Utilizing TRIPS Flexibilities for Public Health Protection Through South-South Regional Frameworks
(2004; 110 pages) View the PDF document
Table of Contents
View the documentTHE SOUTH CENTRE
View the documentPREFACE
View the documentABBREVIATIONS
View the documentEXECUTIVE SUMMARY
Open this folder and view contentsI. INTRODUCTION
Open this folder and view contentsII. INTELLECTUAL PROPERTY AND ACCESS TO ESSENTIAL MEDICINES IN DEVELOPING COUNTRIES
Close this folderIII. CONSTRAINTS ON NATIONAL EFFORTS TO IMPLEMENT TRIPS FLEXIBILITIES FOR PUBLIC HEALTH PURPOSES
View the documentIII.1 Lack of Technical Expertise to Incorporate and Implement TRIPS Flexibilities in National Law and Policy
View the documentIII.2 Insufficient Domestic Research and Manufacturing Capacities in the Pharmaceutical Sector
View the documentIII.3 Insufficient Technical and Infrastructural Capacities for Medicines Regulation
View the documentIII.4 Difficulties in Establishing Efficient Pharmaceutical Management and Procurement Systems
View the documentIII.5 Bilateral and other TRIPS-plus Pressures
View the documentIII.6 Difficulties in Tackling Anti-Competitive Practices and Abuse of Intellectual Property Rights
Open this folder and view contentsIV. OVERCOMING CONSTRAINTS IN THE USE OF TRIPS FLEXIBILITIES THROUGH SOUTH-SOUTH REGIONAL FRAMEWORKS
Open this folder and view contentsV. CONCLUSIONS AND RECOMMENDATIONS
View the documentBIBLIOGRAPHY
View the documentBACK COVER
 

III.4 Difficulties in Establishing Efficient Pharmaceutical Management and Procurement Systems

Another challenge that faces developing countries in their efforts to improve availability and access to essential medicines relates to establishing efficient pharmaceutical management and procurement systems. Putting in place efficient management systems for pharmaceutical procurement can be a costly and complex process requiring vast resources and technical know-how. The problems can be particularly acute for small countries whose average drug prices are generally high due to lack of economies of scale. The cost of taking care of quality and supply chain issues is also high.

The lack of efficient and cost-effective management and procurement systems therefore has an effect on prices, on quality, on rational use of drugs as well as on availability of medicines generally. Consequently, the use of TRIPS flexibilities to improve availability and access to medicines faces challenges due to lack of resources and technical expertise to administer efficient pharmaceutical management and procurement systems.

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