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Healthcare Resource Guide: Cyprus

Cyprus Statistics


Summary

Market Entry

Current Market Trends

Main Competitors

Current Demand

Registration Process

Reimbursement

Barriers

Trade Events
FAQs

Best Prospects

CS Contacts

Market Size

Capital: Nicosia

Population: 1.2 million GDP: USD 19.93 billion (2016)

Currency: Euro (€)

Language: Greek, Turkish, English

Summary

Cyprus is the only European Union (EU) member state without universal health coverage. However, members of the House of Parliament approved a major healthcare reform package that paves the way for the country’s first universal healthcare system by 2020. In 2013, under Cyprus’ economic restructuring program, the island’s creditors (IMF, European Commission, and European Central Bank) recommended the government stand-up a National Health Insurance (NHI) scheme as a means of reducing government expenditures on health care and introducing competition in the sector. The proposed scheme will introduce a single insurer, the Health Insurance Organization (NIO), and will be funded by contributions from employers, employees, other income-earners such as pensioners, as well as the government. Implementation of the NHI scheme or increased competition in the health care system could open new commercial opportunities for U.S. health-related products and services.

The Ministry of Health (MOH) is responsible for the management and oversight of Cyprus’ public health care sector, which is funded through the national budget. The approved health care budget for 2017 is €560.2 million, an increase of 3.2 percent over 2016.

Cyprus does not have a domestic medical device manufacturing industry and all medical devices are imported. About 90 percent of medical devices are imported from EU countries, including (non-EU manufactured) medical devices that are re-exported from EU countries to Cyprus. The remaining 10 percent are imported from China, Israel, Japan, Canada, and the United States. As per the Cyprus Statistical Service, Cyprus imported 2.1 percent of all medical devices from the United States’ in 2016. According to the Ministry of Health’s Medical Devices Competent Authority, the public sector spent a total of €44 million on medical apparatus in 2015: €8 million on medical devices and equipment, €27 million on consumables, such as syringes, gauzes, needles, sterilizers, and €9 million on lab chemicals.

  • Area Administered by Turkish Cypriots

“Turkish Republic of Northern Cyprus” (“TRNC”) health “authorities” have sought to harmonize health “legislation” with EU standards, follow World Health Organization international health regulations, and have worked with counterparts in the ROC to address cross-island matters affecting both communities. Goods crossing the UN Buffer Zone are governed under the EU’s Green Line Regulation, which sets out the terms under which persons and goods can cross from the non-ROC-controlled areas into the ROC-controlled areas.

The “TRNC” is only recognized by Turkey and most of its imports, including medical devices are imported from Turkey. According to Turkey’s Ministry of Economy, in 2016, the “TRNC” imported $9.7 million in medical devices from Turkey. Economic and commercial data in the “TRNC” are unreliable.

Market Entry

As a member of the EU, Cyprus’ legislation concerning medical devices complies with the following EU directives: active implantable medical devices 90/385/EEC, medical device 93/42/EEC and in-vitro medical devices 98/79/EC as well as all the supplemental EU directives from past years. Medical trade is duty-free within the EU, as are most of the products coming from non-EU countries. Manufacturers from non-EU countries have to identify an EU-based authorized representative unless the manufacturer has a registered business in the EU. The representative serves as the point of contact for the appropriate authorities in Cyprus and can serve purely as an administrative agent or as an importer/distributor. A product for final sale or use in Cyprus should be marked with the "Conformité Européene" (CE) identification. To affix the CE mark, the device has to be in conformity with the general requirements contained in the first annex of the three directives on medical devices. If a medical device is correctly marked as CE, it does not need additional approval or certification to be marketed throughout the EU. Furthermore, depending on the medical product, some requirements might be in place in relation to the language of the device information.

Current Market Trends

The Department of Electronic Communications (DEC) of the Ministry of Communications and Works, with the guidance of the Advisory Committee for Information Society, has developed a comprehensive “Digital Strategy (DG) for Cyprus” for the period 2012-2020. The strategy promotes the use of Information and Communication Technologies (ICT) in all sectors of the economy and society including health. The overall vision of the DG for Cyprus on health includes but is not limited to the following:

  • Install and operate in all public hospitals the Integrated Health Care Information System that covers the key elements of the hospital procedures in order to control both quality of service to patients and hospital cost
  • Install and operate the drug management system in all hospitals
  • Create regional health networks to exchange information between all health care providers
  • Create an Internet portal to provide private physicians access to patients’ electronic health records
  • Design and implement an Ambient Assisted Living (AAL) program
  • Use Telemedicine

Main Competitors

U.S. exporters’ main competitors include companies from China, Germany, the United Kingdom and Italy. Other competitors include France, Sweden, Switzerland, Netherlands, Poland, and Belgium.

Current Demand

The purchase of Computed Tomography (CT scans) and Magnetic Resonance Imaging (MRI) is in demand for use in public hospitals.

Registration Process

As a member state of the EU since 2004, Cyprus has adapted its national legislation to abide by EU law. In accordance with relevant legislation, the authority for the implementation of regulations related to medical equipment is the Medical Devices Competent Authority of Medical and Public Health Services. The duty of the Competent Authority is the development and operation of all necessary mechanisms so that medical devices are correctly registered and safely placed into the Cyprus market. The medical devices sector includes a wide variety of products ranging from bandages and syringes to more sophisticated products which incorporate advanced technologies such as nanotechnology and tissue engineering. Please refer to the “Market Entry” above for a full explanation of the registration process.

Reimbursement

No information available at this time.

Barriers

There are no restrictions on imports in Cyprus, as long as they comply with EU regulations. The import climate is open to equipment that is innovative and of good quality.

Procurement & Tenders

The Republic of Cyprus announces all tenders through the Ministry of the Treasury’s Public Procurement Directorate at https://www.eprocurement.gov.cy/epps/home.do.

The procurement website also provides FAQs on how to register an organization and submit offers.

Trade Events

At present, there are no medical fairs planned in Cyprus. Cypriot medical importers/distributors attend European and other medical fairs.

Local Associations

Cyprus Association of Importers of Medical & Scientific Instruments:

http://saieek.com/index.php/en/

Government Links

Cyprus Medical Devices Competent Authority:

http://www.moh.gov.cy/MOH/mphs/mphs.nsf/phs9a_en/phs9a_en?OpenDocument

Ministry of Health:

http://www.moh.gov.cy/moh/moh.nsf/index_en/index_en?OpenDocument

Health Insurance Organization:

http://www.hio.org.cy/

Purchasing and Supply Directorate:

http://www.moh.gov.cy/moh/moh.nsf/page67_en/page67_en?OpenDocument

Treasury – Public Procurement Directorate / eProcurement:

http://www.treasury.gov.cy/treasury/publicpro/ppro.nsf/dmlindex_en/dmlindex_en?OpenDocument

Department of Electronic Communications:

http://www.mcw.gov.cy/mcw/dec/dec.nsf/DMLindex_en/DMLindex_en?opendocument

Medical and Public Health Services:

http://www.moh.gov.cy/moh/moh.nsf/medpub_en/medpub_en?OpenDocument

Frequently Asked Questions (FAQs)

  • What are the requirements for market entry? What is the registration process?

As a member state of the EU since 2004, Cyprus has adapted its national legislation to abide by EU law. In accordance with relevant legislation, the authority for the implementation of regulations related to medical equipment is the Medical Devices Competent Authority of Medical and Public Health Services. Medical trade is duty-free within the EU, as are most of the products coming from non-EU countries. Manufacturers from non-EU countries have to identify an EU-based authorized representative unless the manufacturer has a registered business in the EU. The representative serves as the point of contact for the appropriate authorities in Cyprus and can serve purely as an administrative agent or as an importer/distributor. A product for final sale or use in Cyprus should be marked with the "Conformité Européene" (CE) identification. Please refer to the “Market Entry” and “Registration Process” sections for further information.

  • Are there any barriers on imports?

There are no restrictions on imports in Cyprus, as long as they comply with EU regulations. The import climate is open to equipment that is innovative and of good quality.

U.S. Commercial Service Contact Information

Name: Anna Agrotou

Position: Commercial Assistant

Email: agrotou@state.gov

Phone: +357-22-393520

Best Prospects

  • Republic of Cyprus:

Tenders for the implementation of the NHI scheme are expected within the next two years. The tenders will call for applications for electronic medical record systems, health care information systems, business intelligence for health, electronic content management, and decision support and knowledge management. Tools will include software and hardware devices as well as equipment.

  • Area Administered by Turkish Cypriots:

Medical devices, medical disposables, and medical equipment are developing markets in the Area Administered by Turkish Cypriots.

Market Size

Healthcare spending (including investment)

 

... as percent of GDP

7.4%

... of which spent on inpatient services (including long-term care)

€342 Million

... of which spent on pharmaceuticals/consumables

€396 Million

... of which spent on investments

€290 million (provides all healthcare expenditure except capital investment, when subtracted from total health expenditure provides investment total)

... of which spent on outpatient services

€386.59 Million

Hospitals, Procedures, Healthcare Professionals

Number of hospitals

 

…Public:

33

…Private:

10 (74 including private clinics)

Number of hospital beds:

2,895

... available beds per capita:

298 people/ bed

...of which in general hospitals:

2,895

...of which in specialized clinics and rehabilitation centers:

N/A

Number of surgical procedures:

7,455 per 100,000 people

...of which:

Cataract Surgery

...of which:

Caesarian Section

Physicians:

250/ 100,000 people

...of which surgeons:

89/ 100,000 people

...of which internists:

0.67/ 100,000 people

...of which pediatricians:

28/ 100,000 people

Dentists:

783

Demographics

Population:

1.2 million

Life expectancy men/women:

75.8 years for men/81.6 years for women

Infant mortality:

8.1 deaths/1000 live births

Percent of population older than 65:

11.8%

...projection, 2030:

17.6%

Annual deaths:

6.7 deaths/1000 people

...caused by:

Heart disease

...caused by:

Malignant neoplasm

Prevalence of Diabetes

 

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