Hamza Asumah, MD, MBA
Africa is a continent with a growing healthcare industry, but unfortunately, many hospitals are struggling to survive. In today’s world, it’s more important than ever to have a thriving healthcare system, and reviving a failing hospital business can be a daunting task. However, with the right strategies in place, it’s possible to turn things around and create a successful hospital business.
In this blog, we’ll explore some of the key steps that hospital owners and managers can take to revive their failing hospital business in Africa. From improving patient care to optimizing operations and leveraging technology, we’ll cover all the essential elements needed to transform your hospital into a thriving business that delivers excellent healthcare services to the community.
According to a report by the World Bank, African countries face a significant shortage of healthcare infrastructure and personnel. In addition, many hospitals in the region suffer from inadequate funding, weak management structures, and a lack of medical supplies and equipment. These factors can contribute to the failure of hospital businesses in Africa.
A 2015 study by the African Journal of Business Management found that many private healthcare providers in Nigeria, for example, faced financial challenges, including high operating costs, low patient volume, and difficulty accessing financing. The study also noted that many private healthcare providers lacked effective marketing strategies and had limited access to business education and training.
In 2019, a report by the African Development Bank highlighted the need for increased investment in healthcare infrastructure and personnel in Africa. The report noted that healthcare spending in Africa remains low compared to other regions, and that many African countries face a shortage of healthcare workers, particularly in rural areas.

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Running a hospital business in Africa can be a challenging and complex undertaking. In addition to the typical challenges that come with running any business, there are specific issues that are unique to the healthcare sector in Africa. These include inadequate infrastructure, limited funding, high operational costs, and an underdeveloped healthcare system. If you are running a failing hospital business in Africa, there are practical strategies that you can adopt to revive it.
1. Conduct a thorough analysis of the business
The first step in turning around a failing hospital business in Africa is to conduct a thorough analysis of the business. This will involve identifying the root cause of the problem and coming up with a plan to address it. Some of the factors that you should consider when conducting the analysis include the financials of the business, the quality of care provided, the level of competition, and the effectiveness of the marketing strategies.
2. Improve the quality of care
The quality of care provided by a hospital is critical to its success. Patients are more likely to come back if they feel that they received quality care during their previous visit. Therefore, it is important to invest in measures that will improve the quality of care provided. This could include hiring more qualified staff, investing in better equipment, and implementing effective patient management systems.

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3. Develop a marketing strategy
Marketing is an essential component of any business, including hospitals. Developing an effective marketing strategy can help attract more patients to the hospital, increase revenue, and improve the reputation of the hospital. Some of the marketing strategies that you could adopt include social media marketing, search engine optimization, and email marketing.
4. Cut costs
One of the main reasons why hospitals fail in Africa is because of high operational costs. Therefore, it is important to identify areas where costs can be cut without compromising the quality of care provided. This could include renegotiating contracts with suppliers, reducing energy consumption, and optimizing staffing levels.
5. Embrace technology
Technology can play a significant role in the success of a hospital business in Africa. For example, implementing an electronic health record system can help streamline operations, reduce errors, and improve patient care. Additionally, telemedicine can be used to provide medical care to patients in remote areas, which can help increase revenue and improve the reputation of the hospital.
6. Partner with other healthcare providers
Partnering with other healthcare providers can help expand the reach of the hospital and increase revenue. For example, you could partner with a pharmacy to provide medication to patients, or partner with a laboratory to provide diagnostic services.

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There are several examples of failing hospital businesses in Africa that have been able to turn things around through strategic interventions. Here are a few examples:
1. Brikama Health Centre, Gambia: Brikama Health Centre is a public hospital in Gambia that was struggling with a lack of resources, including medical supplies, equipment, and personnel. With the help of the World Health Organization and other partners, the hospital adopted a number of strategies to improve its operations, including improving its supply chain management, investing in staff training, and embracing technology. These interventions helped to improve patient care and increase revenue for the hospital.
2. St. Francis Hospital, Kenya: St. Francis Hospital is a Catholic mission hospital in Kenya that was facing financial difficulties due to a lack of funding and high operating costs. To address these challenges, the hospital adopted a number of cost-cutting measures, such as renegotiating contracts with suppliers and reducing energy consumption. The hospital also invested in staff training and implemented a new electronic health record system. These interventions helped to improve the hospital’s financial performance and reputation.
3. King Faisal Hospital, Rwanda: King Faisal Hospital is a public hospital in Rwanda that was struggling to provide quality care to its patients due to a lack of resources and inadequate management systems. With the help of the Rwandan government and other partners, the hospital adopted a number of interventions to improve its operations, including investing in new medical equipment, expanding its staff, and improving its management systems. These interventions helped to improve patient outcomes and increase revenue for the hospital.

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In all of these cases, the hospitals were able to turn things around through strategic interventions that addressed their specific challenges. By investing in technology, staff training, management systems, and other critical areas, these hospitals were able to improve patient care, increase revenue, and improve their financial performance.
In conclusion, turning around a failing hospital business in Africa requires a combination of strategies. Conducting a thorough analysis of the business, improving the quality of care, developing an effective marketing strategy, cutting costs, embracing technology, and partnering with other healthcare providers are some of the strategies that can help revive a failing hospital business in Africa. By adopting these strategies, you can increase revenue, improve the reputation of the hospital, and provide quality care to patients.
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