Juli 2025 – Medizintechnikmarkt Kambodscha – Die Zeiten, in denen sich die Bevölkerung Kambodschas in Tempelanlagen wie Neak Pean – dem „Krankenhaus des 12. Jahrhunderts“ – mit Bädern in den vier Elementen behandeln ließ, sind längst vorbei. Ebenso die dunkle Ära der Roten Khmer. Dennoch gehört das Land weiterhin zu den ärmsten der Welt. Doch im Gesundheitswesen zeichnet sich ein deutlicher Wandel ab: Der Medizintechnikmarkt befindet sich in einer dynamischen Wachstumsphase
In den letzten 20 Jahren haben sich die Gesundheitsausgaben versechsfacht. Aktuellen Prognosen zufolge wird der Markt 2025 einen Umsatz von rund 95 Mio. Euro erreichen und bis 2029 auf 125 Mio. Euro anwachsen – das ist eine jährliche Wachstumsrate von 7,28 Prozent. Dieser Auf schwung wird von staatlichen Investitionen und internationalen Partnerschaften getragen.
Strukturelle Herausforderungen im Gesundheitssektor
Trotz der positiven Entwicklung bleibt die medizinische Versorgung in Kambodscha mangelhaft. Das Pro-Kopf-Einkommen liegt bei nur 1.500 US-Dollar (2020), und rund 90 Prozent der Beschäftigten arbeiten in der informellen Wirtschaft ohne ausreichende Absicherung. Die Bevölkerung trägt etwa zwei Drittel der Gesundheitskosten selbst, während der Rest durch staatliche Mittel und internationale Hilfsorganisationen finanziert wird.
Die Qualität der medizinischen Versorgung in Kambodscha ist insgesamt sehr gering. Die Gründe sind das niedrige Pro-Kop-Einkommen, das Fehlen einer flächendeckenden Krankenversicherung und die unzureichende Absicherung der Beschäftigten in der informellen Wirtschaft. Verglichen mit anderen asiatischen Ländern – insbesondere dem Nachbarland Vietnam – ist Kambodscha mit 17,4 Mio. Einwohnern ein kleines Land. Schätzungen gehen davon aus, dass die Bevölkerung bis 2034 auf 19,5 Mio. ansteigen wird.
Die Altersstruktur ist relativ jung: 46,9 Prozent der Einwohner ist zwischen 25 und 64 Jahre alt. Aufgrund des erheblichen Rückgangs der Säuglingssterblichkeit sind heute 30 Prozent der Menschen zwischen 0 und 14 Jahre alt.
Das 2023 eröffnete staatliche Techo Santepheap National Hospital in Phnom Penh mit über 10.000 Betten ist ein Beispiel für die Bemühungen der Regierung, die Infrastruktur zu verbessern. Zudem wurden iin der Vergangenheit zahlreiche “Freundschaftskrankenhäuser” mit ausländischer Unterstützung errichtet, …
Cambodia – opportunities in a growing sector of Medical Technolgoy – the times when the people of Cambodia were treated with baths in the four elements in temples such as Neak Pean – the ‘hospital of the 12th century’ – are long gone. Likewise the dark era of the Khmer Rouge. Nevertheless, the country is still one of the poorest in the world. However, a clear change is emerging in the healthcare sector: the medical technology market is in a dynamic growth phase.
June 2025, in the last 20 years, healthcare expenditure has increased six-fold. According to current forecasts, the market will reach a turnover of around 95 million euros in 2025 and grow to 125 million euros by 2029 – an annual growth rate of 7.28%. This upturn will be fuelled by government investment and international partnerships.
Structural challenges in the healthcare sector
In Cambodia are opportunities in a growing sector of medical technology. The positive development, medical care in Cambodia remains inadequate. Per capita income is only USD 1,500 (2020), and around 90% of those employed work in the informal economy without adequate cover. The population bears around two thirds of healthcare costs themselves, while the rest is financed by state funds and international aid organisations.
The overall quality of medical care in Cambodia is very low. The reasons for this are the low per capita income, the lack of comprehensive health insurance and the inadequate coverage of employees in the informal economy. Compared to other Asian countries – in particular its neighbour Vietnam – Cambodia is a small country with a population of 17.4 million. It is estimated that the population will increase to 19.5 million by 2034. The age structure is relatively young: 46.9% of the population is between 25 and 64 years old. Due to the significant decline in infant mortality, 30% of people are now between 0 and 14 years old.
The state-run Techo Santepheap National Hospital in Phnom Penh, which opened in 2023 with over 10,000 beds, is an example of the government’s efforts to improve infrastructure. In addition, numerous ‘friendship hospitals’ have been built with foreign support in the past, including by Japan, France and South Korea (USD 66 million for the University of Health Sciences Hospital in Phnom Penh).
At the same time, the private healthcare sector is growing thanks to the establishment of new branches by foreign hospital companies. For example, the Thai healthcare group Bangkok Dusit Medical Services has built the Royal Phnom Penh Hospital and the Royal Angkor International Hospital. The Sunrise Japan Hospital in Phnom Penh is operated by Japanese investors and relies on modern medical technology.
Growth areas and market opportunities for medical technology
The demand for medical equipment is increasing, particularly in the following areas:
Diagnostics: Ultrasound, CT and MRI equipment
Telemedicine: solutions for rural care (70% of the population live outside the cities)
Chronic diseases: Diabetes care
Dental technology: Favourable treatments attract medical tourists
Protective equipment: hygiene products
Devices for geriatric medicine: the over-65 age group, which currently accounts for 6% of the total population, will grow in the coming years
Medicines and food supplements
As private hospitals and international clinics increase, there is also a need for high-quality equipment – however, the solutions must be cost-effective and easy to use, as there is a shortage of skilled labour.
The following documents are required for registration:
Application form
Letter of Authorisation (LoA)
Declaration of Conformity (DoC)
ISO/GMP certificate
Technical dossier (according to Prakas 2138 and the CSDT template according to ASEAN MDD standard)
The product labelling should be in Khmer and the certification is valid for three years.
Conclusion: Attractive entry opportunities for German providers
Despite financial and structural hurdles, Cambodia offers promising prospects for medical technology manufacturers. The growing private sector, government investment and increasing demand for affordable but reliable solutions are creating good market entry opportunities – especially for companies that offer cost-effective and user-friendly devices.
Medical Technology Market in India – Engagement pays off
Authors: Maria Klaas, Klaas consulting and Harshita Gupta, Morulaa Healthtech PVT. Ltd.
May 2023 – Medical Technology Market in India. India, the seventh largest country in the world with a population of almost 1.4 billion, offers medical device manufacturers a market with great opportunities, but also with many challenges.
According to GTAI, the market is growing at an average rate of 22% per year. The current market size is estimated at 11 billion USD. Ernest & Young consider a growth of up to 50 billion USD possible in 2050.
(Dec 24) Number of hospital treatments in Germany increased by 2.4% to 17.2 million in 2023. Nevertheless, not yet at the pre-corona level of 2019 of 19.4 million (according to the Federal Statistical Office). Read more about the QB Analyser. It can tell you in which hospitals the treatments take place.
(Dec 24) India: according to an E&A analysis, the medtech market is expected to grow from USD 12 billion in 2023/24 to USD 50 billion by 2030. India will remain heavily dependent on imports. In 2023/24, approx. 85% was sourced from abroad. Germany accounted for 11%. Market entry India: read here.
(Aug 24) 48 Notified Bodies in 18 countries are now accredited. Currently there are 10 each in Italy and Germany, 3 in the Netherlands; in addition, two each in Finland, Poland and Czech Republic and one each in Belgium, Denmark, Hungary, Lithuania, Norway, Slovakia, Slovenia, Spain, Sweden,Turkey, Ireland, Croatia and Cyprus. Nando database. GMED SAS from France, Paris is no longer a Notified Body
(Aug 24) Roland Berger Hospital Study 2024 in Germany. Larger hospitals expect a positive development in the coming years. Smaller hospitals are rather pessimistic about the future. According to the study, mergers could be a solution. (in German)
(July 24) New MDCG guideline on the clinical evaluation of orphan devices
(July 24) According to the current Hospital Rating Report 2024, 10% of hospitals are in the "red zone" with an increased risk of insolvency.
(June 24) According to the spring survey of the Hospital Index of the German Hospital Institute (DKI) (in German) 61% of German general hospitals rate their current economic situation as poor (40%) or very poor (21%). The reason for this is the forthcoming Hospital Care Improvement Act (KHVVG)
(Jan 24) TÜV Süd BABT Unlimited is an approved UK Aproved Body (UKAB) for Part III of the UK Medical Devices Regulations 2002 for Active Implantable Medical Devices (AIMD). Manufacturers can now obtain both UKCA and CE certification from TÜV Süd at the lysame time.
(Jan 24) Expansion of the AOP catalogue by the GKV-Spitzenverband
(Jan 24) Eudamed: the mandatory use of the UDI/Medical Devices Registration and Certificates/Notified Bodies modules has been postponed from Q1 2026 to Q2 2029
(Aug 23) Swissdamed (Swiss Database on Medical): ACT module, available from the beginning of 2024 for the registration of companies; registration of products via UDI module, available from summer 2024.
(May 23) Great Britain decides to extend the deadline for CE marking of medical devices according to MDR. From July 2025, the new legal framework is to apply
(Dec 22) According to. MHRA (Medicines & Healthcare products Regulatory Agency), the United Kingdom will continue to recognise the CE mark for medical devices until 30 June 2024. Previously, 30.6.2023 was planned.
(Nov 22) According to the Roland Berger study "Global MedTech-How to succeed in uncertain times", the medical technology industry is struggling with high energy costs, rising inflation and supply chain problems. Solutions are offered by digitalisation, more benefit-based billing models and the shift towards personalised medicine.
(Nov 22) Facts&Figures 2022 from MedTech Europe, the European trade association for the medical technology industry
(Nov 22) New MDCG document on requirements for Notified Bodies - in the context of the MDR as well as IVDR
(Nov 22) Swissmedic refers to aleaflet on the obligations for authorised representatives, importers and distributors
(June 22) studies published by the German Society for Biomedical Engineering in the VDE (VDE DGBMT)
Medical device manufacturers can apply to the Joint Federal Committee (G-BA) for the NUB and receive advice on the procedure. Rules of Procedure of the G-BA.
(April 22) Distinction between medical devices and medicinal products: Guidance document MDCG 2022 of the Medical Devices Coordination Group
Internet platform for medical needs in Ukraine by the German initiative Medical Bridge.eu
European industry association for digital assistive technology DATEurope founded in early 2021. DAT includes aids for communication, for the blind and visually impaired, for environmental control, assistive call systems, software tools and robotics.
