KWALE COUNTY
MINISTRY OF
HEALTH
A CONCEPT ON INVESTMENT OPPORTUNITIES
IN MSAMBWENI HOSPITAL
Kwale County Background
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Kwale County is unique in its bio-diversity, mining wealth, size, and
historical significance for health.
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Hosts local and international industries
Estimated population of 750,000 people
Growing population and an increasing need for specialized medical
services.
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Many people lack access to high quality medical care
91 health facilities including 3 major public
Msambweni District Hospital as a county referral
Msambweni District Hospital
Msambweni District Hospital - Overview
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early 1940s established as a dispensary
on 23rd August 1997 officially opened
168 beds on 5 wards
7 consultants
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General Surgeon
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Gynecologist
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Dentist
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Physician
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Pediatrician
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Orthopedic Surgeon (volunteer )
Msambweni District Hospital - Patients
• 85 % bed occupancy
• 5 days average length of
stay
• ca. 25,000 patients
attended to in filter
clinics
• 1,500 patients/month in
Special Clinics
• 600 admissions/month
in the inpatient
department
Msambweni District Hospital - View
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The only hospital in Kenya that has 15 acres of unused beach plot.
Msambweni District Hospital
Vision
To be an efficient Medical care hospital
for a healthy Nation.
Mission
To promote and participate in
the provision of integrated high quality
Curative and Rehabilitative services
to all Kenyans.
Kwale County wants to upgrade Msambweni hospital from Level 4 to a
Level 5 hospital.
Concept - Goal
Our goal is to identify a group that will be interested in
establishing a partnership with the expansion and
enhancement of this medical facility. The county is seeking
a partner that will be able to provide equity financing,
absorb debt and provide a higher level of specialist training
to local staff.
Concept - Primary partners
As a joint venture, this project will entail that various parties play
different roles to ensure the success of this venture.
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Kwale County Government
Msambweni Hospital
Investor/Development partner
Concept - Secondary entities
The following companies and entities will be enticed to further facilitate
this opportunity:
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Kwale County Ministry of Industry Trade and Investment:
Medical training institution
Base Titanium
Apollo Hospitals
SIGN (Surgical Implant Generation Network)
Other potential partners are Kwale International Sugar Company
(KISCO), Cortec Mining Kenya Ltd. and Rift Energy.
Concept - Proposed services
Proposed services that will be offered at the facility:
• Cardiology
• Neurology
• Orthopaedics and Joint
Replacement
• Oncology/Haematology
• Intensive/Critical Care
• Medical and Surgical
Gastroenterology
• Endocrinology
• Radiology & Imaging
• Amenity wards
Concept - Proposed services (2)
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Obstetrics/ Gynaecology
Laboratory Services
Renal/Dialysis Unit
Satellite Center /Blood
bank. (The next blood
transfusion center is located
in Mombasa.)
Burns Unit
Hospice for terminally ill
patients
Physiotherapist services
New Born Unit
SWOT Analysis
Strength
Weaknesses
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 Inadequate number of staff
 Inadequate staff housing
 Hospital needs renovation
(roof, window frames,
varnish)
 Ordering system on medical
supplies needs improvement
 No maintenance plan in place
 Inadequate Laundry Service
Trained nurses and doctors
Well established Level 4 hospital
Proximity of KMTC
Well established existing facilities
(2 OR, laboratory, radiology etc.)
 Very active research laboratory
 Already established partnerships
 Very committed and active
Hospital Management Board
 Only hospital in Kenya that has
more than 15 acres of unsed
beach plot.
Strength
Active community
Beautiful scenery
SWOT Analysis
Opportunities
Threats
 Social benefits for local community
 Wide range of medical services
 Partnering with a training institution
 Healthcare Sector is rapidly growing
 Budget will be designed to provide
capital for expenditure as the facility
will be upgraded.
 Interest of international Companies
 Seek to identify investors
 Cost of doing business in Kwale
County remains comparatively low
 Investor friendly
 Earmarked to host a Vision 2030
Resort City project at Diani Beach
Medical institutions are
not considered to be
profitable within the time
frame of most investors
While there is a demand
for increased medical
services, the local
population is not entirely
financially stable
Capital intensive
Strategy – How to?
This project will be successful because these critical engines will drive
its performance:
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Introduction between the project managers and potential investors.
Discussions on requirements and need for upgrades .
Regular visits of Investor with project managers
Agreement on the level of financial commitment.
Training institution will be introduced and provide their potential
courses, along with available staff through their network
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Stakeholders will finalize all commitments and upgrade of the
hospital will begin
Strategy – How to?
1. Introduction
6. Stakeholders
finalize all
commitments
2. Discussions on
requirements
5. Training institution
4. Agreement
3. Regular Visits
Strategy - Financing
The total expected amount for this project is:
xxxxxxxxxxxxx – The money will be used for:
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Buildings and infrastructure
Medical Equipment
Ambulances
Information Technology
Marketing
Working Capital
Refurbishment
Strategy - Projected IRR
The projected return on investment for this project is:
xxxxxxx% per annum
Revenue will be generated from:
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Inpatient admission
Outpatient consultation
Pharmaceuticals
Lab and Diagnostics fees
Surgical fees
Income from private amenity ward
Income from conferences, meals and accommodation
Looking Ahead
Looking Ahead - The Vision
As soon as the hospital has achieved its goal of becoming a Level
5 facility, the following opportunities will arise:
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A Conference Hotel attached to the hospital.
A private retirement home for elderly citizens
Doctors plaza for consultation services
Those facilities will be privately run and managed
Looking
Ahead