Business Monitor International

Understanding India's Regional Health Markets

Published 23 June 2014

  • 203 pages
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Understanding India's Regional Health Markets

BMI View: Many states in India - the second biggest country in the world by population - are lagging behind their more industrialised counterparts in terms of healthcare provision, with low per capita expenditure on healthcare, poor infant mortality, reduced literacy and geographical barriers such as flooding. Even whe re there are signs of increasing overall investment, these often d o not trickle down to healthcare. A lthough the industrialised regions contain better healthcare facilities as well as a greater number of healthcare professionals, hospitals and better training opportunities for doctors, inequalities remain even in these states . People living outside main cities can find it difficult to access healthcare. Variability across the country is also found in terms of disease burdens, with poorer areas more likely to have a high burden of communicable diseases, and areas with a higher GDP encountering more lifestyle - and pollution-related diseases.

Key Forecasts B y Region

Centre: Uttar Pradesh is the largest of the three states in the vast area that comprises Central India, and as such it has the most hospitals. Nevertheless, Madhya Pradesh is starting to catch up and will see the largest gains in hospital and doctor numbers over our five-year forecast period. Strike action in Uttar Pradesh in early 2014 led to limited healthcare provision in an area where healthcare spending per capita is already lower than any other state or union territory with available data.

East: Plentiful natural resources characterise eastern India, which attracts investment, although this has not been focused on healthcare, leading to a low per capita expenditure. Overall, there are large health inequalities across east India, although in Bihar state health workers are attempting to improve the quality of healthcare services in rural areas using mobile technology.

North: There is considerable variety of GDP across the large area that makes up the northern region...

Critical information and statistics on national and regional health infrastructure and provision. An essential source of detailed key business data on this fast growing economy.

Understanding India’s Regional Health Markets lets you explore regional Indian markets to make a practical evaluation of opportunity and risk. Whether you are manufacturing or distributing locally, working through subsidiaries/partners or just assessing the potential, this fascinating report is a must-have resource to fully appreciate the diverse regional health environments in India.

Identifying opportunities in India’s rapidly expanding health economy requires detailed knowledge of the economic performance, health infrastructure and health personnel distribution at a state/territory level. Being able to see that in the context of neighbouring provinces and the national picture brings focus to areas of opportunity and need.

Any assessment of India’s health provision must consider the huge variations to be found in such a geographically diverse country where the population is distributed over 644,278 cities, towns and villages. Key questions asked and answered by this report include:

  • How is the population and wealth distributed?
  • Which states and territories produce the highest levels of GDP?
  • What is the primary and secondary health infrastructure in each region?
  • How is healthcare delivered?
  • What is the role played by private/government health provision at state level?
  • Which regions are better provided for and which still need investment?

Rich in statistics, charts and maps, this new 110-page report Understanding Regional Indian Health Markets takes you further into understanding the dynamic Indian regional health sector. A comprehensive introduction sets the national scene while summary data for each state/territory highlights the key economic characteristics and health infrastructure. Comparative statistics are provided for each state/territory and can be seen in the light of national averages.

Setting the scene

India’s 1.21 billion population is distributed across 35 states and union territories, and is growing at 1.6% a year. In terms of landmass, India is approximately one third the size of the USA. India has an established mainly urban middle class but the bulk of the rest of the population have little by way of income and resources.

As with many emerging markets a divide is opening up between the urban and rural population. This is exacerbated in India where, despite there being over 45 cities with more than 1 million inhabitants, the majority of the population live rurally in over 638,000 villages – many of them remote and difficult to access. The impact on key health indicators, such as infant mortality, can be clearly seen and despite per capita health spending more than doubling in the last 10 years there is some way to go.

Government health spending has not kept pace with private expenditure with health insurance covering no more than 5%. Out of pocket funding of healthcare remains dominant and the growing number of middle classes have been influential in the growth and success of the many private hospital groups.

Compare and Contrast: Haryana and Rajasthan: The Indian market is one of great diversity, and the gap between the ‘haves’ and ‘have nots’ is stark. Consider the following comparisons of selected statistics between the two neighbouring north western states of Haryana and Rajasthan which have dramatically different economic drivers.

GDP per capita
Birth rate per 000
Infant mortality per 000 live births
Urban rate
Rural rate
US$1,049 billion
US$42.8 billion
US$49.5 billion


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