPORTUNITY)
  • 8. BEHAVOURIAL CHANGE NEEDED DUE TO CURRENT MINDSET / INFRA NEED TO ALTER CONSUMER MINDSET TOWARDS BRANDED HEALTHCARE AWARENESS FAMILIARITY CONSIDERATION PURCHASE LOYALTY BRAND INVESTMENT (% of revenue) EXAMPLES OF MINDSET CHANGE IN OTHER INDUSTRIES COOKING BRICK & MORTAR SHOPPING ON SITE SCHOOLS / COLLEGE ORDERING FOOD E COMMERCE DISTANCE EDUCATION / SHORT TERM COURSES LONG TERM PLAY WITH HEAVY INVESTMENT IN MARKETING / ADVERTISING FOOD INDUSTRY SHOPPING EDUCATION