By Service Type, By Indication, By Delivery Model, By Payer Type, and By Region
Report Code
TDR0973
Coverage
Middle East
Published
April 2026
Pages
80-100
The report titled “UAE Home Healthcare Market Outlook to 2032 – By Service Type, By Indication, By Delivery Model, By Payer Type, and By Region” provides a comprehensive analysis of the home healthcare industry in the United Arab Emirates. The report covers an overview and genesis of the market, overall market size in terms of value, detailed market segmentation; trends and developments, regulatory and licensing landscape, patient-level demand profiling, key issues and challenges, and competitive landscape including competition scenario, cross-comparison, opportunities and bottlenecks, and company profiling of major players in the UAE home healthcare market.
Verified Market Sizing
Multi-layer forecasting with historical data and 5–10 year outlook
Deep-Dive Segmentation
Cross-sectional analysis by product type, end user, application and region
Competitive Benchmarking & Positioning
Market share, operating model, pricing and competition matrices
Actionable Insights & Risk Assessment
High-growth white spaces, underserved segments, technology disruptions and demand inflection points
Preview report structure, data sources and research framework
The report titled “UAE Home Healthcare Market Outlook to 2032 – By Service Type, By Indication, By Delivery Model, By Payer Type, and By Region” provides a comprehensive analysis of the home healthcare industry in the United Arab Emirates. The report covers an overview and genesis of the market, overall market size in terms of value, detailed market segmentation; trends and developments, regulatory and licensing landscape, patient-level demand profiling, key issues and challenges, and competitive landscape including competition scenario, cross-comparison, opportunities and bottlenecks, and company profiling of major players in the UAE home healthcare market. The report concludes with future market projections based on demographic shifts, chronic disease burden, healthcare infrastructure optimization, digital health integration, regional demand drivers, cause-and-effect relationships, and case-based illustrations highlighting the major opportunities and cautions shaping the market through 2032.
The reports UAE home healthcare market is expected to grow from USD 1.74 billion in 2025 to USD 2.01 billion by 2032 at a CAGR of 6.3% during the forecast period., representing the provision of medical and non-medical care services delivered at patients’ residences, including skilled nursing, physiotherapy, post-operative care, chronic disease management, elderly care, palliative care, and remote patient monitoring solutions. Home healthcare services are increasingly integrated with digital health platforms, enabling continuous monitoring, teleconsultation, and data-driven care delivery.
The market is anchored by the UAE’s advanced healthcare infrastructure, high per capita healthcare expenditure, growing elderly population, and strong government focus on shifting care delivery from hospital-centric to patient-centric models. Rising incidences of chronic diseases such as diabetes, cardiovascular conditions, and respiratory disorders are significantly increasing demand for long-term and home-based care solutions.
Abu Dhabi and Dubai represent the largest demand centers for home healthcare services in the UAE. Abu Dhabi leads due to strong regulatory support, higher healthcare spending, and government-backed initiatives promoting home-based care. Dubai follows with high demand driven by expatriate population, premium private healthcare providers, and increasing adoption of personalized healthcare services. Northern Emirates are emerging markets, supported by expanding healthcare infrastructure and growing awareness around cost-effective care alternatives outside hospital settings.
Rising prevalence of chronic diseases and aging population drives long-term care demand: The UAE is witnessing a steady rise in lifestyle-related diseases such as diabetes, hypertension, obesity, and cardiovascular disorders. These conditions require continuous monitoring, medication management, and rehabilitation services, which are effectively delivered through home healthcare. Additionally, the aging population (60+ segment) is expanding, creating sustained demand for elderly care, palliative care, and assisted living services. Home healthcare provides a cost-effective and patient-friendly alternative to prolonged hospital stays, thereby increasing its adoption across both Emirati and expatriate populations.
Government initiatives promoting healthcare decentralization and cost optimization: The UAE government is actively promoting home healthcare as part of its broader healthcare transformation strategy. Policies encouraging reduced hospital burden, improved patient outcomes, and cost optimization are driving the shift toward home-based care. Initiatives such as integrated care models, insurance coverage expansion, and licensing frameworks for home healthcare providers are strengthening market growth. Regulatory bodies in Abu Dhabi and Dubai have streamlined licensing processes and quality standards, ensuring consistent service delivery and boosting investor confidence in the sector.
Technological advancements enabling remote monitoring and digital health integration: The integration of telemedicine, wearable devices, and remote patient monitoring systems is significantly enhancing the effectiveness of home healthcare services. Patients can now receive continuous health monitoring, real-time consultations, and AI-driven diagnostics from their homes. These technologies reduce hospital readmissions, improve patient engagement, and enable proactive care management. The UAE’s strong digital infrastructure and high smartphone penetration further support the adoption of connected healthcare solutions, making home healthcare more scalable and efficient.
Shortage of skilled healthcare professionals and specialized caregivers impacts service scalability and quality consistency: The UAE home healthcare market faces a structural constraint in the availability of trained nurses, physiotherapists, and specialized caregivers required for delivering high-quality in-home services. While demand for home-based care is increasing, especially for chronic disease management and elderly care, the supply of licensed professionals has not scaled at the same pace. Recruitment often depends on expatriate workforce inflows, which introduces variability in availability, onboarding timelines, and retention. Additionally, the need for multilingual and culturally sensitive caregivers further narrows the talent pool. These workforce limitations can lead to higher service costs, longer wait times, and inconsistent patient experience across providers.
High operational and logistics costs reduce affordability and limit mass adoption: Delivering healthcare services at home involves significant operational complexity, including travel time, scheduling inefficiencies, equipment transportation, and real-time coordination between care teams. In geographically dispersed urban setups like Dubai and Abu Dhabi, traffic conditions and travel distances can impact service efficiency and increase costs per visit. Unlike hospital-based care where resources are centralized, home healthcare requires decentralized deployment of staff and equipment, increasing overheads. These costs are often passed on to patients, making services less accessible for mid-income segments and limiting broader market penetration.
Limited insurance coverage and reimbursement constraints restrict demand expansion: While the UAE has strong health insurance penetration, coverage for home healthcare services varies significantly across insurers and policies. Many plans offer limited reimbursement for home-based services, particularly for non-critical care such as physiotherapy, elderly assistance, and long-term chronic management. This creates a dependency on out-of-pocket payments, which can discourage prolonged utilization of services. The lack of standardized reimbursement frameworks across emirates further adds complexity for providers and patients, impacting demand consistency and long-term care adoption.
Healthcare licensing frameworks and clinical governance standards ensuring quality and patient safety: Home healthcare providers in the UAE operate under strict licensing requirements governed by authorities such as the Department of Health (DoH) in Abu Dhabi, Dubai Health Authority (DHA), and Ministry of Health and Prevention (MOHAP). These frameworks define eligibility criteria for providers, staff qualification requirements, clinical protocols, and patient safety guidelines. Providers must adhere to regular audits, compliance checks, and reporting standards to maintain licenses. These regulations ensure a baseline level of quality and safety across the market while increasing operational discipline among service providers.
Digital health and telemedicine regulations enabling remote care delivery and monitoring: The UAE has been proactive in establishing regulatory frameworks for telemedicine and digital health solutions, enabling remote consultations, e-prescriptions, and patient monitoring. Regulations governing data privacy, electronic health records, and cross-provider data sharing support the integration of home healthcare with digital platforms. Initiatives promoting AI-driven diagnostics, wearable health devices, and virtual care models are further strengthening the ecosystem, allowing providers to deliver scalable and efficient home-based services while maintaining compliance with patient data protection laws.
Health insurance mandates and policy reforms supporting access to home-based care services: Mandatory health insurance policies in Abu Dhabi and Dubai have significantly increased access to healthcare services, including home healthcare. Regulatory efforts are gradually expanding the scope of insurance coverage to include post-acute care, rehabilitation, and certain chronic disease management services at home. Government initiatives aimed at reducing hospital burden and optimizing healthcare costs are encouraging insurers to integrate home healthcare into their coverage frameworks. However, the extent of coverage varies across policies, and ongoing reforms are expected to standardize benefits and improve accessibility.
By Service Type: The skilled nursing services segment holds dominance. This is because post-hospitalization care, chronic disease management, and continuous medical supervision require trained nursing professionals who can deliver clinical-grade care at home. Skilled nursing aligns strongly with the core value proposition of home healthcare—reducing hospital stays while maintaining treatment quality. While rehabilitation, elderly care, and chronic disease management services are expanding rapidly, skilled nursing continues to benefit from recurring demand, higher service intensity, and integration with hospital discharge programs.
Skilled Nursing Services ~40 %
Rehabilitation Services (Physiotherapy, Occupational Therapy) ~25 %
Chronic Disease Management ~15 %
Elderly Care Services ~10 %
Palliative & Hospice Care ~10 %
By Indication: Chronic diseases dominate the UAE home healthcare market. Conditions such as cardiovascular diseases, diabetes, and respiratory disorders require long-term monitoring, medication management, and lifestyle support, which are effectively delivered through home-based care. Patients with these conditions prefer home healthcare to avoid repeated hospital visits and improve quality of life. Post-surgical and orthopedic cases are also significant contributors, especially for rehabilitation and recovery services.
Cardiovascular Diseases ~25 %
Diabetes ~20 %
Respiratory Disorders ~15 %
Orthopedic Conditions ~15 %
Neurological Disorders ~10 %
Others ~15 %
The UAE home healthcare market exhibits moderate fragmentation, characterized by a mix of licensed home healthcare agencies, hospital-affiliated service providers, and international healthcare groups. Market competitiveness is driven by service quality, caregiver expertise, technology integration, response time, and geographic coverage. Established providers with strong regulatory compliance, digital health capabilities, and partnerships with hospitals and insurers hold a competitive advantage. While premium providers dominate urban markets like Dubai and Abu Dhabi, smaller agencies compete in cost-sensitive segments by offering flexible pricing and localized services.
Key Players in UAE Home Healthcare Market
Name | Founding Year | Original Headquarters |
Amana Healthcare | 2012 | Abu Dhabi, UAE |
Health at Home (Fakeeh Healthcare Group) | 2018 | Dubai, UAE |
Manzil Healthcare Services | 2011 | Abu Dhabi, UAE |
Enayati Home Healthcare | 2007 | Dubai, UAE |
Right Health Home Care | 2013 | Dubai, UAE |
Aster Home Healthcare | 2015 | Dubai, UAE |
Nightingale Health Services | 2015 | Abu Dhabi, UAE |
Emirates Home Nursing | 2008 | Dubai, UAE |
Alleanza Healthcare | 2016 | Dubai, UAE |
Some of the Recent Competitor Trends and Key Information About Competitors Include:
Amana Healthcare: Positioned as a premium provider specializing in long-term care, rehabilitation, and complex medical cases, Amana Healthcare focuses on high-acuity patients requiring continuous clinical supervision. Its competitive strength lies in integrated care models, strong clinical governance, and partnerships with hospitals for post-acute care transitions.
Manzil Healthcare Services: Manzil has established a strong presence in the UAE home healthcare ecosystem through technology-driven care delivery and telehealth integration. The company emphasizes remote monitoring, digital patient engagement, and chronic disease management programs, positioning itself as a leader in scalable and tech-enabled home care solutions.
Aster Home Healthcare: Backed by a large healthcare network, Aster leverages brand recognition, hospital integration, and cross-referral systems to expand its home healthcare services. Its strength lies in offering end-to-end care solutions, including diagnostics, pharmacy, and teleconsultation, enhancing patient convenience and retention.
Enayati Home Healthcare: One of the earlier entrants in the UAE market, Enayati competes on service reliability, trained caregiver network, and broad service offerings including nursing, physiotherapy, and elderly care. Its positioning is strong among mid-to-premium segments seeking consistent and trusted care delivery.
Nightingale Health Services: Nightingale focuses on personalized home care services, particularly for elderly care and chronic condition management. The company differentiates through flexible care plans, patient-centric service delivery, and expanding presence across Abu Dhabi and Dubai.
The UAE home healthcare market is expected to expand steadily by 2032, supported by rising chronic disease prevalence, an aging population, strong health insurance penetration in major emirates, and the continued shift toward patient-centric care models. Growth momentum is further strengthened by increasing hospital capacity optimization efforts, broader adoption of digital health technologies, and rising consumer preference for convenient, personalized, and home-based medical services. As healthcare systems and private providers increasingly focus on reducing unnecessary inpatient stays and improving care continuity, home healthcare will remain an important delivery model across post-acute care, chronic disease management, rehabilitation, and elderly support services.
Transition Toward Higher-Acuity and Specialized Home-Based Care Models: The future of the UAE home healthcare market will see a continued move from basic nursing and routine support services toward higher-acuity and specialized care models. Demand is increasing for advanced post-operative recovery, chronic disease supervision, IV therapy, respiratory care, palliative care, and elderly support requiring clinical oversight. Patients and families are increasingly seeking home-based options that combine medical supervision with comfort and convenience. Providers that develop specialized care pathways, stronger clinical governance, and integrated monitoring capabilities will capture higher-value demand and build stronger long-term patient relationships.
Growing Emphasis on Digital Health Integration and Remote Patient Monitoring: Digitalization will become a more central pillar of home healthcare delivery in the UAE. The integration of teleconsultation, wearable monitoring devices, electronic health records, and remote patient management tools will improve continuity of care and reduce avoidable readmissions. Providers will increasingly use digital platforms for appointment management, medication adherence tracking, chronic disease alerts, and virtual physician supervision. Through 2032, technology-enabled providers with strong digital care coordination capabilities will strengthen their competitiveness, particularly in urban markets such as Dubai and Abu Dhabi.
Expansion of Elderly Care, Chronic Care, and Long-Term Recovery Services: A meaningful portion of market growth through 2032 will be supported by rising demand for elderly care and long-duration chronic condition management rather than only short-term post-discharge support. As the UAE experiences demographic aging and a high burden of diabetes, cardiovascular disease, and mobility-related conditions, more households will require structured home-based assistance over longer periods. This trend will support recurring demand for skilled nursing, rehabilitation, physiotherapy, and caregiver-led support services, especially among families seeking alternatives to prolonged institutional care.
Increasing Role of Insurance-Linked Home Care and Hospital-at-Home Pathways: Insurance-backed care models and hospital-linked home care programs are expected to expand across the UAE market. As payers and providers seek to reduce treatment costs while maintaining outcomes, home-based recovery and monitoring will become a more attractive option for selected patient groups. Hospital-at-home pathways for post-surgical recovery, rehabilitation, and chronic disease stabilization are likely to gain traction. Providers that align with insurers, hospitals, and physician referral networks will improve patient acquisition and strengthen their role in integrated healthcare ecosystems.
By Service Type
• Skilled Nursing Services
• Rehabilitation Services (Physiotherapy, Occupational Therapy)
• Chronic Disease Management Services
• Elderly Care Services
• Palliative and Hospice Care Services
By Indication
• Cardiovascular Diseases
• Diabetes
• Respiratory Disorders
• Orthopedic Conditions
• Neurological Disorders
• Others
By Delivery Model
• Agency-Based Home Healthcare Services
• Independent Caregiver / Freelance Model
• Hospital-Affiliated Home Care Programs
• Digital / Telehealth-Integrated Home Care Model
By Payer Type
• Private Insurance
• Out-of-Pocket Payments
• Government / Public Support Programs
• Corporate / Employer-Supported Healthcare Plans
By Region
• Dubai
• Abu Dhabi
• Sharjah
• Northern Emirates
• Amana Healthcare
• Manzil Healthcare Services
• Aster Home Healthcare
• Enayati Home Healthcare
• Nightingale Health Services
• Right Health Home Care
• Emirates Home Nursing
• Alleanza Healthcare
• Hospital-affiliated home care providers and independent licensed agencies
• Home healthcare service providers and nursing agencies
• Hospitals and integrated healthcare networks
• Health insurance companies and third-party administrators
• Rehabilitation and physiotherapy service providers
• Elderly care and chronic disease management specialists
• Digital health and remote monitoring technology companies
• Healthcare investors and private equity firms
• Government health authorities and healthcare regulators
Historical Period: 2019–2024
Base Year: 2025
Forecast Period: 2025–2032
Get a preview of key findings, methodology and report coverage
4.1 Delivery Model Analysis for Home Healthcare including agency-based care, hospital-affiliated services, independent caregivers, telehealth-enabled care, and remote monitoring solutions with margins, preferences, strengths, and weaknesses
4.2 Revenue Streams for Home Healthcare Market including service fees, insurance reimbursements, subscription-based care packages, rehabilitation service revenues, and chronic care management programs
4.3 Business Model Canvas for Home Healthcare Market covering healthcare providers, hospitals, insurance companies, digital health platforms, caregivers, and medical equipment suppliers
5.1 Global Healthcare Providers vs Regional and Local Players including international healthcare groups, UAE-based home healthcare providers, hospital-affiliated services, and independent agencies
5.2 Investment Model in Home Healthcare Market including hospital partnerships, private equity investments, digital health integration, and expansion of caregiver networks
5.3 Comparative Analysis of Home Healthcare Delivery by Agency-Based Models and Hospital-Integrated Care including insurance partnerships and telehealth integration
5.4 Consumer Healthcare Spending Allocation comparing home healthcare services versus hospital care, outpatient visits, and wellness services with average spend per household per month
8.1 Revenues from historical to present period
8.2 Growth Analysis by service type and by payer model
8.3 Key Market Developments and Milestones including regulatory updates, expansion of home healthcare providers, digital health adoption, and insurance coverage changes
9.1 By Market Structure including global healthcare providers, regional providers, and local agencies
9.2 By Service Type including skilled nursing, rehabilitation, chronic disease management, elderly care, and palliative care
9.3 By Payer Model including private insurance, out-of-pocket payments, and government support programs
9.4 By Patient Segment including chronic disease patients, elderly population, post-operative patients, and rehabilitation patients
9.5 By Consumer Demographics including age groups, income levels, and expatriate versus local population
9.6 By Service Delivery Mode including in-home visits, telehealth-enabled care, and remote monitoring
9.7 By Care Duration including short-term care, long-term care, and subscription-based care plans
9.8 By Region including Dubai, Abu Dhabi, Sharjah, and Northern Emirates
10.1 Patient Landscape and Cohort Analysis highlighting chronic disease patients, elderly population, and rehabilitation demand
10.2 Home Healthcare Service Selection and Decision Making influenced by service quality, pricing, caregiver availability, and insurance coverage
10.3 Engagement and ROI Analysis measuring service utilization frequency, patient satisfaction, and care outcomes
10.4 Gap Analysis Framework addressing caregiver shortages, pricing affordability, and service quality standardization
11.1 Trends and Developments including telehealth adoption, remote patient monitoring, personalized care, and hospital-at-home models
11.2 Growth Drivers including aging population, chronic disease prevalence, insurance expansion, and government healthcare initiatives
11.3 SWOT Analysis comparing global healthcare standards versus local service adaptability and regulatory alignment
11.4 Issues and Challenges including workforce shortages, high operational costs, insurance limitations, and service quality variability
11.5 Government Regulations covering healthcare licensing, telemedicine regulations, and home healthcare service standards in UAE
12.1 Market Size and Future Potential of telehealth platforms and remote patient monitoring solutions
12.2 Business Models including subscription-based telehealth, pay-per-consultation, and hybrid care models
12.3 Delivery Models and Type of Solutions including virtual consultations, wearable monitoring devices, and AI-driven diagnostics
15.1 Market Share of Key Players by revenues and service volume
15.2 Benchmark of 15 Key Competitors including Amana Healthcare, Manzil Healthcare, Aster Home Healthcare, Enayati, Nightingale, and other regional and international providers
15.3 Operating Model Analysis Framework comparing agency-based models, hospital-integrated care, and digital health-enabled services
15.4 Gartner Magic Quadrant positioning leading providers and emerging players in home healthcare
15.5 Bowman’s Strategic Clock analyzing competitive advantage through service differentiation versus cost leadership strategies
16.1 Revenues with projections
17.1 By Market Structure including global, regional, and local providers
17.2 By Service Type including nursing, rehabilitation, chronic care, and elderly care
17.3 By Payer Model including insurance, out-of-pocket, and government support
17.4 By Patient Segment including chronic patients, elderly, and post-operative care
17.5 By Consumer Demographics including age and income groups
17.6 By Service Delivery Mode including in-home, telehealth, and hybrid care
17.7 By Care Duration including short-term and long-term care plans
17.8 By Region including Dubai, Abu Dhabi, Sharjah, and Northern Emirates
Custom research scope • Tailored insights • Industry expertise
We begin by mapping the complete ecosystem of the UAE Home Healthcare Market across demand-side and supply-side entities. On the demand side, entities include patients with chronic diseases, elderly population segments, post-operative patients, rehabilitation seekers, families requiring long-term care support, corporate healthcare programs, and insurance-backed beneficiaries. Demand is further segmented by care type (acute vs chronic vs preventive), duration of care (short-term recovery vs long-term support), service intensity (basic caregiving vs skilled clinical care), and payment model (insurance-covered vs out-of-pocket vs employer-supported).
On the supply side, the ecosystem includes licensed home healthcare agencies, hospital-affiliated home care divisions, independent caregivers, telehealth platforms, medical equipment suppliers, rehabilitation specialists, nursing staff providers, and digital health solution companies. It also includes regulatory bodies such as health authorities, insurance providers, and accreditation organizations. From this mapped ecosystem, we shortlist 6–10 leading home healthcare providers and a representative set of mid-sized agencies based on service portfolio, geographic presence, clinical capabilities, partnerships with hospitals and insurers, and technology integration. This step establishes how value is created and delivered across patient onboarding, care delivery, monitoring, and follow-up services.
An exhaustive desk research process is undertaken to analyze the UAE home healthcare market structure, demand drivers, and segment behavior. This includes reviewing demographic trends, chronic disease prevalence, aging population data, healthcare expenditure patterns, insurance coverage frameworks, and hospital infrastructure utilization rates. We assess patient preferences around convenience, cost, service quality, and digital engagement.
Company-level analysis includes review of service offerings, pricing structures, geographic coverage, workforce composition, and partnerships with hospitals and insurers. We also examine regulatory and compliance frameworks governing licensing, service delivery standards, and telehealth adoption. The outcome of this stage is a comprehensive industry foundation that defines segmentation logic and creates the assumptions needed for market estimation and future outlook modeling.
We conduct structured interviews with home healthcare providers, hospital administrators, physicians, nurses, physiotherapists, insurance companies, and patients. The objectives are threefold: (a) validate assumptions around demand patterns, service utilization, and competitive positioning, (b) authenticate segment splits by service type, indication, delivery model, and payer type, and (c) gather qualitative insights on pricing trends, patient expectations, caregiver availability, service quality, and adoption barriers.
A bottom-to-top approach is applied by estimating patient volumes, average service frequency, and cost per service across key segments and regions, which are aggregated to develop the overall market view. In selected cases, patient journey simulations and provider interactions are conducted to validate real-world service delivery timelines, responsiveness, care quality, and coordination between stakeholders.
The final stage integrates bottom-to-top and top-to-down approaches to cross-validate the market view, segmentation splits, and forecast assumptions. Demand estimates are reconciled with macro indicators such as healthcare expenditure growth, insurance coverage expansion, chronic disease incidence rates, and demographic shifts. Assumptions around workforce availability, service costs, and regulatory changes are stress-tested to understand their impact on market growth and service adoption.
Sensitivity analysis is conducted across key variables including insurance reimbursement expansion, digital health adoption rates, aging population growth, and cost dynamics of home healthcare services. Market models are refined until alignment is achieved between provider capacity, patient demand, and payer frameworks, ensuring internal consistency and robust directional forecasting through 2032.
Get a preview of key findings, methodology and report coverage
The UAE Home Healthcare Market holds strong potential, supported by rising chronic disease burden, increasing elderly population, high healthcare spending, and growing preference for patient-centric care models. Home healthcare is emerging as a cost-effective alternative to prolonged hospital stays, offering convenience, personalized care, and improved recovery outcomes. As digital health integration and insurance coverage expand, the market is expected to witness sustained growth through 2032.
The market features a mix of licensed home healthcare agencies, hospital-affiliated providers, and international healthcare groups. Competition is shaped by service quality, caregiver expertise, technology integration, and partnerships with hospitals and insurers. Established players with strong regulatory compliance and digital capabilities dominate premium segments, while smaller providers compete in cost-sensitive categories.
Key growth drivers include increasing prevalence of chronic diseases, aging population, government initiatives promoting home-based care, and rising adoption of digital health solutions. Additional momentum comes from insurance expansion, hospital capacity optimization, and growing consumer preference for convenient and personalized healthcare services. The ability of home healthcare to reduce costs and improve patient outcomes continues to reinforce its adoption across the UAE.
Challenges include shortage of skilled healthcare professionals, high operational costs, limited insurance coverage for certain services, and variability in service quality across providers. Workforce dependency on expatriates and regulatory compliance requirements can also impact scalability. Additionally, patient awareness gaps and affordability concerns in certain segments may limit widespread adoption.
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