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Health-industry linkages for local health: reframing policies for African health system strengthening

Mackintosh, Maureen; Mugwagwa, Julius; Banda, Geoffrey; Tibandebage, Paula; Tunguhole, Jires; Wangwe, Samuel and Karimi Njeru, Mercy (2018). Health-industry linkages for local health: reframing policies for African health system strengthening. Health Policy and Planning, 33(4) pp. 602–610.

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URL: https://academic.oup.com/heapol/article/33/4/602/4...
DOI (Digital Object Identifier) Link: https://doi.org/10.1093/heapol/czy022
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Abstract

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.

Item Type: Journal Item
Copyright Holders: 2018 The Authors
Project Funding Details:
Funded Project NameProject IDFunding Body
Industrial productivity, health sector performance and policy synergies for inclusive growth. (D-11-020-MM)ES/J008737/1ESRC (Economic and Social Research Council)
Keywords: local production of medicines; Africa; access to medicines; health system; health-industry linkages; local health; global health
Academic Unit/School: Faculty of Arts and Social Sciences (FASS) > Social Sciences and Global Studies > Economics
Faculty of Arts and Social Sciences (FASS) > Social Sciences and Global Studies
Faculty of Arts and Social Sciences (FASS)
Faculty of Arts and Social Sciences (FASS) > Social Sciences and Global Studies > Development
Research Group: Innovation, Knowledge & Development research centre (IKD)
Institute for Innovation Generation in the Life Sciences (Innogen)
Item ID: 53937
Depositing User: Maureen Mackintosh
Date Deposited: 20 Mar 2018 14:28
Last Modified: 07 Aug 2019 17:51
URI: http://oro.open.ac.uk/id/eprint/53937
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