尼日利亚医疗保健行业市场前景及投资研究报告-培训课件外文版2024.6

CONSUMERS

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BRANDSHealthinNigeriaCHAPTER

01HealthservicesAccesstoselectedmedicalservicesinNigeriaasof2021AccesstomedicalservicesamongNigerianhouseholds2021Abletoaccess9.5%Unabletoaccess120%100%80%60%40%20%0%11.7%88.3%14.6%22.5%90.5%85.4%77.5%VaccinationMaternalhealth/pregnancycareChildhealthAdulthealth3Description:Over90percentofNigerianhouseholdsreportedbeingabletoaccessnecessarymaternalaswellaspregnancyhealthcarewhenneeded.However,over22percentsaidtheywereunabletogainnecessaryvaccinationservices.Infact,vaccinationswerethemedicalservicehardertoaccessinNigeria.Nevertheless,over85percentofadultsand88percentofchildrenweremedicallytakencareofwhenneeded.

ReadmoreNote(s):Nigeria;January9-25,2021;1,950respondents;householdsSource(s):NBS(Nigeria);WorldBankNumberofdoctorsinNigeriafrom2017to2019,bygenderNumberofdoctorsinNigeria2017-2019,bygenderMaleFemale35,00030,00025,00020,00015,00010,0005,000028,79026,12116,00615,23113,7918,6342017201820194Description:In2019,therewere24.6thousanddoctorsinNigeriaforapopulationofabout206millionpeople.Themajorityofthemweremaledoctors,whichaccountedfor16thousand,whilefemaledoctorswere8.6thousand.

ReadmoreNote(s):Nigeria;2017to2019Source(s):MedicalandDentalCouncilofNigeria;NBS(Nigeria)NumberofdentistsinNigeriafrom2017to2019,bygenderNumberofdentistsinNigeria2017-2019,bygenderMaleFemale2,0001,8001,6001,4001,2001,0008001,7781,6141,4201,28781055560040020002017201820195Description:In2019,therewere1.4thousanddentistsinNigeriaforapopulationofabout206millionpeople.Themajorityoftheprofessionalsweremale,whichaccountedfor810,whilefemaledentistswere555.Comparedtotheprevioustwoyears,thenumberofdentistsinNigeriadecreased.ReadmoreNote(s):Nigeria;2017to2019Source(s):MedicalandDentalCouncilofNigeria;NBS(Nigeria)CHAPTER

02StateofhealthLifeexpectancyatbirthinNigeriain2023,bygenderLifeexpectancyatbirthinNigeria2023,bygender7063.7561.7959.936050403020100TotalMaleFemale7Description:In2023,lifeexpectancyatbirthinNigeriawasabout61.79years.Morespecifically,thisfigureequaled60yearsformalesand64yearsforfemales.LifeexpectancyatbirthinNigeriaisamongthelowestinAfricaaswellasintheworld.

ReadmoreNote(s):Nigeria;2023Source(s):CIAMaincausesofdeathinNigeria2019MaincausesofdeathinNigeria2019Shareofdeaths6%0%2%4%8%10%12%14%NeonataldisordersMalaria12.25%12%11.36%10.85%DiarrhealdiseasesLowerrespiratorinfectHIV/AIDS5.18%IschemicheartdiseaseStroke4.37%3.98%CongenitalbirthdefectsTurberculosis3.26%2.84%2.82%Meningitis8Description:ThemaincausesofdeathinNigeriain2019wereneonataldisorders.Morespecifically,12.25percentofalldeathswerecausedbyneonataldisorders.Othercommoncausesincludedmalaria,diarrhealdiseases,andlowerrespiratoryinfects.

ReadmoreNote(s):Nigeria;2019Source(s):IHMEMaincausesofdeathamongchildrenagedunder5inNigeriain2019MaincausesofinfantmortalityinNigeria2019Shareofdeaths0%5%10%15%20%25%25.27%30%NeonataldisordersDiarrhealdiseases17.14%16.74%LowerrespiratorinfectMalaria12.37%MeningitisInvasieNon-typhoidalSalmonella(iNTS)Whooping4.23%3.34%2.32%1.13%SexuallytransmittedinfectionsexcludingHIVTurberculosis0.92%0.82%HIV/AIDS9Description:In2019,themaincausesofdeathamongchildrenagedunderfiveinNigeriawereneonataldisorders.Morespecifically,25percentofalldeathswerecausedbyneonataldisorders.AmongthemaincasesofinfantmortalityinNigeria,therewerelowerrespiratoryinfections,diarrhealdiseases,andmalaria.ReadmoreNote(s):Nigeria;2019Source(s):IHMEShareofyearslivedwithdisability(YLDs)duetomentaldisordersinNigeriain2019YLDsformentaldisordersinNigeria2019ShareofYLDs1.5%0.0%0.5%1.0%2.0%2.5%3.0%3.5%4.0%4.5%MajordepressivedisordersAnxietydisorders3.87%2.88%Schizophrenia1.17%1.07%DysthymiaBipolardisorders1.06%OthermentaldisordersAutismspectrumdisordersConductdisorder0.73%0.66%0.29%0.27%IdiopathicdevelopmentalintellectualdisabilityBulimianervosa0.21%0.1%0.1%Attention-deficit/hyperactivitydisorderAnorexianervosa10Description:Asof2019,majordepressivedisorderscausedaround3.9percentofallyearslivedwithdisability(YLDs)inNigeria.YLDsmeasurestheburdenofadisease,consideringthelossofhealthassociatedwiththatdiseases.

ReadmoreNote(s):Nigeria;2019Source(s):IHMECHAPTER

03ExpenditureCurrenthealthexpenditureasshareofGDPinNigeriafrom2007to2020HealthexpenditureasshareofGDPinNigeria2007-20204.5%3.91%4.0%3.5%3.0%2.5%2.0%1.5%1.0%0.5%0.0%3.75%3.7%3.65%3.58%3.58%3.42%3.36%3.35%3.38%3.3%3.32%3.09%2.99%2007200820092010201120122013201420152016201720182019202012Description:ThehealthexpenditureasashareofgrossdomesticproductinNigeriaincreasedby0.4percentagepoints(+13.38percent)in2020incomparisontothepreviousyear.Intotal,theshareamountedto3.38percentin2020.Thisincreasewasprecededbyadecliningshare.ReadmoreNote(s):Nigeria;2007to2020Source(s):WorldBankExpenditureofNigerianhouseholdsonhealthcarein2019,byareaExpenditureofNigerianhouseholdsonhealthcare2019,byarea8%7.3%7%6%4.8%5%4%3%2%1%0%UrbanRural13Description:In2019,Nigerianhouseholdsspentonaverage6.1percentoftheirtotalannualexpenditureonhealth.Thissharewaslowerinurbanareasthaninruralareas,wheretheexpenditurepeakedat7.3percent.

ReadmoreNote(s):Nigeria;September2018toOctober2019;22,110respondents;householdsSource(s):NBS(Nigeria)ExpenditureofNigerianhouseholdsonhealthcarein2019,byzoneExpenditureofNigerianhouseholdsonhealthcare2019,byzone12%10.32%10%7.92%8%6%4%2%0%6.14%5.92%5.81%4.4%NorthCentralNorthEast*NorthWestSouthEastSouthSouthSouthWest14Description:In2019,Nigerianhouseholdsspentonaverage6.1percentoftheirtotalannualexpenditureonhealth.ThissharewaslowerinSouthSouthandSouthWest,whereastheexpenditurepeakedat10.3percentintheSouthEasternstates.

ReadmoreNote(s):Nigeria;September2018toOctober2019;22,110respondents;households;*ExcludingBorno.ReadmoreSource(s):NBS(Nigeria)CHAPTER

04VaccinationandpreventionVaccinationcoverageamongchildrenaged12to23monthsinNigeriaasof2018,byvaccinationVaccinationcoverageamongchildreninNigeria2018,byvaccinationShareofchildren30%

40%0%10%20%50%60%70%80%BCGPolio067%55%Polio174%Polio267%Polio347%HepB(birth)DPT-HepB-Hib1DPT-HepB-Hib2DPT-HepB-Hib3Pneumococcal1Pneumococcal2Pneumococcal3IPV52%65%58%50%62%54%47%53%54%Measles16Description:Dataonthecoverageofspecificvaccinesamongchildrenaged12to23monthsinNigeriashowedthat67percentofchildrenreceivedtheBCGvaccine,againsttuberculosis.Inaddition,asof2018,about55percentofchildrenreceivedtherecommendedfirstdoseofpoliovaccination,whereas65percentreceivedthefirstdoseagainstdiphtheria,Tetanus,Pertussis,HepatitisBandHaemophilusInfluenza(DPT-HepB-Hib).ReadmoreNote(s):Nigeria;Aug14,2018toDec29,2018;6,143respondents;12-23months;childrenSource(s):TheDHSProgramWillingnesstobevaccinatedagainstCOVID-19amongyoungpeopleinNigeriaasofMay2021,byareaVaccinationagainstcoronavirusamongyoungpeopleinNigeria2021,byareaShareofrespondentsDon'tagreetobevaccinated40%

50%

60%Notsuretobevaccinated30%Agreetobevaccinated70%0%10%20%80%90%100%TotalUrbanRural17/statistics/1259668/willingness-to-be-vaccinated-among-young-people-in-nigeriaAsofMay2021,about89percentofpeopleinterviewedinNigeriadeclaredtobewillingtobevaccinatedagainstcoronavirus(COVID-19).ThepercentageofpeoplewillingtogetaCOVID-19vaccinewashigherinruralNigeriathaninurbanareas.

ReadmoreNote(s):Nigeria;ApriltoMay2021;1,238respondents;15-24years;HouseholdsSource(s):NBS(Nigeria)InterventioncoverageagainstmalariainNigeriabetween2015and2020InterventioncoverageagainstmalariainNigeria2015-202080%73%70%61%60%50%52%40%30%20%10%0%CareseekingforchildrenwithfeverChildrensleepingunderITNsHouseholdswithatleastoneITN18Description:For73percentofchildrenwithfeverinNigeriaasof2020,adviceortreatmentwassoughtfromahealthfacilityorprovider.Moreover,approximatelyhalfofthechildreninthecountrysleptunderinsecticide-treatedbednets(ITNs)forprotectionagainstmalaria.Accordingtoastudyconductedin2018,23percentofthesurveyedchildreninNigeriahadmalaria.Nevertheless,thisfiguredroppedbyroughly20percentagepointscomparedto2010.

ReadmoreNote(s):Nigeria;2015to2020Source(s):UNICEFKnowledgeaboutHIVpreventionamongyoungpeopleinNigeriainselectedyearsbetween2013and2018,bygenderKnowledgeaboutHIVpreventioninNigeria2013-2018,bygenderMales

answering

"yes"

to

all

questionsFemales

answering

"yes"

to

all

questions20132017201827%27.9%29.3%22.3%29.3%42.6%19Description:TheshareofyoungpeopleinNigeriahavingacomprehensiveknowledgeofHIVtransmissionreachedroughly36percentofthesamplein2018.Morespecifically,respondentswereasked,amongotherquestions,ifHIVtransmissionbereducedbyusingacondomandbyhavingsexwithonlyoneuninfectedpartnerwhohasnootherpartners.ReadmoreNote(s):Nigeria;2013to2018;15-24years;questionsaboutknowledgeHIVaskedinsupplementarynotesSource(s):UNAIDSUseofcondoms,HIVprevalence,andARTcoverageamongsexworkersinNigeriain2020UseofcondomsandHIVprevalenceamongsexworkersinNigeria2020Column185.5Condomuse(%)HIVprevalence(%)16.7HIVtestingandstatusawareness(%)Antiretroviraltherapycoverage(%)Estimatednumberofsexworkers*6923.787400020Description:Asof2020,874thousandpeopleintenstatesinNigeriawereestimatedtobesexworkers.About85.5percentofthemusedcondomswhenhavingsexualintercourse.However,theHIVprevalenceamongsexworkerswas16.7percent.

ReadmoreNote(s):Nigeria;2020;*Onlyintenof36states.ReadmoreSource(s):UNAIDS;WHOUseofcondoms,HIVprevalence,andARTcoverageamongpeopleinjectingdrugsinNigeriain2020UseofcondomsandHIVprevalenceamongpeopleinjectingdrugsinNigeria2020Column146.5Condomuse(%)HIVprevalence(%)6.2HIVtestingandstatusawareness(%)Antiretroviraltherapycoverage(%)Safeinjectingpractices(%)37.22570.9Estimatednumberofpeopleinjectingdrugs32610021Description:Asof2020,326thousandpeopleinNigeriawereestimatedtouseillegaldrugs.TheHIVprevalenceamongpeopleinjectingdrugswas6.2percent.Overall,25percentofHIVpositivedrugsuserswereonART.

ReadmoreNote(s):Nigeria;2020Source(s):UNAIDS;WHOCHAPTER

05Infants'healthMortalityrateofinfantsunderoneyearoldinNigeriaasof2023,bygender(deathsper1,000livebirths)InfantmortalityrateinNigeria2023,bygender706060.4355.1749.650403020100TotalMaleFemale23Description:Asof2023,themortalityrateofinfantsagedunderone-year-oldinNigeriawasmeasuredat55.17.Thismeansthattherewereabout55deathsofchildrenundertheageofoneyearper1,000livebirths.ChildmortalityratesinAfricaareveryhigh.Amongthecountrieswiththehighestinfantmortalityrateintheworld,almostallofthemareAfricancountries.Similarly,maternalmortalityratesarehigh.In2017,Nigeriarecorded917deathsofmothersper100,000livebirths.ReadmoreNote(s):Nigeria;2023Source(s):CIAPrevalenceofundernourishmentandfoodinsecurityamongchildrenundertheageof5inNigeriain2022UndernourishmentandfoodinsecurityamongNigerianchildren202240%35%30%25%20%15%34.2%10%6.5%5%0%PrevalenceofwastingPrevalenceofstunting24Description:In2022,6.5percentofchildrenunderfivelivinginNigeriahadtoolowweightfortheirheight.InWesternAfrica,thissharewas6.9percent,thehighestinAfrica.Wastingisapredictorofinfantmortality.Itiscausedbyalargefoodshortage,oftenaccompaniedbydiseases.Furthermore,theprevalenceofstuntingamongNigerianchildrenreached34.2percentinthesaidyear.ReadmoreNote(s):Nigeria;2022;Upto5yearsSource(s):UNICEFNumberofadultsandchildrenreceivingantiretroviraltherapy(ART)inin2021,bygenderNumberofpeoplelivingwithHIVreceivingARTtreatmentinNigeria2021,bygender1,800,0001,679,6601,600,0001,400,0001,200,0001,000,000800,000600,000400,000200,00001,094,508585,15254,410Adultsaged15yearsandolderWomenaged15yearsandolder*Menaged15yearsandolderChildrenaged0to14years25Description:Asof2021,1.9millionpeopleinNigeriawereinfectedwithHIV.About90percentofthemwerereceivingantiretroviraltherapy(ART),whichequalstoabout1.7millionpeople.ReadmoreNote(s):Nigeria;2021Source(s):UNAIDSCHAPTER

06DiseasesPeoplelivingwithHIVinNigeriain2021(in1,000s)PeoplelivingwithHIVinNigeria20212,0001,8001,6001,4001,2001,0008001,9001,1006306004001702000TotalFemaleadults(15yearsandover)Maleadults(15yearsandover)Children(0-14years)27Description:In2021,1.9millionpeopleinNigeriawerelivingwithHIV.Womenwerethemostaffectedgroup,counting1.1thousandindividuals.Also,childrenuptoage14whowereHIVpositiveequaled170thousand.ReadmoreNote(s):Nigeria;2021Source(s):UNAIDSShareofpeoplelivingwithHIVreceivingantiretroviraltherapy(ART)inNigeriafrom2010to2021PeoplelivingwithHIVreceivingARTtreatmentinNigeria2010-2021100%90%80%70%60%90%86%67%60%58%55%50%50%46%41%40%30%20%10%0%35%28%24%20102011201220132014201520162017201820192020202128Description:Asof2021,1.9millionpeopleinNigeriawereinfectedwithHIV.About90percentofthemwerereceivingantiretroviraltherapy(ART).Between2010and2021,theshareofpeopleonARTgrewconsistently.Generally,thenumberofpeoplelivingwithHIVinNigeriahasbeengrowinginthepastyears.ReadmoreNote(s):Nigeria;2010to2021Source(s):UNAIDSNumberofdeathsduetoAIDSinNigeriaasof2021(in1,000s)DeathsduetoAIDSinNigeria202160515040333020100171614AdultandchilddeathsduetoAIDSDeathsduetoAIDSamongadultsaged15andoverDeathsduetoAIDSamongwomenaged15andoverDeathsduetoAIDSamongmenaged15andoverDeathsduetoAIDSamongchildrenaged0to1429Description:Asof2021,1.9millionpeopleinNigeriawerelivingwithHIV.Thatyear,thenumberofdeathsduetoAIDSamountedto51thousand,includingbothadultsandchildren.Thehighestnumberofdeathswasrecordedamongfemaleadults,with17thousanddeaths.ReadmoreNote(s):Nigeria;2021Source(s):UNAIDSReportedcasesofmeaslesinNigeriafrom2018to2022,bystatusMeaslescasesinNigeria2018-2022,bystatusNumberofcasesNumberofdeaths30,00025,00020,00015,00010,0005,000028,17710,0969,5205,06713152551092504-5,00020182019202020212022**30Description:AsofJanuary2022,254casesofmeasleswereconfirmedinNigeria.Inthefullyear2021,therewereover10,000suchcasesinthecountry.

ReadmoreNote(s):Nigeria;2018to2022;confirmedcases;*AsofJanuary2022.ReadmoreSource(s):NigeriaCentreforDiseaseControlNumberofreportedparalyticpoliocasesinNigeriafrom2000to2019NumberofreportedparalyticpoliocasesinNigeria2000-20191,3001,1441,10090086683378263870054350035535630020213096564857363410051810-100-300-5002000

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201931Description:In2019,therewere18casesofparalyticpoliocasesinNigeria,includingthewildandvaccinetypeofpoliovirus.ReadmoreNote(s):Nigeria;2000to2019Source(s):OWIDCumulativenumberofLassafevercasesinNigeriafrom2019to2023,bystatusNumberofLassafevercasesinNigeria2019-2023Suspected

cases5057Confirmed

casesProbable

ca