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Saudi health reforms widen public access

Saudi Arabia’s basic health coverage has reached 97.5%, marking one of the strongest indicators yet that the Kingdom’s health-sector overhaul is delivering measurable gains in access, prevention and public health outcomes.

The figure, highlighted as part of the Vision 2030 annual review, places health reform among the most advanced elements of the Kingdom’s national transformation programme. The progress has been accompanied by sharp improvements in road safety, chronic disease management, early screening and digital access to services, reflecting a shift from hospital-centred care towards prevention, primary care and technology-enabled delivery.

Health indicators released alongside the review show a more than 60% decrease in traffic accident fatalities and a 40% reduction in deaths linked to chronic diseases. Deaths from heart disease have also fallen by 30%, while life expectancy has climbed to 79.7 years, up from about 74 years when Vision 2030 was launched in 2016.

The health transformation drive has been built around wider coverage, improved patient experience and a restructuring of service delivery. Saudi Arabia has expanded the role of primary healthcare centres, digital platforms and health clusters, while moving parts of service management from direct ministry control towards corporatised regional structures. The Health Holding Company and the National Health Insurance Centre are central to this model, with the aim of separating regulation, provision and financing more clearly.

Preventive care has become a major pillar of the programme. More than 3 million beneficiaries have been reached through early detection screening, contributing to 70% of cancer cases being identified at early stages. Premarital screening has covered about 6 million people, giving authorities a wider public health database and helping reduce risks linked to hereditary and infectious diseases.

The infrastructure base has also expanded. The Kingdom now has 241 hospitals, more than 1,400 healthcare centres and over 365 ambulances supporting broader access across regions. More than 200 million medical appointments have been delivered through digital channels, while over 2,000 hospitals and healthcare centres and 7,000 pharmacies have been linked through integrated national platforms.

Digital health has played a decisive role in reducing pressure on hospitals and widening service reach. Applications such as Sehhaty, virtual consultations, e-prescriptions and remote appointment systems have helped patients manage bookings, results and follow-ups without relying exclusively on physical visits. Seha Virtual Hospital, launched in 2022, has connected specialist services to hospitals across the Kingdom, supporting care in areas where advanced expertise is not always locally available.

Road safety gains have added another public health dimension to the reform record. Traffic fatalities had long been among the Kingdom’s most serious preventable health burdens, with emergency services, trauma care and enforcement all under pressure. Stronger traffic regulation, automated monitoring, better emergency response and public awareness campaigns have helped cut deaths sharply, easing demand on trauma departments and rehabilitation services.

Chronic disease remains the more difficult challenge. Diabetes, cardiovascular disease and obesity continue to place heavy demands on the system, reflecting lifestyle, diet and demographic pressures. Adult obesity and diabetes rates remain high by global standards, while childhood and adolescent obesity has been reported at 19%. The drop in chronic disease mortality suggests better diagnosis and treatment, but prevention will require sustained behavioural change, early intervention and stronger community-level health promotion.

Private-sector participation is expected to grow as the system moves towards new financing models. Vision 2030 targets a larger role for private operators in hospitals, primary care, laboratories, rehabilitation, pharmacies, long-term care and home care. The Kingdom has also encouraged investment in pharmaceuticals, medical devices, insurance and digital health, while seeking to localise more production and clinical capability.

The reform programme’s strongest achievement is its ability to link healthcare with broader quality-of-life goals. Sixteen cities have gained World Health Organisation “Healthy Cities” recognition, while 59.1% of adults are reported to be engaging in weekly physical activity. More than 35,000 healthcare volunteers have contributed over 170 million hours of service, supporting public health campaigns, emergency response and community outreach.
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