Manufacturing for Cancer Care in East Africa: Raising the Ambition

Manduku, Veronica; Wangwe, Samuel; Wanjala, Cecilia; Maureen, Mackintosh and Ngilangwa, Richard (2024). Manufacturing for Cancer Care in East Africa: Raising the Ambition. In: Banda, Geoffrey; Mackintosh, Maureen; Njeru, Mercy Karimi; Srinivas, Smita and Makene, Fortunata Songora eds. Cancer Care in Pandemic Times: Building inclusive local health security in Africa and India. International Political Economy Series. Switzerland: Palgrave Macmillan, pp. 139–162.



This chapter starts with the paradox of unmet need for cancer supplies in Kenya and Tanzania alongside low yet unmet market demand. An apparent lack of ambition is evidenced within the local industrial/innovation system, including manufacturers, entrepreneurs, regulators and policy makers. Pharmaceutical firms were failing to upgrade, expand product ranges and develop new markets, though that was starting to change before 2020. The chapter identifies market disorganisation and fragmentation as a key constraint on generating more sustainable investment and innovation to improve cancer-related manufacturing and finds scope for institutional change to link industrial incentives to health needs.

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