South Africa Long-Term Care Market Size & Outlook, 2026-2033
The long-term care market in South Africa is expected to reach a projected revenue of US$ 14.3 billion by 2033. A compound annual growth rate of 7.8% is expected of South Africa long-term care market from 2026 to 2033.
The South Africa long-term care market generated a revenue of USD 7.7 billion in 2025 and is expected to reach USD 14.3 billion by 2033.
The South Africa market is expected to grow at a CAGR of 7.8% from 2026 to 2033.
In terms of segment, public was the largest revenue generating payer in 2025.
Private is the most lucrative payer segment registering the fastest growth during the forecast period.
Long-term care market data book summary
Market revenue in 2025
USD 7.7 billion
Market revenue in 2033
USD 14.3 billion
Growth rate
7.8% (CAGR from 2026 to 2033)
Largest segment
Public
Fastest growing segment
Private
Historical data
2021 - 2024
Base year
2025
Forecast period
2026 - 2033
Quantitative units
Revenue in USD billion
Market segmentation
Public, Private, Out-of-Pocket
Key market players worldwide
Brookdale Senior Living Inc, Knight Therapeutics Inc, Life Healthcare Group Holdings Ltd, Sunrise Medical, Extendicare Inc, Sonida Senior Living Inc, Genesis Healthcare Inc Class A, Amedisys Inc, Home Instead, Diversicare Healthcare Services, Atria Senior Living
Other key industry trends
In terms of revenue, South Africa accounted for 0.6% of the long-term care market in 2025.
Country-wise, U.S. is expected to lead the global market in terms of revenue in 2033.
In Middle East & Africa, Saudi Arabia long-term care market is projected to lead the regional market in terms of revenue in 2033.
South Africa is the fastest growing regional market in Middle East & Africa and is projected to reach USD 14.3 billion by 2033.
In South Africa, with primary healthcare being insufficient, LTC is highly underdeveloped. Rise in life expectancy, along with developing healthcare facilities, has resulted in an elevated proportion of elderly people in the country. Approximately 8.5% of the total population, i.e., about 4.54 million people, is aged 60 years or over.
Migration for work has resulted in the reduction of extended family culture in the country. Poor economic conditions have led to situations wherein elderly, in most cases, are the only bread-earners of the family and are often held hostages for their pension money.
The government does not offer any form of long-term insurance, and only a few private insurance companies offer coverage at a high premium. Home care and hospices are nearly nonexistent in the country. There are reforms focused on providing care services to elderly. However, these reforms have not been implemented yet.
The databook is designed to serve as a comprehensive guide to navigating this sector. The databook focuses on market statistics denoted in the form of revenue and y-o-y growth and CAGR across the globe and regions. A detailed competitive and opportunity analyses related to Long-Term Care Market Outlook will help companies and investors design strategic landscapes.
Public was the largest segment with a revenue share of 77.92% in 2025.
Horizon Databook has segmented the South Africa long-term care market based on public, private, out-of-pocket covering the revenue growth of each sub-segment from 2021 to 2033.
In South Africa, with primary healthcare being insufficient, LTC is highly underdeveloped. Rise in life expectancy, along with developing healthcare facilities, has resulted in an elevated proportion of elderly people in the country. Approximately 8.5% of the total population, i.e., about 4.54 million people, is aged 60 years or over.
Migration for work has resulted in the reduction of extended family culture in the country. Poor economic conditions have led to situations wherein elderly, in most cases, are the only bread-earners of the family and are often held hostages for their pension money.
The government does not offer any form of long-term insurance, and only a few private insurance companies offer coverage at a high premium. Home care and hospices are nearly nonexistent in the country. There are reforms focused on providing care services to elderly. However, these reforms have not been implemented yet.
South Africa Long-Term Care Market Payer Outlook (Revenue, USD Billion , 2021-2033)
Public
Private
Out-of-Pocket
South Africa Long-Term Care Market Service Outlook (Revenue, USD Billion , 2021-2033)
Others Service
Home Healthcare
Assisted Living Facilities
Hospice
Nursing Care
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Horizon Databook provides a detailed overview of country-level data and insights on the South Africa Long-Term Care Market Outlook, including forecasts for subscribers. This country databook contains high-level insights into South Africa Long-Term Care Market Outlook from 2021 to 2033, including revenue numbers, major trends, and company profiles.
South Africa Long-Term Care Market, 2021-2033 (US$B)