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Presentation by the Southern African Generic Medicines Association (SAGMA) made at the Euro-Africa Health Investment Conference, March 26 - 27, 2013, London, United Kingdom.
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Legislative changes and supporting local manufacturing throughout the whole value chain – is it feasible and
competitive?
India - A Historical success story
1950s: produced less than 15 % of the finished formulations, and virtually no APIs Government embarked upon systematic centralised economic planning system
Transformed through phases: Phase 1: Infrastructure Building (1950s-1960s) Phase 2: Reorientation of Industry and Science and Technology Strategies and Policies (1960s-1970s) Phase 3: Promotion of Indigenous Technologies (1970s-1980s) Phase 4: Moving Towards Economic Liberalisation (1980s-1990s)
Critically: Legislative basis was not restricted to trade barriers and local procurement but also towards development of technology, skills and capacity. Brazil – An emerging success story
Government has put in place policies and programmes to encourage and enhance science education and infrastructure
Again: Legislation is targeted towards capacity, skills, educational development
The Industrial Policy Action Plan (IPAP)
South Africa: has commenced legislative change:
The Industrial Policy Action Plan The Preferential Procurement Policy Framework Act 2012
South African implementation of the National Industrial Policy Framework legislation of 2007.
Industrial Policy Framework’s aims is: Long term industrialisation,• To facilitate diversification beyond traditional commodities,• To increased value addition in tradable goods and services,• Promotion of labour absorbing economic development,• Industrialisation that ensures increased participation (B-BBBEE) and marginalised regions • Contributes to building industrial development on African continent.
There are multiple specific target clusters:
Pharmaceutical Manufacturing Sector.
The Strategic Priorities section of IPAP II targets the following: • Domestic production of ARV APIs. • Increase local production of ARV API to
500 tons per annum
This intervention will reduce the trade deficit and risk to the security of supply.
Specific key actions required in pharmaceuticals are:
• Leverage public procurement: • Attract Active Pharmaceutical
Ingredient (API) investments for key ARVs.
• Improve regulatory environment for pharmaceutical production and clinical research
The Industrial Policy Action Plan (IPAP)
The Preferential Procurement Policy Framework Act 2012
The new Preferential Procurement Regulations make a provision for designation of industries identified in national economic development and industrial policies, for
procurement exclusively from domestic manufacturers.
Trade and Industry Minister Rob Davies: “The Pharmaceuticals sector has been designated as one in which the government will purchase selected products exclusively from
domestic manufacturers.”
The government began implement preferential local procurement in the 2012 tender cycle.
• 70% of the last Oral Solid Dose tender was earmarked for products with local content, and 30% open to all suppliers.
• The total tender value was USD $280 million.
The Department of Health was unable to fill the whole tender with the designated products as 50% of the products did not meet the criteria for local production and content.
Government Policy should stimulate investment (risk mitigation, market access, off-takes, protection)
Imbalanced legislation: Lack of local capacity limits implementation
Can the private sector help in shaping pharmaceutical market dynamics?
Private sector collaboration and public-private partnerships
South African examples: Biovac; Ketlaphela
Strengths: Risk allocation, Financing opportunities wider, Off-take and market access; R&D
Weakness: Inefficient, Historically expensive, Time-lines, Inability to execute on technology transfer, Lack of local skills base
Best solution is a cross-over model using para-statals / alternative off takers and a commercially driven operator with strategic skills transfer.