ehealth digital library

Digital library of
the Tanzania
health
community

Local Production of Pharmaceuticals in Africa and Access to Essential Medicines: 'Urban bias' in Access to Imported Medicines in Tanzania and its Policy Implications.

Mujinja, P. G., Mackintosh, M., Justin-Temu, M. and Wuyts, M. (2014) Local Production of Pharmaceuticals in Africa and Access to Essential Medicines: 'Urban bias' in Access to Imported Medicines in Tanzania and its Policy Implications. Globalization and health, 10 (1). p. 12. ISSN 1744-8603

[img]
Preview
PDF
Phares_GM_Mujinja.pdf - Published Version
Available under License Creative Commons Attribution Non-commercial.

Download (2MB)

Abstract

International policy towards access to essential medicines in Africa has focused until recently on international procurement of large volumes of medicines, mainly from Indian manufacturers, and their import and distribution. This emphasis is now being challenged by renewed policy interest in the potential benefits of local pharmaceutical production and supply. However, there is a shortage of evidence on the role of locally produced medicines in African markets, and on potential benefits of local production for access to medicines. This article contributes to filling that gap. This article uses WHO/HAI data from Tanzania for 2006 and 2009 on prices and sources of a set of tracer essential medicines. It employs innovative graphical methods of analysis alongside conventional statistical testing. Medicines produced in Tanzania were equally likely to be found in rural and in urban areas. Imported medicines, especially those imported from countries other than Kenya (mainly from India) displayed 'urban bias': that is, they were significantly more likely to be available in urban than in rural areas. This finding holds across the range of sample medicines studied, and cannot be explained by price differences alone. While different private distribution networks for essential medicines may provide part of the explanation, this cannot explain why the urban bias in availability of imported medicines is also found in the public sector. The findings suggest that enhanced local production may improve rural access to medicines. The potential benefits of local production and scope for their improvement are an important field for further research, and indicate a key policy area in which economic development and health care objectives may reinforce each other.

Item Type: Article
Keywords: Traditional medicines, Access to medicines, Africa, Tanzania, Urban bias
Subjects: Health Systems > Drugs, Medical Supplies & Logistics
Divisions: Muhimbili University of Health and Allied Sciences (MUHAS)
Depositing User: Mr Joseph Madata
Date Deposited: 18 Mar 2014 10:24
Last Modified: 18 Mar 2014 10:24
URI: http://ihi.eprints.org/id/eprint/2549

Actions (login required)

Edit Item Edit Item

Downloads

Downloads per month over past year

View more statistics