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Chapitre D'ouvrage Année : 2021

Clashes between subsidized and private ACT markets: when institutional, health, and marketing regulations collide

Résumé

The supply of ACTs in Benin and Ghana is made up of both subsidised ACTs produced by European multinationals or Asian generics companies and ACTs produced for private markets by Asian or African manufacturers. Global Health programs significantly structure pharmaceutical markets in the Global South, including in countries where distribution is largely liberalized, as in the case of Ghana. Thus the subsidized drugs they distribute are abundantly found in the public sectors and take precedence over local production, as we will show through the study of a pilot program, the Affordable Medicines Facility-malaria (AMFm) and its effects on the Ghanaian private market. Faced with this, Asian ACTs producers, as well as local and European ones, are deploying marketing strategies to conquer unsubsidized private markets and reach consumers as closely and directly as possible. They are supported in this by their representatives as well as by distributors and retailers, in urban and rural areas, who, relying in particular on the socio-economic positions of consumers. By analysing these ACTs markets this chapter show how companies have to manoeuver to capture market share, between the institutional regulations implemented by national and transnational actors and the marketing regulations developed by the firms themselves.
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Dates et versions

hal-03215352 , version 1 (03-05-2021)

Identifiants

  • HAL Id : hal-03215352 , version 1

Citer

Carine Baxerres, Jessica Pourraz. Clashes between subsidized and private ACT markets: when institutional, health, and marketing regulations collide. Pharmaceutical Markets: An Analysis of Medicines, Regulations and Health Systems in the Global South, Routledge, In press. ⟨hal-03215352⟩
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