Posted by Share-Net NL on April 30, 2015 at 6:05 am
“This study can be used as a baseline for monitoring whether and how the pharmaceutical industry is contributing to the improvement of maternal and reproductive health,” says Jayasree K. Iyer, Head of Research at the Access to Medicine Foundation. “As we look toward the launch of the Sustainable Development Goals later this year, rigorous monitoring and assessment of these initiatives and their relative merits, together with experienced partners, will continue to be crucial for identifying what works and what needs to be adapted.”
The potential role for pharmaceutical companies in this area centres on a few key health priorities, particularly R&D gaps that relate to the specific needs of women living in developing countries. For example, the development of heat-stable oxytocin for preventing excessive bleeding during childbirth would reduce the need for complex cold-chains. Beyond developing and adapting products, pharmaceutical companies can contribute in several other areas. Capacity building is particularly important in low-resource countries where small, low-cost interventions can have a significant impact on care and health outcomes. Plus, pharmaceutical companies have a responsibility to ensure products are equitably priced.
In Senegal, Merck & Co. participates in a pilot that uses teams of trained staff to visit health facilities, review inventory and restock shelves.
Titled “Improving maternal health and access to contraceptives: pharmaceutical companies’ contribution to MDG 5”, the study analyses pharmaceutical companies’ commitments and actions in response to Millennium Development Goal 5, which sets targets toward reducing the maternal mortality ratio and achieving universal access to reproductive healthcare. It uses data submitted by 20 of the world’s largest pharmaceutical companies for the 2014 Access to Medicine Index. The Index is an independent initiative that ranks these companies according to what they are doing for the millions of people in developing countries who do not have reliable access to medicine.
• Five of the six companies with relevant products are making public commitments and taking some action, together with others
Ten pharmaceutical companies are implementing a variety of initiatives to improve access to maternal health and family planning. Seven of them have also publically committed to tackling this issue. Notably, five of these companies are implementing initiatives even though they have no relevant products on the market. In total, six of the 20 companies analysed have products on the market that are relevant to maternal and reproductive health. Between them, they have 37 products, including a large proportion of contraceptive methods (18 in total, from four companies).
• Pharmaceutical companies are implementing a wide variety of relevant initiatives; all involve partners and the majority focus on local capacity building
The ten companies are implementing 28 relevant initiatives in total. All involve partners, such as international organisations, NGOs or governments, and most are either new since 2012 or have been recently expanded. The few R&D initiatives all target the development of heat-stable oxytocin to curb excessive bleeding during childbirth. While this is a high-priority R&D gap for women living in developing countries, significant R&D needs remain unaddressed. 25% of initiatives include action on pricing: seven initiatives, from five companies, mostly relating to contraceptives. 10 initiatives, from 5 companies, are aligned with the core business of the company in question, making them more likely to be sustainable longer term.
The Access to Medicine Index is published by the Access to Medicine Foundation, a non-profit organisation based in the Netherlands that aims to advance access to medicine by encouraging the pharmaceutical industry to play a greater role in improving access to medicine in less developed countries. The Index methodology was developed, and is continually refined, in consultation with multiple stakeholders including the World Health Organization, NGOs, governments, universities and institutional investors. The Index is funded by the Bill & Melinda Gates Foundation, the Dutch Ministry of Foreign Affairs and the UK Department for International Development.