PHSSR Saudi Arabia 2025

5.1 Service delivery for health system sustainability The primary focus of Saudi Arabia’s health system is equitable access and quality of care to all of its residents. Through its Integrated and Comprehensive National Health Care Project, the MoH takes an integrated and comprehensive approach to providing and implementing health services, with governing bodies, clinical guidelines and quality standards in place to guide service delivery across the country. Global standards and metrics are utilised to guide the advancement in health service delivery. For example, the country has seen a remarkable improvement in its maternal mortality ratio, with twelve deaths per 100,000 live births recorded in 2018 and 2020, compared to fourteen deaths per 100,000 live births in 2010, constituting a 15% decline in maternal mortality. This is signi ficantly less than other countries in the Eastern Mediterranean region and globally, which reported 164 and 211 deaths per 100,000 live births, respectively, in 2020 (Ministry of Health, 2021). The rate for Saudi Arabia re flects strong service delivery from the early stages of pregnancy and throughout the life course. Delivery of healthcare services in Saudi Arabia can be categorized according to whether they operate under the aegis of the MoH, other government entities which manage their own services (such as the armed) forces and the National Guard) or the private sector (see Figure 10). 59 Sustainability and Resilience in the Saudi Arabian Health System The Partnership for Health System Sustainability and Resilience Figure 10: Organisation of Saudi Arabia health service delivery University Af filiated HospitalsGeneral hospitalsMinistry of Health Referral hospitals Ministry of Health Medical Cities Primary Health Care Centres King Faisal Specialist Hospital and Research Centre Aramco Health Services Armed Forces Medical Services Security Forces Medical Services National Guard Health Affairs Royal Commission Hospitals All levels of healthcareGovernment sector (MoH) Other government sectors Private sectorSAUDI HEAL TH  CARE  SYSTEM