Local Production of Pharmaceutical Products in Africa: The WHO approach

Frederick M. Abbott
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Abstract

The WHO Global Strategy and Plan of Action mandated the Director General to support transfer of technology and local production of medicines in developing countries. This paper briefly lays out the conditions for local production in Africa and describes the on-going work program of the WHO Department of Public Health, Innovation, Intellectual Property and Trade (PHI) directed at supporting local production efforts. Encouragement of local production is not without controversy as governments must weigh their interest in pursuing the potential holistic benefits of security of supply, support for research and training, manufacturing employment and balance of payments improvements, with assuring that supplies are purchased at prices competitive with global lowest-priced supplies of assured quality. Ultimately, for local production efforts to be successful medicines must be provided at prices competitive with, and of comparable quality to, imported products. The African Union and national governments within Africa are promoting local production, and are working with the support of a number of multilateral organizations including UNIDO, UNCTAD, UNAIDS and WHO, with increasing interest of the African Development Bank. There is considerable attention both from local investors and multinational industry, and there are opportunities for technology leapfrogging. From the WHO perspective, the key element is to focus attention on the promotion of public health objectives, including through the strengthening of regulatory capacity. The author is consultant adviser to WHO PHI.
非洲药品的当地生产:世卫组织的做法
世卫组织全球战略和行动计划授权总干事支持发展中国家的技术转让和当地药品生产。本文简要列出了非洲当地生产的条件,并描述了世卫组织公共卫生、创新、知识产权和贸易部为支持当地生产努力而正在进行的工作规划。鼓励当地生产并非没有争议,因为各国政府必须权衡它们的利益,以追求供应安全、支持研究和培训、制造业就业和改善国际收支等潜在的整体利益,同时确保以与有质量保证的全球最低价格供应具有竞争力的价格购买供应。最终,要使当地生产努力取得成功,必须以与进口产品具有竞争力的价格提供药品,并提供与进口产品相当的质量。非洲联盟和非洲各国政府正在促进当地生产,并在包括工发组织、贸发会议、艾滋病规划署和卫生组织在内的一些多边组织的支持下开展工作,非洲开发银行对此也越来越感兴趣。本地投资者和跨国企业都相当关注,而且存在技术跨越的机会。从世卫组织的角度来看,关键因素是将注意力集中于促进公共卫生目标,包括通过加强管理能力。作者是WHO PHI的顾问顾问。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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