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DIGITAL

&

TRENDSeHealthinColombiaCHAPTER

01OverviewHealthcareexpenditureasshareofGDPinColombiafrom2010to2019Colombia:healthspendingasshareofGDP2010-20199%7.7%8%7%6%5%4%3%2%1%0%7.6%7.5%7.5%7.3%7.2%7.1%7%6.8%6.7%2010201120122013201420152016201720182019*3Description:In2019,spendingonhealthrepresentedapproximately7.3percentofColombia'sgrossdomesticproduct(GDP),downfromthe7.6percentreportedayearearlier.TheLatinAmericancountry'stotalGDPisexpectedtodecreaseabout8.2percentin2020,butincreaseoverfourpercentinthefollowingyear.ReadmoreNote(s):2010to2019;*Estimate.Thesourcedoesnotprovideanexactdateofpublication.Thereleasedatecorrespondstothedateofaccess.ReadmoreSource(s):OECDOut-of-pocketshareoftotalhealthexpenditureinColombiafrom2010to2019Out-of-pocketshareofhealthspendinginColombia2010-201920%17.86%18%16%14%12%10%8%17.15%17%16.28%15.61%15.32%15.4%15.36%15.13%14.86%6%4%2%0%20102011201220132014201520162017201820194Description:In2019,Colombia'sout-of-pockethealthpaymentsaccountedforapproximately14.86percentofthecountry'stotalhealthexpenditure,downfrom17percentreportedin2010.Spendingonhealthrepresentedapproximately7.3percentofColombia'sgrossdomesticproduct(GDP)in2019.

ReadmoreNote(s):Colombia;2010to2019Source(s):WHOShareofindividualsaffiliatedtotheGeneralHealthSocialSecuritySysteminColombiafrom2013to2021GeneralHealthSocialSecuritymembersinColombia2013-202196.48%100%90%80%70%60%50%40%30%20%10%0%95.44%95.17%94.97%94.39%94.42%93.2%93%91.68%20132014201520162017201820192020*20215Description:In2021,around93percentofColombia'spopulationwasaffiliatedtothepublichealthcaresystem,slightlydownfrom93.2percentreportedayearearlier.Thisfigurehasbeenconstantlydecreasingsince2015,whentheshareofinhabitantswithpublichealthinsuranceamountedto96.48percent.Inthatyear,Colombiawasforecasttoallocatetheequivalentofsevenpercentofitsgrossdomesticproduct(GDP)tohealthcare.ReadmoreNote(s):Colombia;2013to2021;*Figurespriorto2020wereretrievedfrompreviousreporting.TheGeneralHealthSocialSecuritySystem,knowninColombiaas"SistemaGeneraldeSeguridadSocialenSalud(SGSSS),"lookstoassureall[...]ReadmoreSource(s):DANE(Colombia)MaturityofGovTechinColombiain2020,bydimension(indexscore)Colombia:maturityofGovTech2020,bydimensionIndexscore(onascalefrom1to10)0123456789Procurement:frameworksGovernment:digitalgovernmentGovernment:policyenvironmentAverage8.335.835.065.05Startups:innovationenvironmentProcurement:culture4.714.56Startups:digitalenvironmentStartups:industryenvironment4.542.466Description:In2020,Chilescored5.05pointsoutof10intheGovTechmaturityindex.Thecountry'shighestscorewasinthe"procurement:frameworks"dimension(8.33points)andthelowestinthe"startups:industryenvironment"(2.46points)R.

eadmoreNote(s):Colombia;2020Source(s):CAF-BancodeDesarrollodeAméricaLatinaPercentageofpopulationusingtheinternetinColombiafrom2000to2020InternetpenetrationinColombia2000-202080%70%60%50%40%30%20%10%0%2000

2001

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20207Description:In2020,nearly70percentoftheColombianpopulationaccessedtheinternet.Thatisafourpercentagepointsincreasecomparedtothepreviousyear.ColombiawasalsooneoftheSouthAmericancountrieswiththehighestmobileinternetpenetrationrates.

ReadmoreNote(s):Colombia;2000to2020Source(s):ITUCHAPTER

02StartupsDistributionofstartupsinLatinAmericain2020,byindustryLatinAmerica:shareofstartups2020,byindustryShareofstartups0%5%10%15%20%25%30%29%35%FinTechPropTech9%SaaS7%7%E-commerceBioTech/HealthcareHRTech6%5%EdTech5%5%MarketplaceLogisticsanddistributionAgTech4%3%3%FoodTechOthers*17%9Description:AsofAugust2020,around29percentofthestartupsoperatinginLatinAmericabelongedtothefinancialtechnology(FinTech)sector.Propertytechnology(PropTech)rankedsecond,accountingforninepercentofthenewbusinessesintheregion.AsofMay2019,MexicowastheleadingLatinAmericancountryinnumberoffintechstartups,with394enterprises.ReadmoreNote(s):LAC;asofAugust2020;*FigurescalculatedbySource(s):LAVCAbasedonthedataprovidedbythesource,assumingatotalof100percentagepoints.ReadmoreTotalearly-stageentrepreneurialactivity(TEA)rateinColombiafrom2013to2021Colombia:activityrateofearlyentrepreneurship2013-202135%31.1%30%27.4%23.9%25%20%15%10%5%23.1%22.3%21.2%19.1%18.7%15.7%0%2013201420152016*20172018201920202021**10Description:In2021,15.7percentoftheentrepreneursinColombiawereintheearly-stageofentrepreneurialactivity.Thetotalearly-stageentrepreneurialactivity(TEA)referstoindividualswhohaverecentlystartedorarestillintheinitialstageofrunningtheirbusiness(nomorethanfouryears).Inrecentyears,andexceptfor2021,theTEAinColombiahasbeencontinuouslyincreasing.ReadmoreNote(s):Colombia;2013to2021;about2,000;*Figurespriorto2016werecalculatedbySource(s):GEMbasedonthesource`sinformation.**Figurespriorto2021weretakenfrompreviousreports.TEA(early-stageentrepreneurialactivity)=percentage[...]ReadmoreNumberofhealthtechstartupsinColombiaasofJuly2022,bysub-industryHealthtechstartupsinColombia2022,bysub-industryNumberofstartups02468101012HealthcareMedtech4Fitness33LifeSciencesAssistedlivingBiotechnologyPharmaceuticalsOthers111511Description:AsofJuly2022,Colombiawashometo28healthtechstartupcompanies,outofwhich36percentbelongedtothehealthcarecategory.Meanwhile,Colombianstartupsworkingonmedtechamountedtofour.HealthcareisalsothemainhealthtechcategoryforstartupsinChile,followedbybiotechnologyandmedtech.ReadmoreNote(s):Colombia;July2022Source(s):StartupBlinkNumberofventurecapitalinvestorsofselectedhealthtechstartupsinColombiaasofJuly2022VCinvestorsofhealthtechsinColombia2022Numberofinvestors0246810121Doc3LentesplusBewe1196FarmalistoTherapychat3112Description:AsofJuly2022,theColombianstartupandtelemedicineportal1Doc3hadatotalof11venturecapital(VC)investorsinthecountry.Incomparison,themedicalportalLentesplushadnineinvestors,whilethebeautyandwellnesssoftwareBewehadsixinvestors.Asofthatdate,Colombiawashometo28healthtechstartups.ReadmoreNote(s):Colombia;AsofJuly2022Source(s):CrunchBaseFundraisingamountofselectedhealthtechstartupsinColombiaasofJuly2022(inmillionU.S.dollars)FundraisingamountofhealthtecsinColombia2022FundrasingvalueinmillionU.S.dollars1005152025LentesplusFarmalistoBewe21.720.56.31Doc35.1Therapychat513Description:AsofJuly2022,theColombianstartupandonlinemarketplaceforglassesandcontactlensesLentesplushadraisedapproximately21.7millionU.S.dollarsfromventurecapitalinvestors.TheonlinepharmacyFarmalistoraised20.5millionU.S.dollars.Asofthatdate,Lentesplushadatotalofnineventurecapitalinvestors.ReadmoreNote(s):AsofJuly2022Source(s):CrunchBaseCHAPTER

03TelemedicineDistributionofmedicalappointmentsinColombiain2020,bymorbidityandagegroupMajormorbiditycausesinColombia2020,byagegroupNon-communicablediseases

Communicableandnutritionaldiseases

Poorlydefinedsymptoms

Injuries

Maternalandperinatalconditions100%90%80%70%60%50%40%30%20%10%0%0-56-1112-1718-2829-5960+15Description:In2020,non-communicablediseaseswerethemostcommoncauseforhealthchecksamongColombiansofallagegroups.Forinstance,morethan70percentofmedicalappointmentsamongadultsaged29to59werecausedbytheseconditions.Thatyear,heartdiseaseswereoneofthemostcommoncausesofdeathintheSouthAmericancountry.ReadmoreNote(s):Colombia;2020Source(s):MinisteriodeSaludyProtecciónSocial(Colombia)RevenueoftheonlinedoctorconsultationssegmentinColombiafrom2017to2026(inmillionU.S.dollars)OnlinedoctorconsultationssegmentrevenueinColombia2017-20262520.919.48201510518.0616.5614.7212.259.276.464.22.080201720182019202020212022202320242025202616Description:In2021,therevenuegeneratedfromonlinedoctorconsultationsinColombiawasapproximately12.25millionU.S.dollars.AccordingtoestimatesfromtheHealthMarketOutlook,thisvalueispredictedtoincreaseinthecomingyearswiththemaximumrevenueofapproximately20.9millionU.S.dollarsin2026.ReadmoreNote(s):ColombiaSource(s):HealthMarketOutlookNumberofusersoftheonlinedoctorconsultationssegmentinColombiafrom2017to2026(inmillions)OnlinedoctorconsultationssegmentusersinColombia2017-20261.41.281.261.241.221.151.21.00.80.60.40.20.01.030.850.580.380.22201720182019202020212022202320242025202617Description:In2021,thetotalnumberofusersgeneratedfromonlinedoctorconsultationsinColombiawasapproximately1.03million.AccordingtoestimatesfromtheHealthMarketOutlook,thisvalueispredictedtoincreaseinthecomingyearsreachingapproximately1.28millionusersin2026.ReadmoreNote(s):ColombiaSource(s):HealthMarketOutlookNumberoftelemedicineservicesofferedinColombiain2020,bydepartmentTelemedicineservicesinColombia2020,bydepartmentNumberofservices050100150200250300350400CundinamarcaAntioquia374250ValledelCaucaNari?o215178BogotáD.C.SantanderCauca99805857NortedeSantanderChocó5351504747PutumayoAraucaBolivarAmazonas18Description:In2020,CundinamarcawastheColombiandepartmentthathadenabledthehighestnumberoftelemedicineservicesinthecountry,withatotalof374.Antioquiafollowedwith250,whilethecapitalBogotáhad99telemedicineservicesthatyear.InMay2020,morethan1.4milliontelemedicineappointmentswereperformedintheSouthAmericancountry.ReadmoreNote(s):2020;servicesofferedbyhealthcareprovidersSource(s):ACEMI(Colombia);LaRepública(Colombia)NumberoftelemedicineservicesprovidedinColombiain2020,bytype(inmillions)TelemedicineservicesinColombia2020,bytypeNumberoftelemedicineservices(inmillions)10

15

20052530354045RemoteconsultationsHealthorientations41.9527.66Home-deliveredmedicalprescriptionsLaboratorysamplestakenathomeHomecare14.858.328.1Prenatalcareathome0.3719Description:In2020,thereweremorethan101milliontelemedicineservicesprovidedinColombia.Remoteconsultationsmadeupnearly42millionofthetelemedicineactionsperformedintheSouthAmericancountrythatyear.Healthorientationsfollowed,accountingformorethan27millionhealthservicesprovidedremotely.InMay2020,morethan1.4milliontelemedicineappointmentswereperformedintheSouthAmericancountry.ReadmoreNote(s):2020Source(s):ACEMI(Colombia);LaRepública(Colombia)CHAPTER

04OnlinepharmacyMarketvalueofthepharmaceuticalindustryinColombiafrom2008to2020(inbillionU.S.dollars)PharmaindustrymarketvalueinColombia2008-20202.01.811.81.651.611.551.61.41.21.00.80.60.40.20.0200820102015202021Description:In2020,thepharmaceuticalindustryinColombiawasvaluedat1.55billionU.S.dollars.Thisshowsadecreaseofaroundsixpercentincomparisonto2015,whenthepharmamarketvalueamountedto1.65billiondollars.Fromtheyearsdepicted,marketvalueofthepharmaceuticalindustryintheLatinAmericancountrywashighestin2010,with1.81billionU.S.dollars.ReadmoreNote(s):Colombia,CentralandSouthAmerica;2008to2020;marketvalueatex-factorypriceSource(s):IQVIAValueofe-commercesalesinColombiafrom2017to2021(intrillionColombianpesos)E-commercesalesvalueinColombia2017-202145403539.828.43025201510521.818.615.502017201820192020202122Description:In2021,e-commercesalesinColombiageneratedapproximately40trillionColombianpesos(nearlytenbillionU.S.dollars,basedonconversionratesforDecember31,2021).Thatisanincreaseofabout40percentcomparedtothe28.4trillionpesosrecordedin2020,consideringboththepurchasesmadeandpaidforonline.ReadmoreNote(s):Colombia;2017to2021;purchasesmadeandpaidonlineSource(s):BlackSip;CámaraColombianadeComercioElectrónicoLeadinge-commercesegmentsinColombiaasof2021,bymarketshareLeadingonlinepurchasecategoriesinColombia2021,bymarketshareE-commercemarketshare0%5%10%15%20%25%Airlines&hotelsClothing&footwearElectricalgoods22%11%11%11%Health&beautyHomeware&furniture5%23Description:DespitetheCOVID-19pandemic,theleadinge-commercesegmentinColombiawasairlinesandhotels,accountingfora22percentmarketshare.Fashion,electronics,andbeautyaccountedeachfor11percentofthemarket.Moreover,asurveyrevealedthatfashionitemsweretheproductsmostpurchasedonlinebyColombiansin2020.ReadmoreNote(s):Colombia;January2021Source(s):PPRORevenueoftheonlinepharmacysegmentinColombiafrom2017to2026(inmillionU.S.dollars)OnlinepharmaciesrevenueinColombia2017-20268071.7367.3670605040302010063.4359.2955.4151.8249.9344.0442.0735.32201720182019202020212022202320242025202624Description:In2021,therevenuegeneratedfromonlinepharmaciesinColombiawasapproximately51.82millionU.S.dollars.AccordingtoestimatesfromtheHealthMarketOutlook,thisvalueispredictedtoincreaseinthecomingyearsreachingapproximately71.73millionU.S.dollars.

ReadmoreNote(s):ColombiaSource(s):HealthMarketOutlookNumberofusersoftheonlinepharmacysegmentinColombiafrom2017to2026(inmillions)NumberofusersoftheonlinepharmacysegmentinColombia2017-20262119.451917151311918.2217.1516.0614.9513.9413.4910.819.588.3475201720182019202020212022202320242025202625Description:In2021,thenumberofusersgeneratedfromonlinepharmaciesinColombiawasapproximately13.94million.AccordingtoestimatesfromtheHealthMarketOutlook,thisvalueispredictedtoincreaseinthecomingyearsreachingapproximately19.45millionusersin2026.ReadmoreNote(s):ColombiaSource(s):HealthMarketOutlookCHAPTER

05DigitalfitnessandeHealthdevicesDistributionoftheeServicesFitnessmarketinLatinAmericaandtheCaribbeanin2020,bycountryLatinAmerica&theCaribbean:eServicesFitnessmarketshare2020,bycountryMarketshare25%0%5%10%15%20%30%35%40%45%50%55%BrazilMexico48.58%27.18%ArgentinaChile9.28%3.69%3.41%ColombiaPeru1.23%1.04%0.95%0.76%0.66%0.47%0.47%0.47%EcuadorGuatemalaCostaRicaDominicanRepublicPanamaBoliviaHonduras27Description:AccordingtotheDigitalMarketOutlook,Brazilalonewasforecasttoaccountforalmosthalf(48.58percent)oftheeServicesFitnessmarketinLatinAmericain2020.ItwasfollowedbyMexicoandArgentina,withapproximately27.18percentand9.28percent,respectively.AnoverviewofallDigitalMarketscanbefoundhere.ReadmoreNote(s):LAC;August2020;forecastadjustedfortheimpactofCOVID-19/excludesVenezuelaSource(s):DigitalMarketOutlookPenetrationrateofthefitness&wellbeingmarketinColombiafrom2017to2025Userpenetrationofthefitness&wellbeingmarketinColombia2017-2025DigitalFitness&Well-BeingAppsDigitalFitness&Well-BeingDevices20%18%16%14%12%10%8%17.98%16.75%15.29%13.67%7.65%11.97%7.16%10.82%8.34%8.19%7.98%7.31%6.11%5.87%5.32%6%4.76%3.83%3.64%4%2%0%20172018201920202021202220232024202528Description:In2021,userpenetrationofdigitalfitness&well-beingappswasatanestimated11.97percentinColombia.Itisprojectedtoriseto17.98percentby2025.TheDigitalFitness&Well-BeingDevicesincomparisonhadapenetrationrateofslightlyoversevenpercentin2021withanestimatedrateof8.34percentby2025.ReadmoreNote(s):ColombiaSource(s):DigitalMarketOutlookRevenueofthedigitalfitnesssegmentoftheeServivesmarketinColombiafrom2017-2025(inmillionU.S.dollars)RevenueinthedigitalfitnesssegmentinColombia2017-2025DigitalFitness&Well-BeingAppsDigitalFitness&Well-BeingDevices35030025020015010050320.76226.81304.15197.46285.64263.74137.37236.59109.19193.69190.2786.56167.15163.58116.859.02201942.35201826.822017020202021202220232024202529Description:In2021,thedigitalfitnessmarketgeneratedarevenueofaround346millionU.S.dollarsinColombia.TheDigitalFitness&Well-BeingDevicescreatedthemajoritypartofthisrevenueaccountingfor236.59

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