Angola

Medical Equipment
Country-Sector Fact Sheet
1. Product Description

Medical equipment is designed to aid in the diagnosis, monitoring or treatment of medical conditions. There are several basic types of medical equipment: Diagnostic equipment includes medical imaging machines used to aid in diagnosis, examples of which are ultrasound and MRI machines, PET and CT scanners, and X-ray machines; Therapeutic equipment is another type of medical equipment and includes infusion pumps, medical lasers and LASIK surgical machines; Life support equipment is used to maintain a patient's bodily function. This includes medical ventilators, anaesthetic machines, heart-lung machines, ECMO and dialysis machines; Medical monitors allow medical staff to measure a patient's medical state. Monitors may measure patient vital signs and other parameters, including ECG, EEG, and blood pressure and dissolved gases in the blood; Medical laboratory equipment automates or helps analyze blood, urine and genes; and diagnostic medical equipment may also be used in the home for certain purposes, e.g. for the control of diabetes mellitus.

Country-Sector Fact Sheet

2.

Overview

According to Business Monitor International (2012), the global medical device sales will increase from USD347bn in 2011 to USD561bn in 2021, equating to a compound annual growth rate (CAGR) of 4.9%. The fastest increase in sales through to 2021 will be experienced in the Middle East and Africa, growing at 163%, Latin America at151% and Asia at113%. According to Business Monitor International (2012), Angolas pharmaceutical market was valued at USD286m in 2011. Healthcare expenditure in Angola is forecast to increase from USD5.14bn in 2011 to USD11.86bn in 2016. Angolas medical devices sector was valued at: USD203m in 2011 and is expected to increase to USD242m in 2012. The figure below shows Angolas sales of medical equipment for the period 2011 to 2020. Angolas medical equipment is forecast to increase from USD0.2bn in 2011 to 0.7bn in 2020, however at a slow growth rate. ANGOLA'S SALES OF MEDICAL DEVICES, 2011-2020 0.80 0.70 0.60 Value (ZARm) 0.50 0.40 0.30 0.20 0.10 0.00
USD (bn) Growth 2011 0.20 20.12% 2012 0.24 17.73% 2013 0.28 17.99% 2014 0.33 15.96% 2015 0.38 15.29% 2016 0.44 16.45% 2017 0.51 15.26% 2018 0.57 13.04% 2019 0.64 12.06% 2020 0.71 10.30%

25% 20% % Growth 15% 10% 5% 0%

Source: BMI, 2012

The table below shows a SWOT analysis of Angolas pharmaceutical and healthcare sector:
STRENGTHS Angolas oil reserves have attracted external capital, with countries such as China investing in healthcare infrastructure Firms such as Esso making regular donations to healthcare campaigns OPPORTUNITIES Demand for basic medicines and vaccines is high Opportunity for generic drug manufacturers WEAKNESSES Market lacks a clear regulatory framework Existing rules are often not enforced Weak framework for national health Lack of patent protection for drugs THREATS Counterfeit and substandard drugs are commonplace Many Angolans in rural areas turn to traditional medicines for treatment

Source: BMI, 2012

2.
2.1

Trade
Angolas Global Trade in Medical Equipment

The figure below shows Angolas trade of medical equipment related goods for the period 2002 to 2011. Angolas exports of medical equipment goods were valued at ZAR0.7m in 2011 compared to ZAR10.4m in 2010, decreasing by 93.3%. Imports were valued at ZAR829m in 2011 compared to ZAR480m in 2010, increasing by 72.7%. Angolas medical equipment sector experienced a negative trade balance between 2002 and 2011. ANGOLA'S TRADE OF MEDICAL EQUIPMENT, 2002-2011 1000 800 600 Value (ZARm) 400 200 0 -200 -400 -600 -800 -1000
Exports (ZARm) Imports (ZARm) Trade balance 2002 0.6 249.8 -249.2 2003 0.4 183.6 -183.2 2004 0.4 165.2 -164.9 2005 0.5 243.1 -242.6 2006 0.4 612.3 -611.9 2007 3.0 768.4 -765.4 2008 1.4 906.7 -905.4 2009 77.2 731.5 -654.3 2010 10.4 479.8 -469.4 2011 0.7 829.0 -828.3

Source: Trade Map, 2012

The table below shows Angolas global trade of medical equipment products for the 2011 period. The leading export product was parts and accessories for application based on the use of X-rays, valued at ZAR0.4m, followed by instruments and appliances used in medical or veterinary sciences (ZAR0.1m) and electro-diagnostic apparatus (ZAR0.1m). Other top export products were composite diagnostic or laboratory reagents (ZAR0.1m); medical, surgical or laboratory sterilizers (ZAR0.1m) and breathing appliances and gas masks (ZAR0.03m). The leading medical equipment import product into Angola was instruments and appliances used in medical or veterinary sciences, valued at ZAR185m. Composite diagnostic or laboratory reagents and -rays apparatus, medical/surgical/veterinary use were ranked second and third valued at ZAR114m and ZAR45m. Other top import products were medical, surgical, dental or veterinary furniture and parts (ZAR42m); syringes, with or without needles (ZAR41m) and needles, catheters, cannulae and the like (ZAR40.6m).

ANGOLAS GLOBAL EXPORTS OF MEDICAL EQUIPMENT, 2011 RANK 1 2 3 4 5 6 7 8 9 HS CODE 902290 901890 901819 382200 841920 902000 630790 902140 902230 PRODUCT Parts & accessories for app based on the use of X-rays or other radiations Instruments and appliances used in medical or veterinary sciences Electro-diagnostic apparatus Composite diagnostic or laboratory reagents Medical, surgical or laboratory sterilizers Breathing appliances & gas masks, excluding protective masks having no mechanical parts Made up articles, of textile materials, including dress patterns Hearing aids, excluding parts and accessories X-ray tubes VALUE 2011 (ZARm) 0.381 0.101 0.072 0.050 0.050 0.029 0.022 0.007 0.007 % GROWTH 2011 -26.35% -96.76% -56.84% -99.14% -79.23% -1.33% -98.61% RANK 1 2 3 4 5 6 7 8 9

ANGOLAS GLOBAL IMPORTS OF MEDICAL EQUIPMENT, 2011 HS CODES 901890 382200 902214 940290 901831 901839 630790 901819 902290 PRODUCT Instruments and appliances used in medical or veterinary sciences Composite diagnostic or laboratory reagents X-rays apparatus, medical/surgical/veterinary use Medical, surgical, dental or veterinary furniture and parts Syringes, with or without needles Needles, catheters, cannulae and the like Made up articles, of textile materials, including dress patterns Electro-diagnostic apparatus Parts & accessories for app based on the use of X-rays or other radiations Dressings & similar articles, impregnated or coated or packaged for mild use VALUE 2011 (ZARm) 185.2 113.9 44.9 41.6 40.6 36.8 35.4 35.3 34.0 % GROWTH 2011 55.09% 72.46% 61.49% 10.67% 151.42% 196.40% -0.73% 172.53% 281.34%

10

0.7

-93.08%

10

300590

25.6 829.0

30.29% 72.78%

TOTAL EXPORTS

TOTAL IMPORTS

Source: Trade Map, 2012

The table below shows Angolas destination markets for the medical equipment sector for the period 2011. South Africa was the leading export market for the sector medical equipment sector from Angola in 2011, valued at ZAR0.4m. Portugal and Ireland were ranked second and third, valued at ZAR0.07m and ZAR0.05m respectively. Other top export markets were the United Kingdom (ZAR0.04m), Norway (ZAR0.03m) and Spain (ZAR0.03m).
DESTINATION MARKETS FOR ANGOLAS EXPORTS OF MEDICAL EQUIPMENT, 2011 VALUE % % RANK IMPORTERS 2011 GROWTH SHARE (ZARm) 2011 2011 1 2 4 5 6 7 8 10 South Africa Portugal Ireland United Kingdom Norway Spain Netherlands France 0.40 0.07 0.05 0.04 0.03 0.03 0.02 0.01 0.7 -79.23% -92.41% -93.12% -91.78% -93.08% 56.0% 90.0% 7.0% 6.0% 4.0% 4.0% 3.0% 1.0% 100%

TOTAL EXPORTS

Source: Trade Map, 2012

The table below shows Angolas source markets for the medical equipment sector for the period 2011. Portugal was the leading source market for medical equipment to Angola valued at ZAR154m, followed by Germany and China valued at ZAR68m and ZAR58m respectively. Other top import markets were Spain (ZAR41m) and South Africa (ZAR27m).

SOURCE MARKETS FOR ANGOLAS IMPORTS OF MEDICAL EQUIPMENT, 2011 VALUE % % RANK EXPORTS 2011 GROWTH SHARE (ZARm) 2011 2011 1 2 3 4 5 6 7 8 9 10 Portugal Germany China Spain South Africa Brazil USA UK France Netherlands 153.7 68.2 57.6 41.3 26.7 23.3 22.2 17.7 15.6 11.6 829.0 56.13% 120.41% 18.75% 53.76% 82.08% 73.61% 163.59% 179.28% -23.37% 985.97% 72.78% 18.54% 8.22% 6.95% 4.99% 3.22% 2.81% 2.67% 2.13% 1.88% 1.39% 100%

TOTAL IMPORTS

Source: Trade Map, 2012

2.2

South African Trade of Medical Equipment Products with Angola

As depicted in the graph below, South Africa has maintained a positive trade balance with Angola, in terms of trade in medical equipment related goods for the period 2002 to 2011. In 2011, South Africa exported medical equipment related goods valued at ZAR49m in 2011 compared to ZAR33m in 2010, representing an increase of 48%. South Africa received imports of in medical equipment related goods from Angola valued at ZAR0.4m in 2011 compared to ZAR2m in 2010, representing a decrease of 80%. SOUTH AFRICAN TRADE OF MEDICAL EQUIPMENT WITH ANGOLA, 2002-2011
60 50 40 Value (ZAR) 30 20 10 0

2002 Exports (ZAR) 33,509,462 Imports (ZAR) Trade balance 2,548 33,506,914

2003 17,501,820 26,617 17,475,203

2004 20,037,676 54,346 19,983,330

2005 14,168,227 29,409 14,138,818

2006 17,950,909 72,457 17,878,452

2007 26,725,812 93,686 26,632,126

2008 52,232,095 373,638 51,858,457

2009 32,879,873 280,044 32,599,829

2010 33,340,596 2,025,564 31,315,032

2011 49,242,783 422,983 48,819,800

Source: Quantec, 2012

The table below shows South Africas trade of medical equipment products with Angola in 2011. The leading export product was composite diagnostic or laboratory reagents, valued at ZAR9m, followed by instruments, appliances for medical and oral and dental hygiene preparations, except dentifrices valued at ZAR8.8m and ZAR8.4m, respectively. Other top export products were parts and accessories for radiation apparatus (ZAR4.9m); electro-diagnostic apparatus (ZAR3.3m) and X-rays apparatus (ZAR2.1m), The leading import product to Angola from South Africa was parts and accessories for radiation apparatus valued at ZAR0.3m followed by instruments, appliances for medical and made up articles (textile). 4

SOUTH AFRICAN EXPORTS OF MEDICAL EQUIPMENT PRODUCTS TO ANGOLA, 2011 VALUE RANK PRODUCT 2011 (ZAR) 1 2 3 4 5 6 7 8 9 10 H382200: Composite diagnostic or laboratory reagents H901890: Instruments, appliances for medical, science H330690: Oral & dental hygiene preparations, except dentifrices H902290: Parts and accessories for radiation apparatus H901819: Electro-diagnostic apparatus H902214: X-rays apparatus, medicaments H902000: Breathing appliances and gas masks H902139: Orthopaedic appliances, including crutches, surgical belts and trusses H901849: Instruments and appliances, used in dentistry H900490: Spectacles, goggles except sunglasses 9 073 891 8 757 942 8 377 998 4 875 843 3 322 742 2 103 613 1 465 506 1 245 526 992 253 844 827 49 242 783

SOUTH AFRICAN IMPORTS OF MEDICAL EQUIPMENT PRODUCTS FROM ANGOLA, 2011 VALUE 2011 RANK PRODUCT (ZAR) 1 2 3 4 5 6 7 8 9 10 H902290: Parts and accessories for radiation apparatus H901890: Instruments, appliances for medical, science H630790: Made up articles (textile), textile dress patterns H382200: Composite diagnostic or laboratory reagents, 345 382 61 745 10 171 2 693 422 983

TOTAL EXPORTS

TOTAL IMPORTS

Source: Quantec, 2012

The figures below show the growth performance of the top 10 medical equipment products traded between South Africa and Angola. Oral and dental hygiene preparations were the fastest growing export product between 2010 and 2011, growing at 678%. X-rays apparatus and composite diagnostic or laboratory reagents were ranked the second and third fastest growing export products between 2010 and 2011 growing at 638% and 77% respectively. Between 2007 and 2011, X-rays apparatus was the fastest growing export product, growing at 483%, Made up articles (textile) were the fastest growing export product between 2010 and 2011, growing at 157%, while parts and accessories for radiation apparatus was the fastest growing import product between 2007 and 2011, growing at 53%. GROWTH PERFORMANCE OF TOP 10 SOUTH AFRICAN EXPORTS OF ANGOLA MEDICAL EQUIPMENT, 2011
H900490: Spectacles, goggles except sunglasses 22.2% 62.9% H382200: Composite -9.4% diagnostic or laboratory -96.7% reagents, nes

GROWTH PERFORMANCE OF TOP 10 SOUTH AFRICAN IMPORTS OF ANGOLAN MEDICAL EQUIPMENT, 2011

H901849: Instruments and appliances, 14.6% used in dentistry -17.3% H902139: Orthopaedic appliances, including crutches, surgical belts and H902000: Breathing appliances and gas -15.8% masks -14.2% H902214: X-rays apparatus, medica H901819: Electro-diagnostic apparatus, 5.2% nes -12.9% 13.2% H902290: Parts and accessories for 110.2% radiation apparatus H330690: Oral & dental hygiene preparations, except dentifrices H901890: Instruments, appliances for medical, etc science, nes H382200: Composite diagnostic or laboratory reagents, nes 12.6% 22.7% 23.0% 77.2% 165.7% 678.0% 483.1% 637.7%

H630790: Made up articles -12.6% (textile) nes, textile dress patterns

157.0%

H901890: Instruments, 0.0% appliances for medical, etc -96.1% science, nes

H902290: Parts and accessories for radiation apparatus

-150.0% -100.0% -50.0%

52.7% 0.1%

-100% 0% 100% 200% 300% 400% 500% 600% 700% 800%

0.0%

50.0%

100.0% 150.0% 200.0%

2007-2011

2010-2011

2007-2011

2010-2011

Source: Quantec, 2012

2.3

Western Cape Trade in Medical Equipment Products with Angola

As depicted in the graph below, the Western Cape has maintained a positive trade balance with Angola, with the highest value experienced in 2011. In 2011, the Western Cape exported medical equipment related goods valued at ZAR31m compared to ZAR20m in 2010, representing an increase of 55%. WESTERN CAPE TRADE OF MEDICAL EQUIPMENT WITH ANGOLA, 2002-2011
35 30 25 20 15 10 5 2002 Exports (ZAR) 3,478,261 Imports (ZAR) Trade balance 107 3,478,154 0 2003 4,087,775 995 4,086,780 2004 2,111,999 21,412 2,090,587 2005 5,691,983 4,971 5,687,012 2006 5,448,907 17,444 5,431,463 2007 9,294,732 17,173 9,277,559 2008 2009 2010 2011 7,787,753 10,979,059 19,859,201 31,082,022 68,742 8,063 0 6,858 7,719,011 10,970,996 19,859,201 31,075,164

Source: Quantec, 2012

The table below shows Angola global trade of medical equipment products for the 2011 period. The leading export product was Plastic household, toilet articles, valued at ZAR23bn, followed by plastic articles (ZAR3m) and made up articles (textile) (ZAR1.2m). Other top export products were orthopaedic appliances, including crutches, surgical belts (ZAR1.2m); breathing appliances and gas masks (ZAR0.5m) and spectacles, goggles except sunglasses (ZAR0.3m). The leading medical equipment import product into Angola was made up articles (textile), followed by filtering/purifying machinery for liquids.
WESTERN CAPE EXPORTS OF MEDICAL EQUIPMENT PRODUCTS TO ANGOLA, 2011 VALUE RANK PRODUCTS 2011 (ZAR) H392490: Plastic household, toilet articles not table, 1 22 585 577 kitchen 2 3 4 5 6 7 8 9 10 H392690: Plastic articles H630790: Made up articles (textile), textile dress patterns H902139: Orthopaedic appliances, including crutches, surgical belts H902000: Breathing appliances and gas masks H900490: Spectacles, goggles except sunglasses H901890: Instruments, appliances for medical, science, H842139: Filtering or purifying machinery for gases H901910: Massage and psychological aptitude-test apparatus H902511: Thermometers, liquid-filled 2 971 446 1 230 005 1 165 356 476 668 348 110 262 300 216 719 42 524 34 691 31 082 022 WESTERN CAPE IMPORTS OF MEDICAL EQUIPMENT PRODUCTS TO ANGOLA, 2011 VALUE 2011 RANK PRODUCT (ZAR) H630790: Made up articles (textile), textile dress 1 6 570 patterns 2 3 4 5 6 7 8 9 10 H842129: Filtering/purifying machinery for liquids 288 6 858

TOTAL EXPORTS

Value (ZARm)

TOTAL IMPORTS

Source: Quantec, 2012

The figure below shows the growth performance of the top 10 exported medical equipment products by the Western Cape from Angola. Massage and psychological aptitude-test apparatus was the fastest growing export product in 2011, growing at 6

663%, followed by spectacles, goggles except sunglasses and plastic household, toilet articles growing at 126% and 82% respectively. Spectacles, goggles except sunglasses was the fastest growing export product between 2007 and 2011, growing at 254%, followed by plastic household, toilet articles and massage and psychological aptitude-test apparatus growing at 110% and 86% respectively. GROWTH PERFORMANCE OF OF TOP 10 WESTERN CAPE EXPORTS OF MEDICAL DEVICES TO ANGOLA, 2011
H902511: Thermometers, liquid-filled H901910: Massage and psychological aptitude-test apparatus H842139: Filtering or purifying machinery for gases nes H901890: Instruments, appliances for medical, etc science, nes H900490: Spectacles, goggles except sunglasses H902000: Breathing appliances and gas masks H902139: Orthopaedic appliances, including crutches, surgical belts H630790: Made up articles (textile) nes, textile dress patterns H392690: Plastic articles nes H392490: Plastic household, toilet articles not table, kitchen -100% 0% 49.6% 46.1% -8.2% 9.4% 109.7% 81.9% 100% 200% 300% 400% 500% 600% 700% 13.5% 85.9% 663.4% 19.0% 9.5% -27.1% 104.9% 126.4% 72.5% -14.1% 254.2%

2007-2011

2010-2011

Source: Quantec, 2012