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General Directorate of Statistics & Information, Ministry of Health

Kingdom of Saudi Arabia

www.moh.gov.sa

http://www.moh.gov.sa

The Custodian of the Two Holy Mosques

King Abdullah bin Abdulaziz Al-Saud (God Bless Him)

His Royal Highness Crown Prince

Salman bin Abdulaziz Al Saud First Deputy Prime Minister and Minister of Defense

(God Bless Him)

His Royal Highness Deputy Crown Prince

Muqrin bin Abdulaziz Al Saud Second Deputy Prime Minister

(God Bless Him)

1434

Health Statistics Annual Book

Content Page

Forward 9

About the Ministry of Health 10

Section I: Health Status

11 Chapter 1: Main Indicators

Section II: Health Resources

Chapter 2: Health resources at the MOH 24

Chapter 3: Primary health care centers at the MOH 35

Chapter 4: Hospitals and beds at the MOH 46

Chapter 5: Health resources in other governmental sectors 61

Chapter 6: Health resources in the private sector 70

Chapter 7: Total health resources in all health sectors in the Kingdom 84

Chapter 8: Medical education 96

108 Chapter 9: Training

TABLE OF CONTENTS

Section III: Public Health and Preventive Medicine

Chapter 10: Infectious diseases 117

Chapter 11: Chest diseases 134

Chapter 12: Bilharziasis 142

Chapter 13: Leishmaniasis 146

Chapter 14: Malaria 152

157 Chapter 15: Environmental health and health education activities

2013

Health Statistics Annual Book

Section V: Health Services During Hajj Season

251 Chapter 30: Health Services during Hajj Season

Section IV: Health Services and Activities

Chapter 16: Outpatient visits 162

Chapter 17: Inpatients (admissions to hospitals) 179

Chapter 18: Surgical operations 187

Chapter 19: Deliveries and births 195

Chapter 20: Ophthalmology 202

Chapter 21: Psychiatric and social health 205

Chapter 22: Dental services 211

Chapter 23: Hemodialysis and organ transplantations 215

218 Chapter 24: Laboratory & radiology investigations and blood bank

Chapter 25: Medical rehabilitation 228

Chapter 26: Medical commissions 233

Chapter 27: Nutrition 239

Chapter 28: Other activities 242

Chapter 29: Deaths registered at MOH hospitals 247

List of Tables 258

List of Figures 261

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Health Statistics Annual Book

In the name of Allah, the Most Gracious, the Most Merciful

All praise be to Allah, peace and blessings be upon the last of the prophets and messengers, Prophet

Muhammad, and upon his family and companions.

The Ministry of Health is devoting extensive efforts to enhance health services and make it accessible to

every citizen and resident of our beloved country. This is achieved through the different health care service plat-

forms available in all regions of the Kingdom, and through constructive collaboration among the health sectors

of the different governmental agencies, including Ministries of Interior, Defense, National Guard, and Higher

Education, as well as the private health care sector.

In line with the sound directives of the Custodian of the Two Holy Mosques and Their Royal Highnesses

the Crown Prince and the Deputy Crown Prince Second Deputy Prime Minister - God bless them, this Ministry

has been keen on providing the best health services at all levels of preventive, diagnostic, therapeutic, and reha-

bilitative care in accordance with the latest evidence-based medicine and state-of-the-art medical technologies.

It is important to highlight that The Kingdom has made great strides, Praise to Allah, in the delivery of

outstanding health services, which placed it in a prominent position at the regional and international levels. As a

testimony of these activities and accomplishments, it is my great pleasure to present to the reader, the ‘Health

Statistics Annual Book’, which the Ministry publishes every year to highlight the health care achievements and

the score of activities at all levels.

This Book reports on comprehensive data about the Ministry of Health facilities, their activities and ser-

vices rendered in the Kingdom. The Book also presents thorough statistics about the facilities and health ser-

vices provided by other governmental agencies as well as the private sector. It also sheds light on the health ser-

vices provided by the Ministry to pilgrims and visitors in seasons of Hajj and Umrah in the holy sites of Makkah

and Medinah and at the ports of entry for pilgrims whether by land, sea or air.

Lastly, I hope that this latest version would be an informative resource for all health practitioners, spe-

cialists, researchers, and scholars who are interested to know about population health indicators as well as the

latest developments reached by the Kingdom in health service delivery. I ask Allah the Almighty to guide us to

what He loves and pleases and that our deeds be purely dedicated to Him.

Adel Bin Mohammad Faqih

Acting Minister of Health

FOREWORD

2013

Health Statistics Annual Book

Patient first

Justice

Professionalism

Quality

Honesty and transparency

Teamwork

Initiative and productivity

Societal involvement

Mission

The Ministry of Health (MOH) is committed to the mission assigned to it since its first coming into

being; i.e. the provision of healthcare at all levels, promotion of general health and prevention of dis-

eases, in addition to developing the laws and legislations regulating both the governmental and pri-

vate health sectors. Aside from that, MOH is accountable for performance monitoring in health insti-

tutions, along with the research activity and academic training in the field of health investment.

Vision

The Ministry of Health (MOH), by way of its objectives, policies and projects, seeks to accomplish a

promising future vision; namely, delivering best-quality integrated and comprehensive healthcare

services.

Values

The following set of basic values and principles govern the work in all MOH facilities:

ABOUT THE MOH

Chapter 1: Main Indicators

HEALTH STATUS

SECTION I.

2013 Health Statistics Annual Book

MAIN INDICATORS 1.

HOW DOES KSA COMPARE?

Life expectancy in KSA for year 2013 (75 years) exceeds the regional average

by 7 years and exceeds the global average by 5 years.

Percentage of population under 15 years of age in KSA for year 2013 (30.8%) is

almost similar to that of the Eastern Mediterranean Region (34%) and is

higher than the percentage reported globally (27%).

Crude birth rate (per 1,000 population) in KSA for year 2013 (22) is lower than

both the regional (31.4) and global (24.3) averages.

Crude death rate (per 1,000 population) in KSA for year 2013 (3.8) is lower than

the regional rate (6.3) and is almost half the global rate (7.9).

Infant mortality rate (per 1,000 live births) among Saudis for year 2013 (8) is

63% less than the regional rate (44) and 56% less than the global rate (37).

Source: World Health Statistics Report (2013),World Health Organization

The Ministry of Health in the Kingdom of Saudi Arabia is committed to providing the latest health sta-

tistics and information for all partners in the health sector, including decision-makers and health care

service providers. From that end, the Ministry issues its annual report which includes all the figures

and data pertaining to health care across different sectors of the Kingdom. Among the most im-

portant data to be included in this report are the main indicators that reflects the growth of the health

sector and the development of health services over the past couple of years. Indicators gain their im-

portance for two chief reasons: First, they provides an ample review of the current situation in terms

of health performance. And second, indicators allows for a close assessment of health strategies and

stand on the progress towards achieving the stated goals, whether short-or long-term. This first chap-

ter of the report offers a detailed record of the most important demographic, economic, and health

indicators in the Kingdom. As well, it presents a geographical distribution by the thirteen administra-

tive regions of the kingdom and the trend over time for some selected indicators. And similar to other

chapters of this report, this chapter displays the most important points in ‘sound-bite’ boxes that com-

pare the performance of the Kingdom, show the trend across time, and present the key achievements

at the level of the Kingdom.

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KEY ACHIEVEMENTS ...

Incidence rate of measles decreased by more than two thirds between years

2006 (3.41 per 100,000 population) and 2013 (0.84 per 100,000 popula-

tion).

Between the years 2006 and 2013, overall immunization coverage for DPT,

OPV, BCG, MMR and PCV across the Kingdom increased from 95% to

around 98%.

TREND OVER TIME…

In terms of health human resources, there has been an increase in the

rate of personnel per 10,000 population between years 2006 and 2013,

with an increase of 27.6% among physicians, 68% among dentists, 33.1%

among nurses, 19.5% among pharmacists, and 53% among allied health

professionals.

2013 Health Statistics Annual Book

Year Indicator

Total Estimated Population Size 29,994,272 2013

Crude birth rate per 1,000 population 22 2013

Annual population growth rate (%)

Total

Saudi

Non-Saudi

2.7

2.15

2013

Percentage of population under 5 years (%) 10.8 2013

Percentage of population under 15 years (%) 30.8 2013

Percentage of population 15- 64 years (%) 66.2 2013

Percentage of population 65 years & above (%) 3 2013

Total fertility rate 2.81 2013

Life expectancy at birth

Total

Male

Female

72.9

75.4

2013

Percentage of low birth weight (%) 9.1 2012

Indicator Year

Gross Domestic Product (GDP) per capita (in USD) 24,914 2013

Percentage of MOH Budget of total governmental budget (%) 6.6 2013

Year Indicator Percentage (%)

Pentavalent Vaccine* 97.7 2013

Oral Polio Vaccine (OPV) 97.7 2013

BCG Vaccine 98.8 2013

MMR Vaccine** 97.9 2013

Pneumococcal Conjugate Vaccine (PCV) 97.7 2013

Table 1.1: Demographic indicators, KSA, 2013

Table 1.2: Economic indicators, KSA, 2013

Table 1.3: Immunization coverage, KSA, 2013

Source: Central Department of Statistics & Information

* Includes Diphtheria, Pertussis, Tetanus, Haemophilus influenza type B and Hepatitis B

** Includes Measles, Mumps and Rubella

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Indicator Rate

(per 10,000 population) Year

Physicians 26.8 2013

Dentists 4.2 2013

Pharmacists 7.3 2013

Nurses 51.5 2013

Allied health professional 30.6 2013

MOH primary health care centers 0.75 2013

Hospital Beds (all sectors), KSA 21.6 2013

MOH hospital beds 13.0 2013

Other governmental sector hospital beds 3.8 2013

Private hospital beds 4.8 2013

Table 1.4: Health resources, KSA, 2013

Indicator Rate Year

Crude death rate per 1,000 population 3.8 2012

Infants mortality rate per 1,000 Saudi live births 8.0 2013

Neonatal mortality rate per 1,000 live births 5.0 2013

Under 5 mortality rate per 1,000 live births 9.0 2013

Maternal mortality rate per 10,000 live births 14.0 2012

Indicator

Rate

(per 100,000

population)

Year

Poliomyelitis 0.00 2013

Whooping cough 0.00 2013

Measles 0.84 2013

Neonatal tetanus per 1,000 live births 0.02 2013

Extra-pulmonary TB 8.16 2013

Pulmonary & extra-pulmonary TB 2.92 2013

Table 1.5: Morbidity Indicators of some immunization targeted diseases, KSA, 2013

Table 1.6: Mortality indicators, KSA, 2013

Source: Central Department of Statistics & Information

2013 Health Statistics Annual Book

Table 1.7: Population by nationality and region, KSA, 2013

Regions Saudi Non-Saudi Total

Riyadh 4,655,845 2,861,114 7,516,959

Makkah 1,152,570 902,053 2,054,623

Jeddah 2,062,236 2,045,920 4,108,156

Ta`if 986,090 242,224 1,228,314

Medinah 1,368,026 594,532 1,962,558

Qaseem 1,006,089 331,474 1,337,563

Eastern 1,838,059 1,103,177 2,941,236

Al-Ahsa 943,335 222,087 1,165,422

Hafr Al-Baten 351,345 75,838 427,183

Aseer 1,411,555 313,499 1,725,054

Bishah 312,247 58,553 370,800

Tabouk 716,409 150,394 866,803

Ha`il 527,922 126,814 654,736

Northern 290,590 60,382 350,972

Jazan 1,197,453 299,924 1,497,377

Najran 436,057 119,072 555,129

Al-Bahah 377,773 72,960 450,733

Al-Jouf 247,364 74,024 321,388

Qurayyat 130,925 30,825 161,750

Qunfudah 259,168 38,348 297,516

Total 20,271,058 9,723,214 29,994,272

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Table 1.8: Rate of MOH hospital beds per 10,000 population by region, KSA, 2013

Regions Population Hospital beds Bed rate per 10,000

population

Riyadh 7,516,959 7,737 10.6

Makkah 2,054,623 22522 12.3

Jeddah 4,108,156 22773 7.3

Ta`if 1,228,314 224,5 19.7

Medinah 1,962,558 227,2 14.1

Qaseem 1,337,563 22,,4 19.9

Eastern 2,941,236 3205, 10.4

Al-Ahsa 1,165,422 ,2555 13.3

Hafr Al-Baten 427,183 ,2000 23.4

Aseer 1,725,054 22400 13.9

Bishah 370,800 770 20.8

Tabouk 866,803 ,2,70 13.5

Ha`il 654,736 ,2,25 17.2

Northern 350,972 ,20,0 28.8

Jazan 1,497,377 ,2250 12.4

Najran 555,129 ,2,00 19.8

Al-Bahah 450,733 ,2025 24.1

Al-Jouf 321,388 2,0 26.8

Qurayyat 161,750 470 30.3

Qunfudah 297,516 200 6.7

Total 29,994,272 079,83 13.0

2013 Health Statistics Annual Book

Figure 1.1: Geographic distribution of population in KSA, 2013

Total Population

Saudi Population

Non-Saudi Population

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Figure 1.2: Total estimated population in the Kingdom for the time period 2007 -2013

15-64 years – 66.2%

>65 years – 3.0% ——————

<15 years – 30.8%

<5 years – 10.8%

Figure 1.3: Population age-groups pyramid, 2013

Figure 1.5: Selected economic indicators for the time period 2007 - 2013

Figure 1.4: Population distribution by nationality, 2013

2013 Health Statistics Annual Book

Figure 1.6: Health human resources in the Kingdom for the time period 2007 - 2013

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Figure 1.7: Hospital beds in the Kingdom for the time period 2007 - 2013

Figure 1.8: Selected mortality indicators in the Kingdom for the period 2008 - 2013

HEALTH RESOURCES

SECTION II.

Chapter 2: Health resources at the MOH

Chapter 3: Primary health care centers at the MOH

Chapter 4: Hospitals and beds at the MOH

Chapter 5: Health resources in other governmental sectors

Chapter 6: Health resources in the private sector

Chapter 7: Total health resources in all health sectors in the Kingdom

Chapter 8: Medical education

Chapter 9: Training

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A Glance at the Ministry of Health Financing

The financial appropriations of the government budget allocated for the Ministry of Health (MOH)

is considered the main financing source for health resources. The Saudi government exerts effort

to ensure continuous support to the MOH through the five year developmental plan, in which the

allocated MOH budget undergoes continuous increase.

Budget Year Approved Positions

Health Cadre University Teaching

Staff

Teachers Cadre

Workers Total

2009 42,769 130,073 1 2 3,173 176,018

2010 43,881 139,099 1 2 3,086 186,069

2011 45,731 148,851 1 2 3,087 197,672

2012 47,917 157,431 1 2 3,087 208,438

2013 52,916 161,644 1 2 1,559 216,122

Figure 2.0: Budget appropriations for MOH in relation to government budget (top) and financial appropriations of the MOH budget (bottom), 2009-2013

Table 2.0: Job post appropriations for MOH, 2009-2013

Chapter 2: Health resources at the MOH

HEALTH RESOURCES

SECTION II.

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HEALTH RESOURCES AT

THE MOH 2.

Health Facilities of the Ministry of Health

Table 2.1 displays the distribution, by region of the Kingdom, of the health facilities of the Ministry of

Health (MOH) that are providing various health services during the year 2013. The highest number of

hospitals are present in Riyadh (47) and Aseer (21), then Madinah and Jazan (20 hospitals in each). The

highest number of primary health care (PHC) centers are present in Riyadh (435) and Aseer (238). In

total, the MOH operates 268 hospitals and 2,259 PHC centers.

Health Manpower in facilities of the Ministry of Health

The reported health manpower employed at facilities of the MOH comprised four categories: physi-

cians (including dentists), nurses, pharmacists, and allied health professionals (including technical

personnel). Figure 2.1 shows the distribution of the four categories of health manpower at the MOH

and their rations per 10,000 population across the regions of the Kingdom. For physicians, the highest

ratio is present in Northern Borders (25.16 physicians per 10,000 population). For nurses, the highest

ratio is present in Al-Jouf (69.42 nurses per 10,000 population). For pharmacists, the highest ratio is

present in Northern Borders (1.45 pharmacists per 10,000 population) which is close to that in Najran.

For Allied Health Professionals, the highest ratio is present in Qorayyat (34.37 professionals per

10,000 population).

The distribution of the four categories of health manpower at the MOH by region, nationality and gen-

der is displayed in Table 2.2. The total number of physicians (including dentists) is 37,895. The number

of Saudi physicians (including Saudi dentists) is 10,549 (representing 27.84% of the total number of

physicians at the MOH). The total number of nurses is 83,862. The number of Saudi nurses is 48,495

(representing 57.8% of the total number of nurses at the MOH). The total number of pharmacists is

2,381. The number of Saudi pharmacists is 2,149 (representing 90.3% of the total number of pharma-

cists at the MOH). The total number of allied health professionals is 50,743. The number of Saudi allied

health professionals is 45,194 (representing 89.1% of the total number of

allied health professionals at the MOH).

KEY ACHIEVEMENTS ...

Between years 2009 and 2013, the proportion of Saudis from the total health man-

power employed at the MOH increased from 54.2% to 60.8% .

More specifically, there has been a marked increase in the proportion of Saudis

within the nursing workforce during the three year period (2010 to 2013), from

48.7% in 2010 to 57.8% in 2013.

2013 Health Statistics Annual Book

TREND OVER TIME…

Total health manpower (including physicians, nurses, pharmacists, and

allied health professionals) employed by the MOH increased by 42.0% be-

tween years 2009 and 2013, with the addition of 51,738 personnel.

From year 2009 to 2013, the increase in health manpower employed at the MOH

was as follows: 46.7% among physicians, 32.5% among nurses, 44.0% among

pharmacists and 56.8% among allied health professionals.

During the period from year 2009 to 2013, the total number of Saudi health man-

power employed at the MOH increased by 59.4% (from 66,745 to 106,387),

while the total number of Non-Saudi health manpower increased by 21.4%

(from 56,398 to 68,494).

Figure 2.2 represents the change in proportions of health manpower employed by the MOH by na-

tionality during the time period of 2009-2013. From the total health manpower, the proportion of Sau-

dis increased from 54.2% in 2009 to 60.8% in 2013.

Table 2.3 displays the distribution of allied health professionals employed by the MOH by specialty,

and provides further details on the proportions of each specialty by nationality and gender.

Tables 2.4 and 2.5 display the distribution of technical & administrative personnel and workers em-

ployed at the MOH, respectively, by gender, nationality and region.

HOW DOES KSA COMPARE?

In 2013, there were 2.2 nurses for every physician employed at facilities of

the MOH in the KSA, in comparison to 1.3 nurses for every physician

in the Eastern Mediterranean Region (EMR) and 1.8 nurses for every

physician globally.

Source: World Health Statistics Report (2013),World Health Organization

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Table 2.1: Total MOH facilities by region, 2013

H o

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Regions

47 435 1 1 3 1 31 1 1 1 18 1 Riyadh

10 92 1 1 2 2 4 1 1 0 4 1 Makkah

13 108 0 0 3 1 5 1 1 2 8 1 Jeddah

14 120 0 0 1 0 6 1 1 0 2 1 Ta`if

20 154 1 0 2 1 11 1 1 3 7 1 Medinah

18 159 1 1 1 2 13 1 0 0 2 1 Qaseem

18 136 1 1 2 1 11 1 1 4 3 1 Eastern

9 71 1 0 1 1 1 1 0 2 1 1 Al-Ahsa

7 41 0 0 1 1 3 1 0 1 1 1 Hafr Al-Baten

21 238 0 0 2 1 12 1 0 1 1 1 Aseer

7 79 0 0 1 1 3 1 0 0 1 1 Bishah

11 73 0 0 1 0 7 0 0 3 1 1 Tabouk

11 100 1 0 1 0 7 1 1 0 2 1 Ha`il

8 45 1 0 2 2 5 1 0 1 4 1 Northern

20 155 0 0 1 2 8 1 0 2 2 1 Jazan

10 65 1 0 2 1 5 1 1 2 1 1 Najran

11 101 0 0 2 1 6 1 1 0 1 1 Al-Bahah

7 35 0 0 2 0 4 1 0 0 1 1 Al-Jouf

4 17 0 0 1 1 1 1 1 1 1 1 Qurayyat

2 35 0 0 1 1 1 1 0 0 1 1 Qunfudah

268 2,259 9 4 32 20 144 19 10 23 62 20 Total

2013 Health Statistics Annual Book

Figure 2.1: Ratio of health manpower in MOH facilities per 10,000 population by region, 2013

Pharmacists

# Includes dentists

Physicians #

Nurses

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Figure 2.1 (continued): Ratio of health manpower in MOH facilities per 10,000 population by region, 2013

Allied Health Professionals

# Includes dentists

Region

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Headquarter of MOH

329 N/A 519 N/A 167 N/A 573 N/A 1,588

Riyadh 6,985 9.29 16,858 22.43 555 0.74 10,095 13.43 34,493

Makkah 2,761 13.44 5,552 27.02 140 0.68 2,917 14.20 11,370

Jeddah 3,287 8.00 5,691 13.85 130 0.32 4,205 10.24 13,313

Ta`if 1,772 14.43 4,347 35.39 91 0.74 2,243 18.26 8,453

Medinah 2,938 14.97 6,752 34.40 136 0.69 3,547 18.07 13,373

Qaseem 2,258 16.88 5,348 39.98 133 0.99 3,704 27.69 11,443

Eastern 3,505 11.92 6,955 23.65 190 0.65 4,339 14.75 14,989

Al-Ahsa 1,566 13.44 3,308 28.38 69 0.59 1,921 16.48 6,864

Hafr Al-Baten 635 14.86 1,710 40.03 36 0.84 895 20.95 3,276

Aseer 2,286 13.25 4,785 27.74 182 1.06 2,991 17.34 10,244

Bishah 633 17.07 1,343 36.22 38 1.02 771 20.79 2,785

Tabouk 1,247 14.39 2,903 33.49 61 0.70 1,645 18.98 5,856

Ha`il 1,084 16.56 2,800 42.77 56 0.86 1,650 25.20 5,590

Northern 883 25.16 2,173 61.91 51 1.45 1210 34.48 4,317

Jazan 2,014 13.45 4,506 30.09 141 0.94 3,252 21.72 9,913

Najran 1,117 20.12 2,377 42.82 80 1.44 1,707 30.75 5,281

Al-Bahah 1,061 23.54 2,136 47.39 52 1.15 1,126 24.98 4,375

Al-Jouf 783 24.36 2,231 69.42 36 1.12 820 25.51 3,870

Qurayyat 334 20.65 852 52.67 20 1.24 556 34.37 1,762

Qunfudah 417 14.02 716 24.07 17 0.57 576 19.36 1,726

Total 37,895 12.63 83,862 27.96 2,381 0.79 50,743 16.92 174,881

2013 Health Statistics Annual Book

* The region includes the directorate general of Health Services, hospitals and health centers # Physicians include dentists

Table 2.2: Total manpower in MOH facilities by region*, category, gender and nationality, 2013

Category Headquarter of MOH Riyadh Makkah Jeddah

Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total

Physicians #

Male 95 190 285 1510 3489 4999 680 1291 1971 1084 732 1816

Female 31 13 44 604 1382 1986 330 460 790 1091 380 1471

Total 126 203 329 2114 4871 6985 1010 1751 2761 2175 1112 3287

Nurses

Male 478 2 480 3253 620 3873 1374 257 1631 992 76 1068

Female 30 9 39 4620 8365 12985 1469 2452 3921 2631 1992 4623

Total 508 11 519 7873 8985 16858 2843 2709 5552 3623 2068 5691

Pharmacists

Male 124 0 124 200 10 210 69 11 80 74 3 77

Female 43 0 43 326 19 345 42 18 60 51 2 53

Total 167 0 167 526 29 555 111 29 140 125 5 130

Male 505 1 506 6631 416 7047 1728 228 1956 2669 79 2748

Allied Health Professionals

Female 67 0 67 2087 961 3048 625 336 961 1308 149 1457

Total 572 1 573 8718 1377 10095 2353 564 2917 3977 228 4205

Category Ta’if Medinah Qaseem Eastern

Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total

Physicians #

Male 234 1145 1379 602 1507 2109 194 1472 1666 969 1227 2196

Female 44 349 393 285 544 829 61 531 592 839 470 1309

Total 278 1494 1772 887 2051 2938 255 2003 2258 1808 1697 3505

Nurses

Male 1405 10 1415 1820 23 1843 1254 42 1296 915 187 1102

Female 1017 1915 2932 2624 2285 4909 1373 2679 4052 4032 1821 5853

Total 2422 1925 4347 4444 2308 6752 2627 2721 5348 4947 2008 6955

Pharmacists

Male 63 5 68 98 7 105 106 4 110 80 9 89

Female 17 6 23 19 12 31 8 15 23 97 4 101

Total 80 11 91 117 19 136 114 19 133 177 13 190

Male 1682 62 1744 2797 43 2840 2972 46 3018 2393 234 2627

Allied Health Professionals

Female 292 207 499 572 135 707 257 429 686 1460 252 1712

Total 1974 269 2243 3369 178 3547 3229 475 3704 3853 486 4339

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# Physicians include dentists

Table 2.2 (continued): Total manpower in MOH facilities by region, category, gender and nationality, 2013

Category Al-Ahsa Hafr El-Baten Aseer Bishah

Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total

Physicians #

Male 431 754 1185 55 457 512 525 1273 1798 21 495 516

Female 89 292 381 7 116 123 58 430 488 1 116 117

Total 520 1046 1566 62 573 635 583 1703 2286 22 611 633

Nurses

Male 665 17 682 500 7 507 943 2 945 246 9 255

Female 1418 1208 2626 638 565 1203 1619 2221 3840 443 645 1088

Total 2083 1225 3308 1138 572 1710 2562 2223 4785 689 654 1343

Pharmacists

Male 50 0 50 25 2 27 142 0 142 32 3 35

Female 18 1 19 8 1 9 32 8 40 0 3 3

Total 68 1 69 33 3 36 174 8 182 32 6 38

Male 1503 30 1533 702 14 716 2335 28 2363 545 19 564

Allied Health Professionals

Female 252 136 388 130 49 179 336 292 628 50 157 207

Total 1755 166 1921 832 63 895 2671 320 2991 595 176 771

Category Tabouk Hai’l Northern Jazan

Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total

Physicians #

Male 55 877 932 30 775 805 9 703 712 348 1241 1589

Female 16 299 315 2 277 279 4 167 171 21 404 425

Total 71 1176 1247 32 1052 1084 13 870 883 369 1645 2014

Nurses

Male 856 14 870 706 3 709 406 4 410 1036 7 1043

Female 1149 884 2033 1179 912 2091 1048 715 1763 2229 1234 3463

Total 2005 898 2903 1885 915 2800 1454 719 2173 3265 1241 4506

Pharmacists

Male 41 4 45 46 5 51 28 7 35 125 2 127

Female 14 2 16 4 1 5 12 4 16 10 4 14

Total 55 6 61 50 6 56 40 11 51 135 6 141

Male 1326 29 1355 1277 18 1295 931 15 946 2792 28 2820

Allied Health Professionals

Female 216 74 290 155 200 355 141 123 264 246 186 432

Total 1542 103 1645 1432 218 1650 1072 138 1210 3038 214 3252

2013 Health Statistics Annual Book

# Physicians include dentists

Table 2.2 (continued): Total manpower in MOH facilities by region, category, gender and nationality, 2013

Category Najran Al-Bahah Al-Jouf Qurayyat

Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total

Physicians #

Male 52 819 871 66 796 862 26 594 620 22 248 270

Female 4 242 246 5 194 199 4 159 163 2 62 64

Total 56 1061 1117 71 990 1061 30 753 783 24 310 334

Nurses

Male 451 10 461 552 29 581 676 0 676 288 0 288

Female 322 1594 1916 184 1371 1555 1030 525 1555 355 209 564

Total 773 1604 2377 736 1400 2136 1706 525 2231 643 209 852

Pharmacists

Male 67 4 71 19 14 33 14 5 19 16 1 17

Female 4 5 9 0 19 19 9 8 17 2 1 3

Total 71 9 80 19 33 52 23 13 36 18 2 20

Male 1396 19 1415 878 41 919 647 16 663 451 14 465

Allied Health Professionals

Female 83 209 292 81 126 207 70 87 157 58 33 91

Total 1479 228 1707 959 167 1126 717 103 820 509 47 556

Category Qunfudah Total

Saudi Non-Saudi Total Saudi Non-Saudi Total

Physicians #

Male 39 270 309 7047 20355 27402

Female 4 104 108 3502 6991 10493

Total 43 374 417 10549 27346 37895

Nurses

Male 119 1 120 18935 1320 20255

Female 150 446 596 29560 34047 63607

Total 269 447 716 48495 35367 83862

Pharmacists

Male 12 2 14 1431 98 1529

Female 2 1 3 718 134 852

Total 14 3 17 2149 232 2381

Allied Health Professionals

Male 469 3 472 36629 1383 38012

Female 79 25 104 8565 4166 12731

Total 548 28 576 45194 5549 50743

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Figure 2.2 : Total manpower in MOH facilities by nationality, 2009-2013 # Includes dentists

2013 Health Statistics Annual Book

Region Saudi Non-Saudi

Total % Saudi Male Female Male Female

Laboratory 6623 1860 216 692 9391 90.3

Pharmacy 5338 805 113 362 6618 92.8

Radiology 4661 801 113 748 6323 86.4

Public Health 3146 38 21 2 3207 99.3

Rehabilitation 1801 739 260 423 3223 78.8

Dental 1493 1106 40 128 2767 93.9

Health Services' Management 2049 354 5 16 2424 99.1

Medical Records 1611 568 34 93 2306 94.5

Surgical Operations 1402 62 63 452 1979 74.0

Social Services 1094 502 3 4 1603 99.6

Anesthesia 1221 17 99 214 1551 79.8

Nutrition 1193 324 4 24 1545 98.2

Medical Secretary 620 220 29 124 993 84.6

Psychotherapy 557 191 12 5 765 97.8

Statistics 654 30 2 1 687 99.6

Optometry 424 119 2 10 555 97.8

Renal Dialysis 1 3 5 494 503 0.8

Sterilization 58 3 66 49 176 34.7

ECG & EEG 19 6 20 36 81 30.9

Hearing / Speech 32 48 10 6 96 83.3

Others 2632 769 266 283 3950 86.1

Total 36629 8565 1383 4166 50743 89.1

Table 2.3: Allied health personnel by specialty , nationality & gender, 2013

Category Saudi Non-Saudi

Total % Saudi Male Female Male Female

Civil Service

Technical Personnel 7,584 1,470 0 0 9,054 100

Workers 1,269 217 0 0 1,486 100

Administrative 30,521 3,360 0 0 33,881 100

Total Civil Service 39,374 5,047 0 0 44,421 100

Autonomous Operation (التشغيل الذاتي)

Administrative 4,693 1,046 0 0 5,739 100

General Service 1,297 132 0 0 1,429 100

Total Autonomous Operation

5,990 1,178 0 0 7,168 100

Table 2.4: Administrative, Technical Personnel and Workers in the Ministry of Health by nationality and gender, 2013

Chapter 3: Primary health care centers at the MOH

HEALTH RESOURCES

SECTION II.

2013 Health Statistics Annual Book

PRIMARY HEALTH CARE

CENTERS AT THE MOH 3.

Primary Health Care (PHC) Centers at the Ministry of Health

The Ministry of Health (MOH) is the major governmental agency entrusted with the provision of

preventive, curative and rehabilitative health care for the Kingdom’s population. The MOH provides

Primary Health Care (PHC) services through a network of health care centers, which included 2,259

centers in 2013. Figure 3.1 shows the distribution of the centers as well as the ratios per 100,000

population across the 20 health regions of the Kingdom. The highest ratio is present Al-Bahah

(22.41 centers per 100,000 population).

The total number of PHC centers at the MOH increased over the recent years (2009-2013), as

demonstrated in Figure 3.2. Figure 3.3 further displays this increasing trend in the number of PHC

centers during the time period of 2009-2013, while providing numbers by region of the Kingdom.

The largest growth in the number of PHC centers was noted in Jeddah (35%), Makkah (21%) and

Hafr Al-Baten (21%).

Each PHC center provides health services to 13,455 people, on average. Figure 3.4 demonstrates

the availability of dental, X-ray, and laboratory services within the PHC centers across the 20 health

regions. The highest percentage of centers with a dental clinic is present in Qaseem (89%). The

highest percentage of centers with X-ray equipment is present in Ha’il (52%). The highest percent-

age of centers with laboratories is also present in Ha’il (89%).

TREND OVER TIME…

The total number of PHC centers at the MOH increased by 17.4% from

year 2007 (1,925 centers) to 2013 (2,259 centers).

The rate of physicians (including dentists) employed at PHC centers of the MOH

increased from 2.3 physicians per 10,000 population in 2008 to 2.9 physicians

per 10,000 population in 2013.

The rate of nurses employed at PHC centers of the MOH increased from 5.2 nurses

per 10,000 population in 2008 to 5.4 nurses per 10,000 population in 2013.

The rate of pharmacists employed at PHC centers of the MOH dropped from 0.07

pharmacists per 10,000 population in 2008 to 0.05 pharmacists per 10,000 in

2013.

The rate of allied health professionals employed at PHC centers of the MOH in-

creased from 2.1 professionals per 10,000 population in 2008 to 3.5 profession-

als per 10,000 in 2013.

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KEY ACHIEVEMENTS ...

The proportion of Saudis within the total health manpower employed at PHC cen-

ters of the MOH increased significantly from 58.2% in 2009 to 72.4% in 2013.

Health Manpower in PHC Centers at the Ministry of Health

Figure 3.5 displays the distribution of the four categories of health manpower employed at PHC centers of

the MOH and the ratio of manpower per 10,000 population by region for the year 2013. There is a total of

8,691 physicians (including dentists), 16,283 nurses, 164 pharmacists and 10,552 allied health profession-

als in all PHC centers. Al-Bahah has the highest ratios for all categories of manpower: physicians (7.54 per

10,000 population), nurses (14.80 per 10,000 population), pharmacists (0.13 per 10,000 population), and

allied health professionals (8.83 per 10,000 population).

The proportion of total health manpower at PHC centers of the MOH by nationality and gender for year

2013 is displayed in Figure 3.6. The proportions are further detailed in Table 3.1 by the region of the King-

dom. The change in proportion of health manpower by nationality for the four categories of manpower

during the time period of 2008-2012 is shown in Figure 3.7.

Table 3.2 reveals the proportions of physicians (by main specialty) and dentists by gender and nationality.

Furthermore, Table 3.3 shows changes in the total number of physicians (by main specialty) and dentists

by nationality over the time period 2009-2013.

2013 Health Statistics Annual Book

Figure 3.2: Trending of total MOH health centers, 2009-2013

Figure 3.3: Trending of MOH health centers by region, 2009-2013

Figure 3.1: Ratio of MOH Health Centers (HC) per 100,000 population by region, 2013

Region Number

of HC

Ratio per

100,000

Riyadh 435 5.79

Makkah 92 4.48

Jeddah 108 2.63

Ta`if 120 9.77

Medinah 154 7.85

Qaseem 159 11.89

Eastern 136 4.62

Al-Ahsa 71 6.09

Hafr Al-Baten 41 9.60

Aseer 238 13.80

Bishah 79 21.31

Tabouk 73 8.42

Ha`il 100 15.27

Northern 45 12.82

Jazan 155 10.35

Najran 65 11.71

Al-Bahah 101 22.41

Al-Jouf 35 10.89

Qurayyat 17 10.51

Qunfudah 35 11.76

Total 2259 7.53

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Figure 3.4: MOH health centers by region and some selected indicators, 2011 *

* Represents data for 2011 due to absence of 2013 data

Figure 3.5: Ratio of health manpower in MOH health centers per 10,000 population by region, 2013 # Includes dentists

Physicians #

Nurses

2013 Health Statistics Annual Book

Figure 3.5 (continued): Ratio of health manpower in MOH health centers per 10,000 population by region, 2013

Pharmacists

Allied Health Professionals

Region N

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Riyadh 1,163 1.55 1,951 2.60 80 0.11 1,649 2.19 4,843

Makkah 553 2.69 983 4.78 6 0.03 568 2.76 2,110

Jeddah 825 2.01 1184 2.88 10 0.02 1015 2.47 3,034

Ta`if 469 3.82 1,022 8.32 3 0.02 437 3.56 1,931

Medinah 589 3.00 1,334 6.80 8 0.04 714 3.64 2,645

Qaseem 702 5.25 1,178 8.81 11 0.08 894 6.68 2,785

Eastern 713 2.42 1147 3.90 11 0.04 848 2.88 2,719

Al-Ahsa 424 3.64 606 5.20 0 0.00 477 4.09 1,507

Hafr Al-Baten 159 3.72 374 8.76 0 0.00 158 3.70 691

Aseer 751 4.35 1416 8.21 13 0.08 758 4.39 2,938

Bishah 158 4.26 338 9.12 0 0.00 179 4.83 675

Tabouk 261 3.01 576 6.65 2 0.02 328 3.78 1,167

Ha`il 298 4.55 784 11.97 4 0.06 368 5.62 1,454

Northern 186 5.30 340 9.69 3 0.09 204 5.81 733

Jazan 539 3.60 1124 7.51 4 0.03 785 5.24 2,452

Najran 247 4.45 471 8.48 2 0.04 370 6.67 1,090

Al-Bahah 340 7.54 667 14.80 6 0.13 398 8.83 1,411

Al-Jouf 150 4.67 421 13.10 1 0.03 168 5.23 740

Qurayyat 34 2.10 120 7.42 0 0.00 78 4.82 232

Qunfudah 130 4.37 247 8.30 0 0.00 156 5.24 533

Total 8,691 2.90 16,283 5.43 164 0.05 10,552 3.52 35,690

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Figure 3.6: Proportions of manpower in MOH health centers by nationality and gender, 2013

Category Riyadh Makkah Jeddah Ta’if

Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total

Physicians #

Male 182 500 682 173 176 349 262 124 386 68 267 335

Female 136 345 481 96 108 204 327 112 439 20 114 134

Total 318 845 1163 269 284 553 589 236 825 88 381 469

Nurses

Male 720 2 722 552 0 552 315 0 315 450 0 450

Female 1025 204 1229 341 90 431 707 162 869 269 303 572

Total 1745 206 1951 893 90 983 1022 162 1184 719 303 1022

Pharmacists

Male 3 0 3 3 0 3 5 0 5 1 0 1

Female 77 0 77 3 0 3 5 0 5 0 2 2

Total 80 0 80 6 0 6 10 0 10 1 2 3

Male 1258 7 1265 434 2 436 710 2 712 388 3 391

Allied Health Professionals

Female 368 16 384 125 7 132 302 1 303 36 10 46

Total 1626 23 1649 559 9 568 1012 3 1015 424 13 437

Table 3.1: Manpower in MOH health centers by region, category, gender and nationality, 2013

2013 Health Statistics Annual Book

# Physicians include dentists

Table 3.1 (continued): Manpower in MOH health centers by region, category, gender and nationality, 2013

Category Medinah Qaseem Eastern Al-Ahsa

Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total

Physicians #

Male 148 226 374 43 423 466 186 212 398 137 173 310

Female 85 130 215 14 222 236 179 136 315 33 81 114

Total 233 356 589 57 645 702 365 348 713 170 254 424

Nurses

Male 544 0 544 331 0 331 258 4 262 140 0 140

Female 606 184 790 356 491 847 721 164 885 371 95 466

Total 1150 184 1334 687 491 1178 979 168 1147 511 95 606

Pharmacists

Male 5 0 5 7 1 8 5 0 5 0 0 0

Female 0 3 3 2 1 3 6 0 6 0 0 0

Total 5 3 8 9 2 11 11 0 11 0 0 0

Male 628 2 630 789 0 789 620 6 626 439 2 441

Allied Health Professionals

Female 79 5 84 61 44 105 204 18 222 26 10 36

Total 707 7 714 850 44 894 824 24 848 465 12 477

Category Hafr Al-Baten Aseer Bishah Tabouk

Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total

Physicians #

Male 6 104 110 233 348 581 2 127 129 15 148 163

Female 0 49 49 14 156 170 1 28 29 3 95 98

Total 6 153 159 247 504 751 3 155 158 18 243 261

Nurses

Male 87 0 87 341 0 341 71 5 76 231 0 231

Female 233 54 287 693 382 1075 189 73 262 303 42 345

Total 320 54 374 1034 382 1416 260 78 338 534 42 576

Pharmacists

Male 0 0 0 4 0 4 0 0 0 1 0 1

Female 0 0 0 8 1 9 0 0 0 1 0 1

Total 0 0 0 12 1 13 0 0 0 2 0 2

Male 122 0 122 627 1 628 138 4 142 287 0 287

Allied Health Professionals

Female 28 8 36 106 24 130 17 20 37 37 4 41

Total 150 8 158 733 25 758 155 24 179 324 4 328

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Table 3.1 (continued): Manpower in MOH health centers by region, category, gender and nationality, 2013

Category Ha’il Northern Jazan Najran

Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total

Physicians #

Male 2 203 205 1 142 143 64 325 389 7 170 177

Female 0 93 93 0 43 43 2 148 150 0 70 70

Total 2 296 298 1 185 186 66 473 539 7 240 247

Nurses

Male 299 0 299 101 0 101 319 1 320 162 0 162

Female 360 125 485 202 37 239 630 174 804 104 205 309

Total 659 125 784 303 37 340 949 175 1124 266 205 471

Pharmacists

Male 3 1 4 0 0 0 2 1 3 1 0 1

Female 0 0 0 2 1 3 1 0 1 0 1 1

Total 3 1 4 2 1 3 3 1 4 1 1 2

Male 336 0 336 176 0 176 721 9 730 324 0 324

Allied Health Professionals

Female 16 16 32 22 6 28 47 8 55 12 34 46

Total 352 16 368 198 6 204 768 17 785 336 34 370

Category Al-Bahah Al-Jouf Qurayyat Qunfudah Total

Saudi Non-

Saudi Total Saudi

Non-

Saudi Total Saudi

Non-

Saudi Total Saudi

Non-

Saudi Total Saudi

Non-

Saudi Total

Physicians #

Male 10 243 253 1 108 109 3 21 24 3 92 95 1546 4132 5678

Female 1 86 87 0 41 41 0 10 10 2 33 35 913 2100 3013

Total 11 329 340 1 149 150 3 31 34 5 125 130 2459 6232 8691

Nurses

Male 238 3 241 175 0 175 61 0 61 46 0 46 5441 15 5456

Female 103 323 426 234 12 246 56 3 59 72 129 201 7575 3252 10827

Total 341 326 667 409 12 421 117 3 120 118 129 247 13016 3267 16283

Pharmacists

Male 2 3 5 0 1 1 0 0 0 0 0 0 42 7 49

Female 0 1 1 0 0 0 0 0 0 0 0 0 105 10 115

Total 2 4 6 0 1 1 0 0 0 0 0 0 147 17 164

Allied Health Professionals

Male 320 3 323 165 0 165 74 0 74 143 0 143 8699 41 8740

Female 30 45 75 3 0 3 2 2 4 12 1 13 1533 279 1812

Total 350 48 398 168 0 168 76 2 78 155 1 156 10232 320 10552

2013 Health Statistics Annual Book

Figure 3.7: Total manpower in MOH health centers by nationality, 2009-2013 # Includes dentists

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Table 3.2: Physicians in MOH health centers by main specialty, gender and nationality, 2013

Category Male Female Total

General Physician

Saudi 368 257 625

Non-Saudi 972 411 1383

Total 1340 668 2008

Dentistry

Saudi 552 254 806

Non-Saudi 463 140 603

Total 1015 394 1409

OBS/GYN

Saudi 3 20 23

Non-Saudi 53 146 199

Total 56 166 222

Pediatrics

Saudi 16 17 33

Non-Saudi 143 83 226

Total 159 100 259

Family Medicine

Saudi 426 271 697

Non-Saudi 1191 885 2076

Total 1617 1156 2773

Others

Saudi 181 94 275

Non-Saudi 1310 435 1745

Total 1491 529 2020

Saudi 1546 913 2459

Total Non-Saudi 4132 2100 6232

Total 5678 3013 8691

... Data not available

Specialty Nationality Year

2009 2010 2011 2012 2013

General Physician

Saudi 338 676 557 662 625

Non-Saudi 1,463 2,479 1,727 2,047 1383

Total 1,801 3,155 2,284 2,709 2008

Dentistry

Saudi 434 525 561 686 806

Non-Saudi 788 653 834 664 603

Total 1,222 1,178 1,395 1,350 1409

OBS/GYN

Saudi 42 43 28 24 23

Non-Saudi 317 177 195 193 199

Total 359 220 223 217 222

Pediatrics

Saudi 59 46 35 27 33

Non-Saudi 306 202 214 194 226

Total 365 248 249 221 259

Family Medicine

Saudi ... 382 423 470 697

Non-Saudi ... 1,347 1,471 1,564 2076

Total ... 1,729 1,894 2,034 2773

Others

Saudi 568 298 377 232 275

Non-Saudi 2,538 1,528 1,981 1,627 1745

Total 3,106 1,826 2,358 1,859 2020

Total

Saudi 1,441 1,970 1,981 2,101 2459

Non-Saudi 5,412 6,386 6,422 6,289 6232

Total 6,853 8,356 8,403 8,390 8691

Table 3.3: Physicians in MOH health centers by specialty and nationality, 2009-2013

Chapter 4: Hospitals and beds at the MOH

HEALTH RESOURCES

SECTION II.

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HOSPITALS AND BEDS AT

THE MOH 4.

Hospital and Beds at the MOH Facilities

The total number of MOH hospitals operating in year 2013 is 268, with a total number of 38,970 beds.

Figure 4.1 shows the distribution of MOH hospitals and beds and the ratios for hospitals per a 100,000

population and for hospital beds per 10,000 population by region in the Kingdom.

Table 4.1 displays the distribution of MOH hospitals by both region and specialty. The majority of hos-

pitals (77.6%) are “General”. More specifically, Riyadh contains the largest proportion of hospitals

(17.5%), followed by regions of Madinah, Aseer and Jazan (7.5%). Table 4.2 further demonstrates the

distribution of MOH hospitals and beds by specialty in 2013.

Table 4.3 presents the distribution of hospitals, medical towers and heart centers, as well as beds, by

health regions for the year 2013.

The total number of MOH hospitals and beds increased over the last five years (2009-2013), as demon-

strated in Figure 4.2. Figure 4.3 details the trend observed for the change in number of MOH hospitals

and beds by region during the time period of 2009-2013 .

Health Manpower at MOH Hospitals

The total reported health manpower at the MOH hospitals encompasses physicians (including den-

tists), nurses, pharmacists and allied health professionals. Figure 4.4 displays the distribution of health

manpower and their ratios per 10,000 population by region for the year 2013. For physicians, the high-

est ratio is present in Northern borders (19.3 physicians per 10,000 population). For nurses, the highest

ratio is present in Al-Jouf (56.2 nurses per 10,000 population). For pharmacists, the highest ratio is pre-

sent in Baha and Najran (1.2 pharmacists per 10,000 population). For allied health professionals, the

highest ratio is present in Northern borders (27.7 professionals per 10,000 population).

KEY ACHIEVEMENTS …

The proportion of Saudis within the total health manpower employed at

MOH hospitals increased from 51.6% in 2009 to 55.8% in 2013.

More specifically, between the years 2009 and 2013, the proportion of

Saudis among the four categories increased as follows: physicians

(21.9% to 26.4%), nurses (46.9% to 50.8%) , pharmacists (71.6% to

88.8%), and allied health professionals (83.4% to 85.5%).

2013 Health Statistics Annual Book

Figure 4.5 describes the proportions of health manpower in the MOH hospitals according to the na-

tionality and gender. Out of the total number of physicians working in MOH hospitals in 2013 (27,755),

26.4% are Saudi. Out of the total number of nurses working in MOH hospitals in 2013 (65,152), 50.8%

are Saudi. In contrast, the proportion of pharmacists and allied health professionals working at MOH

hospitals who are Saudi nationals is 85.5% and 88.8%, respectively. Moreover, the male gender is

dominating in most categories of health manpower (73.9% of physicians, 62.4% of pharmacists, and

70.5% of allied health professionals), except for nursing (19.7%).

The distribution of health manpower at MOH hospitals by region, category, gender and nationality is

demonstrated in Table 4.4. The proportion of health manpower by nationality has been changing,

among the different categories, during the time period of 2009-2013. This variation is displayed in Fig-

ure 4.6.

TREND OVER TIME…

Between the years 2009 and 2013, the number of MOH hospitals and

beds increased by 9.8% and 17.1%, respectively.

Selected indicators of resources available at MOH hospitals by region of the Kingdom are represented

in Figure 4.7. The highest rate of physicians per 100 beds (140.0 physicians) is recorded in Qunfudah,

while the lowest rate (41.5 physicians per 100 beds) is recorded in Hafr Al-Batten .

Table 4.5 represents the distribution of physicians and dentists at MOH hospitals by specialty and

grade, in 2013.

HOW DOES KSA COMPARE?

In 2013, there are 2.4 nurses for every physician employed at MOH hospitals

in the KSA, in comparison to 1.3 nurses for every physician in the Eastern Medi-

terranean Region (EMR) and 1.8 nurses for every physician globally.

Source: World Health Statistics Report (2013),World Health Organization

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Figure 4.1: Ratio of MOH hospitals per 100,000 population and hospital beds per 10,000 population by region, 2013

Hospitals

Hospital Beds

Region Hospitals Hospitals

per 100,000

Riyadh 47 0.6

Makkah 10 0.5

Jeddah 13 0.3

Ta`if 14 1.1

Medinah 20 1.0

Qaseem 18 1.3

Eastern 18 0.6

Al-Ahsa 9 0.8

Hafr Al-Baten 7 1.6

Aseer 21 1.2

Bishah 7 1.9

Tabouk 11 1.3

Ha`il 11 1.7

Northern 8 2.3

Jazan 20 1.3

Najran 10 1.8

Al-Bahah 11 2.4

Al-Jouf 7 2.2

Qurayyat 4 2.5

Qunfudah 2 0.7

Total 268 0.9

Region Hospital

Beds

Beds per 10,000

population

Riyadh 7,937 10.6

Makkah 2,522 12.3

Jeddah 2,993 7.3

Ta`if 2,415 19.7

Medinah 2,768 14.1

Qaseem 2,664 19.9

Eastern 3,056 10.4

Al-Ahsa 1,555 13.3

Hafr Al-Baten 1,000 23.4

Aseer 2,400 13.9

Bishah 770 20.8

Tabouk 1,170 13.5

Ha`il 1,125 17.2

Northern 1,010 28.8

Jazan 1,850 12.4

Najran 1,100 19.8

Al-Bahah 1,085 24.1

Al-Jouf 860 26.8

Qurayyat 490 30.0

Qunfudah 200 6.7

Total 38,970 13.0

2013 Health Statistics Annual Book

Table 4.2: Hospital beds at MOH by specialty and region, 2013

Table 4.1: MOH hospitals by specialty and region, 2013

Region

In te

rn a

l M e

d .

S u

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o p

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ics

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in &

V e

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stic S .

P sy

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N e

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lo g

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tio n

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T o

ta l

Riyadh 1008 717 281 78 16 889 1141 881 101 289 130 41 47 626 198 1494 7,937

Makkah 385 234 100 18 8 185 208 256 28 16 33 2 11 73 139 826 2,522

Jeddah 346 209 140 34 11 198 316 129 64 97 90 1 11 330 51 966 2,993

Ta`if 251 304 36 8 2 232 127 188 9 6 0 2 13 670 159 408 2,415

Medinah 473 382 114 37 2 381 276 322 37 40 58 3 18 101 59 465 2,768

Qaseem 309 221 86 37 33 277 197 225 51 49 49 10 42 200 30 848 2,664

Eastern 253 232 118 36 11 290 328 226 45 89 14 16 36 375 90 897 3,056

Al-Ahsa 348 145 75 18 8 247 189 141 53 51 0 1 25 134 44 76 1,555

Hafr Al-Baten 35 32 18 9 4 54 107 29 8 8 9 2 5 58 18 604 1,000

Aseer 373 421 89 52 0 307 235 143 37 17 11 0 15 104 2 594 2,400

Bishah 110 91 30 8 8 108 83 60 6 8 10 4 11 60 11 162 770

Tabouk 243 199 47 9 1 187 229 114 8 6 0 5 4 90 22 6 1,170

Ha`il 166 118 37 14 4 204 227 58 25 13 13 3 14 95 31 103 1,125

Northern 103 65 34 14 0 102 167 79 17 12 26 10 6 73 52 250 1,010

Jazan 249 189 146 36 3 247 369 62 45 39 2 6 14 98 81 264 1,850

Najran 236 127 33 29 5 149 242 69 10 5 0 0 12 38 35 110 1,100

Al-Bahah 174 220 0 0 0 158 167 58 0 0 0 0 0 98 0 210 1,085

Al-Jouf 63 38 34 12 7 85 126 119 13 9 12 4 6 80 20 232 860

Qurayyat 44 39 17 4 2 43 91 20 2 4 2 2 4 54 0 162 490

Qunfudah 32 19 10 1 1 15 30 21 2 2 0 0 0 0 7 60 200

Total 5,201 4,002 1,445 454 126 4,358 4,855 3,200 561 760 459 112 294 3,357 1,049 8,737 38,970

Region

P e

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trics

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G e

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Riyadh 2 1 1 1 1 1 47 2 1 37

Makkah 0 0 0 0 0 0 10 0 1 9

Jeddah 0 1 2 0 0 0 13 0 2 8

Ta`if 1 0 1 1 0 0 14 0 0 11

Medinah 0 0 1 1 0 1 20 0 1 16

Qaseem 0 0 1 0 1 0 18 0 1 15

Eastern 0 1 1 0 0 0 18 0 1 15

Al-Ahsa 0 1 1 0 0 1 9 0 1 5

Hafr Al-Baten 0 0 1 0 1 0 7 0 1 4

Aseer 0 0 1 0 0 0 21 0 2 18

Bishah 0 0 0 0 1 0 7 0 0 6

Tabouk 0 0 1 0 0 0 11 0 1 9

Ha`il 0 0 1 0 0 0 11 0 1 9

Northern 0 0 1 0 1 0 8 0 0 6

Jazan 0 0 1 1 0 0 20 0 0 18

Najran 0 0 1 0 0 0 10 0 1 8

Al-Bahah 0 0 1 0 1 0 11 1 1 7

Al-Jouf 0 0 1 0 0 0 7 0 1 5

Qurayyat 0 0 1 0 0 0 4 0 0 3

Qunfudah 0 0 0 0 0 0 2 0 0 2

Total 3 4 18 4 6 3 268 3 16 211

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Figure 4.2: Trending of MOH hospitals (top )and hospital beds (bottom), 2009-2013

Region Hospitals Medical Towers

added in 2013

Cardiac Centers

outside medical

cities

Total Total Beds

Riyadh 47 0 0 47 7,937

Makkah 10 0 0 10 2,522

Jeddah 13 1 0 14 2,993

Ta`if 14 0 0 14 2,415

Medinah 20 0 1 21 2,768

Qaseem 18 1 1 20 2,664

Eastern 18 0 1 19 3,056

Al-Ahsa 9 0 1 10 1,555

Hafr Al-Baten 7 0 0 7 1,000

Aseer 21 0 0 21 2,400

Bishah 7 0 0 7 770

Tabouk 11 0 0 11 1,170

Ha`il 11 0 1 12 1,125

Northern 8 0 1 9 1,010

Jazan 20 0 0 20 1,850

Najran 10 0 1 11 1,100

Al-Bahah 11 0 0 11 1,085

Al-Jouf 7 0 0 7 860

Qurayyat 4 0 0 4 490

Qunfudah 2 0 0 2 200

Total 268 2 7 277 38,970

Table 4.3: Hospitals, Medical Towers, and Cardiac Centers at MOH and total beds by region, 2013

2013 Health Statistics Annual Book

F ig

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4 .3

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Figure 4.4: Ratio of health manpower in MOH hospitals per 10,000 population by region, 2013 # Includes dentists

Physicians #

Nurses

Pharmacists

Allied Health Professionals

2013 Health Statistics Annual Book

Figure 4.4 (continued): Ratio of health manpower in MOH hospitals per 10,000 population by region, 2013

Figure 4.5: Proportions of manpower in MOH hospitals by nationality (left) and gender (right), 2013

Region

N u

m b

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f P

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s #

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Riyadh 5,694 7.6 14,692 19.5 439 0.6 7955 10.6 28,780

Makkah 2,135 10.4 4,452 21.7 121 0.6 2,148 10.5 8,856

Jeddah 2,321 5.6 4,406 10.7 105 0.3 2,933 7.1 9,765

Ta`if 1,247 10.2 3,186 25.9 82 0.7 1,561 12.7 6,076

Medinah 2,276 11.6 5,224 26.6 118 0.6 2,549 13.0 10,167

Qaseem 1,504 11.2 4,083 30.5 114 0.9 2,629 19.7 8,330

Eastern 2,629 8.9 5,766 19.6 164 0.6 3,344 11.4 11,903

Al-Ahsa 1,095 9.4 2,603 22.3 57 0.5 1,287 11.0 5,042

Hafr Al-Baten 415 9.7 1,254 29.4 26 0.6 595 13.9 2,290

Aseer 1,476 8.6 3,267 18.9 154 0.9 2,009 11.6 6,906

Bishah 443 11.9 956 25.8 25 0.7 447 12.1 1,871

Tabouk 944 10.9 2,232 25.7 53 0.6 1,204 13.9 4,433

Ha`il 750 11.5 1,888 28.8 38 0.6 1,059 16.2 3,735

Northern 677 19.3 1,793 51.1 37 1.1 971 27.7 3,478

Jazan 1,411 9.4 3,270 21.8 106 0.7 2,283 15.2 7,070

Najran 846 15.2 1,836 33.1 64 1.2 1,145 20.6 3,891

Al-Bahah 717 15.9 1,335 29.6 53 1.2 908 20.1 3,013

Al-Jouf 618 19.2 1,805 56.2 31 1.0 773 24.1 3,227

Qurayyat 277 17.1 662 40.9 18 1.1 417 25.8 1,374

Qunfudah 280 9.4 442 14.9 15 0.5 341 11.5 1,078

Total 27,755 9.3 65,152 21.7 1820 0.6 36558 12.2 131,285

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Table 4.4: Manpower in MOH hospitals by region, category, gender and nationality, 2013

# Includes dentists

Category Riyadh Makkah Jeddah Ta’if

Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total

Physicians #

Male 1268 2942 4210 455 1106 1561 723 602 1325 151 844 995

Female 456 1028 1484 224 350 574 732 264 996 21 231 252

Total 1724 3970 5694 679 1456 2135 1455 866 2321 172 1075 1247

Nurses

Male 2383 617 3000 721 257 978 608 76 684 848 10 858

Female 3548 8144 11692 1113 2361 3474 1892 1830 3722 717 1611 2328

Total 5931 8761 14692 1834 2618 4452 2500 1906 4406 1565 1621 3186

Pharmacists

Male 171 10 181 53 11 64 54 3 57 57 5 62

Female 239 19 258 39 18 57 46 2 48 16 4 20

Total 410 29 439 92 29 121 100 5 105 73 9 82

Male 4919 408 5327 1104 226 1330 1722 77 1799 1082 59 1141

Allied Health Professionals

Female 1683 945 2628 489 329 818 986 148 1134 223 197 420

Total 6602 1353 7955 1593 555 2148 2708 225 2933 1305 256 1561

Category Medinah Qaseem Eastern Al-Ahsa

Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total

Physicians #

Male 418 1258 1676 144 1012 1156 1156 998 1706 264 580 844

Female 196 404 600 47 301 348 348 334 923 40 211 251

Total 614 1662 2276 191 1313 1504 1504 1332 2629 304 791 1095

Nurses

Male 1146 22 1168 849 42 891 891 183 815 487 17 504

Female 1966 2090 4056 1010 2182 3192 3192 1656 4951 987 1112 2099

Total 3112 2112 5224 1859 2224 4083 4083 1839 5766 1474 1129 2603

Pharmacists

Male 84 7 91 92 2 94 94 9 69 38 0 38

Female 18 9 27 6 14 20 20 4 95 18 1 19

Total 102 16 118 98 16 114 114 13 164 56 1 57

Male 1901 40 1941 2002 46 2048 2048 228 1863 921 28 949

Allied Health Professionals

Female 479 129 608 196 385 581 581 234 1481 212 126 338

Total 2380 169 2549 2198 431 2629 2629 462 3344 1133 154 1287

2013 Health Statistics Annual Book

Table 4.4 (continued): Manpower in MOH hospitals by region, category, gender and nationality, 2013

# Includes dentists

Category Hafr Al-Baten Aseer Bishah Tabouk

Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total

Physicians #

Male 24 329 353 262 900 1162 17 342 359 29 699 728

Female 2 60 62 43 271 314 0 84 84 13 203 216

Total 26 389 415 305 1171 1476 17 426 443 42 902 944

Nurses

Male 363 7 370 521 2 523 144 2 146 561 14 575

Female 385 499 884 910 1834 2744 246 564 810 820 837 1657

Total 748 506 1254 1431 1836 3267 390 566 956 1381 851 2232

Pharmacists

Male 16 2 18 123 0 123 19 3 22 35 4 39

Female 7 1 8 24 7 31 0 3 3 12 2 14

Total 23 3 26 147 7 154 19 6 25 47 6 53

Male 455 13 468 1497 20 1517 296 9 305 938 28 966

Allied Health Professionals

Female 88 39 127 226 266 492 24 118 142 168 70 238

Total 543 52 595 1723 286 2009 320 127 447 1106 98 1204

Category Ha’il Northern Jazan Najran

Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total

Physicians #

Male 25 544 569 7 543 550 265 883 1148 41 631 672

Female 2 179 181 4 123 127 17 246 263 4 170 174

Total 27 723 750 11 666 677 282 1129 1411 45 801 846

Nurses

Male 302 3 305 270 4 274 671 6 677 227 10 237

Female 799 784 1583 843 676 1519 1547 1046 2593 214 1385 1599

Total 1101 787 1888 1113 680 1793 2218 1052 3270 441 1395 1836

Pharmacists

Male 31 2 33 20 4 24 94 0 94 52 4 56

Female 4 1 5 10 3 13 8 4 12 4 4 8

Total 35 3 38 30 7 37 102 4 106 56 8 64

Male 728 17 745 720 15 735 1906 16 1922 882 18 900

Allied Health Professionals

Female 134 180 314 119 117 236 185 176 361 71 174 245

Total 862 197 1059 839 132 971 2091 192 2283 953 192 1145

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Table 4.4 (continued): Manpower in MOH hospitals by region, category, gender and nationality, 2013

# Includes dentists

Category Al-Bahah Al-Jouf Qurayyat Qunfudah Total

Saudi Non-

Saudi Total Saudi

Non-

Saudi Total Saudi

Non-

Saudi Total Saudi

Non-

Saudi Total Saudi

Non-

Saudi Total

Physicians #

Male 52 532 584 21 450 471 16 212 228 35 174 209 4925 15581 20506

Female 4 129 133 4 143 147 2 47 49 2 69 71 2402 4847 7249

Total 56 661 717 25 593 618 18 259 277 37 243 280 7327 20428 27755

Nurses

Male 178 15 193 373 1 374 184 0 184 46 1 47 11514 1289 12803

Female 70 1072 1142 825 606 1431 290 188 478 78 317 395 21555 30794 52349

Total 248 1087 1335 1198 607 1805 474 188 662 124 318 442 33069 32083 65152

Pharmacists

Male 26 4 30 10 4 14 14 1 15 10 2 12 1059 77 1136

Female 4 19 23 7 10 17 2 1 3 2 1 3 557 127 684

Total 30 23 53 17 14 31 16 2 18 12 3 15 1616 204 1820

Allied Health Professionals

Male 594 44 638 565 16 581 321 13 334 247 3 250 24435 1324 25759

Female 64 206 270 91 101 192 55 28 83 67 24 91 6807 3992 10799

Total 658 250 908 656 117 773 376 41 417 314 27 341 31242 5316 36558

2013 Health Statistics Annual Book

Figure 4.6: Manpower in MOH hospitals by nationality, 2009-2013 # Includes dentists

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F ig

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: S

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2 0

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2013 Health Statistics Annual Book

Specialty Resident Registrar Consultant Total

General Practitioners 2,73 ,3 - 2,2,

Dentistry ,07, 425 ,24 ,705

Internal medicine ,235 ,42 22, 2,,3

Surgery ,505 72, 354 2,40

Orthopedics 27, 447 ,52 272

Urology 74 252 72 444

Cardiothoracic surgery ,2 54 ,, ,32

Neurosurgery 23 ,04 72 277

Plastic surgery 32 7, 32 ,47

E.N.T. ,22 307 ,,2 547

Ophthalmology 25, 273 ,23 727

OBS/GYN 227 2,4 303 2054

Cardiology 2,7 252 ,47 ,,2

Chest diseases ,0 ,5, 44 2,0

Skin & venereology 55 2,2 20 353

Neurology 25 40 7, ,3,

Public Health ,7 4, - 52

Tropical Medicine ,0 35 23 ,2

Radiology ,2, 4,5 ,22 723

Laboratory 37 502 ,53 700

Anesthesia 242 ,55 225 ,,22

Physical medicine ,0 27 32 ,2,

Pediatrics ,275 ,043 540 2272

Psychiatry 222 275 72 ,,5

Forensic M. - ,2 ,0 72

Family medicine 23, ,45 33 ,0,4

Emergency ,2,2 ,70 2, 2022

Intensive care ,33 ,74 ,02 727

Nephrology 227 2,2 23 522

Pediatric surgery 47 23 ,0 ,72

Blood diseases 3, 22 44 ,03

Gastroenterology 24 ,, ,2 ,52

Endocrinology ,2 53 55 ,70

Oncology ,5 54 ,, ,35

Vascular surgery ,3 37 32 24

Others 2,0 ,30 ,72 522

Total ,99,,1 ,92,9 992,, 289811

Table 4.5: Physicians in MOH hospitals by specialty and grade, 2013

Chapter 5: Health resources in other governmental sectors

HEALTH RESOURCES

SECTION II.

2013 Health Statistics Annual Book

HEALTH RESOURCES IN OTHER

GOVERNMENTAL SECTORS 5.

First: Health Facilities in other Governmental Sectors

Facilities in other governmental sectors include the following:

University hospitals and medical centers in the Kingdom; Armed Forces Hospitals; National Guards

Medical Services; Ministry of Interior Medical Services; King Faisal Specialist Hospital & Research Cen-

ter, Riyadh; King Faisal Specialist Hospital & Research Center, Jeddah; Royal Commission Hospitals in

Jubail and Yunbu; School Health Units, Ministry of Education; Youth Welfare; Sports medicine ser-

vices in the general authority for youth welfare; Saudi Red Crescent Society; Water Desalination Cor-

poration; and Institute of Public Administration, Riyadh.

The total number of hospital beds in facilities of other governmental sectors is 11,497 in 2013. They are

distributed across various specialties, as seen in Figure 5.1 and Table 5.1. The highest number of beds

was recorded in the departments of internal medicine (19.2%), followed by surgery (16.8%).

Second: Health Manpower in other Governmental Sectors

The distribution of total health manpower employed in facilities of other governmental sectors is dis-

played, by category, as well as by gender and nationality, in Figure 5.2. In 2013, the total number of

physicians (including dentists) in this sector was 13,577, of which 6,813 were Saudi (50.1% of the total).

The total number of nurses was 29,969, of which 3,959 were Saudi (13.2% of the total). Pharmacists

constituted around 2.7% of total health manpower (1,860 pharmacists), with 1,134 being Saudi (61.0%

of the total). The total number of allied health professionals was 22,641, of which 14,571 are Saudi

(64.4% of the total).

Figure 5.3 further describes the characteristics (nationality and gender) of health manpower, among

the four categories, who are employed in facilities of the other governmental sectors . In Table 5.2,

there is a detailed description of the characteristics (nationality and gender) of the health manpower

working among various facilities of the other governmental sectors, by category of employment for

year 2013. The distribution of physicians and dentists by specialty and nationality is displayed in Figure

5.4.

KEY ACHIEVEMENTS …

The proportion of Saudis within the total health manpower employed

at facilities of other governmental sectors increased from 34.5% in 2008

to 38.9% in 2013.

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Figure 5.1: Distribution of total hospital beds in other governmental sectors by specialty, 2013

TREND OVER TIME…

The number of physicians employed at facilities of other gov-

ernmental sectors in KSA increased by 10.3% from year 2009

to 2013.

The number of nurses employed at facilities of other governmental sectors

in KSA increased by 23.6% from year 2009 to 2013.

The number of pharmacists employed at facilities of other governmental

sectors in KSA Increased by 23.1% from year 2009 to 2013.

The number of allied health professionals employed at facilities of other gov-

ernmental sectors in KSA increased by 21.4% from year 2009 to 2013.

2013 Health Statistics Annual Book

Table 5.1: Hospital beds in institutions within other governmental sectors by specialty, 2013

K.A.U.H.,R: King Abdulaziz University Hospital, Riyadh; K.K.U.H.,R: King Khaled University Hospital, Riyadh; K.A.U.H.,J: King Abdulaziz University Hospi- tal, Jeddah; K.F.U.H.,K: King Fahed University Hospital, Khobar; A.F.Hs: Armed Forces Hospitals; N.G.Hs: National Guards Hospitals; S.F.H: Security Forces Hospital; K.F.S.H.,R: King Faisal Specialist Hospital & Research Centre, Riyadh; K.F.S.H.,J: King Faisal Specialist Hospital & Research Centre, Jeddah; R.C.Hs: Royal Commission Hospitals; ARAMCO Hs: ARAMCO hospitals. * Data for 2011 is used for these categories due to missing data from years 2012 and 2013 # Number of isolation rooms in (Riyadh and Jeddah) and R.C.Hs are included with inpatients room

T o

ta l

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Iso la

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P sy

ch ia

try &

N e

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P la

stic S u

rg e

rie s

S k

in &

V e

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.T .

In te

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a re

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O rth

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ics

S u

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d icin

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Institution

85 4 - - - - - 42 35 - - - 4 - - - - - K.A.U.H.,R

752 26 8 23 18 - 13 - - 37 104 110 6 30 55 145 177 - K.K.U.H.,R

507 51 12 - - - - - - 36 161 35 - - - 99 113 - K.K.U.H.,J

428 - - 36 12 - - - 25 50 40 47 - - 25 104 89 - K.F.U.H.,K

5215 1183 85 110 35 37 68 74 71 667 503 697 29 85 126 743 702 - A.F.Hs.*

1791 106 - - - - - - - 85 273 234 - - - 447 646 - N.G.Hs.

801 88 7 - 11 - - 10 14 58 173 104 3 12 32 121 168 - S.F.H.

769 292 - 46 8 1 7 2 22 145 33 50 2 20 26 38 48 29 K.F.S.H.,R

343 93 8 - - - - - - 31 76 21 - - - 45 54 15 K.F.S.H.,J

490 36 - - - - - 6 6 20 113 106 2 4 14 82 101 - R.C.Hs.

316 - - 15 - - - - - 24 61 20 - - - 91 105 - ARAMCO Hs.

11,497 1,879 120 230 84 38 88 134 173 1,153 1,537 1,424 46 151 278 1,915 2,203 44 Total

1434 Health Statistics Annual Book S

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Figure 5.2: Distribution of total health manpower in other governmental sectors by category ( left) and nationality/ gender (right), 2013

Figure 5.3: Total health manpower in other governmental sectors by category and nationality (left) and gender (right), 2013 #Include dentists

2013 Health Statistics Annual Book

Table 5.2: Health manpower of institutions within other governmental sector by category, gender and nationality, 2013

# Include dentists * Represent data from year 2012 due to the absence of data for the year 2013 ** Represent data from year 2011 due to the absence of data for the year 2012 and 2013

Category

Medinah Islamic university (MISUMCl)*

Imam Muhammad bin Saud Islamic University

(IMUMU)*

King Khaled University (MKSU, Abha)*

Omm Alqurra University in Mekkah*

Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total

Physicians #

Male 0 16 16 29 16 45 2 2 4 3 12 15

Female 0 6 6 3 6 9 0 2 2 9 3 12

Total 0 22 22 32 22 54 2 4 6 12 15 27

Nurses

Male 12 0 12 28 13 41 4 1 5 10 0 10

Female 3 0 3 2 3 5 0 2 2 9 2 11

Total 15 0 15 30 16 46 4 3 7 19 2 21

Pharmacists

Male 1 0 1 1 0 1 0 0 0 2 2 4

Female 0 1 1 3 1 4 0 0 0 1 0 1

Total 1 1 2 4 1 5 0 0 0 3 2 5

Male 20 0 20 16 5 21 5 2 7 8 1 9

Allied Health Professionals

Female 1 0 1 8 0 8 1 0 1 6 0 6

Total 21 0 21 24 5 29 6 2 8 14 1 15

Category Institute of Public Administration in Riyadh (IPAMCl) Total

Saudi Non-Saudi Total Saudi Non-Saudi Total

Physicians #

Male 0 1 1 4530 5282 9812

Female 0 0 0 2283 1482 3765

Total 0 1 1 6813 6764 13577

Nurses

Male 0 0 0 1878 2736 4614

Female 0 0 0 2081 23274 25355

Total 0 0 0 3959 26010 29969

Pharmacists

Male 0 0 0 666 375 1041

Female 0 0 0 468 351 819

Total 0 0 0 1134 726 1860

Allied Health Professionals

Male 0 1 1 11447 3063 14510

Female 0 0 0 3124 5007 8131

Total 0 1 1 14571 8070 22641

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Figure 5.4: Distribution of physicians in other governmental sector by specialty and nationality, 2013

Chapter 6: Health resources in the private sector

HEALTH RESOURCES

SECTION II.

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HEALTH RESOURCES IN

THE PRIVATE SECTOR 6.

First: Health Facilities in the Private Sector

The private health sector within the Kingdom encompasses different types of health facilities, which

are summarized by region in Table 6.1. In 2013, the highest percentage of private hospitals (24.2%)

were present in Jeddah, followed by Riyadh (23.5%). The highest number of private hospital beds

were present in Riyadh (4,369 beds comprising 30.5% of the total number of hospital beds private sec-

tor), followed by Jeddah (21.2%). Figure 6.1 further displays the ratios of hospital beds in the private

sector per 10,000 population by health region of the Kingdom. The highest ratio is present in the East-

ern province (9.7 beds per 10,000 population).

The total number of private dispensaries is 2,249 with 775 dispensaries (34.5%) present in Riyadh and

381 dispensaries (16.9%) present in Jeddah. The total number of private pharmacies is 7,180 repre-

senting a rate of one pharmacy per 4,203 individuals.

Table 6.2 details the distribution of hospital beds in the private sector by region and specialty. The to-

tal number of private sector hospitals, beds and dispensaries has increased during the time period of

2009-2013. Figure 6.2 displays this increasing trend for each of the variables. The change in the num-

ber of the private sector hospitals, beds and dispensaries by region of the Kingdom over the time peri-

od 2009-2013 is shown in Figure 6.3.

Table 6.3 represents the distribution of private clinics (192 in total) by region and specialty for year

2013. There are 91 clinics (47.4%) present in Jeddah and 50 (26.0%) are present in Riyadh. This means

that about 73% of the private clinics in the Kingdom are present in Jeddah and Riyadh health regions.

HOW DOES KSA COMPARE?

In 2013, there are 1.4 nurses for every physician employed at a health

facility in the private sector in the KSA, in comparison to 1.3 nurses for every phy-

sician in the Eastern Mediterranean Region (EMR) and 1.8 nurses for every physi-

cian globally.

Source: World Health Statistics Report (2013),World Health Organization

2013 Health Statistics Annual Book

TREND OVER TIME…

Between 2009 and 2013, there was an 8.8% increase in the num-

ber of private hospitals, from 125 to 136 hospitals. Simultaneously,

there was an addition of 2,477 beds (representing a 20.9% increase in the

number of private hospital beds).

Between 2009 and 2013, the proportion of Saudis employed in health facili-

ties of the private sector has increased by 59.5%.

Second: Health Manpower in the Private Sector

Health manpower in the private sector includes physicians, nurses, pharmacists and allied

health professionals. The total number of physicians working in the private hospitals and pol-

yclinics was 29,003; including dentists. In 2013, there were 40,737 nurses working in the pri-

vate sector. The total number of pharmacists working in the private polyclinics, hospitals and

pharmacies was 17,525. In 2013, there were a total of 18,397 allied health professionals work-

ing in the private sector. The distribution and ratios of health manpower per 10,000 popula-

tion by region for year 2013 are displayed in Figure 6.4. The Eastern Province has the highest

ratios for all categories of manpower: physicians (15.4 per 10,000 population), nurses (30.0

per 10,000 population), pharmacists (6.9 per 10,000 population), and Allied Health Profes-

sionals (11.8 per 10,000 population).

KEY ACHIEVEMENTS …

Between 2009 and 2013, 305 private health dispensaries were established, rep-

resenting a 16% increase in total number of dispensaries in the private sector.

The proportions of health manpower employed in the private sector by nationality and gen-

der for year 2013 are displayed in Figure 6.5. These proportions are further detailed by region

of the Kingdom in Table 6.4 . The change in the proportion of the four categories of health

manpower by nationality, during the time period of 2009-2013, is shown in Figure 6.6.The dis-

tribution of physicians in hospitals and dispensaries of the private sector by specialty and

grade is displayed in Table 6.5.

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Table 6.1: Private sector hospitals, beds, dispensaries, and other medical facilities by region, 2013

* Include dispensaries and polyclinics, specialized and general clinics

Figure 6.1: Ratio of hospital beds in the private sector per 10,000 population by region, 2013

Region

H o

sp ita

B e

d s

D isp

e n

sa rie

P riv

a te

C lin

ics

L a

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rie s

P h

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th e

ra p

C e

n te

O p

tica ls

D e

n ta

l P ro

sth

P h

a rm

a cie

Riyadh 32 4369 775 50 32 30 756 21 2039

Makkah 7 473 117 15 11 1 125 9 389

Jeddah 33 3039 381 91 21 25 190 25 1119

Ta`if 3 280 77 5 3 0 68 2 267

Medinah 12 1035 104 11 3 2 145 4 375

Qaseem 5 393 90 3 2 1 78 6 325

Eastern 20 2847 197 3 6 2 203 0 605

Al-Ahsa 6 618 59 2 1 3 89 0 172

Hafr Al-Baten 1 50 28 0 0 1 23 0 98

Aseer 11 780 143 2 6 4 96 1 502

Bishah 0 0 21 0 0 0 13 0 97

Tabouk 1 86 45 6 3 1 48 2 173

Ha`il 1 60 34 2 9 17 59 1 242

Northern 0 0 16 0 1 0 7 0 66

Jazan 1 30 47 1 1 1 52 0 350

Najran 1 100 38 0 0 3 22 0 97

Al-Bahah 1 100 27 0 1 0 35 0 94

Al-Jouf 0 0 22 0 0 0 2 0 70

Qurayyat 0 0 10 1 0 0 10 0 46

Qunfudah 1 50 18 0 0 0 8 0 54

Total 136 14310 2249 192 100 91 2029 71 7180

Region Beds Beds per

10,000 population

Riyadh 4369 5.8

Makkah 473 2.3

Jeddah 3039 7.4

Ta`if 280 2.3

Medinah 1035 5.3

Qaseem 393 2.9

Eastern 2847 9.7

Al-Ahsa 618 5.3

Hafr Al-Baten 50 1.2

Aseer 780 4.5

Bishah 0 0.0

Tabouk 86 1.0

Ha`il 60 0.9

Northern 0 0.0

Jazan 30 0.2

Najran 100 1.8

Al-Bahah 100 2.2

Al-Jouf 0 0.0

Qurayyat 0 0.0

Qunfudah 50 1.7

Total 14310 4.8

2013 Health Statistics Annual Book T

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General

Internal Medicine

Surgery

Orthopedics

Urology

Faciodental

OBS/GYN

Pediatrics

Intensive care

ENT

Ophthalmology

Chest & fevers

Skin & venereal

Burns & Plastic Surgeries

Psychiatry & Neurology

Isolation

Others

Total

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Figure 6.3: Private sector hospitals, beds and dispensaries by region, 2009 –2013

Figure 6.2: Total number of private sector hospitals, beds and dispensaries, 2009 –2013

2013 Health Statistics Annual Book

Region

G e

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Riyadh 9 13 5 0 5 4 2 0 0 2 6 2 1 1 50

Makkah 4 1 1 0 2 2 1 1 0 1 1 1 0 0 15

Jeddah 11 12 4 6 11 14 7 2 4 3 6 6 1 4 91

Ta`if 0 3 1 0 0 1 0 0 0 0 0 0 0 0 5

Medinah 2 8 0 0 0 0 1 0 0 0 0 0 0 0 11

Qaseem 0 2 0 0 0 0 1 0 0 0 0 0 0 0 3

Eastern 0 0 0 0 1 1 0 0 0 0 1 0 0 0 3

Al-Ahsa 1 1 0 0 0 0 0 0 0 0 0 0 0 0 2

Hafr Al-Baten 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Aseer 0 1 0 0 1 0 0 0 0 0 0 0 0 0 2

Bishah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Tabouk 3 1 1 0 0 0 0 0 0 0 0 1 0 0 6

Ha`il 0 1 0 0 0 0 0 0 0 0 0 0 0 1 2

Northern 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Jazan 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1

Najran 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Al-Bahah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Al-Jouf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Qurayyat 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1

Qunfudah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Total 30 43 13 6 20 22 12 3 4 6 14 11 2 6 192

Table 6.3: Clinics in private sector by region and specialty, 2013

Figure 6.4: Ratio of health manpower in private sector per 10,000 population by region, 2013 # Includes dentists

Nurses

Physicians #

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Figure 6.4 (continued): Ratio of health manpower in private sector per 10,000 population by region, 2013

Pharmacists

Allied Health Professionals

Region N

u m

b e

r o f

P h

y sicia

n s

P h

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1 0

,0 0

0 p

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Riyadh 8,988 12.0 12,944 17.2 5570 7.4 5,521 7.3 33,023

Makkah 1,169 5.7 846 4.1 758 3.7 743 3.6 3,516

Jeddah 5,787 14.1 7,356 17.9 3917 9.5 3074 7.5 20,134

Ta`if 703 5.7 855 7.0 460 3.7 477 3.9 2,495

Medinah 1,543 7.9 1,833 9.3 901 4.6 1,018 5.2 5,295

Qaseem 884 6.6 1,309 9.8 488 3.6 626 4.7 3,307

Eastern 4,515 15.4 8,832 30.0 2022 6.9 3,470 11.8 18,839

Al-Ahsa 994 8.5 1,712 14.7 434 3.7 702 6.0 3,842

Hafr Al-Baten 233 5.5 251 5.9 176 4.1 137 3.2 797

Aseer 1,623 9.4 2,058 11.9 901 5.2 933 5.4 5,515

Bishah 144 3.9 154 4.2 104 2.8 95 2.6 497

Tabouk 392 4.5 470 5.4 330 3.8 326 3.8 1,518

Ha`il 881 13.5 1,017 15.5 415 6.3 529 8.1 2,842

Northern 102 2.9 88 2.5 102 2.9 61 1.7 353

Jazan 372 2.5 332 2.2 410 2.7 239 1.6 1,353

Najran 227 4.1 257 4.6 151 2.7 132 2.4 767

Al-Bahah 148 3.3 166 3.7 129 2.9 157 3.5 600

Al-Jouf 113 3.5 99 3.1 114 3.5 54 1.7 380

Qurayyat 82 5.1 66 4.1 72 4.5 45 2.8 265

Qunfudah 103 3.5 92 3.1 71 2.4 58 1.9 324

Total 29003 9.7 40737 13.6 17525 5.8 18397 6.1 105,662

2013 Health Statistics Annual Book

Figure 6.5: Proportions of manpower in private sector by nationality (top) and gender (bottom), 2013

# Include dentists

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Table 6.4: Manpower in private sector by category, gender, nationality and region, 2013

Category Riyadh Makkah Jeddah Ta’if

Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total

Physicians #

Male 201 5808 6009 5 812 817 47 4214 4261 2 461 463

Female 95 2884 2979 7 345 352 56 1470 1526 1 239 240

Total 296 8692 8988 12 1157 1169 103 5684 5787 3 700 703

Nurses

Male 110 1030 1140 37 97 134 156 600 756 70 44 114

Female 32 11772 11804 15 697 712 98 6502 6600 12 729 741

Total 142 12802 12944 52 794 846 254 7102 7356 82 773 855

Pharmacists

Male 264 5178 5442 2 741 743 113 3634 3747 0 452 452

Female 25 103 128 9 6 15 21 149 170 0 8 8

Total 289 5281 5570 11 747 758 134 3783 3917 0 460 460

Male 494 2744 3238 166 417 583 576 1119 1695 68 248 316

Allied Health Professionals

Female 238 2045 2283 68 92 160 324 1055 1379 30 131 161

Total 732 4789 5521 234 509 743 900 2174 3074 98 379 477

Category Medinah Qaseem Eastern Al-Ahsa

Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total

Physicians #

Male 18 1083 1101 11 530 541 64 3141 3205 5 689 694

Female 7 435 442 1 342 343 58 1252 1310 5 295 300

Total 25 1518 1543 12 872 884 122 4393 4515 10 984 994

Nurses

Male 138 146 284 39 114 153 106 1701 1807 68 228 296

Female 59 1490 1549 5 1151 1156 292 6733 7025 49 1367 1416

Total 197 1636 1833 44 1265 1309 398 8434 8832 117 1595 1712

Pharmacists

Male 18 867 885 6 472 478 56 1833 1889 8 407 415

Female 0 16 16 0 10 10 29 104 133 1 18 19

Total 18 883 901 6 482 488 85 1937 2022 9 425 434

Male 272 489 761 145 273 418 418 1243 1661 64 315 379

Allied Health Professionals

Female 83 174 257 4 204 208 564 1245 1809 77 246 323

Total 355 663 1018 149 477 626 982 2488 3470 141 561 702

2013 Health Statistics Annual Book

# Includes dentists

Table 6.4 (continued): Manpower in private sector by category, gender, nationality and region, 2013

Category Hafr Al-Baten Aseer Bishah Tabouk

Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total

Physicians #

Male 1 156 157 27 1030 1057 0 90 90 1 284 285

Female 0 76 76 2 564 566 0 54 54 0 107 107

Total 1 232 233 29 1594 1623 0 144 144 1 391 392

Nurses

Male 10 11 21 101 106 207 1 10 11 23 37 60

Female 12 218 230 9 1842 1851 1 142 143 36 374 410

Total 22 229 251 110 1948 2058 2 152 154 59 411 470

Pharmacists

Male 1 175 176 8 855 863 0 104 104 3 324 327

Female 0 0 0 1 37 38 0 0 0 0 3 3

Total 1 175 176 9 892 901 0 104 104 3 327 330

Male 6 100 106 152 443 595 9 60 69 86 141 227

Allied Health Professionals

Female 0 31 31 18 320 338 0 26 26 28 71 99

Total 6 131 137 170 763 933 9 86 95 114 212 326

Category Ha’il Northern Jazan Najran

Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total Saudi Non-Saudi Total

Physicians #

Male 1 588 589 3 69 72 3 225 228 1 149 150

Female 0 292 292 0 30 30 0 144 144 0 77 77

Total 1 880 881 3 99 102 3 369 372 1 226 227

Nurses

Male 10 74 84 1 7 8 14 13 27 14 15 29

Female 5 928 933 7 73 80 3 302 305 4 224 228

Total 15 1002 1017 8 80 88 17 315 332 18 239 257

Pharmacists

Male 1 410 411 0 102 102 0 410 410 1 149 150

Female 0 4 4 0 0 0 0 0 0 0 1 1

Total 1 414 415 0 102 102 0 410 410 1 150 151

Male 45 253 298 3 46 49 47 135 182 28 68 96

Allied Health Professionals

Female 1 230 231 0 12 12 2 55 57 0 36 36

Total 46 483 529 3 58 61 49 190 239 28 104 132

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# Includes dentists

Table 6.4 (continued): Manpower in private sector by category, gender, nationality and region, 2013

Category Al-Bahah Al-Jouf Qurayyat Qunfudah Total

Saudi Non-

Saudi Total Saudi

Non-

Saudi Total Saudi

Non-

Saudi Total Saudi

Non-

Saudi Total Saudi

Non-

Saudi Total

Physicians #

Male 1 76 77 1 86 87 0 61 61 0 70 70 392 19622 20014

Female 0 71 71 0 26 26 1 20 21 0 33 33 233 8756 8989

Total 1 147 148 1 112 113 1 81 82 0 103 103 625 28378 29003

Nurses

Male 10 5 15 5 15 20 15 11 26 2 11 13 930 4275 5205

Female 1 150 151 0 79 79 0 40 40 1 78 79 641 34891 35532

Total 11 155 166 5 94 99 15 51 66 3 89 92 1571 39166 40737

Pharmacists

Male 0 125 125 1 113 114 0 72 72 0 71 71 482 16494 16976

Female 0 4 4 0 0 0 0 0 0 0 0 0 86 463 549

Total 0 129 129 1 113 114 0 72 72 0 71 71 568 16957 17525

Allied Health Professionals

Male 42 79 121 4 42 46 10 34 44 18 32 50 2653 8281 10934

Female 3 33 36 0 8 8 0 1 1 3 5 8 1443 6020 7463

Total 45 112 157 4 50 54 10 35 45 21 37 58 4096 14301 18397

2013 Health Statistics Annual Book

Figure 6.6: Physicians #

, nurses and allied health professionals * working in the private sector by nationality, 2009-2013

# Include dentists * Data for 2013 is not available

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Specialty Total Grade

Resident Specialist Consultant

General Physician 4473 4 2 4477

Dentistry ,,72 ,3,4 235 2277

Internal medicine 225 ,35, 273 ,7,4

Surgery ,,, 745 270 ,,5,

Orthopedics 77 534 ,24 2,7

Urology 3, 227 ,2, 44,

Cardiothoracic surgery 5 ,, 25 4,

Neurosurgery , 33 43 22

Plastic Surgery 2 ,4 72 ,50

E.N.T 53 ,25 ,55 233

Ophthalmology 73 53, 20, 230

OBS/GYN 423 ,,05 40, 2434

Cardiology 7, 227 ,44 444

Chest diseases ,, ,42 ,4 2,7

Skin & Venereology ,25 744 ,54 ,023

Neurology ,, 4, 47 ,04

Public Health - ,0 7 ,7

Tropical Medicine 3 35 ,4 52

Radiology ,,0 704 ,,4 722

Laboratory 40 375 ,,7 552

Anesthesia ,32 473 224 235

Physical medicine ,, 7, 44 ,3,

Pediatrics 342 ,572 375 2275

Psychiatry 32 24 ,4 ,20

Forensic M. - - - -

Family medicine ,4 ,, 4, ,2,

Emergency 32 74 ,, ,22

Intensive care 42 33 , 2,

Nephrology , 32 22 ,,

Pediatric surgery - 2 ,3 ,5

Blood diseases 2 4 ,2 ,2

Gastroenterology 2 42 ,2 ,0,

Endocrinology - ,0 37 47

Oncology , 4 ,5 20

Vascular surgery 3 7 ,5 25

Others - 2, 3, ,2

Total ,33,3 ,,77, 3,,7 27003

Table 6.5: Physicians in hospitals and dispensaries of the private sector by specialty and grade, 2013

Chapter 7: Total health resources in all health sectors in the Kingdom

HEALTH RESOURCES

SECTION II.

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TOTAL HEALTH RESOURCES

IN ALL HEALTH SECTORS IN THE KINGDOM 7.

First: Health Facilities

In 2013, the total number of hospitals in the Kingdom is 445. Figure 7.1 displays the distribution of hos-

pitals across the different health sectors. In 2013, the total number of beds in all hospitals in the King-

dom was 64,777. It is significant to note that there were 38,970 beds under the management of the

MOH, corresponding to 60.4% of the total beds in the Kingdom (Figure 7.2). Figure 7.3 displays the

increasing trend in the number of hospitals and hospital beds in the Kingdom for the years 2009 to

2013. Between the years 2012 and 2013, the Kingdom witnessed an increase of 10 hospitals (a 2.2%

increase). Figure 7.4 further details this increasing pattern in the number of hospitals and hospital

beds per health sector, i.e. MOH, other governmental and private, during the period 2009-2013.

Second: Health Manpower

The total number of health manpower for the categories of physicians, nurses, pharmacists and allied

health professionals in 2013 is shown in Figure 7.5, along with the change in the numbers during the

period of 2009-2013. In year 2013, total health manpower working in the Kingdom were distributed as

follows: 80,475 physicians (including dentists), 154,568 nurses, 21,766 pharmacists, and 91,781 allied

health professionals. The change in the numbers of the four categories of health manpower during

the time period of 2009-2013 is further detailed per health sector of employment in Figure 7.6.

In year 2013, the proportion of health manpower working in the Kingdom who are Saudis was as fol-

lows: physicians (22.4%), nurses (35.0%), pharmacists (17.7%), and allied health professionals (69.6%).

Figure 7.7 reveals the change in the proportions of Saudis among the total number of physicians, nurs-

es and allied health professionals working in the Kingdom for the time period of 2009-2013. This

change in proportions is further detailed per health sector of employment in Figure 7.10 .

HOW DOES KSA COMPARE?

In 2013, there are 1.9 nurses for every physician employed in KSA,

in comparison to 1.3 nurses for every physician in the Eastern Mediterrane-

an Region (EMR) and 1.8 nurses for every physician globally.

In 2013, there are 21.6 hospital beds per 10,000 population in KSA, in com-

parison to 12 hospital beds per 10,000 population in the Eastern Mediterra-

nean Region (EMR) and 30 hospital beds per 10,000 population globally.

Source: World Health Statistics Report (2013),World Health Organization

2013 Health Statistics Annual Book

Table 7.1 shows the distribution of physicians and dentists working in all health sectors of the King-

dom, by specialty, gender, nationality, and region.

Figure 7.11 displays the 2013 distribution of physicians and dentists working in all health sectors by

specialty and exhibits the proportion of Saudis working in each specialty. The specialty with the high-

est proportion of Saudis is Endocrinology (47.2%), while the specialty with the least proportion of Sau-

di is Anesthesia (11.9%).

TREND OVER TIME…

Between 2009 and 2013, among the health sectors, the MOH

witnessed the highest increase in the number of hospitals (9.4%),

followed by the private sector (8.8% ).

Between 2009 and 2013, there was an total addition of 8,845 hospital beds (16%

increase); the health sector witnessing the highest increase in hospital beds was

the private sector (20.9% ), followed by the MOH (16.3% ).

The rate of total hospital beds per 10,000 population dropped from 22.0 beds in

2009 to 21.6 beds in 2013.

Between 2009 and 2013, the number of health manpower increased among all

health manpower categories, except pharmacists. Increases were as follows: phy-

sicians (45.6%), nurse (39.4%), and allied health professionals (53.9%).

KEY ACHIEVEMENTS …

Between 2009 and 2013, 37 new hospitals were built in KSA, resulting in an in-

crease of 9.1% in the number of hospitals and an addition of 8,845 beds (16%

increase) to the Kingdom’s hospital bed capacity.

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Figure 7.2: Hospital beds in various health sectors, KSA, 2013

Figure 7.1: Hospitals in various health sectors, KSA, 2013

2013 Health Statistics Annual Book

Figure 7.3: Total number of hospitals and beds in all health sectors, 2009-2013

Figure 7.4: Number of hospitals and beds in MOH, other governmental sectors and private sector, 2009 -2013

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Figure 7.5: Total number of physicians #

, nurses, pharmacists and allied health professionals in KSA, 2009-2013 # Physicians include dentists

2013 Health Statistics Annual Book

Figure 7.6: Number of physicians #

, nurses, pharmacists and allied health professionals in MOH, other governmental sectors and private sector, 2009-2013 # Physicians include dentists

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Figure 7.7: Percentage Saudis from manpower by category, KSA, 2013

Figure 7.8: Percentage females from manpower by category, KSA, 2013

2013 Health Statistics Annual Book

Figure 7.9: Proportion of Saudis among total number of physicians #

, nurses, pharmacists and allied health professionals in the Kingdom, 2009-2013 #Includes dentists

Figure 7.10: Proportion of Saudis among categories on manpower in various health sectors, KSA, 2009 -2013 # Includes dentists

1434 Health Statistics Annual Book S

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Chapter 8: Medical Education

HEALTH RESOURCES

SECTION II.

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MEDICAL EDUCATION 8.

Under the umbrella of the general governmental policy, the Ministry of Health aims at enhancing the

skills and expertise of the human resources. There is a plan to update the scientific skills of the nation-

al personnel and to encourage them to specialize in the different health and medical fields. The health

institutes are being invested in and some of them have been changed to colleges of health science.

The intermediate health institutes were constructed to give a chance to the graduates of the general

secondary schools and the secondary health institutes to get a distinguished level of education. There

is a continuous updating of the curriculum, training methods, as well as field and practical work. More-

over, the MOH has laid the foundation and basic guidelines for local and overseas training.

Figure 8.1 represents the distribution of students of medicine and other health majors in various uni-

versities, by gender and nationality. They were distributed as follows: medicine (16,230), dentistry

(4,152), pharmacy (7,394), applied sciences (20,292) and nursing (4,815). The female students repre-

sented 50.0% of all students. In terms of nationality, 98% of students were of Saudi nationality.

Figure 8.2 represents the distribution of graduates of medicine and other health majors in various uni-

versities, by gender and by nationality. In 2013, they were distributed as follows: medicine (2,123),

dentistry (382), pharmacy (666), applied health sciences (2,682), and nursing (629). The female gradu-

ates represented 50.0% of all graduates. Around 97% of graduate were Saudi nationals.

Figure 8.3 displays the trends of graduates of medicine and other health majors in the Kingdom by

gender and nationality.

KEY ACHIEVEMENTS …

During the time period of 2009-2013, the total number of gradu-

ates of medicine and other health majors increased several folds.

2013 Health Statistics Annual Book

Table 8.1: Students of medicine and health majors in various universities for the academic year 2013/2014

Total Non-Saudi Saudi

Total Female Male Total Female Male Total Female Male College

1804 712 1092 99 48 51 1705 664 1041 Medicine,King Saud U.,Riyadh

2242 1036 1206 116 53 63 2126 983 1143 Medicine , King Abdul Aziz U.,J.

1293 613 680 14 9 5 1279 604 675 Medicine ,Dammam U.

1533 524 1009 0 0 0 1533 524 1009 Medicine , King Khalied U.Abha

696 355 341 4 2 2 692 353 339 Medicine , Taibah U.

1463 761 702 39 18 21 1424 743 681 Medicine , Umm Al-qura U.

360 0 360 4 0 4 356 0 356 Medicine , I.M.U.M.U.

911 442 469 2 2 0 909 440 469 Medicine,King Faisal U.Al-Ahsa

641 229 412 4 1 3 637 228 409 Medicine , Qassem U.

772 396 376 0 0 0 772 396 376 Medicine , Jazan U.

169 37 132 0 0 0 169 37 132 Medicine , King Fahad Medical City

981 247 734 0 0 0 981 247 734 Medicine , King Saud bin ab- dulaziz for

108 108 0 0 0 0 108 108 0 Medicine ,Norah Bint Abdulrah- man U.

177 0 177 0 0 0 177 0 177 Medicine Salman bin Abdulaziz U.

964 329 635 0 0 0 964 329 635 Medicine Taif U.

424 187 237 0 0 0 424 187 237 Medicine Tabouk U.

386 192 194 0 0 0 386 192 194 Medicine Hail U.

161 0 161 0 0 0 161 0 161 Medicine , Al-Bahah U.

236 88 148 3 0 3 233 88 145 Medicine , Najran U.

473 266 207 2 2 0 471 264 207 Medicine , Northern Border U.

212 28 184 0 0 0 212 28 184 Medicine , Majmaah U.

224 0 224 1 0 1 223 0 223 Medicine , Al jouf U.

16,230 6,550 9,680 288 135 153 15,942 6,415 9,527 Total

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Table 8.1 (continued): Students of medicine and health majors in various universities for the academic year 2013/2014

Total Non-Saudi Saudi

Total Female Male Total Female Male Total Female Male College

646 270 376 14 9 5 632 261 371 Dentistry,King Saud U.,R.

738 447 291 27 17 10 711 430 281 Dentistry , King Abdul Aziz U.J.

193 33 160 0 0 0 193 33 160 Dentistry , Dammam U.

126 64 62 4 1 3 122 63 59 Dentistry , Umm Al-qura U.

249 115 134 2 1 1 247 114 133 Dentistry , Taibah U.

722 263 459 0 0 0 722 263 459 Dentistry ,King Khalied U.Abha

102 0 102 0 0 0 102 0 102 Dentistry , King Saud bin abdulaziz for

102 0 102 0 0 0 102 0 102 Health Sciences National Guard

40 40 0 0 0 0 40 40 0 Dentistry ,Norah Bint Abdulrahman U.

148 0 148 0 0 0 148 0 148 Dentistry , Salman bin Abdulaziz U.

220 74 146 0 0 0 220 74 146 Dentistry , Qassem U.

20 0 20 0 0 0 20 0 20 Dentistry , Taif U.

488 242 246 0 0 0 488 242 246 Dentistry, Jazan U.

113 0 113 0 0 0 113 0 113 Dentistry, Najran U.

89 0 89 0 0 0 89 0 89 Dentistry,Majmaah U.

116 0 116 0 0 0 116 0 116 Dentistry, Al jouf U.

4,152 1,618 2,534 47 28 19 4,105 1,590 2,515 Total

1140 555 585 150 100 50 990 455 535 Pharmacy,King Saud U.,R.

586 329 257 26 12 14 560 317 243 Pharmacy, King Abdul Aziz U..J.

470 234 236 1 0 1 469 234 235 Pharmacy,King Faisal U.Al-Ahsa.

537 303 234 16 12 4 521 291 230 Pharmacy, Umm Al-qura U.

224 119 105 0 0 0 224 119 105 Pharmacy,Taibah U.

1001 472 529 1 0 1 1000 472 528 Pharmacy, King Khalied U.Abha

75 0 75 0 0 0 75 0 75 Pharmacy , King Saud bin ab- dulaziz for

75 0 75 0 0 0 75 0 75 Health Sciences National Guard

296 49 247 0 0 0 296 49 247 Pharmacy, Salman bin Abdulaz- iz U.

414 414 0 13 13 0 401 401 0 Pharmacy,Norah Bint Abdulrah- man U.

100

2013 Health Statistics Annual Book

Table 8.1 (continued): Students of medicine and health majors in various universities for the academic year 2013/2014

Total Non-Saudi Saudi

Total Female Male Total Female Male Total Female Male College

518 168 350 2 1 1 516 167 349 Pharmacy, Qassem U.

57 36 21 0 0 0 57 36 21 Pharmacy, Hail U.

696 350 346 0 0 0 696 350 346 Pharmacy, , Jazan U.

495 144 351 0 0 0 495 144 351 Pharmacy, Taif U.

82 0 82 0 0 0 82 0 82 Pharmacy, Al-Bahah U.

164 0 164 0 0 0 164 0 164 Pharmacy, Najran U.

70 0 70 0 0 0 70 0 70 Pharmacy, Shaqra U.

333 176 157 0 0 0 333 176 157 Pharmacy, Northern Border U.

236 58 178 1 0 1 235 58 177 Pharmacy, Al jouf U.

7,394 3,407 3,987 210 138 72 7,184 3,269 3,915 Total

2424 1267 1157 154 107 47 2270 1160 1110 Applied Science,King Saud U.,R.

951 766 185 44 38 6 907 728 179 Applied Science,Abdul Aziz U..J.

810 482 328 14 10 4 796 472 324 Applied Science,Umm Al-Qura U.

633 417 216 2 2 0 631 415 216 Applied Science,Taibah U.

2648 1531 1117 1 1 0 2647 1530 1117 Applied Science,,King Khalied U.Abha

106 0 106 0 0 0 106 0 106 Applied , King Saud bin abdulaz- iz for

106 0 106 0 0 0 106 0 106 Health Sciences National Guard

188 146 42 0 0 0 188 146 42 Applied Science,King Faisal U.Al -Ahsa

1059 742 317 0 0 0 1059 742 317 Applied Science, Salman bin Abdulaziz U.

494 106 388 1 0 1 493 106 387 Applied Science,Qassem U.

2501 1339 1162 0 0 0 2501 1339 1162 Applied Science, Jazan U.

1005 413 592 0 0 0 1005 413 592 Applied Science, Taif U.

713 394 319 8 5 3 705 389 316 Applied Science, Tabouk U.

664 212 452 0 0 0 664 212 452 Applied Science, Hail U.

813 326 487 0 0 0 813 326 487 Applied Science, Al-Bahah U.

101

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Table 8.1 (continued): Students of medicine and health majors in various universities for the academic year 2013/2014

Total Non-Saudi Saudi

Total Female Male Total Female Male Total Female Male College

530 102 428 1 1 0 529 101 428 Applied Science, Najran U.

1100 546 554 3 3 0 1097 543 554 Applied Science, Shaqra U.

1202 320 882 0 0 0 1202 320 882 Applied Science, Majmaah U.

480 262 218 0 0 0 480 262 218 Applied Science, Northern Bor- der U.

1106 820 286 1 1 0 1105 819 286 Applied Science, Al jouf U.

20,292 10,731 9,561 231 170 61 20,061 10,561 9,500 Total

578 321 257 29 12 17 549 309 240 Nurse,King Saud U.,R.

445 421 24 0 0 0 445 421 24 Nurse , Dammam U.

110 110 0 1 1 0 109 109 0 Nurse , Umm Al-Qura U.

416 347 69 11 11 0 405 336 69 Nurse , Taibah U.

372 330 42 0 0 0 372 330 42 Nurse , King Khalied U. Abha

928 928 0 0 0 0 928 928 0 Nurse , King Saud bin abdulaziz for Health Sciences National

291 291 0 4 4 0 287 287 0 Nurse ,Norah Bint Abdulrahman U.

75 75 0 0 0 0 75 75 0 Nurse , Qassem U.

378 229 149 0 0 0 378 229 149 Nurse , Hail U.

181 181 0 0 0 0 181 181 0 Nurse, Northern Border U.

830 711 119 0 0 0 830 711 119 Nurse , Jazan U.

211 211 0 0 0 0 211 211 0 Nurse , Najran U.

4815 4155 660 45 28 17 4770 4127 643 Total

622 622 0 9 9 0 613 613 0 Physiotherapy Norah Bint Ab- dulrahman U.

622 622 0 9 9 0 613 613 0 Total

85 0 76 9 0 0 76 0 76

College of Public Health & Health Information in the Univ of King Saud bin abdulaziz for Health Sciences National Guard

302 83 219 0 0 0 302 83 219 College of Public Health & Health Information in the Hail Univ

387 83 295 9 0 0 378 83 295 Total

53,892 27,166 26,717 839 508 322 53,053 26,658 26,395 Grand Total

102

2013 Health Statistics Annual Book

Table 8.2: Graduates of medicine and health majors in various universities for the academic year 2012/2013

Total Non-Saudi Saudi

Total Female Male Total Female Male Total Female Male College

431 160 271 23 10 13 408 150 258 Medicine,King Saud U.,Riyadh

433 217 216 31 17 14 402 200 202 Medicine , King Abdul Aziz U.,J.*

245 136 109 4 2 2 241 134 107 Medicine , Dammam U.

198 55 143 0 0 0 198 55 143 Medicine , King Khalied U.Abha

118 65 53 2 2 0 116 63 53 Medicine , Taibah U.

151 64 87 0 0 0 151 64 87 Medicine,King Faisal U.Al-Ahsa.

149 80 69 1 0 1 148 80 68 Medicine , Umm Al-qura U.*

28 0 28 0 0 0 28 0 28 Medicine , Jazan U.*

86 34 52 0 0 0 86 34 52 Medicine , King Fahad Medical City

120 34 86 0 0 0 120 34 86 Medicine , King Saud bin ab- dulaziz for Health Sciences Na-

62 0 62 0 0 0 62 0 62 Medicine Taif U.

89 35 54 0 0 0 89 35 54 Medicine , Qassem U.*

13 0 13 0 0 0 13 0 13 Medicine , Al jouf U.

2,123 880 1,243 61 31 30 2,062 849 1213 Total

134 45 89 3 2 1 131 43 88 Dentistry,King Saud U.,R.

123 66 57 5 3 2 118 63 55 Dentistry , King Abdul Aziz U..J.*

23 0 23 0 0 0 23 0 23 Dentistry , Dammam U.

14 0 14 0 0 0 14 0 14 Dentistry , Taibah U.

64 0 64 0 0 0 64 0 64 Dentistry , King Khalied U.Abha

24 0 24 0 0 0 24 0 24 Dentistry , Qassem U.*

382 111 271 8 5 3 374 106 268 Total

103

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Table 8.2 (continued): Graduates of medicine and health majors in various universities for the academic year 2012/2013

Total Non-Saudi Saudi

Total Female Male Total Female Male Total Female Male College

241 133 108 32 23 9 209 110 99 Pharmacy,King Saud U.,R.

101 65 36 7 5 2 94 60 34 Pharmacy, King Abdul Aziz U..J.*

97 54 43 2 1 1 95 53 42 Pharmacy,Umm Al-Qura U.*

15 0 15 0 0 0 15 0 15 Pharmacy,Taibah U.

110 38 72 0 0 0 110 38 72 Pharmacy, King Khalied U.Abha

30 0 30 0 0 0 30 0 30 Pharmacy, King Faisal U.Al- Ahsa.

52 0 52 0 0 0 52 0 52 Pharmacy, Taif U.

8 0 8 0 0 0 8 0 8 Pharmacy, Qassem U.*

12 0 12 0 0 0 12 0 12 Pharmacy, Najran U.

666 290 376 41 29 12 625 261 364 Total

460 293 167 14 11 3 446 282 164 Applied Science,King Saud U.,R.

135 59 76 41 4 37 94 55 39 Applied Science,Abdul Aziz U..J.

212 113 99 0 0 0 212 113 99 Applied Science,Dammam U.

276 174 102 8 7 1 268 167 101 Applied Science,Umm Al-Qura U.

76 49 27 1 1 0 75 48 27 Applied Science,Taibah U.

275 186 89 0 0 0 275 186 89 Applied Science,King Khalied U.Abha

35 0 35 0 0 0 35 0 35

Applied , King Saud bin abdulaz- iz for Health Sciences National Guard

52 28 24 0 0 0 52 28 24 Applied Science, Salman bin Abdulaziz U.

101 57 44 0 0 0 101 57 44 Applied Science, Taif U.

189 112 77 2 2 0 187 110 77 Applied Science, Jazan U.

114 7 107 0 0 0 114 7 107 Applied Science, Najran U.

157 68 89 0 0 0 157 68 89 Applied Science, Al-Bahah U.

55 34 21 0 0 0 55 34 21 Applied Science, Salman bin Abdulaziz U.

113 46 67 0 0 0 113 46 67 Applied Science, Hail U.

36 13 23 0 0 0 36 13 23 Applied Science,Qassem U.

101 30 71 0 0 0 101 30 71 Applied Science,Majmaah U.

81 57 24 0 0 0 81 57 24 Applied Science, Shaqra U.

132 58 74 0 0 0 132 58 74 Applied Science, Al jouf U.

82 52 30 0 0 0 82 52 30 Applied Science, Northern Bor- der U.

2,682 1,436 1,246 66 25 41 2,616 1,411 1,205 Total

104

2013 Health Statistics Annual Book

Table 8.2 (continued): Graduates of medicine and health majors in various universities for the academic year 2012/2013

Total Non-Saudi Saudi

Total Female Male Total Female Male Total Female Male College

198 101 97 10 5 5 188 96 92 Nurse,King Saud U.,R.

51 51 0 2 2 0 49 49 0 Nurse , Umm Al-Qura U.*

131 131 0 0 0 0 131 131 0 Nurse , Dammam U.

91 91 0 0 0 0 91 91 0

Nurse , King Saud bin abdulaziz for Health Sciences National Guard

49 49 0 0 0 0 49 49 0 Nurse , King Khalied U. Abha

55 28 27 0 0 0 55 28 27 Nurse , Hail U.

37 37 0 0 0 0 37 37 0 Nurse , Jazan U.

17 17 0 0 0 0 17 17 0 Nurse , Najran U.

629 505 124 12 7 5 617 498 119 Total

6,482 3,222 3,260 188 97 91 6,294 3,125 3,169 G.Total

105

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Figure 8.1: Students of medicine and health majors in various universities for the academic years 2002 and 2013/2014

106

2013 Health Statistics Annual Book

Figure 8.2: Graduates of medicine and health majors in various universities for the academic years 2002 and 2012/2013

107

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Figure 8.3: Trends of graduates of medicine and health majors in the Kingdom by gender and nationality, 2009 -2013

Chapter 9: Training

HEALTH RESOURCES

SECTION II.

109

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TRAINING 9.

The Ministry of Health continues to provide opportunities for manpower working in different special-

ties in the health sector to receive training locally and even abroad. Its aim is to improve their levels of

performance and enhance their competencies, as well as introduce them to the most up-to-date tech-

nical developments and the modern healthcare methods and systems. Additionally, the MOH strives

to train graduates of the university colleges of medicine and health in the specialties deemed needed

by the MOH.

Table 9.1 displays the distribution of manpower from the MOH in various fellowship programs and

postgraduate studies, by specialty. Programs with the highest number of students included: Internal

Medicine (84), Pediatrics (79), Family Medicine (69), Dentistry (50), General Surgery (43), and Radiolo-

gy (31). As shown in Figure 9.1 as well, students studying locally in the Kingdom constituted around

75% of total number of students. The majority of enrolled students were males (70%).

Figure 9.2 displays three variables related to quality assurance workshops given at health centers: the

number of training courses provided, the number of trainees, and the percentage of the targeted

number of trainees that were actually trained. This data is shown by region of the Kingdom. Displayed

in Figure 9.3 is the change in the number of trainees in maternal and child care at health centers by

region over the time period of 2008-2012. The trend from 2008 to 2012 is summarized in Figure 9.4 for

the Kingdom as a whole. Table 9.2 shows the number of trainees who have completed training cours-

es in technical skills development centers during the year 2012. A total of 35,192 trainees attended to

these centers in 2013. Table 9.3 displays the distribution of Central Board for Accreditation of

Healthcare Institutions (CBAHI) accredited private hospitals across the Kingdom. Displayed in Table

9.4 is the distribution of CBAHI accredited MOH hospitals across the Kingdom.

TREND OVER TIME…

Between 2008 and 2012, the total

number of trainees attending mater-

nal & child care workshops at health

centers of the Kingdom increased by

22.7% (2,525 to 3,099 trainees).

KEY ACHIEVEMENTS …

In 2012, several regions of the King-

dom, including Medinah, Qaseem,

Aseer, Jazan, and Al-Bahah, suc-

ceeded in achieving more than 60%

of the targeted number of trainees

in quality assurance workshops.

110

2013 Health Statistics Annual Book

Specialty Locally Abroad

Total Male Female Male Female

Internal Medicine 56 15 12 1 84

Pediatrics 46 29 3 1 79

Psychiatry 1 0 2 0 3

Dermatology & Venereology 2 1 11 2 16

Family medicine 44 25 0 0 69

Community medicine 4 6 0 0 10

Family & Community medicine 0 0 0 0 0

Public Health 0 0 13 3 16

Neurology 7 4 1 1 13

Pathology 1 0 0 1 2

Epidemiology 1 0 0 0 1

General surgery 28 2 12 1 43

OBS/GYN 6 6 0 0 12

Ophthalmology 1 1 6 0 8

ENT 5 0 9 3 17

Anesthesia 3 5 6 0 14

Radiology 9 8 12 2 31

Orthopedics 7 0 14 0 21

Urology 6 0 6 0 12

Emergency Medicine 2 1 1 0 4

Forensic Medicine 3 2 2 0 7

Anatomy 0 0 0 0 0

Medical Diploma 22 35 0 0 57

Plastic Surgery 0 1 4 1 6

Occupational Medicine 1 0 0 0 1

Rehabilitative Medicine 0 0 0 0 0

Dentistry 25 14 7 4 50

Other specialist fellowship 9 1 4 1 15

Total 289 156 125 21 591

Table 9.1: Physicians from MOH Newly Enrolled in Fellowship Programs & High Studies by Specialty, 2013

111

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No. of courses

48 29 5 4 26 4 67 4 24 14 1 1 1 3 12 3 3 18 1 2

Figure 9.2: Quality assurance workshops at health centers by region, 2012*

*Data for 2012 because data for 2013 is not released yet **Data was missing for the number of target trainees in workshops for Eastern and Qunfudah

Figure 9.1: Total manpower from MOH enrolled in fellowship programs & post-graduate studies by gender and place of study, 2013

112

2013 Health Statistics Annual Book

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Course No. of Trainees

Pediatric Fundamentals of Critical Care Support (PFCCS) 25

Basic Cardiovascular Life Support (BCLS) 31,582

Advanced Cardiovascular Life Support (ACLS) 1,698

Advanced Trauma Life Support (ATLS) 144

Neonatal Resuscitation Program (NRP) 1,447

Pediatric Advanced Life Support (PALS) 250

Advanced Pediatric Life Support (APLS) -

Fundamental Critical Care Support (FCCS) 12

Advanced Trauma Care for Nurses (ATCN) -

TRIAGE -

Critical Care Nursing (CCN) -

Adult Mechanical Ventilation (AMV) -

Pediatric Mechanical Ventilation (PMV) -

Registered Respiratory Therapist (RRT) -

Basic Life Support in Obstetrics (BLSO) -

Advanced Life Support in Obstetrics (ALSO) -

Fundamental Disaster Management (FDM) 19

Electrocardiography (ECG) 15

TOXIO -

AIR WAY -

Total 35,192

Table 9.2: Number of trainees in technical skills' development centers, 2013

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Region Hospital Name Date of Accreditation

Riyadh

1 King Fahad Medical City 2010

2 Al-Yamama Hospital 2010

3 Al-Eman General Hospital 2010

4 Prince Salman Hospital 2010

5 King Saud Medical City 2010

6 King Khalid Hospital- Al Kharj 2012

7 Al Aflaj General Hospital 2012

8 Wadi Al Dawasir General Hospital 2012

9 Al Dawadmi General Hospital 2012

10 Al-Quayeeah General Hospital 2013

Makkah

11 Herra General Hospital 2010

12 King Abdulaziz Hospital 2010

13 Al-Noor Specialized Hospital 2013

Jeddah

14 King Abdulaziz Hospital & Oncology Center 2010

15 King Fahad Hospital 2010

16 Maternity & Children Hospital 2010

17 Rabegh General Hospital 2012

18 Al-Thager General Hospital 2013

Ta’if 19 King Abdulaziz Specialized Hospital 2010

Madinah

20 Maternity & Children Hospital 2011

21 King Fahad Hospital 2011

22 Ohoud General Hospital 2011

23 Al Ansar General Hospital 2012

24 Jubail General Hospital 2012

Qaseem 25 King Fahad Specialized Hospital 2010

26 King Saud Hospital 2010

27 Maternity & Children Hospital 2012

Eastern

28 Maternity & Children Hospital 2010

29 Saud Al Babtain Cardiac Center 2010

30 Jubail General Hospital 2011

31 Qateef General Hospital 2011

32 Dammam Medical Complex 2011

33 Al Khafji General Hospital 2012

Al-Ahsa 34 King Fahad Hospital 2010

35 Maternity & Children Hospital 2011

36 Prince Saud Bin Jalawi Hospital 2012

Hafr Al Baten 37 King Khalid Hospital 2011

Aseer

38 Aseer Central Hospital 2010

39 Khamis Mushayt General Hospital 2010

40 Abha General Hospital 2012

41 Billasmar General Hospital 2012

42 Sarat Obaida General Hospital 2012

43 Al Namas General Hospital 2012

Bishah 44 King Abdullah Hospital 2012

Tabouk 45 King Khalid Hospital 2011

Ha’il 46 King Khalid Hospital 2010

Northern 47 Arar Central Hospital 2012

48 Prince Abdulaziz Bin Musaad Hospital 2012

Jazan 49 King Fahad Hospital 2010

50 King Khalid Hospital 2010

Najran 51 Maternity & Children Hospital 2012 52 Sharourah General Hospital 2012

Al-Baha 53 King Fahad Hospital 2010

Table 9.3: CBAHI Accredited Private Hospitals at the end of 2013

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Region Hospital Name Date of Accreditation

Riyadh

1 King Fahad Medical City 2010

2 Al-Yamama Hospital 2010

3 Al-Eman General Hospital 2010

4 Prince Salman Hospital 2010

5 King Saud Medical City 2010

6 King Khalid Hospital- Al Kharj 2012

7 Al Aflaj General Hospital 2012

8 Wadi Al Dawasir General Hospital 2012

9 Al Dawadmi General Hospital 2012

10 Al-Quayeeah General Hospital 2013

Makkah 11 Herra General Hospital 2010

12 King Abdulaziz Hospital 2010

13 Al-Noor Specialized Hospital 2013

Jeddah

14 King Abdulaziz Hospital & Oncology Center 2010

15 King Fahad Hospital 2010

16 Maternity & Children Hospital 2010

17 Rabegh General Hospital 2012

18 Al-Thager General Hospital 2013

Ta'if 19 King Abdulaziz Specialized Hospital 2010

Madinah

20 Maternity & Children Hospital 2011

21 King Fahad Hospital 2011

22 Ohoud General Hospital 2011

23 Al Ansar General Hospital 2012

24 Jubail General Hospital 2012

Qaseem

25 King Fahad Specialized Hospital 2010

26 King Saud Hospital 2010

27 Maternity & Children Hospital 2012

Eastern

28 Maternity & Children Hospital 2010

29 Saud Al Babtain Cardiac Center 2010

30 Jubail General Hospital 2011

31 Qateef General Hospital 2011

32 Dammam Medical Complex 2011

33 Al Khafji General Hospital 2012

Al-Ahsa 34 King Fahad Hospital 2010

35 Maternity & Children Hospital 2011

36 Prince Saud Bin Jalawi Hospital 2012

Hafr Al-Baten 37 King Khalid Hospital 2011

Aseer

38 Aseer Central Hospital 2010

39 Khamis Mushayt General Hospital 2010

40 Abha General Hospital 2012

41 Billasmar General Hospital 2012

42 Sarat Obaida General Hospital 2012

43 Al Namas General Hospital 2012

Bishah 44 King Abdullah Hospital 2012

Tabuk 45 King Khalid Hospital 2011

Ha'il 46 King Khalid Hospital 2010

Northern 47 Arar Central Hospital 2012

48 Prince Abdulaziz Bin Musaad Hospital 2012

Jazan 49 King Fahad Hospital 2010

Najran 50 King Khalid Hospital 2010

51 Maternity & Children Hospital 2012

52 Sharourah General Hospital 2012

Al-Baha 53 King Fahad Hospital 2010

Table 9.4: CBAHI Accredited MOH Hospitals at the end of 2013

Chapter 10: Infectious diseases

Chapter 11: Chest disease

Chapter 12: Bilharziasis

Chapter 13: Leishmaniasis

Chapter 14: Malaria

Chapter 15: Environmental health and health education activities

SECTION III.

PUBLIC HEALTH AND

PREVENTIVE MEDICINE

Chapter 10: Infectious diseases

PUBLIC HEALTH AND

PREVENTIVE MEDICINE

SECTION III.

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Infectious diseases are caused by pathogenic microorganisms, such as bacteria, viruses, parasites and

fungi. They can be spread, directly or indirectly, from one person to another. Additionally, zoonotic

diseases are infectious diseases of animals that can cause disease when transmitted to humans.

The Ministry of Health in the Kingdom aims at eliminating infectious diseases through the continuous

upgrade of the surveillance system, as well as the solid implementation of prevention and control pro-

grams. The continuous efforts during the previous years have resulted in the successful elimination of

many infectious diseases. Moreover, the spread of epidemiological control units all over the Kingdom

has helped control other infectious diseases; and this has been witnessed through reduced incidence

rates.

The statistics of infectious diseases were processed according to the Gregorian calendar year of 2013

corresponding to the period from 19 Safar 1434 to 28 Safar 1435 Hijri.

A. Important Epidemiological Diseases

As shown in Table 10.1a, four cases of meningococcal meningitis have been discovered during the year

2013, representing an incidence rate of 0.01 per 100,000 population. One case was recorded in each of

Jeddah and Eastern. The incidence of other types of cerebrospinal meningitis, including pneumococ-

cal and hemophilus influenza, was 0.01 per 100,000 population.

The reporting of cases for all notifiable communicable diseases by province in the Kingdom (Table

10.1a) shows a geographical variation for ‘Other Meningitis’. The highest percentage of ‘Other Menin-

gitis’ cases is recorded in Riyadh (198 cases, 67.6% of all cases).

HOW DOES KSA COMPARE?

The incidence rate of Measles in KSA for year 2013 is 0.84 per

100,000 population. This rate is considered very low in comparison to

the EMR incidence rate of 5.9 per 100,000 population and the global

rate of 5.1 per 100,000 population.

Source: World Health Statistics Report (2013),World Health Organization

INFECTIOUS DISEASES 10.

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KEY ACHIEVEMENTS ...

The expanded program of immunization (EPI) for vaccine-preventable diseases is

undergoing continuous growth. As a result of the high immunization coverage

(more than 90%) achieved during this decade, a reduction in the incidence of

certain vaccination targeted diseases has been witnessed.

Figure 10.5a shows that the highest incidence rates of total meningitis in the year 2013 are present in

Qaseem (3.66 cases per a 100,000 population) and Riyadh (2.63 cases per 100,000 population) .

B. Vaccine-Preventable Diseases

The incidence rate recorded for the vaccine-preventable diseases for the year 2013 is as follows: Neo-

natal Tetanus (0.03 per 1,000 live births), Measles (0.84 per 100,000population), Mumps (0.12 per

100,000 population), Rubella (0.22 per 100,000 population), Hepatitis B (14.20 per 100,000 population)

and Chickenpox (36.43 per 100,000 population). No cases of Whooping Cough, Diphtheria or Poliomy-

elitis are recorded this year.

Seasonal variation, displayed in Figure 10.1b, is observed with Measles cases, as infections increased in

the period between January and June. Additionally, a surge is observed in Chickenpox cases during

spring (May-June) 2013.

The immunization coverage of the complete three doses of DPT (Diphtheria, Pertussis- Whooping

Cough, and Tetanus), HBV3 (Hepatitis B) and OPV (Oral Poliomyelitis Vaccine) is 97.7%, while the im-

munization coverage for MMR (Measles, Mumps and Rubella) is 97.9% in year 2013.

As shown in Figure 10.3b, the distribution of infectious diseases according to nationality shows that

the incidence of the vaccine-preventable diseases is more or less the same among Saudis and non-

Saudis except for a few diseases, including Chickenpox, Hepatitis B, Tetanus, and Diphtheria. The

difference in Chickenpox rates may be due to the fact that most of the non-Saudis living in the King-

dom are adults.

The distribution of cases according to age groups (Figure 10.4b) demonstrates some characteristic

features among vaccine-preventable diseases; more than half of the Chickenpox cases (50.6%) oc-

curred among the age group 5-14years. For Hepatitis B, 68.6% of cases occurred among the age group

15-44 years.

The geographical distribution of reported cases for all vaccine-preventable diseases is shown in Table

10.1b. Figure 10.5b provides insight on the incidence rates of Chickenpox and Hepatitis B for the year

2013 across the regions of the Kingdom.

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C. Environment-acquired Diseases

The incidence rate for the environment-acquired diseases for the year 2013 is as follows: Cholera

(0.01 per 100,000 population), Amoebic Dysentery (6.06 per 100,000 population), Typhoid and Para-

typhoid (0.74 per 100,000 population), Shigellosis (0.11 per 100,000 population), Salmonellosis (3.48

per 100,000 population), and Hepatitis A (0.79 per 100,000 population).

Salmonellosis displays a geographical variation (Table2.1c); the Eastern Province notifies the largest

number of Salmonella cases (377 cases, 36.1%).

KEY ACHIEVEMENTS ...

The Kingdom is implementing a comprehensive program to eradicate Mea-

sles through immunizing the students in the intermediate and secondary

school levels (above 14 years) by MMR. The incidence of the disease de-

creased due to implementation of the second stage of vaccination

against Measles, Rubella and Mumps.

D. Zoonotic Diseases (Animal-acquired Diseases)

The incidence rate of Brucellosis (Malta Fever) is 10.88 per 100,000 population in year 2013, in com-

parison with 12.54 per 100,000 population in year 2012. Successful control of this disease is attributed

to the engagement of the Ministry of Health in the Brucellosis Control Program, which is implement-

ed by the Ministry of Agriculture and Water and the Ministry of Municipal and Rural Affairs through

the committee of zoonotic diseases. The incidence rates for Dengue Fever and Khurma Fever for year

2013 are 21.71 and 0.20 per 100,000 population, respectively. No case of Rabies and Rift Valley Fever

is notified this year. Dengue fever and Brucellosis (Malta Fever) both display seasonal variation

(Figure 10.1d), with infections following an increase from April to July.

Brucellosis (Malta Fever) and Dengue Fever display variation in distribution by nationality (Figure

10.3d). The incidence rate of Brucellosis among Saudis is 14.64 per 100,000 population while it is 36.5

per 100,000 population among the Non-Saudis.

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TREND OVER TIME…

This incidence rate of meningococcal meningitis for year 2013

(0.01 per 100,000 population) is half the rate recorded during the pre-

vious year.

Between years 2012 and 2013, there has been a decrease in the incidence

rate of environment-acquired diseases: Salmonellosis (from 3.91 to

3.48 per 100,000 population) and Hepatitis A (from 1..06 to 0.79 per

100,000 population).

The incidence rate of Brucellosis (Malta Fever) decreased from 12.53 per

100,000 population in year 2012 to 10.88 per 100,000 population in

2013 (representing a 13.2% decrease).

Dengue fever also exhibits geographical variation, as shown in Table 10.1d. Jeddah markedly contains

the highest number of cases of Dengue fever (67.73% of cases). Age distribution, reported in Figure

10.4d, shows that for Brucellosis (Malta Fever), 60.96% of cases occur among the age group of 15-44

years, followed by the age group of above 45 years (23.59%). For Dengue Fever, a majority of cases

(70.98%) are present among the age group of 15-44 years.

E. Quarantinable Diseases

No case of any of the quarantinable diseases (yellow fever and plague) are reported in year 2013.

F. Other Infectious Diseases

The incidence rates for Hepatitis C and unspecified Hepatitis diseases for year 2013 are 5.26 and 0.11

per 100,000 population, respectively. In terms of seasonal variation (Figure 10.1e), Hepatitis C infec-

tions show a peak during the winter (January—March) of year 2013.

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Figure 10.1a: Reported cases of meningitis by month and season, KSA, 2013

Figure 10.2a: Reported cases and incidence of meningitis, KSA, 2009—2013

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Table 10.1a: Reported cases of meningitis by region, KSA, 2013

Figure 10.4a: Reported cases of meningitis by age group , KSA, 2013

Figure 10.3a: Reported cases and incidence rate (IR, per 100,000) of meningitis by nationality and gen- der, KSA, 2013

Meningitis pneumococcal Saudis IR: 0.01

Non-Saudis IR: 0.00

Meningitis, Haemophilus Saudis IR: 0.01

Non-Saudis IR: 0.005

Other Meningitis Saudis IR: 1.08

Non-Saudis IR: 0.80

Meningococcal Meningitis, Saudis IR: 0.01

Non-Saudis IR: 0 0.00

Figure 10.5a: Incidence Rate (IR, per 100,000) of total meningitis by region, KSA, 2013

Meningitis

Region Meningococcal Pneumococcal H. influenzae Others Total

Riyadh 0 0 0 198 198

Makkah 0 0 0 0 0

Jeddah 1 0 1 14 16

Ta`if 0 0 0 0 0

Medinah 0 0 0 3 3

Qaseem 0 1 1 47 49

Eastern 1 0 1 2 4

Al-Ahsa 0 2 0 13 15

Hafr Al-Baten 0 0 0 0 0

Aseer 0 0 0 6 6

Bishah 0 0 0 0 0

Tabouk 0 0 0 0 0

Ha`il 0 0 0 1 1

Northern 0 0 0 1 1

Jazan 0 0 0 1 1

Najran 0 0 0 7 7

Al-Bahah 0 0 0 0 0

Al-Jouf 0 0 0 0 0

Qurayyat 0 0 0 0 0

Qunfudah 0 0 0 0 0

Total 2 3 3 293 301

Region IR (per

100,000)

Riyadh 2.63

Makkah 0.00

Jeddah 0.39

Ta`if 0.00

Medinah 0.15

Qaseem 3.66

Eastern 0.14

Al-Ahsa 1.29

Hafr Al-Baten 0.00

Aseer 0.35

Bishah 0.00

Tabouk 0.00

Ha`il 0.15

Northern 0.28

Jazan 0.07

Najran 1.26

Al-Bahah 0.00

Al-Jouf 0.00

Qurayyat 0.00

Qunfudah 0.00

Total 1.00

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Figure 10.1b: Reported cases of vaccine-preventable diseases by month and season, KSA, 2013

Figure 10.2b: Reported cases and incidence of vaccine-preventable diseases, KSA, 2009—2013 (i)

Figure 10.2b: Reported cases and incidence of vaccine-preventable diseases, KSA, 2009—2013 (ii) *

*The incidence rate of Rubella was not checked for 2011 due to lack of reagents

NNT Incidence /1000 Live Birth

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Measles Saudis IR: 0.92

Non-Saudis IR: 0.7

Mumps Saudis IR: 0.13

Non-Saudis IR: 0.10

Chickenpox Saudis IR: 44.32

Non-Saudis IR: 20.00

Hepatitis B Saudis IR: 18.41

Non-Saudis IR: 5.4

Diphtheria Saudis IR: 0.00

Non-Saudis IR: 0.10

Tetanus Neonatorum Saudis IR: 0 per 1,000 live birth

Non-Saudis IR: 0.02 per 1,000 live birth

Tetanus, Other Forms Saudis IR: 0.01

Non-Saudis IR: 0.10

Rubella Saudis IR: 0.24

Non-Saudis IR: 0.20

Figure 10.4b: Reported cases of vaccine-preventable diseases by age group, KSA, 2013

Figure 10.3b: Reported cases and incidence (per 100,000) of vaccine-preventable diseases by nationality and gender, KSA, 2013

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Table 10.1b: Reported cases of vaccine-preventable diseases by region, KSA, 2013

Figure 10.5b: Incidence Rate (IR, per 100,000) of total chickenpox (top) and Hepatitis B (bottom) by region, KSA, 2013

Region Diphtheria Whooping

Cough Tetanus

neonatorum

Tetanus

other

forms

Poliomyelitis Measles Mumps Rubella Chickenpox Hepatitis B

Riyadh 0 0 0 0 0 32 13 22 1778 803

Makkah 8 0 2 2 0 1 0 0 279 375

Jeddah 0 0 8 10 0 133 2 14 675 371

Ta`if 0 0 0 0 0 18 2 3 592 388

Medinah 0 0 0 3 0 27 0 6 578 321

Qaseem 0 0 0 0 0 4 1 3 865 205

Eastern 0 0 0 2 0 11 10 5 2001 416

Al-Ahsa 0 0 0 0 0 2 1 1 1053 238

Hafr Al-Baten 0 0 0 0 0 0 0 1 298 2

Aseer 0 0 0 0 0 6 3 0 810 281

Bishah 0 0 0 0 0 0 0 0 131 26

Tabouk 0 0 0 0 0 1 0 0 149 189

Ha`il 0 0 0 0 0 1 0 1 185 54

Northern 0 0 0 0 0 1 0 0 393 82

Jazan 0 0 0 0 0 4 0 0 195 209

Najran 0 0 0 0 0 1 5 6 450 130

Al-Bahah 0 0 0 0 0 3 0 0 289 0

Al-Jouf 0 0 0 0 0 1 0 0 45 19

Qurayyat 0 0 0 0 0 0 0 0 115 4

Qunfudah 0 0 0 0 0 6 0 4 53 146

Total 8 0 10 17 0 252 37 66 10934 4259

Region IR (per 100,000 )

Riyadh 23.65

Makkah 13.58

Jeddah 16.43

Ta`if 48.20

Medinah 29.45

Qaseem 64.67

Eastern 68.03

Al-Ahsa 90.35

Hafr Al-Baten 69.76

Aseer 46.96

Bishah 35.33

Tabouk 17.19

Ha`il 28.26

Northern 111.97

Jazan 13.02

Najran 81.06

Al-Bahah 64.12

Al-Jouf 14.00

Qurayyat 71.10

Qunfudah 17.81

Total 36.45 Region IR (per 100,000)

Riyadh 10.68

Makkah 18.25

Jeddah 9.03

Ta`if 31.59

Medinah 16.36

Qaseem 15.33

Eastern 14.14

Al-Ahsa 20.42

Hafr Al-Baten 0.47

Aseer 16.29

Bishah 7.01

Tabouk 21.80

Ha`il 8.25

Northern 23.36

Jazan 13.96

Najran 23.42

Al-Bahah 0.00

Al-Jouf 5.91

Qurayyat 2.47

Qunfudah 49.07

Total 14.20

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Figure 10.1c: Reported cases of environment-acquired diseases by month and season, KSA, 2013

Figure 10.2c: Reported cases and incidence of environment-acquired diseases, KSA, 2009—2013

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Cholera Saudis IR: 0.01

Non-Saudis IR: 0.00

Hepatitis A Saudis IR: 0.90

Non-Saudis IR: 0.50

Typhoid and Paratyphoid Saudis IR: 0.54

Non-Saudis IR: 1.20

Bacillary dysentery (Shigellosis) Saudis IR: 0.15

Non-Saudis IR: 0.10

Salmonella food poisoning Saudis IR: 4.39

Non-Saudis IR: 2.89

Amoebic dysentery Saudis IR: 5.89

Non-Saudis IR: 6.40

Figure 10.4c: Reported cases of environment-acquired diseases by age group, KSA, 2013

Figure 10.3c: Reported cases and incidence (per 100,000) of environment-acquired diseases by nationality and gender, KSA, 2013

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Figure 10.5c: Incidence Rate (IR, per 100,000) of total environment-acquired diseases by region, KSA, 2013

Table 10.1c: Reported cases of environment-acquired diseases by region, KSA, 2013

Region

Environment-acquired diseases

Cholera Hepatitis A Typhoid

and Paraty- phoid

Amoebic Dysentery

Bacillary dysentery

(Shigellosis)

Salmonella food poi-

soning

Echinococ- cus Hydatid

Disease

Riyadh 0 72 6 14 10 286 0

Makkah 0 13 6 1 0 15 0

Jeddah 0 11 28 845 4 167 0

Ta`if 0 1 6 50 0 0 0

Medinah 0 7 44 22 1 23 0

Qaseem 0 11 53 56 2 6 0

Eastern 1 38 32 575 5 377 0

Al-Ahsa 2 10 6 70 7 50 0

Hafr Al- Baten

0 0 19 1 1 0 0

Aseer 0 12 3 34 0 72 0

Bishah 0 2 0 61 0 6 0

Tabouk 0 30 1 0 0 0 0

Ha`il 0 1 3 10 0 1 0

Northern 0 1 4 7 0 1 0

Jazan 0 16 5 1 1 2 0

Najran 0 9 3 8 4 13 0

Al-Bahah 0 0 2 0 0 18 0

Al-Jouf 0 2 0 53 0 1 0

Qurayyat 0 0 0 11 0 4 0

Qunfudah 0 0 3 0 0 3 0

Total 3 236 224 1819 35 1045 0

Region IR (per 100,000)

Riyadh 5.16

Makkah 1.70

Jeddah 25.68

Ta`if 4.64

Medinah 4.94

Qaseem 9.57

Eastern 34.95

Al-Ahsa 12.44

Hafr Al-Baten 4.92

Aseer 7.01

Bishah 18.61

Tabouk 3.58

Ha`il 2.29

Northern 3.70

Jazan 1.67

Najran 6.67

Al-Bahah 4.44

Al-Jouf 17.42

Qurayyat 9.27

Qunfudah 2.02

Total 11.21

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Figure 10.1d: Reported cases of zoonotic diseases by month and season, KSA, 2013

Figure 10.2d: Reported cases and incidence of zoonotic diseases, KSA, 2009—2013

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Brucellosis Saudis IR: 10.83

Non-Saudis IR: 11.00

Dengue Fever Saudis IR: 14.64

Non-Saudis IR: 36.5

Figure 10.3d: Reported cases and incidence of zoonotic diseases by nationality and gender , KSA, 2013

Khurma Fever Saudis IR: 0.21

Non-Saudis IR: 0.20

Figure 10.4d: Reported cases of zoonotic diseases by age group, KSA, 2013

Figure 10.5d: Incidence Rate (IR, per 100,000) of total brucello- sis by region, KSA, 2013

Table 10.1d: Reported cases of zoonotic diseases by region, KSA, 2013 Region

Zoonotic diseases

Brucellosis Rabies Dengue

Fever

Rift Valley Fever

Khurma Fever

Riyadh 302 0 2 0 0

Makkah 38 0 1748 0 8

Jeddah 13 0 4411 0 0

Ta`if 233 0 69 0 1

Medinah 170 0 52 0 0

Qaseem 824 0 0 0 0

Eastern 221 0 1 0 0

Al-Ahsa 27 0 0 0 0

Hafr Al- Baten

215 0 0 0 0

Aseer 234 0 0 0 0

Bishah 102 0 0 0 0

Tabouk 21 0 0 0 0

Ha`il 241 0 0 0 0

Northern 268 0 0 0 0

Jazan 65 0 92 0 0

Najran 142 0 137 0 50

Al-Bahah 110 0 0 0 0

Al-Jouf 14 0 0 0 0

Qurayyat 19 0 0 0 0

Qunfudah 5 0 0 0 0

Total 3264 0 6512 0 59

Region IR (per 100,000)

Riyadh 4.02

Makkah 1.85

Jeddah 0.32

Ta`if 18.97

Medinah 8.66

Qaseem 61.60

Eastern 7.51

Al-Ahsa 2.32

Hafr Al-Baten 50.33

Aseer 13.56

Bishah 27.51

Tabouk 2.42

Ha`il 36.81

Northern 76.36

Jazan 4.34

Najran 25.58

Al-Bahah 24.40

Al-Jouf 4.36

Qurayyat 11.75

Qunfudah 1.68

Total 10.88

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Figure 10.1e: Reported cases of Hepatitis C and other infections hepatitis by month and season, KSA, 2013

Figure 10.2e: Reported cases and incidence of Hepatitis C and other infectious hepatitis, KSA, 2009—2013

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Hepatitis C Saudis IR: 6.02

Non-Saudis IR: 3.7

Other infectious hepatitis Saudis IR: 0.12

Non-Saudis IR: 0.10

Figure 10.3e: Reported cases and incidence of Hepatitis C and other infectious hepatitis by nationality and gender, KSA, 2013

Figure 10.5e: Incidence Rate (IR, per 100,000) of Hepatitis C by region, KSA, 2013

Figure 10.4e: Reported cases of Hepatitis C and other

infectious hepatitis by age group, KSA, 2013

Table 10.1e: Reported cases of Hepatitis C and unspecified Hepatitis by region, KSA, 2013

Region IR (per 100,000)

Riyadh 3.54

Makkah 8.08

Jeddah 5.43

Ta`if 9.20

Medinah 5.81

Qaseem 6.43

Eastern 6.90

Al-Ahsa 5.06

Hafr Al-Baten 0.00

Aseer 5.45

Bishah 5.93

Tabouk 3.11

Ha`il 4.12

Northern 5.98

Jazan 0.87

Najran 5.40

Al-Bahah 8.21

Al-Jouf 5.29

Qurayyat 0.00

Qunfudah 19.83

Total 5.26

Region Hepatitis C Other infectious hepatitis

Riyadh 266 15

Makkah 166 0

Jeddah 223 1

Ta`if 113 0

Medinah 114 0

Qaseem 86 0

Eastern 203 1

Al-Ahsa 59 0

Hafr Al-Baten 0 0

Aseer 94 14

Bishah 22 0

Tabouk 27 0

Ha`il 27 0

Northern 21 0

Jazan 13 1

Najran 30 0

Al-Bahah 37 2

Al-Jouf 17 0

Qurayyat 0 0

Qunfudah 59 0

Total 1577 34

Chapter 11: Chest diseases

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SECTION III.

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TUBERCULOSIS

Tuberculosis (TB) is an infectious bacterial disease caused by Mycobacterium tuberculosis, which most

commonly affects the lungs. It is transmitted via droplets from the throat and lungs of infected individ-

uals. TB may infect any part of the body, but most commonly occurs in the lungs (referred to as pul-

monary TB). Extra-pulmonary TB occurs when it develops outside of the lungs. The symptoms of ac-

tive TB of the lung are coughing, sometimes with sputum or blood, chest pains, weakness, weight loss,

fever and night sweats.

The total number of cases of TB (pulmonary and extra-pulmonary) in year 2013 is 3,323. Pulmonary TB,

with an incidence rate of 8.16 per 100,000 population, constitutes 73.6% of all TB cases, while the extra

-pulmonary TB, with an incidence rate of 2.92 per 100,000 population, accounted for 26.4% of all TB

cases in year 2013.

A. Epidemiological aspects of pulmonary and extra-pulmonary TB

Distribution of TB cases according to geographic regions

Figure 11.1a displays the incidence rates of pulmonary TB across the regions of the Kingdom. The

highest incidence rate was observed in Jeddah (18.67 cases per 100,000 population).

Figure 11.1b displays the incidence rate of extra-pulmonary TB across the regions of the Kingdom. Jed-

dah contains the highest incidence rate (5.82 cases per 100,000 population).

CHEST DISEASE 11.

HOW DOES KSA COMPARE?

In 2013, the incidence rate of Tuberculosis (both pulmonary and

extra-pulmonary) is 11.1 per 100,000 population, in comparison

with the regional rate of 109 per 100,000 population and the

global rate of 125 per 100,000 population.

Source: World Health Statistics Report (2013),World Health Organization

136

2013 Health Statistics Annual Book

Distribution of TB cases according to different age groups

According to Figure 11.3a, the majority of pulmonary TB cases are among the age group of “15-34

years”, followed by the age group of “35-54 years”. The least number of cases is in the youngest age

group (0-14 years). A similar trend is observed for the extra-pulmonary TB cases (Figure 11.3b); the

highest percentage is among the age group of 15-34 years, followed by the age group of 55+ years.

Those less than 14 years old represent the lowest percentage of cases.

B. Epidemiological aspects of Leprosy

Leprosy is a chronic infectious disease caused by Mycobacterium leprae. The disease mainly affects the

skin, peripheral nerves, mucosa of the upper respiratory tract ,and also the eyes. In the year 2013, the

incidence rate of Leprosy in the Kingdom is 0.01 per 100,000 population .

Distribution of the cases according to geographic regions

Only three cases of Leprosy are reported in 2013, all of which occurred in Makkah.

TREND OVER TIME…

The incidence rate of total TB (pulmonary and extra-pulmonary) in KSA

decreased from 12.3 per 100,000 population in year 2012 to 11.1 per 100,000 pop-

ulation in year 2013.

Between the years 2012 and 2013,the incidence rates of pulmonary and extra-

pulmonary TB in KSA have decreased by 7.6% (from 8.83 to 8.16 per 100,000

population) and 16.6%, (from 3.50 to 2.92 per 100,000 population) respectively.

KEY ACHIEVEMENTS ...

Between 2012 and 2013, the incidence rate of total TB in KSA dropped by 9.8%

(from 12.3 to 11.1 per 100,000 population).

Over the years, there has been a pronounced decrease in leprosy cases, as the

incidence rate dropped by 99.7% from year 1984, when it was 3.27 per

100,000 population.

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Figure 11.1a: Incidence Rate (IR, per 100,000) of pulmonary tuberculosis by region, KSA, 2013

Region Cases IR (per 100,000)

Riyadh 613 8.15 Makkah 156 7.59 Jeddah 767 18.67 Ta`if 83 6.76 Medinah 121 6.17 Qaseem 77 5.76 Eastern 147 5.00 Al-Ahsa 45 3.86 Hafr Al-Baten 25 5.85 Aseer 52 3.01 Bishah 10 2.70 Tabouk 38 4.38 Ha`il 34 5.19 Northern 13 3.70 Jazan 168 11.22 Najran 26 4.68 Al-Bahah 17 3.77 Al-Jouf 20 6.22 Qurayyat 10 6.18 Qunfudah 25 8.40 Total 2447 8.16

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2013 Health Statistics Annual Book

Figure 11.1b: Incidence Rate (IR, per 100,000) of extra-pulmonary tuberculosis by region, KSA, 2013

Region Cases IR (per 100,000)

Riyadh 335 4.46 Makkah 28 1.36 Jeddah 239 5.82 Ta`if 27 2.20 Medinah 19 0.97 Qaseem 18 1.35 Eastern 21 0.71 Al-Ahsa 21 1.80 Hafr Al-Baten 8 1.87 Aseer 41 2.38 Bishah 3 0.81 Tabouk 15 1.73 Ha`il 4 0.61 Northern 8 2.28 Jazan 43 2.87 Najran 19 3.42 Al-Bahah 11 2.44 Al-Jouf 6 1.87 Qurayyat 2 1.24 Qunfudah 8 2.69 Total 876 2.92

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Figure 11.2a: Cases of pulmonary tuberculosis by region and age group, KSA, 2013

Figure 11.2b: Cases of extra-pulmonary tuberculosis by region and age group, KSA, 2013

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Figure 11.3a: Cases of pulmonary tuberculosis by region, gender and nationality, KSA, 2013

Figure 11.3b: Cases of extra-pulmonary tuberculosis by region, gender and nationality, KSA, 2013

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Table 11.1: Leprosy cases by region, 2008-2012 *

Region 2008 2009 2010 2011 2012

Riyadh 5 4 0 1 0

Makkah 7 1 0 1 3

Jeddah 1 2 2 2 0

Ta`if 5 3 0 1 0

Medinah 0 1 0 0 0

Qaseem 0 0 0 0 0

Eastern 2 1 0 8 0

Al-Ahsa 2 0 0 1 0

Hafr Al-Baten 0 0 0 0 0

Aseer 0 0 3 2 0

Bishah 0 0 0 0 0

Tabouk 0 0 0 0 0

Ha`il 0 0 0 0 0

Northern 0 0 0 0 0

Jazan 1 1 0 2 0

Najran 0 0 0 0 0

Al-Bahah 0 1 0 0 0

Al-Jouf 0 1 0 1 0

Qurayyat 0 0 0 0 0

Qunfudah 0 0 0 0 0

Total 23 15 5 19 3

Incidence rate (per 100,000 population)

0.09 0.06 0.02 0.07 0.01

* 2013 data are not available

Chapter 12: Bilharziasis

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SECTION III.

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BILHARZIASIS 12.

Bilharziasis, also known as Schistosomiasis is a parasitic disease caused by several species of trema-

todes, a parasitic worm of the genus Schistosoma. Snails serve as the intermediary agent between

mammalian hosts. Individuals within developing countries that cannot afford to establish proper wa-

ter and sanitation facilities are often exposed to contaminated water containing the infected snails.

Although it has a low associated mortality rate, Bilharziasis often is a chronic illness that can damage

internal organs and, in children, impair growth and cognitive development. The urinary form of Bilhar-

ziasis is associated with increased risks for bladder cancer in adults. Bilharziasis is the second most so-

cioeconomically devastating parasitic disease after Malaria.

Bilharziasis affects many people in developing countries, particularly children who may acquire the

disease by swimming or playing in infected water. Disease transmission has been documented in 78

countries worldwide, one of which is the Kingdom of Saudi Arabia.

Epidemiological Aspects

In year 2012, a total number of 799,765 individuals from all over the Kingdom were examined for Bil-

harziasis, out of which 254 cases are reported (0.032% positive cases). From the total cases, 13.80%

are urinary Bilharziasis and 86.22% intestinal Bilharziasis. The overall prevalence rate in the Kingdom

for year 2012 is 0.9 per 100,000 population.

The distribution of cases according to geographical regions (Figure 12.1) reveals that Ta’if and Medi-

nah are endemic areas, with 118 and 83 cases, respectively. The environmental predisposing factors

are the cause of the prevalence present in these areas.

KEY ACHIEVEMENTS ...

According to the WHO, Bilharziasis has been successfully controlled over the

past 20 years in several countries, including Brazil, Cambodia, China, Egypt,

and Saudi Arabia.

Source: World Health Organization website

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2013 Health Statistics Annual Book

TREND OVER TIME…

In year 2012, the prevalence rate of Bilharziasis in KSA (0.9

per 100,000 population) is higher than that recorded in 2010 (0.5 per

100,000 population). However, when compared to that recorded in

2002 (5.5 per 100,000 population), there has been a 83.6% drop in

the prevalence rate.

Between the years 2007 and 2012, the proportion of Bilharzial cases

among Saudis has been decreasing, with an observed drop from

55.5% of total cases to 18.9% of total cases.

Between the years 2008 and 2012, the proportion of Bilharzial cases that

are intestinal have increased from 75% to 86% of total cases.

The distribution of Bilharzial cases by nationality (Figures 12.1 and 12.4) shows that 18.90% of total

cases of Bilharziasis (48 cases) have been diagnosed among Saudis. Moreover, according to gender,

the total number cases among males is 150 (59.1% of total cases). This difference in gender distribu-

tion can be explained by the fact that the male population is more exposed to the source of infection

while swimming and working in agriculture. Figure 12.1 displays the distribution of cases by nationali-

ty and gender across the 13 provinces, where it is clear that most cases are among Non-Saudis .

The distribution of cases according to the different age groups (Figure 12.2) reveals a highest percent-

age of cases (84.3%) among the age group of 15-39 years, followed by the age group 40 years and old-

er (9.8%). Furthermore, Figure 12.2 reveals that there is an ongoing transmission of infection in Mak-

kah and Medinah; cases are discovered among the young and middle-aged individuals.

The geographical distribution of the intermediate host of Bilharziasis (Figure 12.3) shows that urinary

Bilharziasis is endemic in Medinah, Jazan, and Aseer, while intestinal Bilharziasis is endemic in Mak-

kah, Medinah, and Al-Bahah. Also displayed in Figure 12.3 is the distribution of examined cases across

regions, where it is seen that Medinah contain the highest number of examined cases.

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F ig

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1 2

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Chapter 13: Leishmaniasis

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PREVENTIVE MEDICINE

SECTION III.

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LEISHMANIASIS 13.

Leishmaniasis is caused by a parasitic protozoa of the genus Leishmania. Humans are infected via the

bite of phlebotomine sandflies, which breed in forest areas, caves, or the burrows of small rodents.

CUTANEOUS LEISHMANIASIS

In year 2013, there are 1,988 reported cases of Cutaneous Leishmaniasis. Cases are spread all over

the Kingdom but there is eminent variation regarding its prevalence rate among the different re-

gions. Figure 13.1 provides the incidence rates for Cutaneous Leishmaniasis across the regions of the

Kingdom. Madinah markedly has the highest incidence rate (30.11 cases per 100,000 population). No

cases are reported in Jeddah, Al-Jouf, Qurrayat and Qunfdah.

The distribution of Cutaneous Leishmaniasis according to nationality (Figure 13.2) shows that 48.3%

of cases are among Saudis (960 cases). The majority of cases (81.2%) occurred among the male gen-

der. Figure 13.3 and Figure 13.4 display the detailed distribution of reported cases of Cutaneous

Leishmaniasis by gender and by nationality, respectively, for the 20 regions.

According to the different age groups, highest percentage of Cutaneous Leishmaniasis cases (65.3%)

are among the age group of 15-44 years, followed by the age group of 5-14 years (15.3%). Figure 13.5

shows the distribution by age groups across the different regions.

Figure 13.6, which represents the seasonal variation of Cutaneous Leishmaniasis cases, demon-

strates a peak during the winter season (November-February) of 2013.

HOW DOES KSA COMPARE?

Leishmaniasis is endemic in 18 out of the 23 countries of

the Eastern Mediterranean Region, one of which is the

Kingdom of Saudi Arabia.

Source: World Health Organization website

148

2013 Health Statistics Annual Book

VISCERAL LEISHMANIASIS

A total number of 13 cases of Visceral Leishmaniasis are reported in 2013. Incidence rate is 0.04 per

100,000 population. Table 13.2 describes the distribution of reported cases of Visceral Leishmaniasis

by region, nationality over the time period of 2009-2013.

In terms of geographical distribution, cases of Visceral Leishmaniasis are present only in Jazan (87.5%

of cases) and Aseer (12.5% of cases).

TREND OVER TIME…

The Kingdom witnessed

a 22.0% decrease in the

number of cases of Cutane-

ous Leishmaniasis, from

2,549 in 2009 to 1,988 in

2013.

Across the five years from 2009

to 2013, there has been an

almost equal distribution

(50:50) of Cutaneous Leish-

maniasis cases among Sau-

dis and non-Saudis in KSA.

KEY ACHIEVE-

MENTS …

Between the years

2009 and 2013, the inci-

dence rate of Cutaneous

Leishmaniasis decreased by

29.8%, from 9.4 to 6.6 per

100,000 population in KSA.

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Figure 13.2: Reported cases of Cutaneous Leishmaniasis by nationality, KSA, 2009-2013

Figure 13.1: Incidence Rate (IR, per 100,000) of Cutaneous Leishmaniasis by region, KSA, 2013

Region Cases IR (per

100,000)

Riyadh 221 2.94

Makkah 3 0.15

Jeddah 0 0.00

Ta`if 13 1.06

Medinah 591 30.11

Qaseem 374 27.96

Eastern 22 0.75

Al-Ahsa 296 25.40

Hafr Al-Baten 2 0.47

Aseer 161 9.33

Bishah 10 2.70

Tabouk 69 7.96

Ha`il 158 24.13

Northern 3 0.85

Jazan 39 2.60

Najran 21 3.78

Al-Bahah 5 1.11

Al-Jouf 0 0.00

Qurayyat 0 0.00

Qunfudah 0 0.00

Total 1988 6.63

150

2013 Health Statistics Annual Book

Figure 13.5: Reported cases of Cutaneous Leishmaniasis by region and age group, KSA, 2013

Figure 13.3: Reported cases of Cutaneous Leishmaniasis by region and gender, KSA, 2013

Figure 13.4: Reported cases of Cutaneous Leishmaniasis by region and nationality, KSA, 2013

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Region* 1430H / 2009G 1431H / 2010G 1432H / 2010G 1433H / 2012G 1434H / 2013G

Ta’if 0 0 0 0 1

Medinah 1 0 0 0 0

Qaseem 1 0 0 0 0

Aseer 0 2 1 1 3

Bishah 0 0 0 0 1

Jazan 15 6 6 7 8

Total 17 8 7 8 13

Table 13.2: Reported cases of Visceral Leishmaniasis by region, KSA, 2009—2013

* No cases of Visceral Leishmaniasis were reported from other regions

Month No. of

cases

Nationality Gender Residence Age group (years)

S a

u d

N o

n -

S a

u d

M a

F e

m a

R e

sid e

n t

N o

n -

re sid

e n

0-1 1-4 5-10 10-14 15-44 45+

Jan. 250 120 130 213 37 230 20 0 12 20 27 170 21

Feb. 228 123 105 191 37 202 26 5 12 16 17 143 35

Mar. 165 89 76 133 32 159 6 0 19 15 11 106 14

Apr. 174 101 73 138 36 158 16 3 10 15 20 109 17

May 108 59 49 87 21 106 2 1 6 11 11 51 28

June 132 85 47 97 35 119 13 2 12 15 12 80 11

July 77 36 41 63 14 75 2 1 6 2 7 56 5

Aug. 120 49 71 106 14 107 13 0 7 8 5 90 10

Sep. 174 79 95 140 34 155 19 1 9 9 9 118 28

Oct. 135 73 62 110 25 125 10 2 10 5 12 90 16

Nov. 199 100 99 166 33 178 21 2 17 19 12 133 16

Dec. 226 114 112 171 55 201 25 12 11 16 10 153 24

Total 1988 1028 960 1615 373 1815 173 29 131 151 153 1299 225

Table 13.1: Reported cases of Cutaneous Leishmaniasis by month, nationality, gender, residence, and age group, KSA, 2013

Figure 13.6: Reported cases of Cutaneous Leishmaniasis by month & season , and residence , KSA, 2013

Chapter 14: Malaria

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Malaria is caused by a parasite called Plasmodium, which is transmitted via the bites of infected mos-

quitoes. Environmental conditions play an important role in the spread of Malaria. They affect mosqui-

to species, life cycle and density. They also affect the life span of the plasmodium inside the mosquito.

The epidemiological aspects of Malaria vary from one region in the Kingdom to another and even

within areas of the same region. This variation is related to the difference in the environmental condi-

tions across the vast area of the Kingdom. Epidemiological aspects vary from one year to another, and

are affected by the control measures taken against Malaria during that time period.

Anti-Malaria Control Measures

Anti-Malaria control measures in the Kingdom were initiated in 1948. Malaria transmission was suc-

cessfully controlled in the Northern Borders and Eastern Province, as well as in large areas of the west-

ern regions, especially in the big cities.

Malaria remains endemic in Tohama valley and Jazan region, as control programs were only recently

implemented in these regions. The delay in intervention was due to the absence of paved roads lead-

ing to these regions, poor communication network and shortage in manpower.

The majority of malarial cases (90%) are caused by the parasite Plasmodium falciparum; the main vec-

tor being the Anopheles arabiensis.

MALARIA 14.

Epidemiological Aspects

A total of 2,513 cases are recorded this year. With regards to type of parasite involved, Figure 14.1

shows that 38.7% of cases of malaria are malignant, infected by Plasmodium falciparum, while 60.7%

of cases are benign, infected by Plasmodium vivax. Figure 14.3 further represents the distribution of

reported cases of Malaria by type of parasite among the different regions.

TREND OVER TIME…

The total number of reported Malaria cases in the Kingdom

increased by 26.2% in 2013 compared to 2012, when there were 3,406

cases.

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Figure 14.2, which represents the seasonal variation of Malaria cases, shows that there is a marked

increase in the number of cases from January to February.

The distribution of cases of malaria according to the different age groups within endemic zones is dis-

played in Figure 14.4. Out of all cases reported within endemic zones, the vast majority of cases were

discovered among the age group of 10 years and above.

Control Strategy

The anti-malaria control measures in the Kingdom are based on the following guidelines:

a. Spraying of the breeding foci of mosquito to control the larva. This method is widely spread

all over the Kingdom, except in the mosquito free areas.

b. Spraying the houses with insecticides that have residual effect. This is used in the areas with

high density of malaria.

c. Spraying the narrow spaces minute particulates to reach deep areas. This method is used in

areas with high cases of malaria.

d. Use of mechanical control methods.

e. Widespread use of nets impregnated with insecticides.

f. Increasing health awareness programs.

Insect Survey

Insect surveys are conducted throughout the year and all over the Kingdom, in order to study the in-

sect density, habits and behavior, and sensitivity to different insecticides.

HOW DOES KSA COMPARE?

According to WHO, seven countries in the EMR still have areas of high

malaria transmission and are in the control stage (Afghanistan,

Djibouti, Pakistan, Somalia, Sudan, South Sudan, and Yemen); two

countries with geographically limited malaria transmission are in the

elimination stage (the Islamic Republic of Iran, and Saudi Arabia); and

Egypt, Oman and the Syrian Arab Republic are in the prevention of rein-

troduction stage. The remaining countries are malaria-free.

Source: World Health Organization website

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Figure 14.1: Notified Malarial cases by type of parasite, KSA, 2013

Table 14.1: Notified Malaria cases by region and classification, KSA, 2013

Region Positive Cases Slide Positivity Rate (%) No. Examined

Riyadh 177 0.08 209,695

Makkah 85 0.27 31,558

Jeddah 101 3.00 3,371

Ta`if 74 0.11 70,224

Medinah 172 0.12 141,957

Qaseem 735 0.27 276,111

Eastern 105 0.16 66,384

Al-Ahsa 17 1.51 1,128

Hafr Al-Baten 208 0.21 101,079

Aseer 67 0.18 36,736

Bishah 7 0.05 15,518

Tabouk 5 0.05 9,248

Ha`il 7 0.05 12,819

Northern 12,155 14 0.12

Jazan 205,202 631 0.31

Najran 35,087 65 0.19

Al-Bahah 41,392 19 0.05

Al-Jouf 29,010 8 0.03

Qurayyat 9,733 1 0.01

Qunfudah 1,376 15 1.09

Total 2,513 0.19 1,309,783

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Figure 14.3: Reported Malarial cases by region and type of parasite, KSA, 2013

Figure 14.4: Notified malarial cases in endemic zones by age group, KSA, 2013

Figure 14.2: Notified malarial cases by month, 2013

Chapter 15: Environmental health and health education

activities

PUBLIC HEALTH AND

PREVENTIVE MEDICINE

SECTION III.

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ENVIRONMENTAL HEALTH

AND HEALTH EDUCATION ACTIVITIES 15.

KEY ACHIEVEMENTS …

The Kingdom has become more active in

terms of organizing activities on health

awareness within national campaigns; the

number of activities increased from 2

in2009 to 113 in year 2012

Environmental Health

Public health and environment-related authorities collaborate with each other in supervising public

places and food stores. Samples of drinking water obtained from water supply resources are tested,

and public places as well as residences of workers are continuously inspected.

As shown in Table 15.1, there were 77,848 visits to water supply sources, where 29,882 water samples

were tested bacteriologically and chemically. Additionally, a total of 167,307 visits to public places and

15,252 visits to health utilities were done along with 7,790 visits to residences of company workers.

Consequently, 19,407 kg and 11,286 L of food and liquids were destroyed.

Health Education

The Ministry of Health covers the following fields through the different activities and programs of

health education:

 Family

 Nutrition

 Youth

 Child Health

 Maternal Health and antenatal care

 Smoking control

 Prevention of communicable diseases

Health education materials have been produced for most of the campaigns, immunization and other

occasions. The health education message is also broadcasted through different meetings.

TREND OVER TIME…

The data over the past few years shows a gradual increase in

the number of audits of health certificates for workers in the health sector

by the Ministry of Public Health .

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... Not reported

Table 15.1: Environmental health activities by region, MOH, 2013

Region

Visits Number Samples Number Execution of Food Stuffs

No. of

workers

checked for

certificates

S o

u rce

s o f w

a te

r su p

p ly

P u

b lic p

la ce

H e

a lth

u tilitie

H o

u se

s o f co

m p

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ra m

In L

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Riyadh 2609 20097 2960 394 651 ... ... ... 9468

Makkah 5516 13895 183 11 5516 503 ... ... 21082

Jeddah 1978 4512 204 273 598 ... ... ... 4087

Ta`if 4305 17518 659 67 4486 171 7460 ... 15827

Medinah 42329 31762 2725 1612 3424 32964 2444 2139 44944

Qaseem 615 1991 507 21 136 142 ... ... 483

Eastern 2988 1886 1309 116 2736 40 370 ... 1375

Al-Ahsa 1056 742 315 380 2307 ... ... ... ...

Hafr Al-Baten 769 2171 396 140 1314 ... ... ... 4306

Aseer 1973 8588 1123 1486 763 ... 50 752 3831

Bishah 447 2212 482 187 454 ... 7 ... 1935

Tabouk 342 706 152 34 230 ... 497 152 1289

Ha`il 993 27499 122 5 1259 451 3425 896 6425

Northern 393 2674 62 ... 397 ... ... ... 500

Jazan 2158 10894 823 342 1430 5 1453 3032 5272

Najran 355 1058 100 79 684 ... ... ... 723

Al-Bahah 7339 6013 1572 1487 2314 501 ... ... 5654

Al-Jouf 616 9231 1032 1226 116 ... ... ... 7238

Qurayyat 978 2952 408 21 561 110 3666 4115 1964

Qunfudah 89 906 118 8 506 1200 35 200 2264

Total 77848 167307 15252 7889 29882 36087 19407 11286 138667

160

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Table 15.2: Health awareness, MOH, 2012 *

Activity Number of

Lectures

Inside Health Centers 49,796

Outside Health Centers 64,228

Total 114,024

Meeting

Inside Health Centers 4,650

Outside Health Centers 2,387

Total 7,037

Prints

Booklet 103,900

Announcements 479,954

Posters 85,968

Leaflets 801,743

Training Courses 60

Number of Activities in National Campaigns 113

Activities related to international days in regions and governorates 1,362

Figure 15.1: Environmental health activities, MOH, 2009-2013

* 2013 data are not available

HEALTH SERVICES

AND ACTIVITIES

SECTION IV.

Chapter 16: Outpatient visits

Chapter 17: Inpatients (admissions to hospitals)

Chapter 18: Surgical operations

Chapter 19: Deliveries and births

Chapter 20: Ophthalmology

Chapter 21: Psychiatric and social health

Chapter 22: Dental services

Chapter 23: Hemodialysis and organ transplantations

Chapter 24: Laboratory & radiology investigations and blood bank

Chapter 25: Medical rehabilitation

Chapter 26: Medical commissions

Chapter 27: Nutrition

Chapter 28: Other activities

Chapter 29: Deaths registered at MOH ho-

pitals

HEALTH SERVICES

AND ACTIVITIES

SECTION IV.

Chapter 16: Outpatient visits

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OUTPATIENT VISITS 16.

This chapter provides information regarding the outpatient visits to the MOH facilities (MOH primary

health care centers, emergency departments at the MOH hospitals, and outpatient departments at

the MOH hospitals), visits to clinics at facilities of the other governmental sector, and visits to clinics at

facilities of the private sector.

A. OUTPATIENT VISITS TO THE MOH FACILITIES

1. MOH Primary Health Care Centers

Table 16.1 displays a summary of patient visits to various clinics at the MOH primary health care cen-

ters across the Kingdom, by region and nationality. A total of 53.19 million visits are recorded in year

2013. An evident majority of the visits (89.9%) are among Saudi nationals. Figure 16.2 shows that al-

most two thirds of the visits (62%) take place at General Clinics.

2. Emergency Department (ED) at the MOH Hospitals

Visits to the ED at the MOH hospitals for the year 2013 are summarized in Table 16.2, by region, type

of disease/injury, and nationality. The majority of the emergency cases (89%) are disease-related. As

seen in Table 16.2 and Figure 16.3, in year 2012, the vast majority of emergency cases (90.4%) across

all regions are of Saudi nationality.

As known, the Saudi Arabian Red Crescent Society is a humanitarian society that provides emergency

medical service and transfer patients. In year 2013, a total of 221,407 cases were offered transport by

the Red Crescent vehicles. Table 16.4 provides a summary of these cases, by region and type of case.

Generally, and as seen in Table 16.5, the scope of activity of the Red Crescent Society has been in-

creasing from year 2009 to year 2013.

3. Outpatient Department (OPD) at the MOH Hospitals

Visits to the OPD of the MOH hospitals by selected diseases and region are displayed in Table 16.6. A

total of 11.35 million visits are recorded in year 2013.

Figure 16.6 summarizes the visits to clinics at MOH primary health care centers and OPDs at MOH

hospitals by region and nationality for the year 2013. Visits to health centers represent the majority of

total visits across all regions of the Kingdom. Moreover, across all regions of the Kingdom, the majori-

ty of both types of visits are made by Saudi nationals.

Figure 16.7 shows that, on average, there are 2.2 annual visits per individual in the Kingdom for the

year 2013.

164

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B. OUTPATIENT VISITS TO FACILITIES OF THE OTHER GOVERNMENTAL

SECTORS

Figure 16.8 displays the visits to clinics and OPDs at facilities of the other governmental sector for year

2013, with representation of the proportion of visits made by Saudi nationals.

C. OUTPATIENT VISITS TO FACILITIES OF THE PRIVATE SECTOR

Visits to clinics at private sector dispensaries and hospitals by region for year 2013 are shown in Figure

16.9, with representation of the proportion of visits made by Saudi nationals. The trend for visits to

clinics at private dispensaries and hospitals over the time period 2009-2013 is displayed in Figure

16.10.

D. OUTPATIENT VISITS ACROSS ALL HEALTH SECTORS

This section summarizes all outpatient visits to facilities across all health sectors (MOH, other govern-

mental and private). The total number of outpatient visits in the Kingdom is around 135.19 million in

year 2013, representing an average of 534,365 daily visits (for 5 working days per week). As seen in Fig-

ure 16.11, there has been a slight decrease in the proportions of visits per individual in the Kingdom

(from 4.6 in 2012 to 4.5 in 2013). Consistently, visits to facilities of the MOH have represented the ma-

jority of total visits for all years recorded, and more specifically 48% of total visits in year 2012 (Figure

16.12).

E. OUTPATIENT VISITS TO SELECTED HEALTH SERVICES

Outpatient visits to diabetic clinics at the MOH hospitals by region of the Kingdom for year 2013 are

shown in Figure 16.13, with representation of the proportion of visits made by Saudi nationals and by

the gender (% male). Males constituted 53% of the total visits to diabetic clinics. The number of visits

by Saudi nationals constituted almost 100% of total visits.

Figure 16.14 displays the visits to antenatal and gynecology clinics at the MOH hospitals between

2009 and 2013. Table 16.7 display the cases of complications related to pregnancy & childbirth and

gynecology, as well as abortion cases that took place at the MOH hospitals during the time period of

2009-2013. For year 2103, the cases of infertility constituted the highest proportion of gynecological

cases. Between the years 2009 and 2013, the number of abortion cases dropped by 1.7% from 41,764

to 41,051 cases.

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Malignant tumors that are recorded in King Faisal Specialist Hospital and Research Center, in Riyadh

and Jeddah, are displayed by tumor site and gender, in Figure 16.15. Breast Cancer constitutes 19.1%

of total tumor cases recorded for year 2012.

According to Table 16.8, leukemia constitutes the highest percentage of tumor cases recorded among

males (8.5%), while breast cancer constitutes the highest percentage of tumor cases recorded among

females (33.1%).

Figure 16.16 displays the proportion of cases of tumors among children, who are referred to King Fai-

sal Specialist Hospital, Riyadh and Jeddah, by tumor site and gender for year 2012. Leukemia consti-

tutes the majority (32%) of total tumor cases.

TREND OVER TIME…

Between the years 2009 and 2013, the average annual num-

ber of visits to clinics at MOH health centers and outpatient depart-

ments at MOH hospitals across the Kingdom per individual dropped

from 2.6 to 2.2 annual visits per individual.

Between the years 2009 and 2013, the average annual number of visits to

all outpatient facilities across all health sectors of the Kingdom per

individual dropped from 5.1 to 4.5 annual visits per individual.

166

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General clinics Chronic disease clinic Dental clinic Antenatal clinic

Region Saudi Non-Saudi Saudi Non-Saudi Saudi Non-Saudi Saudi Non-Saudi

Riyadh 5,173,669 645,823 735,152 95,859 195,008 2,236 85,161 5,780

Makkah 1,802,834 442,253 413,358 20,325 83,684 2,907 26,383 1,690

Jeddah 1,304,984 87,508 143,687 10,781 117,042 2,655 14,766 921

Ta`if 1,428,355 83,690 225,930 10,140 173,145 2,172 18,689 871

Medinah 2,544,604 1,119,782 296,820 16,521 215,467 5,122 59,828 6,758

Qaseem 1,922,365 159,325 401,308 10,620 223,399 4,123 44,304 759

Eastern 1,554,001 229,142 207,272 18,615 153,174 2,335 40,403 2,198

Al-Ahsa 1,393,676 88,827 255,390 7,314 163,972 852 86,770 3,674

Hafr Al-Baten 590,590 80,804 130,866 8,071 76,125 9,502 13,727 1,726

Aseer 2,265,364 99,410 292,466 8,396 180,249 6,775 44,055 1,141

Bishah 803,023 50,201 123,101 4,055 87,416 597 16,281 263

Tabouk 855,077 69,652 135,629 3,300 83,620 638 31,743 1,010

Ha`il 1,221,397 80,318 120,882 2,113 71,077 181 31,133 608

Northern 675,415 36,845 23,502 1,660 31,570 68 20,184 818

Jazan 2,728,776 197,200 400,204 12,602 136,189 8,589 58,075 4,247

Najran 762,592 104,036 90,316 13,310 82,305 317 20,503 4,269

Al-Bahah 854,355 64,595 211,827 5,136 97,710 746 22,683 289

Al-Jouf 478,675 45,289 58,409 1,539 50,229 496 19,561 442

Qurayyat 181,554 17,942 13,334 651 23,658 259 11,873 532

Qunfudah 695,955 34,922 119,960 2,203 55,994 1,393 11,843 133

Total 29,237,261 3,737,564 4,399,413 253,211 2,301,033 51,963 677,965 38,129

Region Well-baby clinic Other clinics Total

Saudi Non-Saudi Saudi Non-Saudi Number of visits % Saudi

Riyadh 411,147 29,186 1,044,881 218,950 8,642,852 88.5%

Makkah 171,645 12,862 782,748 128,673 3,889,362 84.3%

Jeddah 163,127 89,793 424,038 41,133 2,400,435 90.3%

Ta`if 100,516 5,030 333,117 32,720 2,414,375 94.4%

Medinah 268,630 35,504 694,328 93,962 5,357,326 76.2%

Qaseem 188,028 9,034 468,693 58,315 3,490,273 93.1%

Eastern 197,593 31,663 446,068 67,041 2,949,505 88.1%

Al-Ahsa 178,494 9,150 716,386 49,340 2,953,845 94.6%

Hafr Al-Baten 56,247 4,604 186,636 22,867 1,181,765 89.2%

Aseer 201,079 6,702 513,709 31,940 3,651,286 95.8%

Bishah 73,151 1,649 154,750 14,510 1,328,997 94.6%

Tabouk 170,704 3,926 203,312 15,086 1,573,697 94.1%

Ha`il 86,444 1,749 211,659 23,265 1,850,826 94.2%

Northern 74,870 3,101 221,837 17,096 1,106,966 94.6%

Jazan 201,965 18,599 895,941 82,411 4,744,798 93.2%

Najran 133,362 24,772 298,238 45,724 1,579,744 87.8%

Al-Bahah 49,198 499 371,810 19,743 1,698,591 94.6%

Al-Jouf 61,722 3,629 140,611 22,005 882,607 91.7%

Qurayyat 22,722 1,117 52,292 4,310 330,244 92.5%

Qunfudah 33,763 976 187,378 17,358 1,161,878 95.1%

Total 2,844,407 293,545 8,348,432 1,006,449 53,189,372 89.9%

Table 16.1: Visits to clinics at the MOH health centers by region, type of clinic and nationality, 2013

A. OUTPATIENT VISITS TO MOH FACILITIES

1. MOH Primary Health Care Centers

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Figure 16.2: Visits to clinics at the MOH health centers by specialty, 2013

Figure 16.1: Total visits to clinics at MOH health centers by region and nationality, 2013

168

2013 Health Statistics Annual Book

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Figure 16.3: Total emergency cases at the MOH Hospitals by region and nationality, 2013

Disease or injury Cases Nationality Gender

Saudi Non-Saudi Male Female

D ise

a se

Infectious & parasitic diseases 191479 162942 28537 114294 77185

Diabetes Mellitus 759982 681779 78203 418631 341351

Blood diseases 273897 249796 24101 149576 124321

Nervous system 218272 194719 23553 119626 98646

Eye diseases 660747 612242 48505 364448 296299

ENT 2031836 1887172 144664 1114306 917530

Hypertensive diseases 791938 710723 81215 430898 361040

Ischemic heart diseases 149090 122477 26613 86404 62686

Rheumatic heart and others 219556 191557 27999 124862 94694

Respiratory system diseases 5400007 5038252 361755 2945821 2454186

Diseases of the GIT 2793678 2575569 218109 1472967 1320711

Appendicitis 65142 57271 7871 38198 26944

Diseases of the genitourinary system 619699 538289 81410 325255 294444

Food poisoning 48329 42990 5339 34753 13576

Other diseases 4897025 4308951 588074 2619687 2277338

Total 19120677 17374729 1745948 10359726 8760951

OBS/GYN 438934 403989 34945 0 438934

Diseases of neonates 98134 92190 5944 52552 45582

In ju

rie s

Car & road accidents 185635 142141 43494 146390 39245

Drug & cleaning agents poisoning 18405 15740 2665 9312 9093

Fall & accidentally injuries 562082 482964 79118 380777 181305

Burns 66023 56126 9897 37200 28823

Firearm, drowning & rape 9544 6548 2996 7136 2408

Scorpion or snake bite 32650 26579 6071 22409 10241

Dog or other animal bite 12379 8658 3721 9395 2984

Foreign bodies 103294 87949 15345 64466 38828

Others 829011 708776 120235 482170 346841

Total 1819023 1535481 283542 1159255 659768

21,476,768 19406389 2070379 11571533 9905235 Total

Table 16.3: Emergency cases at the MOH hospitals by type of disease/injury, nationality and gender, 2013

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Figure 16.4: Total emergency cases at the MOH hospitals by type of disease/injury and nationality (left) and gender (right), 2013

Table 16.4: Patients & casualties offered first-aid carried by the Saudi Red Crescent Society Ambulance by region & type of case, 2013

Region Road

Accidents Alterca-

tion Falls Burns Drowning

Other ac- cidents

Diseases Total

Riyadh 22812 883 2285 271 29 403 3533 30216

Makkah** 22053 3871 4754 586 57 1535 42125 74981

Medinah 5521 857 1701 64 2 412 14749 23306

Qaseem 4361 428 890 76 6 75 7215 13051

Eastern 10516 867 1469 268 20 126 15835 29101

Aseer 5901 522 849 115 10 108 8158 15663

Tabouk 3062 193 338 41 10 40 5201 8885

Ha`il 1700 189 241 39 4 12 3112 5297

Northern 947 121 164 22 5 26 1529 2814

Jazan 2773 168 462 69 3 29 3695 7199

Najran 1130 128 180 9 3 13 1512 2975

Al -Bahah 1839 128 257 22 4 16 2305 4571

Al-Jouf 1116 55 121 16 0 32 2008 3348

Total 83731 8410 13711 1598 153 2827 110977 221407

Table 16.5: Cases offered first aid and carried by ambulances of the Saudi Red Crescent Society by region, 2009 – 2013

** includes Jeddah

Region 2009 2010 2011 2012 2013

Riyadh 39,977 43,648 44,518 49,097 30,216

Makkah** 53,353 60,575 63,358 68,643 74,981

Medinah 20,246 22,088 22,515 22,499 23,306

Qaseem 9,624 10,453 11,097 12,204 13,051

Eastern 21,467 23,263 25,309 26,676 29,101

Aseer 11,458 13,078 14,457 15,372 15,663

Tabouk 5,979 6,966 7,848 8,348 8,885

Ha`il 3,452 4,205 4,615 4,754 5,297

Northern 2,197 2,234 2,454 2,529 2,814

Jazan 5,980 6,804 7,392 7,204 7,199

Najran 2,244 2,340 2,777 3,125 2,975

Al -Bahah 3,079 3,420 3,826 4,217 4,571

Al-Jouf 2,624 2,955 3,099 2,887 3,348

Total 181680 202029 213265 227555 221407

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Region Infectious & parasitic

diseases

Diabetes Mellitus

Blood diseases

Nervous system

Diseases

Eye diseases

ENT diseases

Hyperten- sion

Coronary heart

diseases

Rheumatic & other

heart diseases

Riyadh 9117 78713 16615 79615 289370 122317 75247 13776 20247

Makkah 3555 40071 38179 22751 64603 46927 15156 3750 10780

Jeddah 8135 9652 4095 12391 125648 50277 11747 16439 20835

Ta`if 7323 27950 7451 17503 48509 31694 27730 7396 16477

Medinah 7866 19768 14047 26032 83887 64369 21845 23100 25778

Qaseem 2463 67625 4713 18209 67825 50973 29580 21044 2072

Eastern 6044 43082 16867 36575 174010 63194 27730 8322 9636

Al-Ahsa 811 18256 4524 7161 49902 37272 21508 11960 4820

Hafr Al-Baten 134 7694 1141 9325 14470 13314 5016 4710 366

Aseer 4859 25784 7403 31643 61281 54490 27507 11797 2920

Bishah 2635 7419 2175 6464 24774 17604 8094 4092 450

Tabouk 3115 13848 3239 28310 31674 34294 13508 4315 2879

Ha`il 1392 18593 1801 21906 20280 20189 9265 1293 2430

Northern 928 4771 1066 8598 18748 15934 15175 3836 1084

Jazan 2514 22070 15400 12310 56360 53188 20098 7905 6466

Najran 3460 13371 4206 12394 28264 19035 7656 6156 7855

Al-Bahah 1313 35126 3632 21137 36173 24326 10013 2934 5105

Al-Jouf 1077 6350 1928 12296 23796 16473 6778 6194 3564

Qurayyat 824 3293 773 3022 6991 8043 5366 1214 859

Qunfudah 734 2570 2938 2885 7069 6721 2170 1128 246

Total 68299 466006 152193 390527 1233634 750634 361189 161361 144869

Chest diseases

Diseases of

digestive System

Skin and subcuta-

neous tissue

diseases

Musculo- skeletal diseases

Obstetrics and

Gynecology

Oral and dental

diseases

Diseases of

genito- urinary system

Other diseases

Total Region

76831 82218 115370 170984 237521 138479 70037 350592 1947049 Riyadh

15198 25208 47931 32150 45537 43865 25508 228456 709625 Makkah

13339 51753 31791 50786 62284 73883 39252 175961 758268 Jeddah

39246 44066 30604 55468 76679 3316 22916 191069 655397 Ta`if

38073 44067 52115 94541 80926 44029 34717 189209 864369 Medinah

46524 42013 64876 95863 115417 96904 45080 210969 982150 Qaseem

28527 46864 70675 115043 97061 60130 39391 282740 1125891 Eastern

8112 9014 22060 53181 48381 23266 12615 120042 452885 Al-Ahsa

3968 5150 7847 25266 18372 23692 8958 33939 183362 Hafr Al-Baten

20916 40580 47002 89961 88944 27135 39216 144477 725915 Aseer

14392 13771 12531 19948 34377 6293 8406 38126 221551 Bishah

19223 16636 25038 43403 40008 28268 15385 71556 394699 Tabouk

12756 15590 14463 23717 43800 13326 13253 66431 300485 Ha`il

9893 18697 13590 21107 14522 3976 9344 19843 181112 Northern

Jazan 37528 28857 52523 79193 69468 49758 35945 178723 728306

Najran 9544 8297 15648 18503 42907 11444 14429 81178 304347

Al-Bahah 14319 13178 24395 36477 68772 10918 17941 79424 405183

Al-Jouf 7507 9841 11692 18296 33866 12157 11618 33652 217085

Qurayyat 7983 6907 13794 11704 20517 156 7557 16711 115714

Qunfudah 4568 2041 5753 10776 9703 1922 5757 12568 79549

Total 428447 524748 679698 1066367 1249062 672917 477325 2525666 11352942

Table 16.6: MOH hospital visits by selected diseases and region, 2013

3. Outpatient Department (OPD) at MOH Hospitals

172

2013 Health Statistics Annual Book

Figure 16.7: Visits to clinics at the MOH health centers and hospitals’ outpatients department, 2009 -2013

Figure 16.5: MOH hospital visits by selected diseases, 2013

Figure 16.6: Visits to clinics at the MOH health centers and hospitals’ outpatients department by region & nationality, 2013

173

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KAUHR: King Abdulaziz University Hospital, Riyadh; KKUHR: King Khaled University Hospital, Riyadh; KAUHJ: King Abdulaziz University Hospital, Jeddah; KFUHK: King Fahed University Hospital, Khobar; AFMS: Armed Forces Hospitals; NGMS: National Guards Medical Services; MIMS: Ministry of Interior Medical Services; KFSHR: King Faisal Specialist Hospital & Research Center, Riyadh; KFSHJ: King Faisal Specialist Hospital & Research Center, Jeddah; RCHS: Royal Commission Hospitals; ARAMCO: ARAMCO Hospitals; SHU (MOE): School Health Units, Ministry of Education; YWH: Youth Welfare; SWCC: Saline Water Conversion Corporation; KFdUP&MMU: King Fahd University of Petroleum & Miner- als; MUIMCl: Medinah Islamic University; IMUMU: Imam Muhammad bin Saud Islamic University; KKMCL: King Khaled University; Omm Alqurra University, and IPAMCl: Institute of Public Administration, Riyadh. *: Represent data from year 2012 due to the absence of data for the year 2013 **: Represent data from year 2011 due to the absence of data for the year 2012 and 2013 ***: Represent data from year 2010 due to the absence of data for the year 2011, 2012 and 2013 (blank cell): % Saudi not reported

Figure 16.9: Visits to clinics at private sector dispensaries and hospitals by region (showing % Saudis), 2013

C. OUTPATIENT VISITS TO CLINICS OF THE PRIVATE SECTOR FACILITIES

B. OUTPATIENT VISITS TO CLINICS OF THE OTHER GOVERNMENTAL SECTOR FACILITIES

Figure 16.8: Visits to clinics and outpatient departments at facilities of other governmental sector (showing % Saudis), 2013 *

*: Represent data from year 2012 due to the absence of data for the year 2013 Riyadh data represent year 2009 due to the absence of data for the subsequent years Aseer data represent year 2010 due to the absence of data for the subsequent years

174

2013 Health Statistics Annual Book

*Note: Riyadh data represents that of 2009 due to the absence of data for subsequent years Aseer data represent that of 2010 due to the absence of data for subsequent years Makkah data represent that of 2012 due to the absence of data for subsequent years

Figure 16.10: Visits to clinics at private sector dispensaries and hospitals by region, 2009-2013 *

D. OUTPATIENT VISITS TO FACILITIES ACROSS ALL HEALTH SECTORS

Figure 16.11: Outpatient visits to facilities across all health sectors (showing average number of visits per person), 2009-2013

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Figure 16.12: Proportions of outpatient visits in various health sectors, 2013

E. OUTPATIENT VISITS TO SELECTED HEALTH SERVICES

Figure 16.13: Visits to diabetic clinics at MOH hospitals by region (showing % Males and % Saudis), 2013

176

2013 Health Statistics Annual Book

Table 16.7: Cases of complications related to pregnancy & childbirth, and gynecology, as well as cases if abortion at the MOH Hospitals, 2009-2013

Data 2009 2010 2011 2012 2013

Complications related to

pregnancy & childbirth

Eclampsia 2,406 1,981 2,023 2,008 1,580

Antepartum hemorrhage 4,809 5,165 4,230 4,631 5,343

Postpartum hemorrhage 2,125 2,543 2,029 2,190 2,037

Rupture uterus 970 982 752 553 606

Other complications 61,220 84,984 73,988 87,367 84,017

Complications related to

gynecology

Cases of uterine bleeding 16,111 18,277 17,792 20,305 20,535

Cases of infertility 34,795 38,265 38,542 34,189 34,473

Prolapse of uterus 1,145 1,239 1,416 1,576 1,550

Urinary fistulae 60 136 183 68 29

Anal fistulae 137 140 57 105 49

Inflammatory cases 32,495 32,168 31,033 30,031 30,136

Tumors of uterus 1,062 1,053 1,265 1,614 1,351

Tumors of ovary 2,111 1,703 2,042 2,693 2,074

Other tumors 3,512 2,194 2,287 1,666 1,754

Abortion cases 41,764 41,628 42,022 43,036 41,051

Figure 16.14: Visits to antenatal and GYN clinics at the MOH Hospitals, 2009-2013

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Figure 16.15: Cases of malignant tumors registered in King Faisal Specialist Hospital and Research Center (Riyadh and Jeddah) by site of tumor, 2012

* Data represent 2012 for the absence of 2013 data

Source : King Faisal Specialist Hospital and Research Center (Riyadh and Jeddah) * Data represent 2012 for the absence of 2013 data

Site

Riyadh Jeddah Total

% of all Male cases

% of all Female cases

% of all Male cases

% of all Female cases

% of all Male cases

% of all Female cases

Breast 0.0 28.9 0.0 43.8 0.0 33.1

Thyroid gland 5.5 12.2 3.4 5.0 5.0 10.2

NHL-lymph 7.9 5.1 8.5 3.8 8.0 4.7

Leukemia 10.8 6.2 2.4 3.8 8.5 5.5

Lung 5.3 1.6 6.1 2.5 5.5 1.9

Oral cavity 4.1 3.0 3.4 2.5 3.9 2.9

Liver 6.3 1.4 4.1 2.5 5.7 1.7

Ovary 0.0 3.2 0.0 4.8 0.0 3.6

Esophagus 1.9 1.0 2.4 2.5 2.1 1.4

Nasopharynx 4.3 1.0 1.0 0.5 3.4 0.8

Brain & C.N.S 5.4 2.3 6.8 2.5 5.8 2.4

Bladder 4.5 0.9 5.4 0.5 4.8 0.8

Soft tissue 2.8 1.5 0.7 0.0 2.2 1.1

Hodgkin`s 4.3 4.5 8.5 3.0 5.4 4.1

Others 36.8 27.1 47.5 22.5 39.7 25.8

Total 100.0 100.0 100.0 100.0 100.0 100.0

Table 16.8: Percentage of malignant tumor cases registered in King Faisal Specialist Hospital and Research Center (Riyadh and Jeddah) among each gender, 2012

178

2013 Health Statistics Annual Book

Figure 16.16: Cases of tumors among children referred to King Faisal specialist hospital (Riyadh and Jeddah) by site of tumor, 2012*

Source : King Faisal Specialist Hospital and Research Center (Riyadh and Jeddah) * Data represent 2012 for the absence of 2013 data

HEALTH SERVICES

AND ACTIVITIES

SECTION IV.

Chapter 17: Inpatients (admissions to hospitals)

180

2013 Health Statistics Annual Book

INPATIENTS (ADMISSIONS

TO HOSPITALS) 17.

The term ‘inpatient’ refers to patients admitted to hospitals for medical treatment. The total inpatient

count includes inpatients at the MOH hospitals, inpatients at the other governmental hospitals, and

inpatients at the private sector hospitals.

A. INPATIENTS AT THE MOH HOSPITALS

Figure 17.1 displays the number of inpatients admitted to the MOH hospitals by region for the year

2013, with representation of the proportion of inpatients who are Saudi nationals. The total number of

inpatients recorded this year is 1,701,122. Figure 17.2 displays the trend in number of inpatients at

MOH hospitals across the tie period 2009-2013, including a representation of the proportion of inpa-

tients who are Saudi nationals. In the year 2013, Saudi nationals constitute 86.4% of the total cases.

In Table 17.1, selected indicators for services provided at MOH hospitals are shown by region of the

Kingdom for year 2013. In terms of bed turn over, the average values for the Kingdom as a whole are

as follows: general hospitals (52.2), psychiatry, fever and chest hospitals (4.9), and obstetrics & gyne-

cology and pediatrics hospitals (59.1). In terms of length of stay, the average values for the Kingdom

as a whole are as follows: general hospitals (3.9 days), psychiatry, fever and chest hospitals (68.4

days), and obstetrics & gynecology and pediatrics hospitals (2.3 days). In terms of bed occupancy rate,

the average rates for the Kingdom as a whole are as follows: general hospitals (53.6%), psychiatry, fe-

ver and chest hospitals (60.3%), and obstetrics & gynecology and pediatrics hospitals (49.2%). Trends

for the selected indicators by the type of MOH hospital over the time period of 2009-2013 are dis-

played in Figures 17.3-17.5.

B. INPATIENTS AT THE OTHER GOVERNMENTAL SECTOR HOSPITALS

Figure 17.6 displays the number of inpatients admitted to the other governmental sector hospitals by

individual hospital for year 2013, with representation of the proportion of inpa-

tients who are Saudi nationals. The total number of inpatients recorded for this

KEY ACHIEVEMENTS …

During the time period of 2009-2013, there was an observed drop in the

average number of admissions to all hospitals of the Kingdom per 100 indi-

vidual, from 12 to 10.5 admissions.

181

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D. TOTAL INPATIENTS ACROSS HOSPITALS OF ALL HEALTH SECTORS

Figure 17.8 is a visual representation of the proportion of inpatients admitted to hospitals across the

various health sectors for year 2013. The majority of inpatients have been admitted to MOH hospitals

(54%), followed by the private sector hospitals (20%) and the other governmental sector hospitals

(16%). During the time period of 2009-2013, the total number of inpatients admitted to hospitals

across the Kingdom has been relatively stable (around 3 million), except for a small surge that was ob-

served in 2010 (reaching 3.3 million), which was then followed by a drop to the average value.

Figure 17.9 displays the trend in number of inpatients admitted to all hospitals of the kingdom for the

time period of 2009-2013. Figure 17.10 displays the change in the number of inpatients admitted to

hospitals of each health sector of the Kingdom over the time period of 2009-2013. Generally, there

were minor variations across the years. The change in the proportion of inpatients admitted to hospi-

tals of the different health sectors from 2009 to 2013 is displayed in Figure 17.11. Generally, there were

minor variations across the years.

TREND OVER TIME…

Between the time period 2009-2013, the total number of inpatients at

MOH hospitals in the Kingdom has increased by 2.8% from 1,655,000 in

2009 to 1,701,000 in 2013.

Between the years 2009 and 2013, there was a marked increase in the average

length of stay at psychiatry, fever and chest hospitals of the MOH from 54.6

days in 2009 to 68.4 days in 2013 (25.3% increase).

Between the years 2009 and 2013, the bed occupancy rate for MOH hospital

dropped by the following rates: general hospitals (11.8%), psychiatry, fever,

and chest hospitals (26.8%) and obstetrics and gynecology hospitals (7.4%).

C. INPATIENTS AT THE PRIVATE SECTOR HOSPITALS

Figure 17.7 shows the number of inpatients admitted to the private sector hospitals by region for the

year 2013, with representation of the proportion of inpatients who are Saudi nationals. The total num-

ber of inpatients recorded for this year is 923,944.

182

2013 Health Statistics Annual Book

Figure 17.1: Number of inpatients at the MOH hospitals by region (showing % Saudis), 2013

A. INPATIENTS AT THE MOH HOSPITALS

Region

Bed turn-over Average length of stay Bed occupancy rate

GHs *

PCF **

ObGyn & Peds ***

GHs *

PCF **

ObGyn & Peds ***

GHs *

PCF **

ObGyn & Peds ***

Riyadh 40.6 3.7 53.3 4.7 72.0 3.2 54.1 71.8 71.8

Makkah 53.1 - 81.7 4.3 - 4.7 64.3 - -

Jeddah 35.2 9.2 55.9 6.3 33.4 4.8 62.6 86.2 86.2

Ta`if 65.6 14.9 52.4 2.7 99.3 5.0 45.5 88.3 88.3

Medinah 41.9 2.3 66.4 4.2 157.3 4.7 49.6 99.7 99.7

Qaseem 48.8 3.0 100.3 3.9 109.0 3.3 53.7 93.2 93.2

Eastern 33.9 6.3 66.8 4.9 54.4 3.2 47.3 80.7 80.7

Al-Ahsa 34.9 6.3 126.8 4.9 56.2 2.3 47.8 99.7 99.7

Hafr Al-Baten 36.4 3.6 30.6 3.5 39.8 7.2 35.5 40.4 40.4

Aseer 59.8 6.7 91.2 3.8 43.9 2.6 61.0 83.4 83.4

Bishah 53.6 2.1 - 3.2 40.7 - 47.9 24.3 24.3

Tabouk 41.4 1.0 115.7 3.9 324.2 1.8 45.3 93.1 93.1

Ha`il 51.2 3.3 148.7 2.9 33.9 1.8 42.0 31.1 31.1

Northern 35.2 3.2 - 4.2 42.0 - 41.5 38.3 38.3

Jazan 63.3 9.2 - 3.9 26.4 - 69.8 68.6 68.6

Najran 51.6 11.4 79.7 3.7 16.3 3.2 53.3 52.3 52.3

Al-Bahah 55.8 1.4 70.5 3.6 162.4 2.1 56.6 65.1 65.1

Qurrayyat 101.8 4.4 - 2.2 30.2 - 63.2 37.7 37.7

Al-Jouf 47.9 7.1 73.6 3.1 26.4 3.1 41.6 52.9 52.9

Qunfudah 88.7 - - 3.6 - - 89.3 - -

Total 52.2 4.9 59.1 3.9 68.4 2.3 53.6 60.3 60.3

* GHs: General Hospitals ** PCF: Psychiatry ,chest & fever hospitals *** ObGyn & Peds: OBS/GYN & pediatrics hospitals

Table 17.1: Selected indicators for MOH hospital services by region, 2013

183

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Figure 17.2: Number of inpatients at the MOH hospitals (showing % Saudis), 2009-2013

Figure 17.3: Trends of bed turn-over rate at the MOH hospitals, 2009-2013

Figure 17.4: Trends of average length of stay at the MOH hospitals, 2009-2013

184

2013 Health Statistics Annual Book

Figure 17.5: Trends of bed occupancy rate at the MOH hospitals, 2009-2013

B. INPATIENTS AT THE OTHER GOVERNMENTAL SECTOR HOSPITALS

Figure 17.6: Number of inpatients at the other governmental sector hospitals (showing % Saudis), 2013

185

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Figure 17.7: Number of inpatients at the private sector hospitals by region (showing % Saudis), 2013

Note: the only hospital in Qunfudah is closed Data for Riyadh represent 2009 for the absence of data for subsequent years Data for Aseer represent 2010 for the absence of data for subsequent years

C. INPATIENTS AT THE PRIVATE SECTOR HOSPITALS

D. TOTAL INPATIENTS ACROSS HOSPITALS OF ALL HEALTH SECTORS

Figure 17.8: Proportion of inpatients across all health sectors of the Kingdom, 2013

186

2013 Health Statistics Annual Book

Figure 17.9: Total number of inpatients across the Kingdom, 2009-2013

Figure 17.10: Total number of inpatients for each health sector of the Kingdom, 2009-2013

Figure 17.11: Proportion of inpatients across all health sectors of the Kingdom, 2009-2013

HEALTH SERVICES

AND ACTIVITIES

SECTION IV.

Chapter 18: Surgical operations

188

2013 Health Statistics Annual Book

SURGICAL OPERATIONS 18.

The total numbers of surgeries performed at hospitals of the different health sectors during the year

2013 are displayed by specialty in Figures 18.1-18.3. The total number of surgeries performed at the

MOH hospitals in this year is 462,360. General surgeries constitute the majority of total surgeries

(26.6%), followed by surgeries of obstetrics and gynecology (25.1%).

The total number of surgeries performed at the other governmental sector hospitals in this year is

184,933. General surgeries constitute the majority of total surgeries (18.9%), followed by surgeries of

obstetrics and gynecology (17.8%). The total number of surgeries performed at the private sector hos-

pitals in this year is 365,842. Surgeries of obstetrics and gynecology constitute the majority of total

surgeries (24.7%), followed by general surgeries (24.2%).

The total numbers of surgeries performed at hospitals of the different health sectors during the year

2013 are detailed further by specialty and region of the Kingdom in Tables 18.1-18.3. Figure 18.4 dis-

plays the number of same day surgeries that are performed at MOH hospitals by region during the

year 2012. The total number of same day surgeries for this year is 61,277. Figure 18.5 portrays the pro-

portion of selected gynecology (GYN) procedures that have been performed in year 2013. Evacuation

constitutes the majority of total GYN procedures performed (64.7%). Geographical distribution of

these procedures is provided in Table 18.4.

TREND OVER TIME…

Between the years 2009 and 2013, the total number of surgeries performed

at all hospitals of the Kingdom increased by 9% (from 929,403 to 1,013,135 sur-

geries). The highest increase in number of surgeries was observed among those

performed at the private sector hospitals (21.1% increase).

189

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Figure 18.1: Total number of surgeries in the MOH hospitals, 2013

Figure 18.2: Total number of surgeries in the other governmental sector hospitals, 2013

Figure 18.3: Total number of surgeries in the private hospitals, 2013

190

2013 Health Statistics Annual Book

R e

g io

General

Cardiac, chest, & Vascular

Urology

Plastic

Orthopedics

E.N.T

Faciodental

Pediatrics

OBS/GYN

Ophthalmology

Neurosurgery

Others

Total

R iy

a d

2 5

0 1

1 1

2 8

1 4

1 9

2 8

5 2

3 9

2 3

2 4

4 2

6 5

1 5

6 4

2 5

9 9

2 1

2 0

9 77

0 4

5 1

M a

k k

a h

2 8

1 0

3 5

5 8

0 0

3 0

5 9

6 5

8 1

71 3

6 4

2 0

5 2

6 4

2 3

71 8

Je d

d a

5 9

5 5

5 8

1 1

0 7

4 0

5 9

1 6

3 6

8 2

5 1

0 5

0 1

3 8

2 6

7 3

0 1

T a

`i f

5 1

6 0

1 0

3 3

3 1

0 2

9 79

75 9

1 72

1 0

3 4

9 2

2 2

1 8

M e

d in

a h

1 76

1 2

8 8

6 6

6 73

5 8

2 2

3 3

4 1

1 9

9 4

2 4

0 3

2 7

1 70

1 3

75 3

Q a

se e

8 6

2 8

76 5

3 2

5 4

7 1

5 0

1 4

6 4

8 3

1 8

0 0

1 1

0 4

8 1

2 73

3 2

E a

st e

5 8

6 7

6 6

1 8

4 9

2 5

3 9

5 1

3 4

3 9

5 5

6 0

6 8

72 3

4 1

3 3

73 1

A l-

A h

77 0

5 1

6 5

1 0

3 0

4 4

1 75

1 1

74 0

5 4

1 5

6 1

7 1

3 9

5 70

9 4

2 6

9 0

H a

fr A

l- B

a te

1 8

8 7

1 8

5 3

3 3

1 3

2 8

5 77

3 1

7 1

4 8

1 0

1 70

A se

e r

74 6

3 5

1 5

5 9

4 5

4 6

2 6

3 7

1 3

6 3

0 6

0 8

1 8

3 8

2 9

3 9

2 0

8 9

B is

h a

4 3

8 8

3 9

1 4

5 3

5 6

1 6

3 4

4 0

73 7

1 5

1 6

2 6

8 5

T a

b o

u k

2 5

7 8

4 3

1 2

1 9

9 5

1 9

1 79

2 3

2 76

0 0

1 1

6 8

H a

`i l

4 3

2 5

6 9

2 76

6 6

7 1

1 0

1 3

3 2

8 9

1 8

1 1

6 2

5 1

1 6

6 3

N o

rt h

e rn

6 0

4 8

3 4

0 4

2 5

0 9

6 0

2 8

6 6

4 4

7 2

8 3

1 3

4 8

Ja za

6 4

6 2

6 5

9 8

5 8

2 1

1 0

5 2

2 4

6 0

8 2

4 6

1 8

2 5

2 0

1 5

N a

jr a

4 0

2 71

8 4

1 5

2 3

9 1

0 3

8 4

8 2

9 9

2 1

1 6

4 9

A l-

B a

h a

2 5

1 2

1 6

1 4

3 9

5 8

8 3

1 76

2 0

5 9

6 73

6 0

1 8

2 1

1 6

A l-

Jo u

f 4

3 2

2 1

3 77

4 8

0 5

1 1

1 0

3 0

7 3

2 2

1 9

1 2

1 0

3 2

Q u

ra y

y a

t 1

1 2

1 0

3 79

8 5

6 0

1 6

1 3

8 8

9 4

4 1

3 7

Q u

n fu

d a

73 0

9 3

1 0

0 0

6 9

9 4

1 0

74 9

T o

ta l

1 2

0 6

5 8

0 0

1 8

6 2

1 0

73 5

75 2

2 78

2 7

1 0

0 1

1 76

9 7

1 1

6 1

8 1

5 6

9 9

70 8

1 1

0 0

0 9

6 2

3 6

T a

b le

1 8

.1 :

S u

rg e

ri e

s a

t th

e M

O H

h o

sp it

a ls

b y

r e

g io

n a

n d

s p

e ci

a lt

y ,

2 0

1 3

191

1434 Health Statistics Annual Book S

e ctio

n III

e ctio

n II

e ctio

n I

e ctio

n IV

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n V

T a

b le

1 8

.2 :

S u

rg e

ri e

s a

t th

e h

o sp

it a

ls o

f o

th e

r g

o v

e rn

m e

n ta

l se

ct o

r b

y h

o sp

it a

l a

n d

s p

e ci

a lt

y ,

2 0

1 3

H o

sp it

a l

General surgery

Ophthalmology

ENT

Urology

Orthopedics

Cardiac, chest, & Vascular

Plastic surgery

Neurosurgery

OBS/GYN

Pediatrics

Faciodental

Others

Total

K .A

.U .H

., R

2 0

2 15

2 6

3 -

- -

6 5

10 16

K .K

.U .H

., R

17 9

- -

12 6

17 8

34 6

36 4

0 6

5 1

- 8

8 6

K .A

.U .H

., J*

2 0

5 1

5 8

10 5

9 76

34 5

5 0

5 9

2 8

8 0

15 8

9 5

37 5

K .F

.U .H

., K

4 1

5 6

5 79

5 70

1 19

7 2

2 8

1 16

5 12

2 75

A .F

.M .S

* *

2 38

30 4

34 9

8 6

6 8

9 5

2 2

14 37

9 4

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192

2013 Health Statistics Annual Book

T a

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193

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Figure 18.5: Proportion of selected GYN procedures, 2013

Figure 18.4: Number of same day surgeries at the MOH hospitals by region, 2012*

*Data represents the year 2012 due to the absence of 2013 data

194

2013 Health Statistics Annual Book

Region

H y

ste re

c to

m y

C o

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n o

f p ro

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Riyadh 195 116 102 2 10 1,054 2,456 3,935

Makkah 62 2 27 8 1 388 1,660 2,148

Jeddah 42 26 24 0 0 469 1,068 1,629

Ta`if 39 9 40 0 0 222 211 521

Medinah 44 13 32 0 1 1,532 2,735 4,357

Qaseem 44 2 26 0 1 373 1,151 1,597

Eastern 49 11 19 0 1 345 711 1,136

Al-Ahsa 57 0 0 0 0 1,506 2,950 4,513

Hafr Al-Baten 11 5 11 0 2 137 229 395

Aseer 71 25 21 17 15 500 939 1,588

Bishah 6 1 0 0 0 289 66 362

Tabouk 8 0 9 0 0 230 557 804

Ha`il 29 12 13 0 4 230 585 873

Northern 26 1 2 0 0 263 348 640

Jazan 17 2 20 1 0 700 871 1,611

Najran 12 4 0 1 1 182 1,386 1,586

Al-Bahah 53 5 18 0 2 245 390 713

Al-Jouf 6 0 0 0 0 164 481 651

Qurayyat 5 1 5 0 2 105 300 418

Qunfudah 8 1 0 2 0 16 7 34

Total 784 236 369 31 40 8,950 19,101 29,511

Table 18.4: Selected GYN procedures at the MOH hospitals by region, 2013

HEALTH SERVICES

AND ACTIVITIES

SECTION IV.

Chapter 19: Deliveries and births

196

2013 Health Statistics Annual Book

DELIVERIES AND BIRTHS 19.

DELIVERIES AT THE MOH HOSPITALS

During the year 2013, a total of 262,173 deliveries have been performed at the MOH hospitals across

the Kingdom. Those are divided into normal deliveries (187,017), constituting 71.3% of total deliver-

ies, and abnormal deliveries (75,156), constituting 28.7% of total deliveries (Figure 19.1). Abnormal

deliveries mainly involve Caesarean Sections (22.3% of total deliveries). Table 19.1 shows the distri-

bution of total deliveries performed at the MOH hospitals across the Kingdom in the year 2013, by

type of delivery and region.

Figure 19.2 further displays the distribution of total deliveries performed at the MOH hospitals in year

2013 across the regions of the Kingdom, while highlighting the proportion of abnormal deliveries for

each region. Mekkah had the highest percentage of abnormal deliveries (39%), while Qurayyat had

the lowest (18%).

Figure 19.3 displays the number of live births delivered at the MOH hospitals of the Kingdom, with

representation of the yearly proportion of pre-term births, for the time period of 2009-2013. In the

year 2013, 264,914 live births are recorded, with pre-term births constituting 3.9% of the total live

births delivered.

Figure 19.4 displays the number of total births at the MOH hospitals of the Kingdom, with represen-

tation of the yearly still birth ratio, for the time period of 2009-2013. In the year 2013, 261,461 births

are recorded in total, with a still birth ratio of 13.2 per 1,000 live births.

KEY ACHIEVEMENTS …

Between the years 2009 and 2013, the ratio of still births per 1,000 live

births that occurred at the MOH hospitals of the Kingdom dropped from

15.1 to 13.2 (12.6 % drop).

DELIVERIES AT THE OTHER GOVERNMENTAL SECTOR HOSPITALS

During the year 2013, a total of 85,410 deliveries have been performed at the other governmental

sector hospitals across the Kingdom. Those are divided into normal deliveries (61,126), constituting

71.6% of total deliveries, and abnormal deliveries (24,284), constituting 28.4% of total deliveries

(Figure 19.5). Abnormal deliveries mainly involve Caesarean Sections (23.4% of total deliveries). Ta-

ble 19.2 shows the distribution of total deliveries performed at the other governmental sector hospi-

tals across the Kingdom in the year 2013, by type of delivery and hospital.

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Figure 19.6 further displays the distribution of total deliveries performed at the other governmental

sector hospitals in year 2013 across the hospitals, while highlighting the proportion of abnormal deliv-

eries for each hospital. King Faisal Specialist Hospital & Research Center, Jeddah had the highest per-

centage of abnormal deliveries (55%) while the Armed Forces Medical Services had the lowest per-

centage (26%).

Table 19.3 describes the births that took place at the various other governmental sector hospitals in

year 2013. A total of 85,992 live births and 739 still births are recorded this year, amounting to a total

of 86,731 births. There are 11,738 cases of low birth weight babies, representing a ratio of 137 low birth

weight babies per 1,000 live births. Moreover, the number of neonatal deaths during the first week of

birth for this year is 240 deaths.

TREND OVER TIME…

Between the years 2008 and 2012, the number of live births delivered at

the MOH hospitals across the Kingdom increased by 3.5%, from 257,697 to

266,788 live births, while those delivered at the other governmental sector

hospitals decreased by 3.8%, from 90,184 to 86,742 live births.

198

2013 Health Statistics Annual Book

Region Normal

deliveries

Abnormal deliveries

Ventouse Breech Forceps C.S. Others Total

Riyadh 26531 701 271 120 10089 244 11425

Makkah 9596 218 42 44 5887 33 6224

Jeddah 8958 139 65 9 3082 104 3399

Ta`if 7600 411 81 19 2680 527 3718

Medinah 15751 155 73 12 6490 58 6788

Qaseem 13293 138 123 12 5282 125 5680

Eastern 9861 245 127 11 2587 114 3084

Al-Ahsa 9884 21 49 3 2733 0 2806

Hafr Al-Baten 4626 92 28 1 1534 19 1674

Aseer 13546 238 107 94 5149 171 5759

Bishah 3866 73 31 9 1810 134 2057

Tabouk 5970 131 35 6 2768 34 2974

Ha`il 7410 141 97 2 3202 162 3604

Northern 5099 60 7 5 2413 6 2491

Jazan 18364 253 231 2 3695 83 4264

Najran 7965 146 73 2 2385 47 2653

Al-Bahah 6036 168 46 17 2077 4 2312

Al-Jouf 5834 104 24 0 2379 19 2526

Qurayyat 4498 95 44 7 848 0 994

Qunfudah 2329 52 0 0 612 60 724

Total 18,7017 3,581 1,554 375 67,702 1,944 75,156

Table 19.1: Deliveries at the MOH hospitals by type of delivery and region, 2013

Figure 19.1: Deliveries at the MOH hospitals by type of delivery, 2013

A. DELIVERIES AND BIRTHS AT THE MOH HOSPITALS

199

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Figure 19.3: Number of live births at the MOH hospitals (showing %pre-term birth), 2009-2013

Figure 19.4: Number of total births at the MOH hospitals (showing still birth ratio), 2009-2013

Figure 19.2: Deliveries at the MOH hospitals by region (showing % abnormal deliveries), 2013

200

2013 Health Statistics Annual Book

Hospital Normal

deliveries

Abnormal deliveries

Ventouse Breech Forceps C.S Others Total

K.K.U.H.,R 2,506 288 38 2 806 - 1,134

K.A.U.H.,J* 3,458 133 38 3 1,122 - 1,296

K.F.U.H.,K 789 50 11 1 365 - 427

A.F.M.S* 35,576 1,058 325 290 10,422 622 12,717

N.G.Hs 10,380 555 124 98 3,782 7 4,566

S.F.H** 3,780 200 65 2 1,168 - 1,435

K.F.S.H.,R 798 78 9 1 530 - 618

K.F.S.H.,J 180 32 3 1 188 - 224

R.C.Hs 2,621 86 10 1 1,118 0 1,215

ARAMCO Hs 1,038 35 4 25 445 143 652

Total 61,126 2,515 627 424 19,946 772 24,284

Table 19.2: Deliveries at the other governmental sector hospitals by type of delivery and region, 2013

Figure 19.5: Deliveries at the other governmental sector hospitals by type of delivery, 2013

B. DELIVERIES AND BIRTHS AT THE OTHER GOVERNMENTAL SECTOR HOSPITALS

Figure 19.6: Deliveries at the other governmental sector hospitals by region (showing % abnormal deliveries), 2013

KKUHR: King Khaled University Hospital, Riyadh; KAUHJ: King Abdulaziz University Hospital, Jeddah; KFUHK: King Fahed University Hospital, Khobar; AFMS: Armed Forces Hospitals; NGHs: National Guards Hospitals; SFH: Security Forces Hospitals; KFSHR: King Faisal Specialist Hospital & Research Center, Riyadh; KFSHJ: King Faisal Specialist Hospi- tal & Research Center, Jeddah; RCHS: Royal Commission Hospitals; ARAMCOHs: ARAMCO Hospitals * Represent data from year 2012 due to the absence of data for the year 2013 ** Represent data from year 2011 due to the absence of data for the year 2011 & 2012 ***Represent data from year 2010 due to the absence of data for the year 2011, 2012, & 2013

201

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HEALTH SERVICES

AND ACTIVITIES

SECTION IV.

Chapter 20: Ophthalmology

203

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OPHTHALMOLOGY 20.

Preventive and curative services are provided at ophthalmic departments of most hospitals across the

Kingdom and at hospitals which are specialized in Ophthalmology, such as King Khaled Eye Specialist

Hospital and Jeddah Specialist Hospital.

Table 20.1 displays the main activities and services that have been provided at King Khaled Eye Spe-

cialist Hospital throughout the time period of 2008-2012. A total of 158,492 outpatient visits were

made during the year 2012, representing a daily average of 607 visits per day. The total number of cas-

es attended to at the emergency department during the year 2012 is 30,663, representing a daily aver-

age of 117 cases per day. The total number of inpatients admitted during the year 2012 is 13,548. This

hospital contains a cornea bank that serves a vital role in cornea transplantation procedures per-

formed at the hospital and at other hospitals. During this year, 1,104 cornea transplantations have

been performed in this hospital.

Figure 20.1 portrays the trend for outpatient visits at King Khaled Eye Specialist Hospital for the time

period 2008-2012.

KEY ACHIEVEMENTS …

Between the years 2008 and 2012, King Khaled Eye Spe-

cialist Hospital markedly expanded its outpatient services.

Most noticeable is the increase in the total number of outpatient

visits observed from year 2011 to 2012 (20% increase from 132,038

to 158,492 visits).

204

2013 Health Statistics Annual Book

Item 2008 2009 2010 2011 2012

Outpatient

Initial visits 9,016 10,916 9,708 9,604 8,462

Follow-up visits 87,283 97,632 108,323 108,540 140,260

Screening clinic visits 15,088 16,527 14,235 13,894 9,770

Total 111,387 125,075 132,266 132,038 158,492

Emergency

Cases from screening clinic

502 464 636 482 280

Follow-up 7,908 8,442 7,946 8,772 6,300

Inpatient 1,947 1,669 1,356 … 1,283

Others 21,404 1,315 22,522 21,512 22,800

Total 31,761 11,890 32,460 30,766 30,663

Inpatient Admissions 15,974 13,348 9,710 10,038 13,548

Average length of stay 4 4 5 5 5

Surgery Surgery procedures 26,455 19,171 10,239 11,006 22,513

Surgery cases 19,910 10,733 9,924 10,267 9,779

Investigations

Laboratory tests 514,239 482,113 453,516 468,413 484,495

Radiology procedures 81,124 81,213 94,035 122,020 104,106

Respiratory therapy pro- cedures

16,287 15,250 15,399 12,940 14,247

Eye Bank

Ophthalmic photography 28,621 29,981 33,630 29,696 32,166

Surgeries 1,497 1,199 692 896 1,104

Waiting list 385 287 330 477 538

Table 20.1: Main activities and services at King Khaled Eye Specialist Hospital, 2008 -2012*

Fig- *Data represents the year 2012 due to the absence of 2013 data

HEALTH SERVICES

AND ACTIVITIES

SECTION IV.

Chapter 21: Psychiatric and social health

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2013 Health Statistics Annual Book

PSYCHIATRIC AND SOCIAL

HEALTH 21.

During the year 2013, psychiatric and social health services have been provided at 25 psychiatric and

convalescent hospitals, as well as 69 psychiatric clinics that are subsidiaries to hospitals. These ser-

vices, both outpatient and inpatient, are demonstrated in Figures 21.1 and 21.2, according to the main

disease groups identified by the International Classification of Diseases (ICD-10). The total number of

outpatients at these departments/hospitals is 514,214 for this year, while the total number of inpa-

tients is 32,528.

Figures 21.3 and 21.4 further display the outpatient and inpatient psychiatric services by region of the

Kingdom for the year 2013.

Trends in the number of outpatient and inpatient psychiatric visits for the time period of 2008-2012

are represented in Figure 21.5. The trends are further detailed in Table 21.1 by region of the Kingdom.

In year 2012, the highest number of outpatients is recorded in Riyadh (20.8% of total), while the high-

est number of inpatients is recorded in Riyadh (17.25% of total).

Figure 21.6 exhibits the distribution of referrals that were made from the Social Service Department at

the MOH hospitals to other medical and non-medical institutions during the year 2013. These cases

are transferred for more comprehensive treatment and/or complementary non-medical treatment.

The total number of referred patients is 170,395. Among all referrals, 18.2% of the cases were referred

to other hospitals and 16.1% of the cases were referred to the social security office; while those re-

ferred to governmental social agencies constitute 7.2% of all referrals.

Table 21.2 displays the distribution of referrals made in year 2013 by region of the Kingdom. The high-

est number of referrals is recorded in Makkah (19% of total).

KEY ACHIEVEMENTS …

Between the years 2008 and 2012, the total number of

outpatients seeking psychiatric services at MOH hospitals

of the Kingdom increased by 13.5% (from 436,497 to

495,484 cases), while the total number of inpatients wit-

nessed an overall decrease of 6.7%, with fluctuation

throughout the years.

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Figure 21.1: Outpatients of the Psychiatric Departments at the MOH according to main disease groups of ICD -10, 2013

Figure 21.2: Inpatients of the Psychiatric Departments at the MOH according to main disease groups of ICD -10, 2013

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2013 Health Statistics Annual Book

Figure 21.3: Outpatients of the Psychiatric Department at the MOH hospitals by region, 2013

Figure 21.4: Inpatients of the Psychiatric Department at the MOH hospitals by region, 2013

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Region

2009 2010 2011 2012 2008

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Riyadh 70538 2295 78790 2166 93972 2166 93972 4136 103227 3234

Makkah 19796 666 19373 523 20663 523 20663 485 22174 735

Jeddah 34058 3103 38693 5844 45411 5844 45411 4454 47435 5513

Ta`if 24646 2536 22160 1523 24406 1523 24406 1039 25148 1326

Medinah 27184 528 26025 387 25079 387 25079 301 26597 386

Qaseem 35035 497 34666 411 35999 411 35999 389 31400 433

Eastern 9889 2063 16454 745 11520 745 11520 3906 11460 1675

Al-Ahsa 31224 542 32949 726 29709 726 29709 711 28780 904

Hafr Al-Baten 11811 421 12448 28 12299 28 12299 235 12041 0

Aseer 25462 1043 23673 1037 23189 1037 23189 927 18504 949

Bishah 9684 295 11283 346 12748 346 12748 189 14754 137

Tabouk 18717 154 23233 ... 31550 ... 31550 269 30368 231

Ha`il 13235 536 14617 389 15029 389 15029 273 17019 282

Northern 4884 417 9658 658 6586 658 6586 298 1386 64

Jazan 40794 1041 35612 1029 41657 1029 41657 1224 39132 1079

Najran 20853 456 21326 438 20760 438 20760 326 22230 376

Al-Bahah 22688 353 25265 405 24275 405 24275 270 24341 266

Al-Jouf 5578 516 8036 507 10025 507 10025 485 9646 512

Qurayyat 5451 349 7793 537 6686 537 6686 623 4631 645

Qunfudah 8235 0 7202 0 4473 0 4473 0 5211 0

Total 439762 17811 469256 17699 496036 17699 496036 20540 495484 18747

Figure 21.5: Patients of the Psychiatric Department at the MOH hospitals, 2008-2012*

Table 21.1: Patients of the Psychiatric Department at the MOH hospitals by region, 2008 -2012*

… Data not available

*Data represents the years 2008-2012 due to the absence of 2013 data

210

2013 Health Statistics Annual Book

Region Social

security office

Medical rehabilita-

tion centers

Governmen- tal social agencies

Charity or- ganizations

Other hospitals

Under process

Others Total

Riyadh 3,302 1,095 362 223 1,022 734 1,442 8,180

Makkah 8 0 260 208 16 1,817 4,619 6,928

Jeddah 994 65 12119 12140 1,141 4,443 23,395 32,297

Ta`if 62 80 4,377 173 145 1,959 3,538 10,334

Medinah 792 282 552 553 205 1,433 1,078 4,895

Qaseem 1,409 911 639 610 771 1,094 369 5,803

Eastern 124 15 12 23 32730 1,130 2,558 7,592

Al-Ahsa 5 31 170 43 65 249 102177 10,740

Hafr Al-Baten 959 766 0 0 196 0 0 1,921

Aseer 3,893 899 1,037 115 2,336 206 6,812 15,298

Bishah 1,621 96 168 14 3,365 3 0 5,267

Tabouk 1,388 127 166 71 3,817 1,020 0 6,589

Ha`il 3,951 3,748 219 337 3,638 464 610 12,967

Northern 99 244 120 31 33 146 46 719

Jazan 2,994 1,140 1,374 1,350 72737 2,688 5,059 22,342

Najran 1,414 63 603 114 1,302 15 273 3,784

Al-Bahah 2,643 116 646 42 689 149 830 5,115

Al-Jouf 933 82 299 21 582 430 831 3,178

Qurayyat 99 2 87 0 7 0 0 195

Qunfudah 724 638 11 245 198 0 4,435 6,251

Total 27,414 10,400 12,221 5,313 30,995 17,980 66,072 170,395

Table 21.2: Cases of referrals from the Social Service Department at the MOH hospitals by region, 2013

Figure 21.6: Categories of referrals from the Social Service Department at the MOH hospitals, 2013

HEALTH SERVICES

AND ACTIVITIES

SECTION IV.

Chapter 22: Dental services

212

2013 Health Statistics Annual Book

DENTAL SERVICES 22.

Dental preventive and curative services are provided at dental clinics across the Kingdom. In year 2011,

there were a total of 2,408 clinics classified as follows: 1,405 clinics within health centers, 468 clinics

within hospitals, and 535 clinics within specialized centers. This is in addition to 104 portable dental

clinics. The total number of specialized dental centers was 31, which were covering all health districts.

Specialized dental centers provide various preventive and curative services. Table 22.1 summarizes

the visits made to the dental centers at the MOH during the year 2013. In total, 2,216,403 visits are

recorded. The largest number of visits recorded is to the X-ray clinics (437,603 visits).

Figure 22.1 shows the trend in number of oral surgeries performed at the MOH hospitals during the

time period of 2009-2013.The trend is further detailed in Table 22.2 by health regions of the Kingdom.

TREND OVER TIME…

Between the years 2009 and 2013, the total number of oral dental sur-

geries performed at the MOH hospitals of the Kingdom increased by 21.7%

from 12,793 to 10,019 surgeries.

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Region

Oral hygiene

Periodontics

Minor oral surgery & extraction

Oral and maxillofacial surgery

Pedodontics

Orthodontics

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214

2013 Health Statistics Annual Book

Region* 2009 2010 2011 2012 2013

Riyadh 4,960 4,299 3,624 3,505 2442و

Makkah 1,308 1,643 1,117 1,584 815

Jeddah 550 636 591 621 397

Ta’if 375 428 625 686 734

Medinah 137 211 309 279 341

Qaseem 493 393 471 541 464

Eastern 520 492 366 409 439

Al-Ahsah 1,380 1,638 1,661 1,761 1,740

Hafir Al– Bateen 39 75 62 90 64

Aseer 2,346 1,572 1,620 1,567 1,525

Tabouk 54 45 122 43 32

Ha`il 174 169 266 374 332

Northern 29 38 39 11 28

Jazan 49 78 95 72 88

Najran 120 118 136 183 203

Al-Bahah 138 167 223 189 176

Al-Jouf 121 168 252 293 199

Total 12,793 12,170 11,579 12,208 10,019

Table 22.2: Oral surgeries at the MOH hospitals by region, 2009-2013

* Jeddah includes Qunfdah Aseer includes Bishah Al-Jouf includes Qurayyat

Figure 22.1: Oral surgeries at the MOH hospitals, 2009-2013

HEALTH SERVICES

AND ACTIVITIES

SECTION IV.

Chapter 23: Hemodialysis and organ transplantation

216

2013 Health Statistics Annual Book

The Saudi Center for Organ Transplantation plays an essential role in coordination and continuation of

care related to organ transplantations performed in various hospitals across the Kingdom.

Figure 23.1 displays the distribution of artificial kidney centers and dialysis patients by health sector

for the year 2012. There are 206 artificial kidney centers in total, 69.4% of which are within the juris-

diction of the MOH. There are 5,029 hemodialysis machines in total, 68.6% of which are within MOH

facilities. A total of 12,964 patients undergo hemodialysis (66.2% of which attend to MOH facilities),

while 1,326 patients undergo peritoneal dialysis (55.5% of which attend to the other governmental

sector facilities). Additionally, a total of 8,354 patients attend follow-ups at kidney transplant clinics,

the majority of which attend to the other governmental sector facilities (62.8%).

Figure 23.2 shows the proportions of hemodialysis patients across the health sectors by gender and by

nationality during the year 2012. There has been marked development in the field of organ transplan-

tation in the Kingdom up to the year 2010. Significant figures recorded are as follow:

The total number of liver transplantation from 1990 to 2010 is 930.

The total number of heart transplantation from 1986 to 2010 is 187.

The total number of valve transplantation and replacement from 1986 to 2010 is 517.

The total number of kidney transplantation from 1979 to 2010 is 6,648.

The total number of cornea transplantation from 1983 to 2010 is 21,513.

The total number of lung transplantations is 51.

HEMODIALYSIS AND

ORGAN TRANSPLANTAIONS 23.

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Figure 23.1: Artificial kidney centers and dialysis patients by health sector, 2012*

Figure 23.2: Hemodialysis patients across health sector by gender (left) & nationality (right), 2012*

* 2013 Data is not available

HEALTH SERVICES

AND ACTIVITIES

SECTION IV.

Chapter 24: Laboratory and radiology investigations and blood bank

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LABORATORY & RADIOLOGY

INVESTIGATIONS AND BLOOD BANK 24.

LABORATORY AND RADIOLOGY INVESTIGATIONS AT THE MOH

MOH Health Centers

Figure 24.1 displays the number of laboratory investigations that were conducted at the MOH health

centers by region of the Kingdom during the year 2013. The total number of laboratory investigations

in this year is 6,018,761. The highest number of investigations is recorded in Jazan (10.8%).

Figure 24.2 displays the number of radiology patients examined and radiology films used at the MOH

health centers by region of the Kingdom during the year 2013. The total number of radiology patients

in this year is 225,258, with the majority of the patients examined in Eastern region (17.6%).

MOH Hospitals

Figure 24.3 displays the number of laboratory investigations that were conducted at the MOH hospi-

tals by region of the Kingdom during the year 2013. The total number of laboratory investigations in

this year is 150,932,272. The highest number of investigations is recorded in Riyadh (15.9%).

Figure 24.4 displays the number of radiology patients examined at the MOH hospitals by region of the

Kingdom during the year of 2013. The total number of patients examined in this year is 6,475,819, with

the majority of the patients examined in Riyadh (15.7%).

Figure 24.5 displays the number of physiotherapy patients seen at the MOH hospitals by region of the

Kingdom during the year of 2012. The total number of patients seen in this year is 757,777, with the

majority of the patients seen in Makkah (23%).

The total number of laboratory investigations conducted at the MOH hospitals during the year 2013 is

further displayed by type of investigation in Figure 24.6. The majority of investigations are under bio-

chemistry (89,119,255). Table 24.1 provides more detail on the type of investigations conducted by

region of the Kingdom.

All MOH Facilities

Figures 24.7-24.9 portray the trends observed for laboratory investigations, radiology patients and

physiotherapy patients seen at MOH facilities during the time period of 2009-2013.

220

2013 Health Statistics Annual Book

Other Governmental Sector Facilities

Table 24.2 displays the number of laboratory investigations and radiology patients at the other gov-

ernmental sector facilities across the Kingdom during the year 2013. The total number of laboratory

investigations conducted is 102,998,913 and the total number of radiology patients examined is

3,072,368 in this year.

Private Sector Facilities

Table 24.3 displays the number of laboratory and radiology investigations conducted at the private

hospitals and dispensaries across the Kingdom during the year 2013. The total number of laboratory

investigations conducted is 47,885,996 in this year. A total of 7,637,077 patients were examined.

MOH POISON CONTROL AND FORENSIC CHEMISTRY CENTERS

Figure 24.10 displays the number of samples and tests conducted at the MOH Poison Control and Fo-

rensic Chemistry Centers by region of the Kingdom during the year 2013.

BLOOD BANK ACTIVITIES

Blood Banks at the MOH

Table 24.4 summarizes the activities of the blood banks at the MOH by region of the Kingdom during

the year 2013.The trend observed for the activities of the MOH blood banks during the time period of

2009-2013 is displayed in Figure 24.11.

Blood Banks at the other Governmental Sector Facilities

Table 24.5 summarizes the activities of the blood banks at the other governmental sectors by region

of the Kingdom during the year 2013.

TREND OVER TIME…

Between the years 2009 and 2013, the total number of laboratory investigations

conducted at the MOH health centers across the Kingdom decreased by 20% (from 7.5

million to 6.0 million), while the total number of laboratory investigations conducted at

the MOH hospitals and central laboratories across the Kingdom increased by 22% (from

123 million to 150 million).

Between the years 2009 and 2013, the total number of radiology patients examined at the

MOH facilities across the Kingdom increased by 26% (from 5.3 million to 6.7 million).

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Figure 24.1: Number of laboratory investigations at the MOH health centers by region, 2013

Figure 24.2: Number of radiology patients and films at the MOH health centers by region, 2013

Figure 24.3: Number of laboratory investigations at the MOH hospitals by region, 2013

222

2013 Health Statistics Annual Book

Figure 24.4: Number of radiology patients at the MOH hospitals by region, 2013

Figure 24.5: Number of physiotherapy patients at the MOH hospitals by region, 2012*

Figure 24.6: Total number of laboratory investigations at the MOH hospitals by type of investigation, 2013

* 2013 Data is not available

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Region Immunol-

ogy Patients virology

Virology for blood do-

nors

Parasitolo- gy

Urine Bacteriolo-

gy Hormones Biochemistry Toxicology

Riyadh 65,533 814,605 576,289 234,226 751,401 578,844 1,384,470 13,362,346 218,093

Makkah 305,317 223,346 96,389 34,696 83,249 316,645 912,932 5,437,513 2,169

Jeddah 77,738 233,142 177,532 242,914 206,888 140,707 399,316 7,129,458 169,246

Ta`if 4,777 138,811 23,525 36,416 347,948 98,324 570,133 5,299,894 73,754

Medinah 376,370 39,247 91,795 93,351 312,376 535,839 673,613 9,767,704 4,300

Qaseem 48,441 269,692 203,542 43,733 311,164 171,097 268,157 6,859,798 3,790

Eastern 104,794 558,604 54,606 78,674 271,130 615,353 473,428 9,092,903 95,773

Al-Ahsa 22,844 242,552 76,036 6,813 138,620 74,800 257,300 5,427,615 33,322

Hafr Al-Baten 770 61,667 2,712 12,745 38,748 42,962 81,606 1,488,439 193

Aseer 9,767 404,243 72,355 102,911 394,937 62,471 294,967 4,847,506 2,872

Bishah 0 54,097 2,793 36,696 88,534 72,661 67,893 1,405,758 9,191

Tabouk 16,615 137,771 56,189 17,267 79,490 35,924 42,780 1,467,435 3,886

Ha`il 101 105,500 71,944 13,362 62,626 112,644 109,731 2,677,468 22,181

Northern 16,577 129,834 32,423 11,059 63,212 30,305 213,997 1,919,897 111,711

Jazan 111,760 289,903 137,076 209,714 348,701 84,472 367,850 4,884,642 7,626

Najran 17 44,029 41,409 11,245 153,913 45,616 98,227 2,246,051 4,738

Al-Bahah 14,646 151,113 31,737 15,596 180,547 67,742 93,671 2,754,847 2,865

Al-Jouf 2,172 144,127 22,433 53,739 115,932 41,385 77,409 1,723,820 47,842

Qurayyat 8,279 31,252 13,304 13,411 54,956 13,748 96,070 541,984 2,568

Qunfudah 0 44,091 35,487 687 12,948 6,846 13,948 784,177 0

Total 1,186,51

8 4,117,626 1,819,576 1,269,255 4,017,320 3,148,385 6,497,498 89,119,255 816,120

Region Serology Genetics Histopatholo-

gy Hematology

Molecular Biology

Cytopatholo- gy

Others Total

Riyadh 625,677 7,923 169,586 4,602,871 71,559 14,011 533,406 24,010,840

Makkah 282,839 1,118 23,443 1,658,637 8,012 2,728 80,560 9,469,593

Jeddah 674,873 0 25,663 2,879,683 20,872 3,574 195,841 12,577,447

Ta`if 213,388 483 8,754 825,123 4,894 3,100 5,064 7,654,388

Medinah 239,615 15,750 17,030 5,248,868 229,016 963 82,207 17,728,044

Qaseem 304,660 0 59,330 3,537,583 3,086 8,481 207,391 12,299,945

Eastern 275,952 3,589 27,690 2,049,197 10,981 12,134 291,376 14,016,184

Al-Ahsa 48,183 688 9,041 674,682 35,948 3,680 9,080 7,061,204

Hafr Al-Baten 38,124 112 1,972 305,748 227 1,228 4,952 2,082,205

Aseer 187,415 3,401 16,579 2,280,039 31,430 1,127 22,807 8,734,827

Bishah 258,785 0 2,975 590,826 254 1,779 10,190 2,602,432

Tabouk 49,465 1,386 3,231 1,031,029 29,292 39,402 34,451 3,045,613

Ha`il 111,977 818 4,844 431,044 2,582 357 2,857 3,730,036

Northern 77,991 81 3,208 280,754 36 1,261 12,923 2,905,269

Jazan 196,743 7,214 7,815 2,305,538 93,619 364,949 40,706 9,458,328

Najran 140,229 69 11,539 541,061 0 1,374 6,682 3,346,199

Al-Bahah 90,223 0 8,184 1,211,427 0 4,202 14,497 4,641,297

Al-Jouf 64,738 0 2,483 400,638 4,256 310 2,657 2,703,941

Qurayyat 30,753 102 5,360 466,953 5,275 762 19,853 1,304,630

Qunfudah 14,510 0 350 646,217 0 40 549 1,559,850

Total 3,926,140 42,734 409,077 31,967,918 551,339 465,462 1,578,049 150,932,272

Table 24.1: Number of laboratory investigations at the MOH hospitals by type of investigation and region, 2013

224

2013 Health Statistics Annual Book

Figure 24.7: Number of laboratory investigations at the MOH facilities, 2009-2013

Figure 24.8: Number of radiology patients served at the MOH facilities, 2009-2013

Figure 24.9: Number of physiotherapy patients served at the MOH facilities, 2009-2013

225

1434 Health Statistics Annual Book S

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Facility Laboratory investigations Radiology patients

K.A.U.H.,R 980,126 14,750

K.K.U.H.,R* 4,879,522 122,040

K.A.U.H.,J** 5,612,547 100,285

K.F.U.H.,K 2,091,712 83,785

A.F.M.S.** 31,615,433 1,450,550

N.G.M.S. 35,205,913 520,602

M.I.M.S.*** 5,313,063 308,633

K.F.S.H.,R* 9,790,128 211,884

K.F.S.H.,J* 2,280,975 72,347

R.C.Hs 1,274,871 68,023

ARAMCO Hs 3,180,611 95,104

S.H.U.(M.O.E.) 34,194 ...

Y.W.H.* 121,298 8,362

S.W.C.C.M.U. 71,973 4,696

I.P.A.M. Cl. 22,575 …

M.I.U.M.Cl.* 55,404 ...

K.K.M. Cl. Abha* 4,606 ...

I.M.U.M.U.* 132,080 6,339

K.Fd.U.P.& M.M.U. 13,719 4,067

Omm Al-Qurra U.* 318,163 901

Total 102,998,913 3,072,368

KAUHR: King Abdulaziz University Hospital, Riyadh; KKUHR: King Khaled University Hospital, Riyadh; KAUHJ: King Abdulaziz University Hospital, Jeddah; KFUHK: King Fahed University Hospital, Khobar; AFMS: Armed Forces Hospitals; NGHs: National Guards Hospitals; MIMS: Ministry of Interior Medical Services; KFSHR: King Faisal Specialist Hospital & Research Center, Riyadh; KFSHJ: King Faisal Specialist Hospital & Research Center, Jeddah; RCHS: Royal Commission Hospitals; ARAMCOHs: ARAMCO Hospitals; SHU (MOE): School Health Units of the Ministry of Education; YWH: Youth Welfare; SWCCMU: Saline Water Conversion Corporation Medical Units; IPAMCL: Institute of Public Administra- tion Clinics at Riyadh; MIUMCl: Medinah Islamic University Clinics; KKMCl Abha: King Khaled University Medical Clinics at Abha; IMUMU: Imam Muhammad bin Saud Islamic University; KFdUP&MMU: King Fahd University of Petroleum & Minerals Medical Units; OmmAl-Qurra U: Omm Alqurra University. * Represent data from year 2012 due to the absence of data for the year 2013 ** Represent data from year 2011 due to the absence of data for the year 2012 & 2013 ***Represent data from year 2010 due to the absence of data for the year 2011, 2012 & 2013

Table 24.2: Number of laboratory investigations and radiology patients at the other governmental sector facilities, 2013

Region Laboratory

Investigations

Radiology Investigations

Number of Patients

Riyadh* 6,294,763 820,861

Makkah** 1,256,979 386,337

Jeddah 8,673,362 1,168,012

Ta`if 919,260 196,594

Medinah 5,111,846 527,398

Qaseem 8,764,366 534,550

Eastern** 10,484,387 1,936,882

Al-Ahsa 1,410,874 305,757

Hafr Al-Baten 190,331 92,725

Aseer*** 407,387 85,736

Bishah 142,116 24,124

Tabouk 1,837,175 172,784

Ha`il 570,926 116,122

Northern 163,227 23,591

Jazan 680,190 1,055,776

Najran 368,676 60,154

Al-Bahah 256,752 86,005

Al-Jouf 124,630 23,210

Qurayyat 111,377 10,092

Qunfudah 117,372 10,367

Total 47,885,996 7,637,077

Table 24.3: Number of laboratory and radiology investigations at the private hospitals and dispensaries, 2013

* Riyadh data represents 2009 for the absence of subsequent data ** Mekkah and Eastern represents 2012 for the absence of subsequent data ***Aseer represents 2010 for the absence of subsequent data

226

2013 Health Statistics Annual Book

Figure 24.10: Number of samples and tests conducted at the MOH Poison Control and Forensic Chemistry Centers by region, 2012*

Region Investigations for

blood transfusions Investigations for infectious diseases

Total Investigations

Collected blood units

Transfused blood units

Riyadh 663,253 440,712 1,103,965 38,054 60,247

Makkah 278,287 80,737 359,024 13,586 39,479

Jeddah 353,453 98,128 451,581 30,529 37,644

Ta`if 81,839 27,324 109,163 13,655 12,406

Medinah 457,151 30,736 487,887 13,202 11,063

Qaseem 331,075 176,288 507,363 15,865 16,075

Eastern 473,785 73,556 547,341 46,457 54,926

Al-Ahsa 388,676 78,871 467,547 25,837 18,781

Hafr Al-Baten 88,917 6,233 95,150 3,599 2,849

Aseer 309,845 99,030 408,875 41,538 74,040

Bishah 130,259 3,015 133,274 5,903 5,985

Tabouk 335,910 71,387 407,297 8,400 5,727

Ha`il 96,816 36,349 133,165 11,725 9,044

Northern 80,874 26,289 107,163 6,206 7,257

Jazan 226,193 137,702 363,895 30,695 27,139

Najran 162,966 49,880 212,846 7,020 6,399

Al-Bahah 157,122 33,746 190,868 8,053 14,012

Al-Jouf 72,032 36,116 108,148 6,359 5,802

Qurayyat 19,139 19,120 38,259 2,997 2,321

Qunfudah 119,621 64,708 184,329 3,908 4,278

Total 4,827,213 1,589,927 6,417,140 333,588 415,474

Table 24.4: Activities of the blood banks at the MOH by region, 2013

* 2013 data is not available

227

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Figure 24.11: Trends of MOH Blood Banks activities, 2009-2013

Facility # of

investigations # of blood

donors

# of transfusion

requests

# of Blood Banks

King Abdulaziz University Hospital, Riyadh 149 174 24 1

King Khaled University Hospital, Riyadh* 177,064 13,922 28,704 1

King Abdulaziz University Hospital, Jeddah** 222,006 12,195 13,538 1

King Fahed University Hospital, Khobar 113,989 4,813 11,215 1

Armed Forces Medical Services** … 71,043 61,669 16

National Guards Hospitals 640,607 45,983 107,860 4

Security Forces Hospitals*** 164,068 5,255 9,518 1

King Faisal Specialist Hospital & Research Center, Riyadh*

228,210 24,787 56,466 1

King Faisal Specialist Hospital & Research Center, Jeddah*

66,183 19,474 24,668 1

Royal Commission Hospitals 78,862 3,236 29,445 2

ARAMCO Hospitals 279,518 5,302 5,639 1

Total 1,970,656 206,184 348,746 30

* Represents data from year 2012 due to absence of data for the year 2013 * Represent data from year 2011 due to the absence of data for the year 2012 & 2013 **Represent data from year 2010 due to the absence of data for the year 2011, 2012 & 2013 … Data not reported

Table 24.5: Blood bank activities at the other governmental sector facilities, 2013

HEALTH SERVICES

AND ACTIVITIES

SECTION IV.

Chapter 25: Medical rehabilitation

229

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MEDICAL REHABILITATION 25.

Across the Kingdom, rehabilitation centers of the MOH, other governmental sector and the private

sector offer rehabilitation services to the handicapped who are victims of road accidents or who have

been disabled due to disease-related injury.

Figure 25.1 portrays the proportions for the various causes of amputation cases at the medical rehabil-

itation centers of the MOH during the year 2012. The major cause of amputation recorded is diabetes-

related gangrene (41.2% of cases), followed by car accidents (31.8% of cases).

Table 25.1 displays the amputation cases receiving treatment at the medical rehabilitation centers of

the MOH by cause of injury and region of the Kingdom for the year 2013. The total number of amputa-

tion cases recorded during the year 2013 is 4,923.

Cases attending to the medial rehabilitation centers of the other governmental sector during the year

2013 are displayed in Table 25.2. A total of 1,257,893 cases are recorded during this year, with 50,562

new cases. The majority of cases are referred to these centers for physiotherapy (92.2% of cases).

The number of disabled children receiving rehabilitation services during the year 2013 is shown by age

group in Figure 25.2. The highest numbers of cases are recorded for the age of 5 years, whereas the

highest average numbers of sessions per child are recorded for the age 11 years.

Figure 25.3 portrays the proportions for the sessions of rehabilitation services provided to disabled

children during the year 2013. The highest number of sessions is related to services provided in schools

(47.9%).

In Table 25.3, sessions of rehabilitation services provided to disabled children during the year 2013 are

displayed by age group. The total number of sessions recorded during this year is 384,721.

230

2013 Health Statistics Annual Book

Region

C a

r A ccid

e n

D ia

b e

tic G

a n

g re

n e

C o

n g

e n

ita l

F a

ll fro m

e ig

h t

M a

ch in

A ccid

e n

C a

n ce

E le

ctric/B u

A ccid

e n

G u

n S

h o

O th

e rs

T o

ta l

Riyadh 40 77 14 4 18 6 7 4 43 213

Makkah 29 125 11 - 1 2 1 3 - 172

Jeddah 62 170 26 4 2 22 3 1 2 292

Ta`if ... ... ... ... ... ... ... ... ... 20

Medinah 261 348 52 18 41 15 38 2 63 838

Qaseem 181 39 14 - 2 40 48 1 - 325

Eastern 116 168 238 5 22 13 12 5 273 852

Al-Ahsa 9 64 4 - 3 - 1 - 3 84

Hafr Al-Baten 8 7 1 - - - - - 75 91

Aseer 77 75 20 2 10 6 14 10 14 228

Bishah 2 - 16 - - - - - - 18

Tabouk 412 26 25 180 110 4 8 - 415 1180

Ha`il 25 48 1 - 15 - 4 3 - 96

Northern 3 5 - - - - 3 1 - 12

Jazan 127 205 12 7 5 4 4 3 6 373

Najran 3 9 2 - - 1 - - - 15

Al-Bahah 21 1 - - 4 - 3 - 7 36

Al-Jouf 37 19 3 - 4 1 - - 12 76

Qurayyat - 1 - - - - - - - 1

Qunfudah 1 - - - - - - - - 1

Total ... ... ... ... ... ... ... ... ... 4923

Table 25.1: Amputation cases at the medical rehabilitation centers of the MOH by cause of injury and region, 2013

Figure 25.1: Causes of amputation cases at the medical rehabilitation centers of the MOH, 2012 *

231

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Hospital New cases Physiotherapy Repair Speech-hearing

therapy Others Total

K.A.U.H.R - 6659 - 9143 - 15802

K.A.U.H.,J** - 30307 - 2846 - 33153

K.K.U.H.,R* 3434 23528 269 156 - 27387

K.F.U.H.,K - 6839 - 5576 - 12415

A.F.M.S** ... 767652 ... ... ... 767652

N.G.M.S. 41804 65548 2252 - - 109604

S.F.H*** - 138498 - 1727 - 140225

K.F.S.H.,J* 2920 21438 - - - 24358

R.C.Hs* 2404 43858 - 972 - 47234

ARAMCO Hs* - 56025 - 11467 12571 80063

Total 50562 1160352 2521 31887 - 1257893

Table 25.2: Cases at the medical rehabilitation centers of the other governmental sector, 2013

Figure 25.2: Number of disabled children receiving rehabilitation services by age group, 2013

232

2013 Health Statistics Annual Book

A g

e g

ro u

p (y

e a

C lin

ics

P h

y sio

th e

ra p

O ccu

p a

tio n

a l th

e r-

a p

S p

e e

ch th

e ra

p y

D e

n ta

l clin ics

S ch

o o

P sy

ch o

lo g

ist

O rth

o tics

O rth

o p

e d

ics

H o

u se

S o

cia l se

rv ice

T o

ta l

< 1 75 287 368 202 5 0 42 1 1 244 49 1274

1- 157 2189 1910 1475 13 180 278 88 2 1334 156 7782

2- 244 3768 4213 2421 47 4 378 203 15 2591 275 14159

3- 281 5997 6095 2904 130 2405 792 354 29 5860 391 25238

4- 254 8098 7024 2835 131 9009 1067 499 28 6344 564 35853

5- 166 7551 5727 2645 105 12607 366 408 21 4314 329 34239

6- 167 9223 6372 2150 145 28563 506 543 26 2940 404 51039

7- 123 8840 5592 1546 105 32564 324 578 19 2303 340 52334

8- 104 8280 5198 1202 75 29122 407 461 17 2057 266 47189

9- 91 8277 4829 981 97 28042 359 394 26 2225 266 45587

10- 69 7257 4845 654 70 20412 188 366 18 1613 212 35704

11- 28 4675 2977 702 30 18908 241 210 18 1098 153 29040

>12 35 969 1065 232 15 2358 98 130 3 259 119 5283

Total 1794 75411 56215 19949 968 184174 5046 4235 223 33182 3524 384721

Figure 25.3: Sessions of rehabilitation services for disabled children, 2013

Table 25.3: Sessions of rehabilitation services for disabled children by age group, 2013

Source: Saudi Society of Caring Handicapped Children

HEALTH SERVICES

AND ACTIVITIES

SECTION IV.

Chapter 26: Medical commissions

234

2013 Health Statistics Annual Book

MEDICAL COMMISSIONS 26.

The accessibility and availability of organ transplantations, cardiovascular surgeries, and medical

treatment for medical cases of subspecialties at the specialized hospitals of the Kingdom has allowed

for the provision of medical treatment within the Kingdom and has limited the need to transfer pa-

tients to medical facilities abroad.

Figure 26.1 displays the number of cases referred by the medical commissions to governmental gen-

eral and specialist hospitals by region during the year 2013, with representation of the proportion of

cases who are Saudi nationals. The total number of cases recorded for this year is 49,913. The highest

number of cases is recorded in Riyadh (23.6%). The vast majority of cases across all regions are Saudi

nationals.

Figure 26.2 further portrays the cases referred by the medical commissions during the year 2013 but

by medical diagnosis. Most cases were of the ophthalmic type, followed by internal medicine, pediat-

rics and cardiology.

Table 26.1 displays the number of cases referred by the medical commissions to governmental general

or specialist hospitals according to diagnosis by region of the Kingdom.

Displayed in Figure 26.3 are the proportions of cases by medical specialty that were transferred abroad

for medical treatment during the year 2013. The majority of transferred cases were within the cases of

malignant tumors. The transferred cases for this year are further shown in Table 26.2 by medical spe-

cialty and region of the Kingdom. The total number of cases transferred abroad is 2,980.

Figure 26.4 shows the number of cases transferred abroad for treatment by region of the Kingdom

and recipient country during the year 2012. The majority of cases were transferred to the United

States (44.6%), followed by Germany (33.4%).

Figure 26.5 summarizes the cases transferred abroad for treatment by region of the Kingdom and by

type of decree issued for the transfer process.

235

1434 Health Statistics Annual Book S

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Figure 26.1: Number of cases referred by the medical commissions to governmental general and specialist hospitals by region, 2013

Figure 26.2: Number of cases referred by the medical commissions to governmental general or specialist hospitals by medical diagnosis, 2013

236

2013 Health Statistics Annual Book

T a

b le

2 6

.1 :

N u

m b

e r

o f

ca se

s re

fe rr

e d

b y

t h

e m

e d

ic a

l co

m m

is si

o n

s to

g o

v e

rn m

e n

ta l

g e

n e

ra l

o r

sp e

ci a

li st

h o

sp it

a ls

a cc

o rd

in g

t o

t h

e d

ia g

n o

si s

b y

r e

g io

n ,

2 0

1 3

Region

Vascular Surgery

Urology

Heart & lung trans-

plant

Bone marrow trans-

plant

Liver transplant

Kidney transplant

Rehabilitation

Neurosurgery

Plastic surgery

General surgery

Pschiatry

Orthopedics

Ophthalmology

Medicine / pediatrics

Neurology

Blood tumors

Solid tumors

Blood diseases

Gyn./Obs

ENT

Cardiac

Total

R iy

a d

11 9

9 6

0 4

2 5

2 2

2 4

12 5

2 5

4 0

35 1

9 0

1 8

9 6

15 2

3 4

2 4

4 9

8 0

Je d

d a

7 2

7 18

1 8

7 14

10 7

2 7

2 0

4 5

2 0

33 6

2 7

2 5

8 4

0 4

3 31

7 2

72 6

T a

`i f

2 3

8 5

8 2

16 8

5 9

4 7

5 3

6 6

M e

d in

a h

3 0

4 4

9 4

9 9

1 12

7 78

9 3

0 9

16 0

2 2

Q a

se e

4 9

8 6

4 77

1 12

39 8

2 0

18 8

E a

st e

7 10

1 33

1 5

18 0

2 0

2 78

2 71

6 0

A l-

A h

6 3

3 12

3 2

3 12

4 3

33 3

7 6

7 18

2 31

7 14

15 5

H a

fr A

l- B

a te

4 8

2 1

4 1

17 7

8 3

9 5

9 38

A se

e r

2 6

4 2

8 0

2 4

14 3

4 0

1 11

7 4

12 9

4 74

3 4

0 7

4 35

2 10

2 9

6 39

B is

h a

3 15

3 14

3 6

7 15

5 2

1 2

4 5

14 7

4 9

6 6

19 5

T a

b o

u k

10 4

1 2

3 8

2 4

12 6

8 1

16 9

6 3

18 3

1 4

12 6

2 5

2 4

H a

`i l

6 5

2 2

0 7

36 7

35 2

3 2

2 8

6 2

1 2

2 5

N o

rt h

e rn

5 2

2 3

6 2

12 4

7 34

3 0

3 76

2 11

Ja za

2 7

9 8

2 1

5 1

8 3

5 3

18 5

39 1

6 75

6 8

0 4

1 39

14 6

7 0

8 6

N a

jr a

2 2

4 5

8 5

9 5

4 3

6 33

0 2

6 0

5 9

2 0

71 4

37 6

A l-

B a

h a

2 1

4 7

8 8

4 14

3 71

2 13

A l-

Jo u

f 11

12 8

1 12

14 3

31 2

2 2

11 0

2 2

7 16

Q u

ra y

y a

t 10

6 2

1 11

10 2

1 72

2 0

11 8

4 7

10 8

T o

ta l

6 9

15 6

2 13

4 9

14 5

14 9

14 2

6 13

2 8

7 31

7 4

4 8

9 13

5 32

7 17

9 2

4 3

4 4

0 5

34 9

16 6

7 5

0 72

9 9

237

1434 Health Statistics Annual Book S

e ctio

n III

e ctio

n II

e ctio

n I

e ctio

n IV

e ctio

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T a

b le

2 6

.2 : N

u m

b e

r o f ca

se s tra

n sfe

rre d

a b

ro a

d b

y th

e m

e d

ica l co

m m

issio n

s fo r tre

a tm

e n

t b y

m e

d ica

l sp e

cia lty

a n

d re

g io

n , 2

0 1

R e

g io

Vascular

Surgery

Urology

Heart & lung

transplant

Bone marrow

transplant

Liver

transplant

Kidney

transplant

Rehabilitation

Neurosurgery

Plastic surgery

General surgery

Psychiatry

Orthopedics

Ophthalmology

Medicine / pediatrics

Neurology

Blood tumors

Solid tumors

Blood diseases

Gyn./Obs

ENT

Cardiac

Total

R iy

a d

5 8

134

12 2

178

2 9

1 15

1 38

0 9

113 0

8 5

,3 2

Je d

d a

7 2

3 38

1 19

71 5

7 12

2 5

4 7

E a

ste rn

1 4

1 3

3 0

1 2

A se

e r

1 2

3 5

2 4

2 5

T o

ta l

6 4

2 1

1 3

1 6

1 3

2 7

0 5

3 5

7 4

3 8

5 2

2 3

2 8

4 2

1 1

2 ,9

8 0

F ig

u re

2 6

.3 : N

u m

b e

r o f ca

se s tra

n sfe

rre d

a b

ro a

d b

y th

e m

e d

ica l co

m m

issio n

s fo r tre

a tm

e n

t b y

m e

d ica

l sp e

cia lty

, 2 0

1 3

238

2013 Health Statistics Annual Book

Figure 26.4: Number of cases transferred abroad for treatment by region and receiving country, 2012*

Figure 26.5: Number of cases transferred abroad for treatment by region and type of decree, 2012*

* 2013 data not available

HEALTH SERVICES

AND ACTIVITIES

SECTION IV.

Chapter 27: Nutrition

240

2013 Health Statistics Annual Book

NUTRITION 27.

Table 27.1 provides the approximate number of meals served at MOH hospitals, along with selected

indicators related to meals served, by region of the Kingdom for the year 2013. The total number of

meals served at all MOH hospitals during this year is 20.9 million, which includes 10.3 million meals for

nursing staff and on-duty staff members, 7.5 million meals for patients, and 3.1 million meals for pa-

tients’ accompaniments. On average, 57,485 patient meals are served daily.

Patient meals constitute 35.89% of the total meals served at MOH hospitals. An average of 194 pa-

tient meals are served per bed yearly.

In Figure 27.1, the approximate number of meals served at MOH hospitals is further displayed by re-

gion, with representation of the average number of patient meals served per bed yearly for each re-

gion. The highest number of meals served at MOH hospitals during this year is recorded in Riyadh (3.8

million meals) and the highest average number of patient meals per bed in Qaseem (227).

241

1434 Health Statistics Annual Book S

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Figure 27.1: Approximate number of meals served in MOH hospitals (showing average number of patient meals / bed per year) by region, 2013

Region

# o

f b e

d s

P a

tie n

t m e

a ls

N u

rse a

n d

o n

-d u

sta ff

m e

a ls

A cco

m p

a n

im e

n t

m e

a ls

T o

ta l #

o f m

e a

D a

ily a

v e

ra g

e #

o f

p a

tie n

t m e

a ls

% o

f p a

tie n

t m e

a ls

fro m

to ta

l m e

a ls

A v

e ra

g e

# o

f p a

- tie

n t m

e a

ls / b e

p e

r y e

a r

Riyadh 7937 1,352,558 1,960,184 483,499 3,796,241 3821 36% 170

Makkah 2440 496,080 814,404 145,762 1,456,246 1401 34% 203

Jeddah 2968 660,339 707,894 251,569 1,619,802 1865 41% 222

Ta’if 2415 509,972 539,314 136,346 1,185,632 1441 43% 211

Medinah 2747 584,841 770,175 323,538 1,678,554 1652 35% 213

Qaseem 2664 604,750 1,031,828 265,778 1,902,356 1708 32% 227

Eastern 3056 595,262 438,384 120,887 1,154,533 1682 52% 195

Al-Ahsah 1555 289,307 394,661 77,051 761,019 817 38% 186

Hafir Al-Baten 1000 119,502 211,027 52,845 383,374 338 31% 120

Aseer 2280 514,623 692,153 309,245 1,516,021 1454 34% 226

Bishah 770 146,475 123,292 69,762 339,529 414 43% 190

Tabouk 1170 246,414 204,520 92,393 543,327 696 45% 211

Ha`il 1125 202,044 382,039 98,957 683,040 571 30% 180

Northern 1010 173,833 305,906 90,202 569,941 491 31% 172

Jazan 1850 409,153 506,217 263,047 1,178,417 1156 35% 221

Najran 1070 213,599 440,831 127,372 781,802 603 27% 200

Al-Bahah 1085 211,458 450,652 131,073 793,183 597 27% 195

Al-Jouf 860 94,717 118,613 57,639 270,969 268 35% 110

Qurrayat 490 64,864 74,622 42,539 182,025 183 36% 132

Qunfdah 200 40,984 120,545 24,505 186,034 116 22% 205

Total 38692 7,530,775 10,287,261 3,164,009 20,982,045 21273 36% 195

Table 27.1: Approximate number of meals served at the MOH hospitals and selected indicators by region, 2013

HEALTH SERVICES

AND ACTIVITIES

SECTION IV.

Chapter 28: Other activities

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OTHER ACTIVITIES 28.

Forensic Medicine Services

Table 28.1 displays the cases presented to the Forensic Medicine Centers of KSA by region of the King-

dom for year 2013. The total number of cases in this year was 4,425, from which 2,935 were related to

examination of dead cases (66%), 1,425 were related to examination of living cases (32%), and 65 re-

quired expert opinion (1%). The majority of cases were presented to the Forensic Medicine Centers of

Riyadh (18%). Figure 28.1 represents the distribution of the Medical Legal Committees across the re-

gions of the Kingdom during the year 2013. In total, there were 19 committees distributed in 7 provinc-

es. Figure 28.2 displays the cases of medical malpractice, both new and deferred, that were referred to

the Medical Legal Committees by region during the year 2013. In total, 2,413 cases were referred dur-

ing this year. The majority of referred cases were in Riyadh (20%). Figure 28.3 displays the number of

sessions and resolutions made by the Medical Legal Committees by region during the year 2013, with

representation of the ratio of sessions needed per resolution made in each region. The total number of

sessions in this year was 2,838, the majority of which took place in Riyadh (38%).The total number of

resolutions in this year was 864, the majority of which took place in Riyadh (26%). The highest ratio of

sessions needed per resolution made was in Qaseem (5.2 sessions per resolution). Figure 28.4 shows

the distribution of resolutions of medical malpractice related to examination of dead cases that were

made by the Medical Legal Committees (a total of 320 cases) according to the presence or absence of

convictions by region during the year 2013. The total number of resolutions related to dead cases that

were made with conviction was 167 (52%), while the total number of resolutions made related to dead

cases without conviction was 153 (48%).

Home Health Care Program

Figure 28.5 displays the number of MOH hospitals implementing the Home Health Care Program by

region during the year 2013, with representation of the number of manpower and beneficiaries. The

total number of hospitals is 180, with 33,813 beneficiaries involved.

244

2013 Health Statistics Annual Book

Region

Dead Cases

Living Cases Expert

Opinion Grand Total External

Examination Autopsy Total

Riyadh 71 363 434 339 3 776

Makkah 120 88 208 156 2 366

Jeddah 188 155 343 393 4 740

Ta`if 68 25 93 22 0 115

Medinah 278 73 351 151 12 514

Qaseem 114 24 138 4 0 142

Eastern 139 121 260 114 0 374

Al-Ahsa 77 25 102 9 0 111

Hafr Al-Baten 9 14 23 7 0 30

Aseer 308 84 392 114 6 512

Tabouk 98 23 121 45 0 166

Ha`il 78 19 97 10 0 107

Northern 29 9 38 14 1 53

Jazan 0 98 98 0 0 98

Najran 53 17 70 20 0 90

Al-Bahah 54 6 60 8 37 105

Al-Jouf 28 17 45 10 0 55

Qurayyat 18 2 20 0 0 20

Qunfudah 37 5 42 9 0 51

Total 1,767 1,168 2,935 1,425 65 4,425

Table 28.1: Cases presented to the Forensic Medicine Centers of the Kingdom by region, 2013

Figure 28.1: Distribution of the Medical Legal Committees across the regions of the Kingdom, 2013

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Figure 28.2: Cases of medical malpractice referred to the Medical Legal committees by region, 2013

Figure 28.3: Number of sessions and resolutions of the Medical Legal committees by region, 2013

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2013 Health Statistics Annual Book

Figure 28.4: Distribution of resolutions of medical malpractice death cases issued by the Medico Legal committees according to conviction and by region, 2013

Figure 28.5: Number of MOH hospitals implementing the Home Health Care Program (showing number of manpower and beneficiaries) by region, 2013

HEALTH SERVICES

AND ACTIVITIES

SECTION IV.

Chapter 29: Deaths registered at MOH hospitals

248

2013 Health Statistics Annual Book

DEATHS REGISTERED AT

MOH HOSPITALS 29.

The national death registry operates based on a comprehensive surveying of all deaths occurring in-

side the MOH hospitals, in addition to those occurring outside the hospitals. The death statistics are

then notified to the Statistics Department at the MOH, where they are coded in accordance with the

International Classification of Diseases (ICD)-10. In total, 49,103 deaths were registered in the MOH in

the year 2012, of which 31,116 are Saudi nationals (63.4%) and 17,987 are Non-Saudis (36.6%).

Figure 29.1 shows the distribution of deaths registered among Saudis in the hospitals of the MOH ac-

cording to different disease groups and gender for the year 2012. The total number of deaths among

Saudi nationals is 31,116, of which 19,236 are males (61.8%) and 11,880 are females (38.2%). Among

the disease groups, the highest number of deaths registered is under the group of ‘ill-defined symp-

toms and conditions’ (7,968 deaths), which represents 25.6% of total deaths registered for Saudi na-

tionals.

Figure 29.2 shows the distribution of deaths registered among Non-Saudis in the hospitals of the

MOH according to different disease groups and gender for the year 2012. The total number of deaths

among Non-Saudis is 17,987, of which 12,938 are males (71.9%) and 5,049 are females (28.1%). Among

the disease groups, the highest number of deaths registered is under the group of ‘ill-defined symp-

toms and conditions’ (6,642 deaths), which represents 36.9% of total deaths registered for Non-

Saudis.

Table 29.1 displays the trend in number of deaths by disease groups during the time period of 2008-

2012.

TREND OVER TIME…

Between the years 2008 and 2012, the total number of deaths registered at

the MOH hospitals decreased by 5.1% (46,720 to 49,103 deaths).

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Figure 29.1: Deaths among Saudis registered at the MOH hospitals by disease group and gender, 2012*

Figure 29.2: Deaths among non-Saudis registered at the MOH hospitals by disease group and gender, 2012*

* 2013 data not available

250

2013 Health Statistics Annual Book

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Chapter 30: Health Services During Hajj Season

HEALTH SERVICES

DURING HAJJ SEASON

SECTION V.

252

2013 Health Statistics Annual Book

The MOH in the Kingdom is honored to provide all the necessary health preventive and curative ser-

vices to pilgrims. There are special requirements for visitors to the Hajj concerning vaccinations

against selected diseases such as meningococcal meningitis, polio and yellow fever. This chapter dis-

plays the services provided to pilgrims by the MOH in that regards.

1. Pilgrims numbers

As shown in Figure 30.1, the number of pilgrims during the year 1434H was 1,980,249, with around

70% of those coming from outside the Kingdom.

2. Health facilities and beds

Table 30.1 shows the following: the MOH equipped 23 hospitals to serve the pilgrims of which 8 hospi-

tals were seasonal. A total of 4,326 hospital beds were available, representing a rate of one bed per

458 pilgrims. Additionally, there were 110 emergency beds. The MOH, as well, provided 154 health

centers for the pilgrims of which 112 were seasonal. On average, each health center served 12,858 pil-

grims.

3. Manpower

Figure 30.2 shows the number and distribution of manpower recruited to work in the pilgrimage sea-

son of 1434H. The total number of personnel was 21,732, of which 79% were physicians, nurses and

allied health professionals. On average, each physician served 474 pilgrims, each nurse 290 pilgrims,

and each allied health professional 316 pilgrims.

4. Activities of Quarantines

The number of health control centers at entry points was 25 distributed at airport, seaports

and land ports; 15 centers of which are serving the pilgrims. As displayed in Table 30.2, the

total number of pilgrims coming from outside and who were registered at points of entry was

1,344,004. Chemoprophylaxis was provided to 286,548 pilgrims as a preventive measure for

some infectious diseases. Vaccination against poliomyelitis was given to 430,490 pilgrims.

HEALTH SERVICES

DURING HAJJ SEASON 30.

253

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5. Outpatients and Inpatients

The total number of outpatient visits to hospitals and health centers in this year was 659,146,

representing a decrease of 20.9% from the previous year. Furthermore, the rate of outpa-

tients’ visits to health centers and hospitals in relation to pilgrims’ number was around 33 vis-

its/ 100 pilgrims. The total number of hospital emergency visits in this year was 31,218. On

average, the rate of first aid cases/100 pilgrims was found to be 1.5 cases/100 pilgrims. The

total number of hospital inpatient visits during this season was 3,502, representing a rate of

18/10,000 pilgrims.

6. Sun Stroke and Heat Exhaustion

No cases of sun stroke have been recorded in year 1434H. However, 127 cases of heat exhaus-

tion were recorded in total.

7. Deaths

The total number of deaths among pilgrims registered in the hospitals of MOH, during this

pilgrim season 1434H in Makkah, sacred places and Medinah, was 311. Additionally, 63.7% of

deaths occurred outside hospitals. Table 30.5 and Figure 30.6 show the number of cases of

death by region, place and nationality; 90.9% of deaths have been registered in Makkah hos-

pitals and 99% of deaths occurred among pilgrims were recorded among Non-Saudis. Table

30.6 displays the distribution of occurred deaths among pilgrims by cause and region.

TREND OVER TIME…

The total number of pilgrims during the Hajj season has

increased by 55% during the time period of 1423-1433H before it

witnessed a decrease in 1434H

KEY ACHIEVEMENTS …

The number of deaths among pilgrims during the pilgrim

season of 1434H was almost half the number recorded the

year before. Furthermore, during the time period of 1433-1434H,

the rate of deaths decreased from 2.33/1,000 pilgrim to 1.57/1,000

pilgrim (32.6%).

254

2013 Health Statistics Annual Book

Figure 30.1: Pilgrims from inside and outside of the Kingdom, 1424-1434H

Table 30.1: Permanent and seasonal health facilities by region in Hajj season, 1434H

Data Makkah Sacred places Medinah Total

Permanent hospitals 8 0 7 15

Seasonal hospitals 0 8 0 8

Permanent Health Centers 31 0 11 42

Seasonal Health Centers 12 96 4 112

Hospital beds 2,068 1,447 811 4,326

Emergency beds 0 0 110 110

Heat exhaustion beds 0 0 12 12

Cooling units 0 2 10 12

Figure 30.2: MOH health manpower devoted to Hajj season, 1434H

255

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* Given to children and pilgrims coming from endemic areas

Table 30.2: Activities of health centers control at entry points (preventive care) during Hajj season, 1434H

Health quarantines Registered Pilgrims Prophylactic Poliomyelitis vaccine*

Airports 1,265,356 246,296 430,333

Seaports 14,819 14,819 0

Land ports 63,829 25,433 157

Total 1,344,004 286,548 430,490

Figure 30.3: Outpatient visits, hospital emergency visits and inpatients during Hajj season, 1433&1434H

Table 30.3: Outpatient visits and admissions to permanent and seasonal hospitals and health centers during the period 1 - 15/12 in Makkah and Sacred places and during the period 15/11-15/12 in Medinah, in seasons, 1433&1434H

Data Region Makkah Sacred places Medinah Total

1433 1434 1433 1434 1433 1434 1433 1434

Outpatients

visits

Health

Centers 105,867 101,1158 319,035 244,484 212,328 165,433 637,230 511,075

Hospitals 21,753 42,151 147,233 81,536 26,820 24,384 195,806 148,071

Hospital Emergency visits 36,845 16,624 16,486 8,556 9,927 6,038 63,258 31,218

Total 164,465 159,933 482,754 334,576 249,075 195,855 896,294 690,364

Inpatients 1,630 1,368 2,735 1,722 313 412 4,678 3,502

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2013 Health Statistics Annual Book

Figure 30.4: Cases and incidence rates of heat exhaustion (per 100,000 pilgrims) during the period 1 -15/12 , 1424-1434H

Table 30.4: Total deaths inside & outside hospitals by place of death during the period 1-15/12, Hajj Seasons 1432-1434H

* In 1432-1434 H, the period is during 15/11 –15/12

Figure 30.5: Total deaths inside & outside hospitals during the period 1-15/12, Hajj Seasons 1432-1434H

Place of Death Makkah & sacred places Medinah

1432 1433 1434 1432 1433 1434

Inside hospital 155 192 92 32 40 21

Outside hospital 506 441 163 68 66 35

Total 661 633 255 100 106 56

% Deaths inside hospital 23.4 30.3 36.1 32.0 37.7 37.5

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Figure 30.6: Total death by region (right), place of death (middle) and nationality (left) , 1433H *

Table 30.5: Cases of death by place of death and nationality during the period 1 -15/12 in Makkah and Sacred places and during the period 15/11-15/12 in Medinah, 1433H

Table 30.6: Pilgrims deaths by cause and region during 1-15/12 in Makkah and Sacred places and during the period 15/11- 15/12 in Medinah, 1434H

Makkah Sacred places Medinah Total

Place of death Saudi

Non-

Saudi Total Saudi

Non-

Saudi Total Saudi

Non-

Saudi Total Saudi

Non-

Saudi Total

Inside hospital 0 86 86 0 59 59 0 20 20 0 165 165

Outside hospital 0 290 290 5 101 106 0 24 24 5 415 420

Total 0 376 376 5 160 165 0 44 44 5 580 585

% Deaths of Pilgrims 0 100 64.3 3 97 28.2 0 100 7.5 0.85 99.15 100

Cause of deaths Makkah & Sa-

cred places Medinah Total

Percentage of total

deaths (%)

Diarrhea &gastroenteritis 0 0 0 0.00

Infectious &Parasitic Dis. 2 0 2 0.64

Septicemia 6 3 9 2.89

Pulmonary T.B. 2 0 2 0.64

Diabetes mellitus 7 0 7 2.25

Heart & BL. Vessels Dis. 121 12 133 42.77

Hypertension 9 2 11 3.54

Cerebrovascular Dis. 5 5 10 3.22

Pneumonia, Asthma &Bronchitis 17 5 22 7.07

Other dis. of Respiratory Syst. 7 0 7 2.25

Dis. of Digestive System 9 3 12 3.86

Renal failure 11 2 13 4.18

Cardiorespiratory failure 0 0 0 0.00

Senility 1 1 2 0.64

Fractures, Injuries, Falls, Poisoning and Burns 6 1 7 2.25

Traffic accidents 8 1 9 2.89

Sun stroke 2 0 2 0.64

Ill-Defined Cause 16 19 35 11.25

Other causes 26 2 28 9.00

Total 255 56 311 100.00

* 1434H data are not available

2013

258

Health Statistics Annual Book

LIST OF TABLES

Tables Page

Table 1.1: Demographic indicators, KSA, 2013 14

Table 1.2: Economic indicators, KSA, 2013 14

Table 1.3: Immunization coverage, KSA, 2013 14

Table 1.4: Health resources, KSA, 2013 15

Table 1.5: Morbidity Indicators of some immunization targeted diseases, KSA, 2013 15

Table 1.6: Mortality indicators, KSA, 2013 15

Table 1.7: Population by nationality and region, KSA, 2013 16

Table 1.8: Rate of MOH hospital beds per 10,000 population by region, KSA, 2013 17

Table 2.0: Job post appropriations for MOH, 2009-2013 23

Table 2.1: Total MOH facilities by region, 2013 27

Table 2.2: Total manpower in MOH facilities by region, category, gender and nationality, 2013 30

Table 2.3: Allied health professionals in MOH facilities by specialty, nationality and gender, 2013 34

Table 2.4: Administrative, Technical Personnel and Workers in the MOH by nationality and gender, 2013 34

Table 3.1: Manpower in MOH health centers by region, category, gender and nationality, 2013 41

Table 3.2: Physicians in MOH health centers by main specialty, gender and nationality, 2013 45

Table 3.3: Physicians in MOH health centers by specialty and nationality, 2009-2013 45

Table 4.1: MOH hospitals by specialty and region, 2013 50

Table 4.2: Hospital beds at MOH by specialty and region, 2013 50

Table 4.3: Hospitals, Medical Towers, and Cardiac Centers at MOH and total beds by region, 2013 51

Table 4.4: Manpower in MOH hospitals by region, category, gender and nationality, 2013 55

Table 4.5: Physicians in MOH hospitals by specialty and grade, 2013 60

Table 5.1: Hospital beds in institutions within other governmental sectors by specialty, 2013 64

Table 5.2: Health manpower of institutions within other governmental sector by category, gender and nationality, 2013

Table 6.1: Private sector hospitals, beds, dispensaries, and other medical facilities by region, 2013 73

Table 6.2: Hospital beds in the private sector by region and specialty, 2013 74

Table 6.3: Clinics in private sector by region and specialty, 2013 76

Table 6.4: Manpower in private sector by category, gender, nationality and region, 2013 79

Table 6.5: Physicians in hospitals and dispensaries of the private sector by specialty and grade, 2013 83

Table 7.1: Manpower in the Private Sector Institutions by category, gender and nationality, 2013 93

Table 8.1: Students of medicine and health majors in various universities for the academic year 2013/2014 98

1434

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Health Statistics Annual Book

Table 8.2: Graduates of medicine and health majors in various universities for the academic year 2012/2013 102

Table 9.1: Physicians from MOH Newly Enrolled in Fellowship Programs & High Studies by Specialty, 2013 110

Table 9.2: Number of trainees in technical skills' development centers, 2013 113

Table 9.3: CBAHI Accredited Private Hospitals at the end of 2013 114

Table 9.4: CBAHI Accredited MOH Hospitals at the end of 2013 115

Table 10.1a: Reported cases of meningitis by region, KSA, 2013 123

Table 10.1b: Reported cases of vaccine-preventable diseases by region, KSA, 2013 126

Table 10.1c: Reported cases of environment-acquired diseases by region, KSA, 2013 129

Table 10.1d: Reported cases of zoonotic diseases by region, KSA, 2013 131

Table 10.1e: Reported cases of Hepatitis C and unspecified Hepatitis by region, KSA, 2013 133

Table 11.1: Leprosy cases by region, 2008-2012 141

Table 13.1: Reported cases of Cutaneous Leishmaniasis by month, nationality, gender, residence, and age group, 2013

151

Table 13.2: Reported cases of Visceral Leishmaniasis by region, KSA 2009-2013 151

Table 14.1: Notified Malaria cases by region and classification, KSA, 2013 155

Table 15.1: Environmental health activities by region, MOH, 2013 159

Table 15.2: Health awareness, MOH, 2012 160

Table 16.1: Visits to clinics at the MOH health centers by region, type of clinic and nationality, 2013 166

Table 16.2: Emergency cases at the MOH hospitals by region, type of disease/injury, and nationality,2013 168

Table 16.3: Emergency cases at the MOH hospitals by type of disease or injury, nationality and gender, 2013 169

Table 16.4: Patients & casualties offered first-aid carried by the Saudi Red Crescent Society Ambulance by re- gion & type of case, 2013

170

Table 16.5: Cases offered first aid and carried by ambulances of the Saudi Red Crescent Society by region, 2009 – 2013

170

Table 16.6: MOH hospital visits by selected diseases and region, 2013 171

Table 16.7: Cases of complications related to pregnancy & childbirth, and gynecology, as well as cases if abor- tion at the MOH Hospitals, 2009-2013

176

Table 16.8: Percentage of malignant tumor cases registered in King Faisal Specialist Hospital and Research Center (Riyadh and Jeddah) among each gender, 2012

177

Table 17.1: Selected indicators for MOH hospital services by region, 2013 182

Table 18.1: Surgeries at the MOH hospitals by region and specialty, 2013 190

Table 18.2: Surgeries at the hospitals of other governmental sector by region and specialty, 2013 191

Table 18.3: Surgeries at the private hospitals by region and specialty, 2013 192

Table 18.4: Selected GYN procedures at the MOH hospitals by region, 2013 194

Table 19.1: Deliveries at the MOH hospitals by type of delivery and region, 2013 198

Table 19.2: Deliveries at the other governmental sector hospitals by type of delivery and region, 2013 200

2013

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Health Statistics Annual Book

Table 19.3: Births at the other governmental sector hospitals, 2013 201

Table 20.1: Main activities and services at King Khaled Eye Specialist Hospital, 2008-2012 204

Table 21.1: Patients of the Psychiatric Department at the MOH hospitals by region, 2008-2012 209

Table 21.2: Cases of referrals from the Social Service Department at the MOH hospitals by region, 2013

210

Table 22.1: Visits to the dental centers at the MOH, 2013 213

Table 22.2: Oral surgeries at the MOH hospitals by region, 2009-2013 214

Table 24.1: Number of laboratory investigations at the MOH hospitals by type of investigation and

region, 2013

223

Table 24.2: Number of laboratory investigations and radiology patients at the other governmental sector facilities, 2013

225

Table 24.3: Number of laboratory and radiology investigations at the private hospitals and dispensa- ries, 2013

225

Table 24.4: Activities of the blood banks at the MOH by region, 2013

226

Table 24.5: Blood bank activities at the other governmental sector facilities, 2013

227

Table 25.1: Amputation cases at the medical rehabilitation centers of the MOH by cause of injury and region, 2013

230

Table 25.2: Cases at the medical rehabilitation centers of the other governmental sector, 2013 231

Table 25.3: Sessions of rehabilitation services for disabled children by age group, 2013 232

Table 26.1: Number of cases referred by the medical commissions to governmental general or special- ist hospitals according to the diagnosis by region, 2013

236

Table 26.2: Number of cases transferred abroad for treatment by medical specialty and region, 2013 237

Table 27.1: Approximate number of meals served at the MOH hospitals and selected indicators by region, 2013

241

Table 28.1: Cases presented to the Forensic Medicine Centers of the Kingdom by region, 2013 244

Table 29.1: Mortality trends by diseases groups, 2008-2012

250

Table 30.1: Permanent and seasonal health facilities by region in Hajj season, 1434H

254

Table 30.2: Activities of health centers control at entry points (preventive care) during Hajj season, 1434H

255

Table 30.3: Outpatient visits and admissions to permanent and seasonal hospitals and health centers during the period 1-15/12 in Makkah and Sacred places and during the period 15/11-15/12 in Medi- nah, in seasons, 1433&1434H

255

Table 30.4: Total deaths inside & outside hospitals by place of death during the period 1-15/12, Hajj Seasons 1432-1434H

256

Table 30.5: Cases of death by place of death and nationality during the period 1-15/12 in Makkah and Sacred places and during the period 15/11-15/12 in Medinah, 1433H

257

Table 30.6: Pilgrims deaths by cause and region during 1-15/12 in Makkah and Sacred places and dur- ing the period 15/11-15/12 in Medinah, 1434H

257

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Health Statistics Annual Book

LIST OF FIGURES

Figures Page

Figure 1.1: Geographic distribution of population in KSA, 2013 18

Figure 1.2: Total estimated population in the Kingdom for the time period 2007-2013 19

Figure 1.3: Population age-groups pyramid, 2013 19

Figure 1.4: Population distribution by nationality, 2013 19

Figure 1.5: Selected economic indicators for the time period 2007-2013 19

Figure 1.6: Health human resources in the Kingdom for the time period 2007-2013 20

Figure 1.7: Hospital beds in the Kingdom for the time period 2007-2013 21

Figure 1.8: Selected mortality indicators in the Kingdom for the period 2007-2013 21

Figure 2.0: Budget appropriations for MOH in relation to government budget and financial appropriations of the MOH budget, 2009-2013

Figure 2.1: Ratio of health manpower in MOH facilities per 10,000 populating by region, 2013 28

Figure 2.2 : Total manpower in MOH facilities by nationality, 2009-2013 33

Figure 3.1: Ratio of MOH Health Centers (HC) per 100,000 population by region, 2013 38

Figure 3.2: Trending of total MOH health centers, 2009-2013 38

Figure 3.3: Trending of MOH health centers by region, 2009-2013 38

Figure 3.4: MOH health centers by region and some selected indicators, 2011 39

Figure 3.5: Ratio of health manpower in MOH health centers per 10,000 population by region, 2013 39

Figure 3.6: Proportions of manpower in MOH health centers by nationality and gender, 2013 41

Figure 3.7: Total manpower in MOH health centers by nationality, 2009-2013 44

Figure 4.1: Ratio of MOH hospitals per 100,000 population and hospital beds per 10,000 population by region, 2013

Figure 4.2: Trending of MOH hospitals and hospital beds, 2009-2013 51

Figure 4.3: Trends observed in the change in number of MOH hospitals and hospital beds by region, 2009- 2013

Figure 4.4: Ratio of health manpower in MOH hospitals per 10,000 population by region, 2013 53

Figure 4.5: Proportions of manpower in MOH hospitals by nationality and gender, 2013 54

Figure 4.6: Manpower in MOH hospitals by nationality, 2009-2013 58

Figure 4.7: Selected indicators of resources available at MOH hospitals by region, 2013 59

2013

262

Health Statistics Annual Book

Figure 5.1: Distribution of total hospital beds in other governmental sectors by specialty, 2013 63

Figure 5.2: Distribution of total health manpower in other governmental sectors by category and nationality/ gender, 2013

Figure 5.3: Total health manpower in other governmental sectors by category and nationality and gender, 2013 65

Figure 5.4: Distribution of physicians in other governmental sector by specialty and nationality, 2013 69

Figure 6.1: Ratio of hospital beds in the private sector per 10,000 population by region, 2013 73

Figure 6.2: Total number of private sector hospitals, beds and dispensaries, 2009-2013 75

Figure 6.3: Private sector hospitals, beds and dispensaries by region, 2009-2013 75

Figure 6.4: Ratio of health manpower in private sector per 10,000 population by region, 2013 76

Figure 6.5: Proportions of manpower in private sector by nationality and gender, 2013 78

Figure 6.6: Physicians, nurses and allied health professionals working in the private sector by nationality, 2009- 2013

Figure 7.1: Hospitals in various health sectors, KSA, 2013 87

Figure 7.2: Hospital beds in various health sectors, KSA, 2013 87

Figure 7.3: Total number of hospitals and beds in all health sectors, 2009-2013 88

Figure 7.4: Number of hospitals and beds in MOH, other governmental sectors and private sector, 2009-2013 88

Figure 7.5: Total number of physicians, nurses, pharmacists and allied health professionals in KSA, 2008-2012 89

Figure 7.6: Number of physicians, nurses, pharmacists and allied health professionals in MOH, other govern- mental sectors and private sector, 2009-2013

Figure 7.7: Percentage Saudis from manpower by category, KSA, 2013 91

Figure 7.8: Percentage females from manpower by category, KSA, 2013 91

Figure 7.9: Proportion of Saudis among total number of physicians, nurses, pharmacists and allied health profes- sionals in the Kingdom, 2009-2013

Figure 7.10: Proportion of Saudis among categories on manpower in various health sectors, KSA, 2009-2013 92

Figure 7.11: Total physicians in all health centers by specialty (showing % of Saudis), 2013 95

Figure 8.1: Students of medicine and health majors in various universities for the academic years 2002 and 2013/2014

105

Figure 8.2: Graduates of medicine and health majors in various universities for the academic years 2002 and 2012/2013

106

Figure 8.3: Trends of graduates of medicine and health majors in the Kingdom by gender and nationality, 2009- 2013

107

Figure 9.1: Total manpower from MOH enrolled in fellowship programs & post-graduate studies by gender and place of study, 2013

111

Figure 9.2: Quality assurance workshops at health centers by region, 2012 111

Figure 9.3: Trainees in maternal and child care workshops at health centers by region, 2008-2012 112

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Health Statistics Annual Book

Figure 10.1a: Reported cases of meningitis by month and season, KSA, 2013 122

Figure 10.2a: Reported cases and incidence of meningitis, KSA, 2009-2013 122

Figure 10.3a: Reported cases and incidence rate (IR, per 100,000) of meningitis by nationality and gender, KSA, 2013

123

Figure 10.4a: Reported cases of meningitis by age group , KSA, 2013 123

Figure 10.5a: Incidence Rate (IR, per 100,000) of total meningitis by region, KSA, 2013 123

Figure 10.1b: Reported cases of vaccine-preventable diseases by month and season, KSA, 2013 124

Figure 10.2b: Reported cases and incidence of vaccine-preventable diseases, KSA, 2009-2013 124

Figure 10.3b: Reported cases and incidence (per 100,000) of vaccine-preventable diseases by nationality and gen- der, KSA, 2013

125

Figure 10.4b: Reported cases of vaccine-preventable diseases by age group, KSA, 2013 125

Figure 10.5b: Incidence Rate (IR, per 100,000) of total chickenpox and Hepatitis B by region, KSA, 2013 126

Figure 10.1c: Reported cases of environment-acquired diseases by month and season, KSA, 2013 127

Figure 10.2c: Reported cases and incidence of environment-acquired diseases, KSA, 2009-2013 127

Figure 10.3c: Reported cases and incidence (per 100,000) of environment-acquired diseases by nationality and gender, KSA, 2013

128

Figure 10.4c: Reported cases of environment-acquired diseases by age group, KSA, 2013 128

Figure 10.5c: Incidence Rate (IR, per 100,000) of total environment-acquired diseases by region, KSA, 2013 129

Figure 10.1d: Reported cases of zoonotic diseases by month and season, KSA, 2013 130

Figure 10.2d: Reported cases and incidence of zoonotic diseases, KSA, 2009-2013 130

Figure 10.3d: Reported cases and incidence of zoonotic diseases by nationality and gender, KSA, 2013 131

Figure 10.4d: Reported cases of zoonotic diseases by age group, KSA, 2013 131

Figure 10.5d: Incidence Rate (IR, per 100,000) of total brucellosis by region, KSA, 2013 131

Figure 10.1e: Reported cases of Hepatitis C and other infections hepatitis by month and season, KSA, 2013 132

Figure 10.2e: Reported cases and incidence of Hepatitis C and other infectious hepatitis, KSA, 2009-2013 132

Figure 10.3e: Reported cases and incidence of Hepatitis C and other infectious hepatitis by nationality and gender, KSA, 2013

133

Figure 10.4e: Reported cases of Hepatitis C and other infectious hepatitis by age group, KSA, 2013 133

Figure 10.5e: Incidence Rate (IR, per 100,000) of Hepatitis C by region, KSA, 2013 133

Figure 11.1a: Incidence Rate (IR, per 100,000) of pulmonary tuberculosis by region, KSA, 2013 137

Figure 11.1b: Incidence Rate (IR, per 100,000) of extra-pulmonary tuberculosis by region, KSA, 2013 138

2013

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Health Statistics Annual Book

Figure 11.2a: Cases of pulmonary tuberculosis by region and age group, KSA, 2013 139

Figure 11.2b: Cases of extra-pulmonary tuberculosis by region and age group, KSA, 2013 139

Figure 11.3a: Cases of pulmonary tuberculosis by region, gender and nationality, KSA, 2013 140

Figure 11.3b: Cases of extra-pulmonary tuberculosis by region, gender and nationality, KSA, 2013 140

Figure 12.1: Reported Bilharzial cases by region, nationality and gender, KSA, 2012 145

Figure 12.2: Reported Bilharzial cases by region and age group, KSA, 2012 145

Figure 12.3: Reported Bilharzial cases by region and type of disease, KSA, 2012 145

Figure 12.4: Reported Bilharzial cases by type of disease and nationality, KSA, 2008-2012 145

Figure 13.1: Incidence Rate (IR, per 100,000) of Cutaneous Leishmaniasis by region, KSA, 2013 149

Figure 13.2: Reported cases of Cutaneous Leishmaniasis by nationality, KSA, 2009-2013 149

Figure 13.3: Reported cases of Cutaneous Leishmaniasis by region and gender, KSA, 2013 150

Figure 13.4: Reported cases of Cutaneous Leishmaniasis by region and nationality, KSA, 2013 150

Figure 13.5: Reported cases of Cutaneous Leishmaniasis by region and age group, KSA, 2013 150

Figure 13.6: Reported cases of Cutaneous Leishmaniasis by month & season, and residence, KSA, 2013 151

Figure 14.1: Notified Malarial cases by type of parasite, KSA, 2013 155

Figure 14.2: Notified malarial cases by month, KSA, 2013 156

Figure 14.3: Reported Malarial cases by region and type of parasite, KSA, 2013 156

Figure 14.4: Notified malarial cases in endemic zones, KSA, by age group, KSA, 2013 156

Figure 15.1: Environmental health activities, MOH, 2009-2013 160

Figure 16.1: Total visits to clinics at MOH health centers by region and nationality, 2013 167

Figure 16.2: Visits to clinics at the MOH health centers by specialty, 2013 167

Figure 16.3: Total emergency cases at the MOH Hospitals by region and nationality, 2013 169

Figure 16.4: Total emergency cases at the MOH hospitals by type of disease/injury, nationality and gender, 2013 170

Figure 16.5: MOH hospital visits by selected diseases, 2013 172

Figure 16.6: Visits to clinics at the MOH health centers and hospitals’ outpatients department by region & nation- ality, 2013

172

Figure 16.7: Visits to clinics at the MOH health centers and hospitals’ outpatients department, 2009-2013 172

Figure 16.8: Visits to clinics and outpatient departments at facilities of other governmental sector (showing % Saudis), 2013

173

Figure 16.9: Visits to clinics at private sector dispensaries and hospitals by region (showing % Saudis), 2013 173

Figure 16.10: Visits to clinics at private sector dispensaries and hospitals by region, 2009-2013 174

Figure 16.11: Outpatient visits to facilities across all health sectors (showing average number of visits per person), 2009-2013

174

Figure 16.12: Proportions of outpatient visits in various health sectors, 2013 175

Figure 16.13: Visits to diabetic clinics at MOH hospitals by region (showing % Males and % Saudis), 2013 175

Figure 16.14: Visits to antenatal and GYN clinics at the MOH Hospitals, 2009-2013 176

Figure 16.15: Cases of malignant tumors registered in King Faisal Specialist Hospital and Research Center (Riyadh and Jeddah) by site of tumor, 2012

177

Figure 16.16: Cases of tumors among children referred to King Faisal specialist hospital (Riyadh and Jeddah) by site and gender, 2012

178

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Health Statistics Annual Book

Figure 17.1: Number of inpatients at the MOH hospitals by region (showing % Saudis), 2013 182

Figure 17.2: Number of inpatients at the MOH hospitals (showing % Saudis), 2009-2013 183

Figure 17.3: Trends of bed turn-over rate at the MOH hospitals, 2009-2013 183

Figure 17.4: Trends of average length of stay at the MOH hospitals, 2009-2013 183

Figure 17.5: Trends of bed occupancy rate at the MOH hospitals, 2009-2013 184

Figure 17.6: Number of inpatients at the other governmental sector hospitals (showing % Saudis), 2013 184

Figure 17.7: Number of inpatients at the private sector hospitals by region (showing % Saudis), 2013 185

Figure 17.8: Proportion of inpatients across all health sectors of the Kingdom, 2013 185

Figure 17.9: Total number of inpatients across the Kingdom, 2009-2013 186

Figure 17.10: Total number of inpatients for each health sector of the Kingdom, 2009-2013 186

Figure 17.11: Proportion of inpatients across all health sectors of the Kingdom, 2009-2013 186

Figure 18.1: Total number of surgeries in the MOH hospitals, 2013 189

Figure 18.2: Total number of surgeries in the other governmental sector hospitals, 2013 189

Figure 18.3: Total number of surgeries in the private hospitals, 2013 189

Figure 18.4: Number of same day surgeries at the MOH hospitals by region, 2013 193

Figure 18.5: Proportion of selected GYN procedures, 2013 193

Figure 19.1: Deliveries at the MOH hospitals by type of delivery, 2013 198

Figure 19.2: Deliveries at the MOH hospitals by region (showing % abnormal deliveries), 2013 199

Figure 19.3: Number of live births at the MOH hospitals (showing %pre-term birth) , 2009-2013 199

Figure 19.4: Number of total births at the MOH hospitals (showing still birth ratio), 2009-2013 199

Figure 19.5: Deliveries at the other governmental sector hospitals by type of delivery, 2013 200

Figure 19.6: Deliveries at the other governmental sector hospitals by region (showing % abnormal deliveries), 2013

200

Figure 20.1: Outpatient visits at King Khaled Eye Specialist Hospital , 2008-2012 204

Figure 21.1: Outpatients of the Psychiatric Departments at the MOH according to main disease groups of ICD-10, 2013

207

Figure 21.2: Inpatients of the Psychiatric Departments at the MOH according to main disease groups of ICD-10, 2013

207

Figure 21.3: Outpatients of the Psychiatric Department at the MOH hospitals by region, 2013 208

Figure 21.4: Inpatients of the Psychiatric Department at the MOH hospitals by region, 2013 208

Figure 21.5: Patients of the Psychiatric Department at the MOH hospitals, 2008-2012 209

Figure 21.6: Categories of referrals from the Social Service Department at the MOH hospitals, 2013 210

2013

266

Health Statistics Annual Book

Figure 22.1: Oral surgeries at the MOH hospitals, 2009-2013 214

Figure 23.1: Artificial kidney centers and dialysis patients by health sector, 2012 217

Figure 23.2: Hemodialysis patients across health sector by gender & nationality, 2012 217

Figure 24.1: Number of laboratory investigations at the MOH health centers by region, 2013 221

Figure 24.2: Number of radiology patients and films at the MOH health centers by region, 2013 221

Figure 24.3: Number of laboratory investigations at the MOH hospitals by region, 2013 221

Figure 24.4: Number of radiology patients at the MOH hospitals by region, 2013 222

Figure 24.5: Number of physiotherapy patients at the MOH hospitals by region, 2012 222

Figure 24.6: Total number of laboratory investigations at the MOH hospitals by type of investigation, 2013 222

Figure 24.7: Number of laboratory investigations at the MOH facilities, 2009-2013 224

Figure 24.8: Number of radiology patients served at the MOH facilities, 2009-2013 224

Figure 24.9: Number of physiotherapy patients served at the MOH facilities, 2009-2013 224

Figure 24.10: Number of samples and tests conducted at the MOH Poison Control and Forensic Chemistry Centers by region, 2012

226

Figure 24.11: Trends of MOH Blood Banks activities, 2009-2013 227

Figure 25.1: Causes of amputation cases at the medical rehabilitation centers of the MOH, 2012 230

Figure 25.2: Number of disabled children receiving rehabilitation services by age group, 2013 231

Figure 25.3: Sessions of rehabilitation services for disabled children, 2013 232

Figure 26.1: Number of cases referred by the medical commissions to governmental general and specialist hospi- tals by region, 2013

235

Figure 26.2: Number of cases referred by the medical commissions to governmental general or specialist hospitals by medical diagnosis, 2013

235

Figure 26.3: Number of cases transferred abroad by the medical commissions for treatment by medical specialty, 2013

237

Figure 26.4: Number of cases transferred abroad for treatment by region and receiving country , 2012 238

Figure 26.5: Number of cases transferred abroad for treatment by region and type of decree, 2012 238

Figure 27.1: Approximate number of meals served in MOH hospitals (showing average number of patient meals / bed per year) by region, 2013

241

Figure 28.1: Distribution of the Medical Legal Committees across the regions of the Kingdom, 2013 244

Figure 28.2: Cases of medical malpractice referred to the Medical Legal committees by region, 2013 245

Figure 28.3: Number of sessions and resolutions of the Medical Legal committees by region, 2013 245

Figure 28.4: Distribution of resolutions of medical malpractice death cases issued by the Medico Legal commit- tees according to conviction and by region, 2013

246

Figure 28.5: Number of MOH hospitals implementing the Home Health Care Program (showing number of man- power and beneficiaries) by region, 2013

246

Figure 29.1: Deaths among Saudis registered at the MOH hospitals by diseases group and gender, 2012 249

Figure 29.2: Deaths among non-Saudis registered at the MOH hospitals by diseases group and gender, 2012 249

Figure 30.1: Pilgrims from inside and outside of the Kingdom, 1424-1434H 254

Figure 30.2: MOH health manpower devoted to Hajj season, 1434H 254

Figure 30.3: Outpatient visits, hospital emergency visits and inpatients during Hajj season, 1433&1434H 255

Figure 30.4: Cases and incidence rates of heat exhaustion (per 100,000 pilgrims) during the period 1-15/12 , 1424- 1434H

256

Figure 30.5: Total deaths inside & outside hospitals during the period 1-15/12, Hajj Seasons 1432-1434H 256

Figure 30.6: Total death by region, place of death and nationality, 1433H 257