Africa: Building Healthcare Sovereignty

Africa Strategy

CARE9’s Africa operations focus on building sustainable, sovereign healthcare infrastructure across the continent, starting with Ghana and ECOWAS nations and expanding pan-continentally.

Ghana & ECOWAS: Flagship Market

Strategic Partnerships

DIHOC (Defence Industries Holding Company)

• Strategic government partnership
• Joint venture for healthcare infrastructure
• Manufacturing and distribution collaboration

Ghana Ministry of Health

• National healthcare infrastructure development
• Policy alignment and regulatory coordination
• Public health program integration

NHIA (National Health Insurance Authority)

• Insurance scheme integration
• Transparent pricing frameworks
• Claim processing automation

Ghana FDA

• Pharmaceutical registration and approval
• Manufacturing facility inspection
• Quality assurance coordination

Flagship Initiatives

1. Indo-African Oncology Institute (IAOI)

Investment: $100M Public-Private Partnership

Infrastructure:

• 250-bed tertiary oncology hospital
• Linear Accelerators (LINACs) for radiation therapy
• PET-CT and advanced imaging
• Molecular oncology laboratory
• Tele-oncology platform

Impact Projections:

• 100,000+ Patients screened annually
• 30%+ Reduction in outbound medical travel
• 1000+ Direct jobs created
• $50M+ Annual reduction in medical travel expenditure
• National Cancer registry establishment

Timeline: 24-month construction, operations launch 2025

2. Pharmaceutical Manufacturing Hub

Investment: $150-200M

Capabilities:

• WHO-GMP certified manufacturing facility
• Oncology injectables production
• Critical care pharmaceuticals
• IV fluids and sterile injectables
• Export readiness for ECOWAS markets

Import Substitution:

• USD 150-200M Annual import substitution
• 60-70% Essential medicines list coverage
• 1500+ Direct manufacturing jobs
• 5000+ Indirect supply chain jobs

Regulatory Compliance:

• Ghana FDA approval
• WHO Prequalification pathway
• ECOWAS WA-MRH harmonization
• Export documentation for AfCFTA

3. Diagnostics Network Development

Hub-and-Spoke Model

Central Hubs (Accra, Kumasi, Takoradi):

• Advanced imaging (CT, MRI, PET-CT)
• Molecular diagnostics (PCR, NGS)
• Reference laboratory services
• Tele-radiology and tele-pathology

Spoke Sites (15-20 locations):

• Basic pathology and radiology
• Sample collection and transport
• Report delivery integration
• Training and quality control

Capacity Building:

• 200+ Radiologists and pathologists trained
• 500+ Laboratory technicians certified
• CARE9 Diagnostic Academy establishment
• Continuous professional development programs

ECOWAS Regional Expansion

Target Countries:

• Nigeria (Lagos, Abuja, Kano)
• Côte d’Ivoire (Abidjan)
• Senegal (Dakar)
• Togo, Benin, Burkina Faso

Regional Services:

• Pharmaceutical distribution network
• HIMS deployments across 250+ facilities
• Diagnostic reference laboratories
• Training and certification programs

Trade Integration:

• AfCFTA (African Continental Free Trade Area) alignment
• ECOWAS WA-MRH regulatory harmonization
• Cross-border pharmaceutical trade
• Regional healthcare workforce mobility

Beyond ECOWAS: Pan-African Expansion

Southern Africa

Zimbabwe

• Harare: 250-bed oncology institute (planned)
• Manufacturing: Pharmaceutical production facility
• HIMS: 50+ hospital deployments

Zambia

• Lusaka: Diagnostic network hub
• Oncology: LINAC installation and services
• Training: Regional oncology academy

Namibia, Botswana

• Diagnostic services expansion
• Pharmaceutical distribution
• Telemedicine infrastructure

Eastern Africa

Kenya

• Nairobi: Regional diagnostic hub
• HIMS Deployments: Private and public hospitals
• NHIF Integration: National health insurance coordination

Uganda, Tanzania

• Pharmaceutical supply chain
• Hospital digitization programs
• Specialty care partnerships

Central Africa

DR Congo, Cameroon

• EPC+O Models: Engineering, Procurement, Construction + Operations
• Specialty Hospitals: Oncology and cardiology focus
• Training Academies: Healthcare workforce development

Africa Impact Metrics (Projected 2024-2028)

Infrastructure

• 1000+ Oncology beds commissioned
• 10+ Manufacturing and diagnostic facilities
• 250+ Hospitals with CARE9 HIMS
• 20+ Training academies operational

Economic Impact

• USD 250M+ Import substitution value
• USD 200M+ Annual pharmaceutical exports
• 10,000+ Direct jobs created
• 50,000+ Indirect jobs supported

Healthcare Outcomes

• 500,000+ Patients served annually
• 30-40% Reduction in medical travel
• 1M+ Cancer screenings conducted
• 5000+ Healthcare workers trained

Market Penetration

• 10+ ECOWAS countries operational
• 40+ African countries export reach
• 500+ Healthcare institutions in network

Regulatory & Compliance Framework

National Regulatory Authorities

• Ghana FDA (Food and Drugs Authority)
• NAFDAC (Nigeria)
• SAHPRA (South Africa)
• Country-specific drug authorities

Regional Frameworks

• ECOWAS WA-MRH: West African Medicines Regulatory Harmonization
• AfCFTA: Continental free trade protocols
• AU-NEPAD: African Union health initiatives
• EAC: East African Community standards

International Standards

• WHO Good Manufacturing Practice (GMP)
• WHO Prequalification Programme
• IAEA (Radiological safety)
• CAP (Laboratory accreditation)

Partnerships & Stakeholders

Government Agencies

• Ministries of Health
• National Health Insurance Authorities
• Drug Regulatory Authorities
• Investment Promotion Agencies

Development Finance Institutions

• African Development Bank (AfDB)
• International Finance Corporation (IFC)
• DEG (German DFI)
• Proparco (French DFI)
• TDB (Trade and Development Bank)

Multilateral Organizations

• World Health Organization (WHO)
• African Union Commission
• UNAIDS, Global Fund, GAVI
• Bill & Melinda Gates Foundation

Local Partners

• Hospital chains and health systems
• Medical universities and training institutes
• Pharmaceutical distributors
• Medical equipment suppliers

ESG Commitments in Africa

Environmental

• Solar-powered healthcare facilities
• Water conservation in manufacturing
• Biomedical waste management
• Green building standards

Social

• Local hiring mandates (80%+ African workforce)
• Skills development and training
• Women in healthcare leadership programs
• Community health initiatives

Governance

• Transparent procurement processes
• Anti-corruption compliance
• Local content requirements
• Ethical clinical research practices

Next Steps for African Partners

1. Country Assessment: Healthcare needs and infrastructure gaps
2. Partnership Models: PPP, BOOT, BOT structuring
3. Regulatory Pathway: Approvals and licensing roadmap
4. Financial Structuring: DFI engagement and capital raising
5. Implementation: Design, construction, operations launch

Contact CARE9 Africa: africa@care9.com Accra Office: Regional Command Center, Ghana