The healthcare system in Albania is primarily public, though private healthcare options are rapidly expanding. Public healthcare services are organized into three levels: primary, secondary, and tertiary. Around 413 public clinics deliver primary and secondary care, while 42 public hospitals provide tertiary care. In contrast, pharmaceutical and dental services are almost entirely private.
Over the past decade, private healthcare has grown significantly, with a marked increase in specialized private diagnostic centers, labs, and hospitals, especially in larger cities. Albania now has 13 private hospitals and numerous private multi-specialty diagnostic clinics and labs offering a broad range of medical services.
As of 2018, healthcare spending in Albania was estimated at 6-7% of the GDP, totaling over $1 billion, with nearly 60% coming from private expenditures. According to the Albanian Ministry of Health, public healthcare spending for 2018 reached 48.6 billion leke (about $450 million). Some experts believe that actual healthcare spending may be even higher, considering the impact of the informal economy.
Main Competitors
Medical equipment and devices:
Medical Imaging, Ultrasound, Monitors & Anesthesia
Key players in this category include GE Healthcare, Siemens, Toshiba, Hitachi, Philips, Shimadzu, Hologic, Konica Minolta, Mindray, Esaote, Carestream, Fujifilm, Canon, Agfa, Samsung Medison, EcoRay, GMM, GMI, MESA-MEDICAL, Agilent, Fukuda Denshi, Alpinion, Drager, Eppendorf, and Penlon. These companies provide a range of imaging and monitoring solutions critical for diagnostics and anesthesia.
Dental Equipment
Major dental equipment brands present in Albania include Kavo, Siemens, Sirona, Anthos, Ritter, Degudent, Vitali SRL, Faro, Dentaurum, MyRay, Villa Sistemi Medicali, YOSHIDA DENTAL, Heraeus-Kulzer, Carestream Dental, Planmeca, Castellini, Gnatus, UFSK, Ivoclar Vivadent AG, MIDMARK, and ULTRADENT Dental-Medizinische. These companies offer various dental solutions, from imaging systems to treatment units.
Diagnostic & Surgical Microscopes
In the category of diagnostic and surgical microscopes, Haag-Streit, Ellex, Zeiss, Leica, Shinippon, Takagi, Nikon, Nidek, Tomey, Topcon, Huvitz, Reinchert, Motic, Atmos, Alcon, Wallach, Alltion, Karl Kaps, Oculus, Optopol Technology, Breukhoven, CSO Costruzione Strumenti Oftalmici, Quantel Medical, and Lightmed are some of the prominent names supplying high-precision microscopes used in medical diagnostics and surgeries.
Endoscopes
Leading endoscope brands in Albania include Fujifilm, Olympus, Otopront, Huger, Pentax, Strorz, Applied, and Vision. These companies offer endoscopy solutions essential for minimally invasive procedures.
Blood Diagnostic Equipment
For blood diagnostics, major providers in the Albanian market are Abbott, Roche, Becton Dickinson, Siemens, Thermo Scientific, ELITech Group, Beckman Coulter International S.A., and Dirui. These brands provide advanced equipment for accurate blood analysis.
Pharmaceuticals
International pharmaceutical companies are well-represented in Albania, with products primarily distributed through local distributors. According to the Drug Agency, as of July 2019, a total of 3,678 drugs are registered in Albania, 1,150 of which are on the reimbursable drug list. In 2018, the budget allocated for reimbursable drugs was approximately $100 million.
Market Insights and Competition
U.S.-manufactured medical equipment competes with strong European brands in Albania. While U.S. products are well-regarded, after-sales service remains a key challenge. U.S. companies looking to enter the Albanian market are advised to partner with local firms that can offer reliable after-sales support, enhancing customer satisfaction and long-term success in the region.
Registration Process
Pharmaceuticals:
To market a drug in Albania, applicants must apply to the National Agency of Drugs and Medical Equipment to obtain a Drug Marketing Authorization. This authorization, once granted, is valid for five years and can be renewed for additional five-year periods upon request by the Marketing Authorization Holder. Licensed domestic drug manufacturers, or entities authorized to trade or represent drugs (even if not the manufacturer), are required to submit this application to the agency.
According to Albanian Drug Law No. 105/2014 (approved in 2014 and amended in 2015), the agency grants Marketing Authorization for the following categories of drugs:
- Drugs manufactured in Albania
- Drugs that have received marketing authorization and are available in the United States, EU, Canada, Switzerland, Israel, Australia, Japan, or Turkey
- Drugs produced in a Balkan country and authorized for circulation within that country
- Drugs approved by the European Medicines Agency (EMA) and the U.S. Food and Drug Administration (FDA)
This regulatory framework ensures that drugs available in the Albanian market meet quality and safety standards recognized internationally.
Medical Equipment and Devices:
Albanian law mandates that all medical equipment must bear the CE marking to ensure compliance with safety and quality standards. Importers, authorized dealers, and manufacturers operating in Albania are required to register their medical equipment with the National Agency of Drugs and Medical Equipment. Both foreign and domestic manufacturers with registered activities in Albania, as well as wholesale and retail traders of medical equipment, must apply for authorization to trade these products.
For U.S. companies looking to export medical equipment to Albania, it is advisable to consult with local distributors or representatives to understand the necessary requirements and procedures for successful entry into the Albanian market.