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PRIVATE SECTOR AND PUBLIC HEALTH: A CONTRADICTON IN TERMS? PHARMACEUTICAL INITIATIVES

PRIVATE SECTOR AND PUBLIC HEALTH: A CONTRADICTON IN TERMS? PHARMACEUTICAL INITIATIVES. Effective Advocacy for Health in Europe OSI/EPHA Conference 3-5 April 2003, Riga, Latvia. SPRING GOMBE GLOBAL ACCESS LIAISON HAI EUROPE. STARTING POINT. Health is a human right

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PRIVATE SECTOR AND PUBLIC HEALTH: A CONTRADICTON IN TERMS? PHARMACEUTICAL INITIATIVES

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  1. PRIVATE SECTOR AND PUBLIC HEALTH: A CONTRADICTON IN TERMS?PHARMACEUTICAL INITIATIVES Effective Advocacy for Health in Europe OSI/EPHA Conference 3-5 April 2003, Riga, Latvia SPRING GOMBE GLOBAL ACCESS LIAISON HAI EUROPE

  2. STARTING POINT • Health is a human right • Declaration of the Right to Development • UN Convention on the Rights of the Child • Responsibility for health lies ultimately with public sector • Must governments pay for it all – in practice, what, how much, for whom, how? • Rights and responsibilities – including corporate social responsibility

  3. PUBLIC-PRIVATE INTIATIVES • MEDICINES • RESEARCH AND DEVELOPMENT • HEALTH EDUCATION • HEALTH POLICY

  4. MEDICINES • Access to medicines at reduced costs • Medicines for Malaria Initiative • Accelerated Access Initiative • Global Alliance for TB • Global Fund for AIDS, TB, Malaria • Drug donations • Bi-lateral agreements between governments and private sector • Agreements between private sector players

  5. MEDICINES ISSUES • Costs-saving vs. hidden costs • Donations programmes • Bureacracy • Technology transfer • Efficiency • Bureacracy and Administrative Burden • Ethics • Health Policy distortion?

  6. RESEARCH AND DEVELOPMENT • IAVI • GAVI • Medicines for Malaria Venture • Malaria Vaccine Initiative • GATB • Drugs for Neglected Diseases Initiative • Institute for One World Health

  7. RESEARCH AND DEVELOPMENT • ISSUES • Priorities • Universities (public and private) • Public facilities • Private Sector (and public money) • Private sector influence • Market failures • Funding for R&D • Bias? • Intellectual property `rights´ and protection

  8. HEALTH EDUCATION • ISSUES • Direct to Consumer Advertising • Selectivity • Patient Awareness • Patient Self-Advocacy • Rational drug use • Rational prescription • Medicalisation of society

  9. HEALTH POLICY • ISSUES • Social contracts for health (Public Health Equity) • International – WHO, WIPO, WTO, World Bank • National – lobby, pressure, influence • Ethical policy • Rational drug use • Affordability • Market failures

  10. HEALTH POLICY • ISSUES (cont´d) • Discrimination • Verticality • Sustainability • Health burden • Policy distortions • Accountability and responsibility

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