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Concentration and drug prices in the retail market for malaria treatment in rural Tanzania.

Goodman, C., Kachur, S. P., Abdulla, S., Bloland, P. and Mills, A. (2009) Concentration and drug prices in the retail market for malaria treatment in rural Tanzania. Health economics, 18 (6). pp. 727-742. ISSN 1099-1050

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Abstract

The impact of market concentration has been little studied in markets for ambulatory care in the developing world, where the retail sector often accounts for a high proportion of treatments. This study begins to address this gap through an analysis of the consumer market for malaria treatment in rural areas of three districts in Tanzania. We developed methods for investigating market definition, sales volumes and concentration, and used these to explore the relationship between antimalarial retail prices and competition.The market was strongly geographically segmented and highly concentrated in terms of antimalarial sales. Antimalarial prices were positively associated with market concentration. High antimalarial prices were likely to be an important factor in the low proportion of care-seekers obtaining appropriate treatment.Retail sector distribution of subsidised antimalarials has been proposed to increase the coverage of effective treatment, but this analysis indicates that local market power may prevent such subsidies from being passed on to rural customers. Policymakers should consider the potential to maintain lower retail prices by decreasing concentration among antimalarial providers and recommending retail price levels.

Item Type: Article
Keywords: Competition;Market;Retail sector;Pharmaceuticals;Malaria
Subjects: Health Systems > Health financing & economics
Malaria > Diagnosis & treatment
Divisions: Ifakara Health Institute > Biomedical
Depositing User: Mr Joseph Madata
Date Deposited: 25 Jul 2012 21:27
Last Modified: 16 Aug 2012 15:57
URI: http://ihi.eprints.org/id/eprint/219

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