Overview
Egypt’s healthcare sector is one of the largest in the Middle East and North Africa (MENA) region, driven by a population of about 118 million and a growing demand for accessible, high-quality medical care. The Government of Egypt (GoE) is the principal actor in the healthcare system, responsible for both policy and major infrastructure investments.
For the fiscal year 2023/2024, public health allocations rose to approximately EGP 397 billion ($7.8 billion), an annual increase of 30 percent; however, the FY 2025/2026 allocation for public health is below the constitutionally mandated minimum. Article 18 of the Egyptian Constitution mandates at least 3 percent of GDP be allocated to healthcare, with a commitment to reach global benchmarks over time.
Public Investment and Expansion
205 percent increase in hospital investment since the COVID-19 pandemic.
Launch of the Decent Life Presidential Initiative to provide nationwide medical insurance. The Decent Life Initiative, also known in Arabic as Hayah Karima, was officially launched on January 2, 2019, by President Abdel Fattah El‑Sisi, with the aim of improving living conditions in Egypt’s most underserved rural communities by providing nationwide medical insurance.
The initiative began its first phase in July 2021, expanding to cover roughly 1,477 villages in 20 governorates under a comprehensive rural development.
To date, the first phase is approximately 88% complete. Over 23,000 projects have been implemented, benefiting around 18 million people, with total spending reaching EGP 302 billion out of an estimated EGP 350 billion budget. Full completion is expected during the 2025–26 fiscal year.
23 new hospitals under construction, with 77 percent of projects nearing completion.
Strategic Projects
National Project for Self-Sufficiency in Plasma Derivatives (launched in July 2021): Establishment of 20 plasma collection centers and a central storage facility.
Medical City in the New Administrative Capital: A major development featuring premium hospitals, a medical university, and a nursing school—targeting medical tourism and expatriate patients, particularly from Gulf countries.
Medical Equipment and Imports
Egypt relies heavily on imported medical equipment such as:
Radiography and ultrasound machines
Dialysis units
Vital signs monitors
Laboratory microscopes
The El Gomhoureya Company, a state-owned distributor, dominates the medical equipment import market and is undergoing restructuring to boost regional competitiveness. Equipment imports are subject to strict customs regulations—only brand-new devices are permitted, excluding refurbished goods.
Opportunities
Egypt’s focus on preventative care, universal health coverage, and infrastructure development opens avenues across a range of services and sectors.
Short-to-Mid-Term Opportunities:
Supply of medical devices and laboratory equipment
Digital health solutions and mobile clinics
Procurement of diagnostic and ICU equipment
Mid-to-Long-Term Opportunities:
Hospital and healthcare facility construction/rehabilitation
Emergency and ambulatory care services
Capacity building: training for physicians, nurses, and lab technicians
Development of biological and lab research centers
Creation and implementation of healthcare quality standards
Consultancy services for regulatory and accreditation authorities
Regulatory training, including FDA classification programs for officials
Private Sector Growth
The private sector has seen a significant upturn in investment post-COVID-19 with a sharp rise in:
Private hospitals and clinics
Demand for modern diagnostics and therapeutic devices
Imported medical equipment, often procured through international channels
The GOE has allocated the land to establish a Medical City in the NAC that would include high-end healthcare providers and host a medical and nursing school. The aim is to provide comprehensive and high-level services to Egyptians who normally seek treatment abroad and to attract patients from the Gulf.
Technical medical equipment, such as radiography and ultrasound apparatus, vital statistic monitors, dialysis machines, and laboratory microscopes are imported and distributed by a handful of companies that benefit from low import tariffs, the biggest of which being government-owned El Gomhoureya. El Gomhoureya Company is undergoing reorganization to enable it to compete regionally.
Private healthcare providers often choose to import the equipment they need, which, according to the country’s customs laws, must be brand new to be allowed into the country (no refurbished goods). This can be a complicated process, yet Egyptian physicians who travel abroad for conferences often acquire devices in this manner. Therefore, after acquiring these devices abroad, they must wait a long time before they can successfully import them into Egypt.
As a result of the Covid-19 outbreak and the resulting healthcare crisis, the Egyptian government pledged to improve its regulation of the healthcare sector. Since 2022, there has been a boost in the purchase of medical devices by the private sector. Similarly, there is a proliferation of privately-owned hospitals and clinics, which has steeply increased the demand for medical and lab equipment and medical personnel. Although there has been some improvement in the registration process, bureaucratic red tape remains a business impediment, and the tendering process is not transparent.
Leading Sub-sectors
Best sales prospects in medical equipment and supplies include, but are not limited to, the following categories:
Diagnostic imaging equipment
Oncology and radiology equipment
Medical disposable supplies
Surgical and medical equipment
ICU monitoring equipment
Laboratory and scientific equipment
Mobile clinics
Digital equipment
Opportunities
The government prefers investing in preventative medicine, which offers opportunities to supply medical devices. According to the World Bank, less than 5 percent of Egypt’s total investments are allocated toward health services. Considering the strong demand, the medical device sector is ripe for substantial growth in the short to the mid-term.
In line with the country’s efforts to upgrade its overall healthcare system, it is expected that there will be opportunities in the mid to long term in the following services:
Medical devices and lab equipment
Construction, management, and rehabilitation of hospitals and rural healthcare facilities
Emergency care (ambulatory) services
Training programs for physicians, nurses, and lab technicians
Establishment of biological and laboratory centers
Development of quality standards for hospitals, laboratories, and healthcare institutions
Capacity building and consultancy services for regulatory and accreditation bodies
Training programs including FDA-drug classification for government officials.
For more information on the Healthcare sector, contact:
Rania Mekhail
Supervisory Commercial Specialist
U.S. Embassy Cairo