Startups provide vital shot in the arm for MENA health sector

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A doctor examines an inmate's X-ray at the medical center of Dubai's Al-Awir central prison amid the COVID-19 pandemic. (AFP file photo)
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Maria Lagbes, a Filipino doctor who joined the Women Responders team, leaves the ambulance service headquarters after receiving an emergency call on July 13, 2017, in Dubai. (AFP)
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Updated 26 July 2021
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Startups provide vital shot in the arm for MENA health sector

  • In 2020 alone, 351 digital health startups worldwide attracted a combined $13.8 billion in investment
  • Personal experience inspired some innovators to launch apps that provide culturally relevant solutions

DUBAI: The events of the past year have underscored the urgent need for quality healthcare services as well as innovative solutions. In 2020 alone, 351 digital health startups across the world attracted a combined $13.8 billion in investment, almost double the amount in either 2018 or 2019, according to an estimate by MobiHealthNews.

Among them was Dubai-headquartered Okadoc, a physician-booking platform that landed $10 million in Series A funding to expand into new GCC markets.

Vezeeta, which allows patients to find and access medical services across 50 cities, attracted $40 million in fresh capital.

Bahrain-based Saaya Health aims to bring affordable, culturally relevant mental health solutions to GCC consumers.

The move follows its significant success in the B2B space, where it has employee assistance agreements with pharmaceuticals leader Bayer and cosmetics major L’Oreal.

“Access to good-quality and culturally appropriate mental health support is rare in this market, including corporate mental health and employee assistance programs,” company founder Sarmad Ahmad said.

“There was — and sometimes still is — a stigma around the words ‘mental health.’ The coronavirus pandemic has really put our emotions in sharp focus as we have all had had time for introspection. As people look to improve their relationships, their habits, tackle stress and improve performance at work, the demand is rising for good-quality counsellors and therapists.”

Saaya Health’s services are delivered online in seven countries, with 52 therapists providing counselling in 12 languages, including Arabic, French, Pashto, Malayalam, Hausa and Swahili. With its corporate partnerships, the company offers digital mental health services to more than 700,000 individuals.

“Our long-term goal is to be an impact unicorn, serving a billion people globally. Bahrain, with its strong digital infrastructure, will serve as our base to launch a three-year plan to reach at least 5 million people across the MENA region.”




Maria Lagbes, a Filipino doctor who joined the Women Responders team, leaves the ambulance service headquarters after receiving an emergency call on July 13, 2017, in Dubai. (AFP)

The urge to help a friend can sometimes spark the idea for a new business venture. That was the case with medical device company ProvenMed, whose founders Amine Staali and Souheil Guessoum built an innovative adult urinary incontinence device that is already helping thousands of people across 10 different markets.

Over 200 million people worldwide suffer from the condition. Launched in 2019, ProvenMed’s flagship device, ActviGo, is a reusable and washable system-integrated urinary external catheter for male incontinence management. It eliminates the need for diapers and condom catheters, allowing patients to manage their condition hygienically and discreetly.

The company, based in Abu Dhabi’s HUB71, also produces non-invasive reusable male external catheters, breathable undergarments, leakproof urine collection bags and portable bidets.

ProvenMed launched an online store in 2019 to bypass coronavirus-linked distribution issues, offering worldwide delivery. A winner of August’s Dubai Smartpreneur 5.0 competition, the business now wants to expand into Asia and Europe as well as develop similar incontinence solutions for women, children with bedwetting problems, people with special needs and the military.




A doctor examines an inmate's X-ray at the medical center of Dubai's Al-Awir central prison amid the COVID-19 pandemic. (AFP file photo)

One product in development is a smart device that monitors illnesses remotely and shares data with urologists.

Jordan’s Carers is a mobile platform that enables households to find and access vetted in-home nurses, physiotherapists and childcare specialists. In the process, it creates new jobs for certified care-givers.

The app was named best healthcare solution in 2019 December’s UCAN Awards at the Sharjah Entrepreneurship Festival, a $250,000 contest that recognizes regional entrepreneurs who have created high-impact solutions for the post-COVID-19 world.

“Many people faced the same struggle — how do you trust a stranger or ascertain the right quality of care and experience?” founder Raad Al-Kalha said.

Personal experience inspired Al-Kalha to launch the app in Amman in 2018, starting with 35 care-givers and two services.

“We have expanded our offering to include nursing visits, physiotherapy and blood tests and have a network of 300 care-givers who have provided more than 28,000 hours of care, created 5,000 job opportunities, and achieved 300 percent year-on-year growth from 2019-20,” he said.


Saudi Arabia pulls in most of Partners for Growth $450m capital push

Updated 07 February 2026
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Saudi Arabia pulls in most of Partners for Growth $450m capital push

  • Global private credit fund leans into region’s largest market for growth-stage technology financing

RIYADH: Saudi Arabia has captured the vast majority of Partners for Growth’s capital deployed in the Gulf Cooperation Council, as the global private credit fund leans into what it sees as the region’s largest market for growth-stage technology financing. 

The San Francisco-based firm has deployed about $450 million in commitments in the GCC, and “the vast majority of that is in Saudi,” said Armineh Baghoomian, managing director at the firm who also serves as head of Europe, the Middle East and Africa and co-head of global fintech. 

The company was one of the earliest lenders to Saudi fintech unicorn Tabby, and it’s clear the Kingdom is providing fertile territory for ongoing investments.

“We don’t target a specific country because of some other mandate. It’s just a larger market in the region, so in the types of deals we’re doing, it ends up weighing heavily to Saudi Arabia,” Baghoomian said. 

Partners for Growth, which Baghoomian described as a global private credit fund focused on “growth debt solutions,” lends to emerging tech and innovation companies, particularly those that struggle to access traditional credit. 

“We’re going into our 22nd year,” she said, tracing the strategy back to its roots in a Bay Area investment bank debt practice in the mid-1980s. 

Today, the firm lends globally, she said, deploying capital where it sees fit across markets including Australia, New Zealand, and Southeast Asia, as well as Latin America and the GCC, where it has been active for about six years. 

Shariah structures dominate PFG’s Gulf deals 

In the Gulf, the firm’s structures are often shaped by local expectations. “Most of the deals we’ve done in the region are Shariah-compliant,” Baghoomian said. 

“In terms of dollars we’ve deployed, they’re Shariah-structured,” she added. 

“Usually it’s the entrepreneur who requires that, or requests it, and we’re happy to structure it,” Baghoomian said, adding that the firm also views Shariah structures as “a better security position in certain regions.” 

Growth debt steps in where banks cannot 

Baghoomian framed growth debt as a practical complement to equity for companies that have moved beyond the earliest stage but are not yet “bankable.” 

She said: “The lower-cost bank type facilities don’t exist. There’s that gap.”

Baghoomian added that companies want to grow, “but they don’t want to keep selling big chunks of equity. That implies giving up control and ownership.” 

For businesses with the fundamentals private credit providers look for, she said, debt can extend runway while limiting dilution. 

“As long as they have predictable revenue, clear unit economics, and the right assets that can be financed, this is a nice solution to continue their path,” she added. 

That role becomes more pronounced as equity becomes harder to raise at later stages, Baghoomian believes. 

She pointed to a gap that “might be widening” around “series B-plus” fundraising, as later-stage investors become “more discriminating” about which deals they back. 

Asset-heavy fintechs cannot scale on equity alone 

For asset-heavy technology businesses, Baghoomian argued, debt is not just an option but a necessity. 

She pointed to buy-now-pay-later platform Tabby as an example of a model built on funding working capital at scale. 

“Tabby is an asset-heavy business,” she said. “They’re providing installment plans to consumers, but they still need to pay the merchant on day one. That’s capital-intensive. You need a lot of cash to do that.” 

Equity alone, she added, would be structurally inefficient. “You would not want to just raise equity. The founders, employees, everyone would own nothing and lose a lot of control.” 

We don’t target a specific country because of some other mandate. It’s just a larger market in the region, so in the types of deals we’re doing, it ends up weighing heavily to Saudi Arabia.

Armineh Baghoomian, PFG managing director and head of Europe, the Middle East and Africa and co-head of global fintech

Baghoomian said those dynamics are common across other asset-intensive models, including lending platforms and businesses that trade in large inventories such as vehicles or property. “Those are businesses that inherently end up having to raise quite a bit of credit,” she said. Partners for Growth’s relationship with Tabby also reflects how early the firm can deploy capital when the structure is asset-backed. “We started with Tabby with $10 million after their seed round, and then we grew, and we continue to be a lender to them,” Baghoomian said. 

“On the asset-backed side, we can go in quite early,” she said. “Most of the fintechs we work with are very early stage, post-seed, and then we’ll grow with them for as long as possible.” 

As the market for private credit expands in the Gulf, Baghoomian emphasized discipline — both for lenders and borrowers. 

For investors assessing startups seeking debt, she said the key is revenue quality and predictability, not just topline growth. “Revenue is one thing, but how predictable is it? How consistent is it? Is it growing?” she said. “This credit is not permanent capital. You have to pay it back. There’s a servicing element to it.” 

Her advice to founders was more blunt: stress-test the downside before taking leverage. 

“You have to do a stress test and ask: if growth slows by 30 to 40 percent, can I still service the debt? Can I still pay back what I’ve taken?” she said. 

Baghoomian warned against chasing the biggest facility on offer. “Sometimes companies compete on how much a lender is providing them,” she said. “We try to teach founders: take as much as you need, but not as much as you can. You have to pay that back.” 

Partners for Growth positions itself as an alternative to banks not only because many growth-stage companies cannot access bank financing, but because it can tailor structures to each business. 

HIGHLIGHTS

• Partners for Growth positions itself as an alternative to banks not only because many growth-stage companies cannot access bank financing, but because it can tailor structures to each business.

• The firm lends globally deploying capital where it sees fit across markets including Australia, New Zealand, and Southeast Asia, as well as Latin America and the GCC, where it has been active for about six years.

One of Partners for Growth’s differentiators, Baghoomian said, is how bespoke its financing is compared with bank products. 

“These facilities are very bespoke. They’re custom to each company and how they need to use the money,” she said, adding that the fund is not offering founders a rigid menu of standardized options. 

“No two deals of ours look alike,” she said, framing that flexibility as especially important at the growth stage, when business needs can shift quickly. 

That customization, she added, extends beyond signing. Baghoomian said the firm aims to structure facilities so companies can actually deploy capital without being constrained, adding: “We don’t want to handcuff you. We don’t want to constrain you in any way.” 

As a company evolves, she said the financing can evolve too, because what works on day one often won’t fit nine months later. 

“We’ll revise structures,” she said, describing flexibility as core to how private credit can serve fast-moving tech businesses. 

She added that a global lender can also bring operating support and market pattern recognition, while still accounting for local nuance. 

Baghoomian expects demand for private credit in the Gulf to keep rising. “They are going to require credit, for sure,” she said, pointing to the scale of new platforms and projects. 

“I don’t see it shrinking,” she said, adding that Partners for Growth is seeing more demand and is in late-stage discussions with several companies, though she declined to name them. 

PFG to stay selective despite rising competition 

Competition among lenders has increased since the firm began deploying in the region, Baghoomian said, calling that “very healthy for the ecosystem.” 

Most of what the firm does in the region is asset-backed, Baghoomian said, often through first warehouse facilities for businesses financing receivables or other tangible exposures, “almost always Shariah.” 

Keeping Egypt on its watchlist 

Beyond the Gulf, Baghoomian said the firm is monitoring Egypt closely, though macroeconomic volatility has delayed deployments. 

“We looked at Egypt very aggressively a few years ago, and then the macro issues changed,” she said, adding that the firm continues to speak with companies in the country and track conditions. 

Even as private credit becomes more common in the region, Baghoomian underscored that debt is not universally appropriate. 

“Not every company should take a loan or credit,” she said. “You don’t take it just to take it. It should be getting you to the next milestone.”