African countries with small to medium-sized economies pay far more money for less effective drugs, a leading health expert has told BBC Newsday.
In countries such as Zambia, Senegal and Tunisia, everyday drugs like paracetamol can cost up to 30 times more than in the UK and USA.
Drug markets in poorer countries “just don’t work”, said Kalipso Chalkidou from the Centre for Global Development.
She said “competition is broken” due to a “concentrated supply chain”.
Ms Chalkidou, director of global health policy at the organisation, co-authored a report on drug procurement that concluded that small to middling economy countries buy a smaller range of medicines, leading to weaker competition, regulation and quality.
It says richer countries, thanks to public money and strong processes for buying drugs, are able to procure cheaper medicines.
Poorer countries, however, tend to buy the most expensive medicines, rather than cheaper unbranded pharmaceuticals which make up 85% of the market in the UK and US.
The very poorest countries are not affected when foreign donors purchase medicine on their behalf, meaning their over-the-counter medicines remain at low cost.
“In the middle it’s very problematic,” Ms Chalkidou said.
Low- to middle-income countries “have little ability to negotiate prices down and quality assure products” and there are lots of mark-ups, often due to taxes and corruption.
She said less stringent regulation meant the quality of the drugs was also not as high.
“Without regulation, people perceive the products don’t work, so pay extra money for things they think will work and won’t work either,” Ms Chalkidou explained.
The report recommends greater global co-operation and reforming World Health Organisation policy as well as policy in targeted countries to improve procurement practices.
Main image copyright: Getty images
First published 18.06.19: https://www.bbc.co.uk/news/world-africa-48674909
Help Keep The Faith deliver hope to global Christians during the coronavirus period
For 15 years, Keep The Faith's team of volunteers have provided our Christian journalism for free, and kept it open for everyone.
The coronavirus disease is affecting all global communities. Christians and people of faith all over the world are looking to our faith for answers during these troubling times. As more people fall ill with Covid-19 or go into self-quarantine over the next few days, we expect our visitors to grow even further.
Your gifts are so important to our future, and any donation will help. 100% of your gifts will be used to continue providing our services for free to help those who are in need of God's Word during these difficult times.
So please, continue to support us and everyone looking for hope. Partner with us in this journey together.