eprintid: 10045546
rev_number: 26
eprint_status: archive
userid: 608
dir: disk0/10/04/55/46
datestamp: 2018-03-21 15:56:43
lastmod: 2021-09-17 22:20:30
status_changed: 2018-03-21 15:56:43
type: article
metadata_visibility: show
creators_name: Mackintosh, M
creators_name: Mugwagwa, J
creators_name: Banda, G
creators_name: Tibandebage, P
creators_name: Tunguhole, J
creators_name: Wangwe, S
creators_name: Njeru, MK
title: Health-industry linkages for local health: reframing policies for African health system strengthening
ispublished: pub
divisions: UCL
divisions: B04
divisions: C05
divisions: J39
keywords: Local production of medicines, Africa, access to medicines, health system, health-industry linkages, local health, global health
note: Copyright © The Author(s) 2018. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
date: 2018-05
date_type: published
publisher: OXFORD UNIV PRESS
official_url: https://doi.org/10.1093/heapol/czy022
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 1539976
doi: 10.1093/heapol/czy022
lyricists_name: Mugwagwa, Julius
lyricists_id: JTMUG87
actors_name: Mugwagwa, Julius
actors_id: JTMUG87
actors_role: owner
full_text_status: public
publication: Health Policy and Planning
volume: 33
number: 4
pagerange: 602-610
pages: 9
issn: 1460-2237
citation:        Mackintosh, M;    Mugwagwa, J;    Banda, G;    Tibandebage, P;    Tunguhole, J;    Wangwe, S;    Njeru, MK;      (2018)    Health-industry linkages for local health: reframing policies for African health system strengthening.                   Health Policy and Planning , 33  (4)   pp. 602-610.    10.1093/heapol/czy022 <https://doi.org/10.1093/heapol%2Fczy022>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10045546/1/HPP%20article%20published%20March%2018.pdf