Industry Report

Healthcare

Indonesia

February 2013
Economist Intelligence Unit 20 Cabot Square London E14 4QW United Kingdom

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As with all the Economist Intelligence Unit's analysis.or competitor-specific factors that are likely to have an impact on the sector. The historical industry data on which our forecasts are based come from a variety of sources. They focus on sectoral and subsectoral demand in the world's major economies. and a global network of more than 600 contributors. The Industry Reports are driven by the country-based macroeconomic forecasts for which the Economist Intelligence Unit is renowned.Indonesia 1 Contents 2 3 14 Market data at a glance Healthcare report Industry publishing schedule Industry Reports from the Economist Intelligence Unit Industry Reports provide the Economist Intelligence Unit's forecasts for six key industries along with relevant market analysis. e-mail schedule@eiu. Editors: Editorial closing date: All queries: Next report: Simon Baptist (editor). global and regional trends.20) 7576 8000 E-mail: london@eiu. including industry specialists. The analyst then provides commentary to outline the implications of these trends for companies in the industry.eiu. or annually depending on the country (see schedule at the end of this report). and are updated quarterly.com Industry Report: Healthcare February 2013 www. semi-annually. we select the most dependable and up-to-date sources available. Ana Nicholls (consulting editor) February 26th 2013 Tel: (44.com To request the latest schedule. and market. The Economist Intelligence Unit's country and industry analysis draws on the expertise of 100 in-house editors and economists. An Economist Intelligence Unit country expert examines our forecasts for the key indicators in each industry.com/healthcare © The Economist Intelligence Unit Limited 2013 . taking into account economic and political developments.

Key indicators Real GDP growth (%) Consumer price inflation (av.7 1.3 13.290 b 3. Market opportunities Population (m) GDP (US$ bn at market exchange rates) GDP per head (US$ at market exchange rates) GDP (US$ bn at PPP) GDP per head (US$ at PPP) Personal disposable income (US$ bn) Median household income (US$) Household consumption (US$ bn) Household consumption per head (US$) Exports of goods & services (% change) Imports of goods & services (% change) Source: The Economist Intelligence Unit.633.4 1.8 258.6 a 2.230 2.446 3.4 9.9 726.6 12.8 25.7 33.2 260.5 -2.0 5.387 a 2013 c 4.2 5.125. %) Budget balance (% of GDP) Current-account balance (% of GDP) Lending rate (av.1 -1.3 31.4 9.707 3.9 383.411.2 69.4 8.0 73.5 10.8 -0.1 -1. c The Economist Intelligence Unit forecasts.1 36. Industry Report: Healthcare February 2013 www.2 2.834 b 202.499 2017 c 6.8 40.6 248. 2008 a 237.3 13.810 3.1 101.2 4.com/healthcare © The Economist Intelligence Unit Limited 2013 .4 332.704 5.6 207.171 4.8 2.650 1.3 1.564 6.2 a 479.8 2.4 44 2009 a 70.6 426.9 82 2011 b 71.6 6.8 15.7 9.537 3.3 9. b The Economist Intelligence Unit estimates.0 564.8 19.8 74.6 69.5 2.246 2.056.3 a -2.436.5 69.1 14.2 846.1 1.3 821.2 156 2017 c 73.291 5.4 75.000 b 4.0 10. 2008 a 2009 a 6.671 4.6 99 2013 c 71.1 75.770 2012 b 6.3 a 6.950 194.5 1.0 494.635 3.2 28.0 4.5 27.784 2015 c 6.6 117 2015 c 72.2 b 1.1 286.257 b 4.0 70. female (years) Infant mortality rate (per 1.7 b 3.6 b 253.7 400.148 910.1 12.7 2.3 -2.4 2.1 63 2010 b 71.2 2.829 5.4 -1.5 230.9 157.150 -9.0 32.1 68.919 3.6 1.0 505.0 9.3 2.2 250.5 6.705 4.2 14.3 255.614 2016 c 6.269 961.9 69.5 2.8 1.3 73.5 68.668. b The Economist Intelligence Unit estimates.5 2.4 6.0 245.320 1.1 14.7 15.6 1. 2008 a 70.3 7.2 -0.910 5.1 -0.6 5.0 2.2 12.6 0.4 b 1.5 9.551 b 3.8 45.5 10.930 2. b The Economist Intelligence Unit estimates.3 243.8 23.6 74.0 2009 a 2010 a 2011 b 2012 b 2013 c 2014 c 2015 c 2016 c 2017 c 240.5 289.8 253.535.000 live births) Healthcare spending (Rp trn) Healthcare spending (% of GDP) Healthcare spending (US$ bn) Healthcare spending (US$ per head) Source: The Economist Intelligence Unit.3 74.2 641. male (years) Life expectancy.5 382.8 24.5 73.301.8 b 289.0 920.3 5.4 436.0 2.2 4.6 9. %) Exchange rate Rp:US$ (av) Source: The Economist Intelligence Unit.880 a 1.3 8.235.6 9.5 5.010 2.8 11.6 135 2016 c 72.8 -0.0 13.811.8 103 2014 c 72.1 0.7 0.6 14.0 8.9 29. c The Economist Intelligence Unit forecasts.7 295.0 17.802 2014 c 6.7 26.004 6.8 1.5 332.3 68.1 74.2 2.9 4.3 1.034.8 34.510 2.1 2.681 b 309.7 13.6 30.7 96 2012 b 71.6 709.5 -15.5 510.1 9.5 -1.8 68.5 252.582 4.3 1.2 Indonesia Market data at a glance Healthcare at a glance Life expectancy.8 462.8 29.5 11.6 a Actual.eiu.2 -1.462 6.6 539.090 2011 a 6.4 34.2 -1.3 a 878.8 2.3 -0.129 4. average (years) Life expectancy.699 10.1 13.390 2010 a 6.3 9.938 316.300 9. c The Economist Intelligence Unit forecasts.7 70.8 180.7 5.7 -2.6 1.189 5.5 0.218.0 11.573 6.386 a Actual.9 75.4 174 a Actual.

but it varies widely across the archipelago.6 9.2% a year on average in 2013-17 in local-currency terms and 14. the government has numerous other spending commitments. compared with 3. far outstripping population growth of 1%.0 9. • Rapid average real GDP growth of 6.6 5.4 11. international comparison (% of GDP) Indonesia US Japan China Germany Source: The Economist Intelligence Unit.6 2011 b 2. • The country spends less on healthcare than its neighbours: the Economist Intelligence Unit estimates healthcare spending in 2012 at 2. • We believe that healthcare spending will remain steady as a proportion of GDP over the forecast period.3 11.5 5.9 11.6 9.5 5. The quality of healthcare is generally low.2 11. In 2017 Indonesia is forecast to spend a total of US$47.6 5.6 5.5 5.9 2016 c 2.3 Indonesia Healthcare report (Forecast closing date: February 26th 2013) Healthcare spending.5% a year in 2013-17 will give the government the option of increasing public spending on healthcare.8 18.5% in the Philippines. particularly given that the fiscal deficit is not expected to be large (we forecast the deficit at the equivalent of 1% of GDP on average in the period).7 11.6 2012 b 2.2 9. 2008 a 2. • Total healthcare spending is set to rise by 14.1 9.1 11.6 5.3 9. Strong economic growth means that healthcare spending per head in US dollar terms will rise to US$182 by 2017. Healthcare spending Five-year forecast • Although Indonesia is South-east Asia's largest economy.8% of GDP.8 18. with improvements to infrastructure having been accorded the highest priority.5 9.5 5.9 12.5 8.7 2013 c 2. it is also one of the poorest countries in the region.9 2017 c 2.8 17.4 9. c The Economist Intelligence Unit forecasts.7 2009 a 2.9 9. up from an estimated US$24. Industry Report: Healthcare February 2013 www. from an estimated US$98 in 2012.3% in Thailand and 4.8 2015 c 2.8 2014 c 2.8 17. However.1 11.0 a Actual.4bn in 2012.6 10.8 18.0 16.8 18.8 18.7 2010 b 2.5 4.8 18.5bn on healthcare.eiu.com/healthcare © The Economist Intelligence Unit Limited 2013 . b The Economist Intelligence Unit estimates.6 11.8 18.2% in US dollar terms.7 5.

642 1.882 1.000 20.584 61. sometimes impeding reimbursement to healthcare providers.2 250.318 c 1. Such programmes are thought to cover around 60% of the population. However. • There are now several state-run health-insurance plans.2 c 539.347 3. c Actual. is government-funded.000 4.1 1.4 1.257 4. private-sector workers (Jamsostek) and the military (Taspen).2 260. b The Economist Intelligence Unit forecasts.000 ('000) No.5 237.6 3. but the scheme continues to face solvency questions. of households with annual earnings above US$10. Jamkesmas.5 c 240.235.625 63.950 1.650 c 1.000 10. public expenditure on health accounted for around 49% of total health spending in 2010.0 c 245.937 62.8 253. Healthcare spending (US$ m) 45. 2008 a 2009 a 2010 a 2011 a 2012 a 2013 b 2014 b 2015 b 2016 b 2017 b 510.573 6.520 0 0 13.436.000 5.000 40. The first of these.024 78 0 28.822 6.473 3.023 64.635 43 0 18.056. According to the World Health Organisation (WHO).813 5.582 4.4 Indonesia Income and demographics Nominal GDP (US$ bn) Population (m) GDP per head (US$ at PPP) Private consumption per head (US$) No. Economist Intelligence Unit. Corruption and bureaucratic inefficiency are rampant.000 ('000) No. Funding sources • The public healthcare system has suffered years of underinvestment and will struggle to cope with a rapid increase in demand for its services in the forecast period. Industry Report: Healthcare February 2013 www.000 30.014 252 0 a The Economist Intelligence Unit estimates.796 1.eiu.834 4. are now starting to develop in Indonesia.257 61.6 c 709.898 124 0 34.844 48 0 22.3 c 878.227 2. • Jamsostek and Askes are essentially funded by contributions from salaries. insurance systems.8 258.320 64. of households with net wealth over US$1m ('000) Source: The Economist Intelligence Unit.813 3.510 2.000 25.154 58.462 6.973 3.6 248. with other schemes being funded by out-of-pocket payments.0 920.586 c 59.633.189 5.7 1.808 23 0 17.000 0 2007 08 09 10 11 12 13 14 15 16 Sources: Espicom. including schemes for the poor (Jamkesmas).6 1.302 c 1.910 5. of households with annual earnings above US$5.000 15. both public and private.904 2.004 6.919 60. up from 36% in 2000.014 2.156 180 0 40.3 c 243. civil servants (Askes).3 255.261 59.691 0 0 7. of households ('000) No.2 c 846.767 47 0 17.000 35. of households with annual earnings above US$50.623 12.734 8.930 2.000 ('000) No.703 9.com/healthcare © The Economist Intelligence Unit Limited 2013 .

6 2016 c 72.6 2017 c 73.3 0.8 29.5 27.5 382.6 30.3m people were covered by the plan.0 32.4 34.3 0. while those without one will have their insurance subsidised by the government. but in early 2011 only 9.1 68. • The new health-insurance administration agency.5 68. Jamkesda and Askes. called for Rp25trn (US$2.9 29. • In early 2012 the deputy health minister.1 63 0. A second entity.3 0. Ali Ghufron Mukti.8 23. Susilo Bambang Yudhoyono.6 2013 c 71.6 2015 c 72. The president of Jamsostek has said that the company will use the Philippine social-security system as a point of reference when making pension rules. the state-run insurance plan for private-sector workers.9 75.3 31.5 230.3 0. including Jamkesmas.1 75.5 73.5 289.5 2.8 34.8 45.6 2012 b 71.8 15.0 2.4 174 0.3 0.8 180.5 332. work-accident insurance and both civilservice and old-age pensions. Healthcare: key indicators Life expectancy. BPJS I.7 70. BPJS II.3 0.6 2010 b 71.1 101.6 a Actual.3 2. c The Economist Intelligence Unit forecasts. said that 96m people would be eligible for assistance under the new health-insurance system.3 0.6 2014 c 72.6 74.8 24. People with a regular income will be charged monthly premiums under the system.1 74.5 Indonesia • The launch of Jamsostek.2 2.7bn) in initial funding for the scheme.8 2.4 75.2 156 0.8 68.6 207. Industry Report: Healthcare February 2013 www. • In 2011 the government passed a much-delayed social security law to make provision for a new agency.com/healthcare © The Economist Intelligence Unit Limited 2013 .6 2011 b 71.9 157.2 28.000 live births) Healthcare spending (Rp trn) Healthcare spending (% of GDP) Healthcare spending (US$ bn) Healthcare spending (US$ per head) Doctors (per 1.6 117 0.eiu.6 99 0.8 40.0 10.3 68. The scheme has been boosted by local government initiatives.2 69. In August the president.6 69.8 2.1 36.3 74.4 44 0.6 2009 a 70.4 2. will be launched in 2014 and aims to cover all Indonesians by 2019.3 0. has also been created to provide life insurance. known as Jamkesda.5 69.000 people) Hospital beds (per 1. male (years) Life expectancy.5 2.6 135 0.3 0.6 426.7 33.7 2.9 69.3 0. female (years) Infant mortality rate (per 1.8 103 0.5 252. represented progress towards universal health-insurance coverage in Indonesia.8 19. that try to help poor families who are not eligible for membership of Jamkesmas. The legislation will bring together existing state health-insurance providers.000 people) 2008 a 70.1 2.8 25. b The Economist Intelligence Unit estimates.9 82 0.7 26.0 70. the Social Security Administering Body (BPJS I). average (years) Life expectancy.8 74.3 73.7 96 0.0 73.

000 50. As a result. Furthermore. 51% of healthcare in Indonesia was paid for privately. Access to healthcare is still closely linked to individual wealth. down from 64% in 2000. Of private health spending in 2010. • The heavy reliance of Indonesia's middle class on private healthcare means that there is little pressure on the government to improve its provision of health services. Legislation to offer incentives to doctors to move to rural areas has yet to be passed in parliament. Healthcare provision Healthcare recruitment • According to estimates by Espicom. • Even at state-owned hospitals patients pay user fees. Economist Intelligence Unit.000 2500.000 100. although public health clinics and family-planning posts are free at the point of delivery. This compares poorly with the ratios in neighbouring countries.000 0 2007 08 09 10 11 12 13 14 15 16 Sources: Espicom. 75% was in the form of out-of-pocket expenditure—a level that has remained steady in recent years.6 Indonesia Healthcare spending (Rp bn) 400.000 150. despite the expansion of publicly funded healthcare.00 200. • Indonesian doctors have complained about their prospective levels of compensation under the new BPJS health scheme. Private health insurance • In 2010. Industry Report: Healthcare February 2013 www. according to data from the WHO. has estimated that the poorest 20% of Indonesians are the beneficiaries of less than 10% of total public health spending. Unless they are properly incentivised.000 350. they may have little motivation to make the new system work. the public healthcare services that are available frequently fail to reach the least wealthy members of society: a US-based nongovernmental organisation.000 300. the Asia Foundation. meaning that the ratio of physicians to the population is even lower in rural areas. Indonesia has only 0.3 doctors per 1. a provider of healthcare data. most doctors practise only in urban areas.000 population. rural regions continue to suffer a shortage of specialists.eiu. Insurance accounted for just 3% of private health spending in 2010. Moreover.com/healthcare © The Economist Intelligence Unit Limited 2013 .

• Budgetary pressures mean that the government concentrates on providing primary care and basic hospital services to the population. although by law private facilities have to provide subsidised services for the poor. • The growing role of the private sector in healthcare raises questions about access for the general population. international comparison. • Under agreements made as part of the political decentralisation process. Radical administrative decentralisation since 2001 has compounded problems in public-sector healthcare. 2011 (per 1.eiu. at an estimated 0. to compensate for the shortcomings of the public system. and is skewed in favour of cities. particularly at secondary level (treatment by specialists who are not the primary point of contact for patients) and tertiary level (specialist consultative care). • The government is actively promoting the growth of private healthcare. • Provision of hospital beds is low.0 0.com/healthcare © The Economist Intelligence Unit Limited 2013 . Indonesia is coming under increasing pressure to open up its healthcare services sector to international competition. down sharply from the level in the 1990s. local governments retain a share of the profits from natural-resource projects located within their borders. Only a few hospitals provide care to international standards.0 6.000 people in 2012. as management of health services has been devolved to provincial and district governments that lack the necessary experience to implement their budgets efficiently.7 Indonesia Hospital beds and doctors. Jakarta. especially the capital.6 beds per 1. Industry Report: Healthcare February 2013 www. foreign doctors are allowed to work only in institutions approved by the government.000 population) Hospital beds 10.0 8. The rate is among the lowest in Asia. so that resource-rich areas now have much larger public-spending budgets than other districts. Hospitals and clinics • Owing to tight budgets and decentralisation.0 Doctors Indonesia Brazil China Germany India Russia US Sources: Espicom. when the ratio was close to 70%. Economist Intelligence Unit.0 4. At present.0 2. and they cannot open private surgeries. the proportion of hospital beds in the public sector has fallen to around 50%.

reflecting growing consumption of lower-cost generic drugs.9% a year in local-currency terms (or 9.088 2014 c 2015 c 2016 c 2017 c 8.334 2013 c 8. Economist Intelligence Unit.000 2.000 0 2007 08 09 10 11 12 13 14 15 16 Sources: Espicom. c The Economist Intelligence Unit forecasts. with sales of US$8. Indonesia's pharmaceutical sector is the largest in South-east Asia: sales are estimated at US$6. We forecast that Indonesia will not only remain the biggest pharmaceuticals market in South-east Asia in 2013.3bn in Thailand and US$4. • Rising costs for imported raw materials used in the manufacture of generic drugs will put pressure on the profit margins of local firms. This means that prices for many drugs will rise in 2013-17.com/healthcare © The Economist Intelligence Unit Limited 2013 .955 10. but that it will also record faster growth that the other major economies in the subregion.9% annual compound growth) and 11. 2008 a 4. Pharmaceutical sales (US$ m) 12. at an average of 10. b The Economist Intelligence Unit estimates.070 11.000 8. holding back growth in sales volumes.439 2009 a 4. By 2017 sales will stand at US$116bn.333 a Actual. However.800 2012 b 7. Industry Report: Healthcare February 2013 www. and particularly those making drugs that the government requires to be sold at low prices.3bn.0% in US dollar terms.eiu.808 2010 b 5. the huge size of Indonesia's population means that this figure reflects a low level of spending per head.000 4.000 10. Pharmaceutical sales Pharmaceutical sales (US$ m) Source: The Economist Intelligence Unit.262 12.9bn in the Philippines last year. This will be slower than the pace of overall healthcare spending. Five-year forecast • Pharmaceutical sales (including sales of over-the-counter products) will grow rapidly in 2013-17.936 2011 b 6.1bn.8 Indonesia Pharma and biotech International comparison • With estimated sales in 2012 totalling US$7.000 6.

Affordability rank: for each country the price of an item as a percentage of monthly personal disposable income is calculated.000 40. • According to the Indonesian Pharmaceutical Association (GP Farmasi). making retail drug prices heavily dependent on exchange rates and policy developments in exporting countries.000.com/healthcare © The Economist Intelligence Unit Limited 2013 .9 Indonesia Pharmaceutical sales (Rp m) 120. largely from China and India.000 100.000 20. • The Association of South-East Asian Nations (ASEAN)-China Free-Trade Area (ACFTA) agreement will help to slow the rise in the cost of imports. one X-ray and one filling (av) 91.000. even for basic generic drugs. Industry Report: Healthcare February 2013 www.000. making pharmaceutical raw materials produced in India more expensive in Indonesia. raised prices for ethical medicines in 2011 to cover their rising input costs. Economist Intelligence Unit.60 One X-ray at doctor's office or hospital (av) 17.57 Routine check-up at family doctor (av) 78. Item Price (US$) Aspirins. We expect the rupiah to remain stable against the Chinese renminbi in 2013-17. Countries are ranked according to these percentages. But lax enforcement and a fragmented distribution system mean that prices are high. and manufacturers are obliged to display retail prices on their packaging as part of an effort to keep the retail mark-up within limits.000 60. 100 tablets (supermarket) 4.70 115.000.000 80. and this will encourage greater local sourcing of such inputs.eiu.42 % of monthly personal disposable income 6.000 0 2007 08 09 10 11 12 13 14 15 16 Sources: Espicom.20 Visit to dentist. around 95% of the pharmaceutical raw materials used in Indonesia are imported.0 Affordability rank 52 out of 55 52 out of 55 43 out of 56 53 out of 56 Note.000. Pricing • Pharmaceutical prices in Indonesia are regulated. but we forecast that it will depreciate by around 10% against the Indian rupee. The most affordable country will have the lowest percentage and be ranked first. Two major domestic companies.2 25. prices for imported raw materials from China will continue to increase in the next five years. Pyridam Farma and Kimia Farma.000. • Inflation in the prices of raw materials imported from China has meant that the government has struggled to persuade companies to keep prices low.22 134. Nevertheless.

• GP Farmasi has warned that only the largest 20 of the country's domestic drug manufacturers are likely to be able to compete against imports. In early 2011 the health ministry proposed scrapping the regulation in order to lower the local prices of high-value patented drugs. there is likely to be a reduction in the number of firms. manufacturing a limited range of products. and profits are low. • The government has mandated that any foreign firm selling pharmaceuticals in Indonesia must do so in conjunction with a local partner that holds equity of at least 25%. Three domestic firms. • Most enterprises are small. Consolidation among drug firms is under way. • However. branded products towards locally produced generic and herbal medicines.10 Indonesia Generics • The Ministry of Health is trying to encourage the use of generic drugs by requiring state healthcare providers to offer patients the choice of generic or patented drugs. the legislature). allocated US$3m to increase the manufacturing capacity of its local subsidiary. • A side-effect of the health ministry's drive to increase the use of generic drugs has been to support the local industry. in May 2012 a US pharmaceutical giant. including registration requirements. The move represented one of the broadest ever uses of compulsory licensing. Pharma and biotech supply dynamics • GP Farmasi reports that there are 200 pharmaceutical manufacturers in Indonesia.com/healthcare © The Economist Intelligence Unit Limited 2013 . and generally either produce pharmaceuticals under licence from foreign firms or distribute generic drugs. • Protection of intellectual property is an area of weakness in Indonesia. are the dominant players and stand to benefit most from the government's plans to raise healthcare spending. Local manufacturers lack the financial resources to undertake research. Local firms have a share of around 70% of the local market. In October 2012 Indonesia issued compulsory licences allowing local companies to produce generic versions of seven patented HIV/AIDS and hepatitis B drugs in order to ease access to these medicines. which feared that it would hamper the development of local drug manufacturers. Pfizer. but the pace of the process will remain slow. Pfizer believes that existing drug-producing capacity will not be able to meet demand once universal healthcare is implemented. most of which currently have to be imported. Indonesia has witnessed a shift away from imported.eiu. including 38 foreign-invested companies. Pfizer Indonesia. Despite substantial non-tariff barriers to pharmaceutical imports. Kimia Farma and Indofarma. Nevertheless. and this tends to deter high value added pharmaceutical production and research in the country by foreign firms. in order to boost its share of the local generics market. The proposal was rejected by the House of People's Representatives (DPR. Patient awareness of this choice is currently low. Industry Report: Healthcare February 2013 www. Kalbe Farma.

Demographic trends • With a population in 2013 of just over 250m.000 15.000 10.000 0 2007 08 09 10 11 12 13 14 15 16 Drugs and medicines Source: Economist Intelligence Unit. with an estimated 30.000 live births in Indonesia in 2012.000 25.5 deaths per 1. to 7%. Indonesian workers will not come under great pressure to support the country's elderly population.000 5.com/healthcare © The Economist Intelligence Unit Limited 2013 . Elsewhere in South-east Asia average life expectancy is higher: it stands at 72. Economist Intelligence Unit. 84.1 years in Thailand. too. • Given that at present just 6.4% of the population are aged over 65. Generics Disease trends Population health • At an estimated 71. Life expectancy (years) Female 80 70 60 50 40 30 20 10 0 2007 08 09 10 11 12 13 14 15 16 Total Male Sources: US Bureau of Census.1 years in Singapore and 74. is high by regional standards. Indonesia has a very large and very young population. Industry Report: Healthcare February 2013 www. The proportion of elderly people in the population is forecast to rise only slightly by 2017.eiu. • The infant mortality rate. average life expectancy in Indonesia is low by regional standards.11 Indonesia Market demand: health services and medicines (nominal US$ m) Health services 30.000 20.2 years in the Philippines. of whom just over 25% are aged under 15 years.9 years in 2013.

0 10. Nevertheless. Economist Intelligence Unit.0 15. are a serious problem in Indonesia. Industry Report: Healthcare February 2013 www.0 5. remain of secondary concern in Indonesia.000 live births) 40. and it is battling a rise in malnutrition. lifestyle-related diseases associated with rising incomes. dengue fever and tuberculosis. such as malaria. • The prevalence of chronic and non-communicable diseases is also growing.0 30.0 25. which are becoming more prevalent in other parts of Asia. The government is currently conducting a mass immunisation programme against measles and polio that is expected to cover 95% of targeted children in the country. owing to the social stigma that accompanies the disease.com/healthcare © The Economist Intelligence Unit Limited 2013 . which is unwilling to acknowledge homosexual or extramarital relationships. The country has recently faced outbreaks of polio and measles among children.000.0 20. According to the WHO. However. a government decision in September 2012 to issue compulsory licences for several HIV drugs should mean that current levels of access are maintained or exceeded in the forecast period.0 2007 08 09 10 11 12 13 14 15 16 Sources: US Bureau of Census.eiu. Major disease trends • Infectious diseases. Education programmes have been impeded by the country's predominant Muslim religion. This is likely to be an underestimate.12 Indonesia Infant mortality rate (per 1.0 35. • WHO data show that in 2010 only 24% of Indonesians with HIV had access to antiretroviral drugs.0 0. • Estimates by the WHO put the number of people living with HIV/AIDS in Indonesia at just over 300. non-communicable diseases accounted for 45% of life years lost in 2008—slightly more than for communicable diseases.

0 2007 08 09 10 11 12 13 14 15 16 Brazil China Germany India Russia US Sources: US Bureau of Census. international comparison (%) Indonesia 35. over-65 age group (m) 18. the share of households with access to improved drinking water rose from 80% in 2005 to 82% in 2010. According to WHO data.0 20.com/healthcare © The Economist Intelligence Unit Limited 2013 .0 0.0 5.0 16.0 2007 08 09 10 11 12 13 14 15 16 Sources: US Bureau of Census. Risk factors • Around 70% of Indonesian men aged over 20 years are smokers.0 10. but they have generally not been implemented effectively.0 15.0 8. and 400.13 Indonesia Old-age dependency ratio. • Sanitation has been improving in Indonesia.0 12. Economist Intelligence Unit. Industry Report: Healthcare February 2013 www.0 10.0 30. • Malnutrition remains a far bigger concern in Indonesia than obesity. while the proportion with access to improved sanitation facilities rose from 50% to 54%.eiu. A number of anti-smoking initiatives are in progress. but the standard remains below the global average.000 Indonesians die each year from smoking-related illnesses.0 25.0 0.0 6. Economist Intelligence Unit.0 14. according to the WHO. Population. which affects fewer than 10% of the population.0 4.0 2.

Quarterly Brazil China France Germany India Indonesia Japan Mexico Russia South Korea Turkey United Kingdom United States of America Semi-annual Argentina Australia Canada Chile Colombia Czech Republic Egypt Hong Kong Israel Italy Malaysia Nigeria Pakistan Philippines Poland Saudi Arabia Singapore South Africa Spain Taiwan Thailand United Arab Emirates Vietnam Annual Austria Belgium Bulgaria Denmark Ecuador Finland Greece Hungary Iran Ireland Kazakhstan Netherlands New Zealand Norway Peru Portugal Romania Slovakia Slovenia Sweden Switzerland Ukraine Venezuela Industry Report: Healthcare February 2013 www. depending on the country.14 Indonesia Industry publishing schedule Our healthcare reports cover the following 59 countries and are updated quarterly.com/healthcare © The Economist Intelligence Unit Limited 2013 .eiu. semi-annually or annually.

or email articles for individual use. All rights reserved. download. However. users may print.©2013 The Economist Intelligence Unit Ltd. The Economist Intelligence Unit Ltd cannot accept any responsibility or liability for reliance by any person on this information" . Copyright of Healthcare Industry Report: Indonesia is the property of EIU: Economist Intelligence Unit and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. "Whilst every effort has been taken to verify the accuracy of this information.

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