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Health-industry linkages for local health

Reframing policies for African health system strengthening

Datos Bibliográficos

ID11490403
AutoresMaureen Mackintosh (0000-0002-7000-4686, The Open University, autor de correspondencia), Julius Mugwagwa (0000-0003-1570-1910, Department of Science, Technology, Engineering and Public Policy, University College London, London W1T 6EY, UK), Geoffrey Banda (0000-0002-0194-3620, Science, Technology and Innovation Studies, University of Edinburgh, Edinburgh EH1 1LZ, UK), Paula Tibandebage (Economic and Social Research Foundation, Dar es Salaam, Tanzania), Jires TUNGUHOLE (0000-0001-9531-0295, Economic and Social Research Foundation, Dar es Salaam, Tanzania), Samuel Wangwe (Economic and Social Research Foundation, Dar es Salaam, Tanzania), Samuel M Wangwe (Economic and Social Research Foundation), Mercy Karimi Njeru (Centre for Public Health Research, Kenya Medical Research Institute, Nairobi, Kenya)
Año2018
Volumen33
Número4
Páginas602-610
Fecha de publicación2018-05-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaHealth Policy and Planning (JOURNAL)
Identificadores de la revistaISSN: 0268-1080 • E-ISSN: 1460-2237
EditorialOxford University Press (PUBLISHER • GB)
DOI10.1093/heapol/czy022
PMID29562286
OpenAlexW2790185890
IdiomaEN
Citas recibidas7
Referencias citadas39

The benefits of local production of pharmaceuticals in Africa for local access to medicines and to effective treatment remain contested. There is scepticism among health systems experts internationally that production of pharmaceuticals in sub-Saharan Africa (SSA) can provide competitive prices, quality and reliability of supply. Meanwhile low-income African populations continue to suffer poor access to a broad range of medicines, despite major international funding efforts. A current wave of pharmaceutical industry investment in SSA is associated with active African government promotion of pharmaceuticals as a key sector in industrialization strategies. We present evidence from interviews in 2013-15 and 2017 in East Africa that health system actors perceive these investments in local production as an opportunity to improve access to medicines and supplies. We then identify key policies that can ensure that local health systems benefit from the investments. We argue for a 'local health' policy perspective, framed by concepts of proximity and positionality, which works with local priorities and distinct policy time scales and identifies scope for incentive alignment to generate mutually beneficial health-industry linkages and strengthening of both sectors. We argue that this local health perspective represents a distinctive shift in policy framing: it is not necessarily in conflict with 'global health' frameworks but poses a challenge to some of its underlying assumptions.

Business · Cognitive reframing · Economic growth · Economics · Health care · Health promotion · Incentive · Market economy · Public economics · Global Health and Surgery · Healthcare Systems and Reforms · Pharmaceutical Economics and Policy · Health Policy

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Obras citantes distintas7
Citas por año1
Intervalo de citas2019 - 2022 (4)
Velocidad de citaciónhistorical
Altamente citadoNo
Tipos de citaNeutras: 6
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