Africa could learn from India’s burgeoning pharma sector
BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f4235 (Published 02 August 2013) Cite this as: BMJ 2013;347:f4235- Sakthivel Selvaraj, senior health economist, Public Health Foundation of India, New Delhi, India
- shakti{at}phfi.org
India is the global pharmacy, producing and supplying essential drugs to more than 200 countries. Its drug market is valued at $15.64bn (Rs930bn; £10bn; €12bn), of which more than 40% comes from exports.1 2 India has more than 10 000 producers and more than 262 factories approved by the US Food and Drug Administration.3
As African countries grapple with the HIV/AIDS pandemic, coupled with malaria and tuberculosis, they increasingly buy cheap generic drugs from India. In 2012 Africa accounted for almost a quarter of India’s drug exports. In the late 1990s a campaign to improve access to antiretroviral drugs in Africa started a process that has brought the price of these drugs down from more than $10 000 a patient a year—using drugs sold by multinational drug companies—to less than $150—using drugs sold by Indian generic manufacturers.4 But African …
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