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Nota:
El
taller, que se celebrará los días 8 a 11 de abril de 2001 en
Høsbjør, Noruega, reunirá a 80 expertos, aproximadamente de países
industrializados y países en desarrollo. Organizado conjuntamente por
la Organización Mundial de la Salud, la Organización
Mundial del Comercio, el Ministro
de Relaciones Exteriores de Noruega y el Global
Health Council, organización estadounidense de amplia base en la
esfera de la atención sanitaria.
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Opening
Session volver
al principio
- Sigrun
Møgedal, State Secretary of International Development, Norway: Opening
statement (MS Word, 2 pages, 27.5KB)(pdf,
14KB)
- Dr
Gro Harlem Brundtland, Director-General, WHO
Opening
remarks
(browse)
- Adrian
Otten, WTO Secretariat Introductory
remarks
(browse)
- Nils
Daulaire, President, Global Health Council: Opening
statement (MS Word, 2 pages, 27.5KB)(pdf,
7KB)
- Peter
Piot, Executive Director, UNAIDS: Opening
statement (MS Word, 5 pages, 119KB)(pdf,
51KB)
Session
I — Access to Essential Drugs in Low Income Countries: Key Issues volver
al principio
This
session examined the range of obstacles to adequate
access to essential drugs in developing countries,
including issues of financing, pricing, supply, selection
and distribution. It, amongst other things, sought to
examine the respective importance of the various factors,
including the significance of patent protection.
- Patrick
Kadama, Government of Uganda: Role of
government in healthcare (MS Word, 4 pages, 37.5KB)(pdf,
19KB)
- Richard
Laing, Boston University: Health and
Pharmacy systems in developing countries (MS Word,
10 pages, 479KB)(pdf, 1,574KB)
- Harvey
Bale, IFPMA: Access to Essential Drugs in
Poor Countries — Key Issues: The Industry Perspective (MS Word, 6 pages, 37KB)(pdf,
22KB)
- Jonathan
Quick, WHO: Ensuring access to essential
drugs — framework for action (MS PowerPoint, 20 pages,
848KB)(pdf,
156KB)
Session
II — The Role of Financing in Ensuring Access to Essential Drugs volver
al principio
This
session considered the financing needs for ensuring
adequate access to essential drugs in developing
countries, even in an environment of differential
pricing, and how such financing can be mobilized.
- Suwit
Wibulpolprasert, Government of Thailand: Mobilization
of Domestic Resources for Essential Drugs in Developing Countries:
Case-study from Thailand (MS Word, 9 pages, 368KB)(pdf,
1,239KB)
- Paulo
Teixeira, Government of Brazil: Brazilian
ARV access program: major aspects (MS PowerPoint,
8 pages, 61KB)(pdf, 33KB)
- Lieve
Fransen, European Commission: The Role
of Financing in Ensuring Access to Essential Drugs (MS Word,
4 pages, 72KB)(pdf, 21KB)
- Francoise
Varet, Government of France: External
assistance and pharmaceutical financing (MS Word,
4 pages, 41.5KB)(pdf,13KB)
Session
III — Differential Pricing: Concepts and Issues back
to top
This
session sought to identify key issues that need to be
explored in regard to differential pricing of essential
drugs, whether patented or generic, and to examine what
economic analysis can tell us about whether, and under
what conditions, differential pricing can be a win-win
policy and to what extent there could be losers.
Economic
analysis
Conceptual
issues
- Heinz
Redwood, Industry Consultant: Advantages
and risks of differential pricing for prescription drugs (MS Word, 5 pages, 37KB)(pdf,
18KB)
- Gunther
Faber, GlaxoSmithKline: Presentation
(MS Word, 3 pages, 27KB)(pdf,
13KB)
- Ellen ‘t Hoen,
Médecins Sans Frontières: Affordable
Medicines for Developing Countries — text (MS Word,
17 pages, 90KB)(pdf,
7KB) and slides (MS PowerPoint, 21 pages,
47KB)(pdf, 1578KB)
Session
IV — Current Experience with Differential Pricing back
to top
The
purpose of this session was to examine to what extent
differential pricing occurs already and what can be
learnt from this experience, for example in regard to
techniques for ensuring market segmentation and managing
reactions in industrial countries.
- Jacques-François
Martin, Global Fund for Childrens’ Vaccines: Tiered
Prices (or Differentiated Prices or Market Segmentation) text
(MS Word, 18 pages, 120KB)(pdf,
470KB) and slides (MS PowerPoint, 18
pages, 120KB)(pdf, 469KB)
- Christian
Saunders, UNFPA: UNFPA’s Experience
With Contraceptives (MS PowerPoint, 24 pages, 193KB)(pdf,
1,057KB)
- Cecile
Miles, Ranbaxy, India: Experience with
Generic Drugs (MS PowerPoint, 13 pages, 69KB)(pdf, 47KB)
- Dorothy
Ochola, Uganda HIV/AIDS Drugs Access Initiative: Current
experience with differential pricing of HIV/AIDS related drugs in
Uganda (MS PowerPoint, 18 pages, 120KB)(pdf, 48KB)
- John
Wecker, Boehringer-Ingelheim: Current
Experience with Differential Pricing: Accelerating Access
Initiative and the Viramune(R) Donation Program (MS Word,
4 pages, 30.5KB)(pdf, 14KB)
- Dr.
Maria Neira, WHO: Experience with access
to essential medicines for tropical diseases (MS Word, 3 pages,
29KB)(pdf, 22KB)
- Jeffrey
Sturchio, Merck: The Case of
Ivermectin:
Lessons Learned and Implications for Improving Access to Care and
Treatment in Developing Countries (MS Word, 5 pages,
35.5KB)(pdf, 21KB)
- Chuck
Hardwick, Pfizer: Access to Medicines
in the Developing World Through Partnerships (MS Word,
8 pages, 31KB)(pdf, 16KB)
Session
V — Market Segmentation: Techniques, Actors and Incentives back
to top
This
session sought to examine the different ways in which
the segmentation of markets necessary for differential
pricing can be made effective, taking into account the
need to ensure consistency with WTO and other
international trade rules. Also considered were the
extent to which competition law puts constraints on the
use of market segmentation techniques.
Marketing
strategies by manufacturers and contractual approaches
- Albert
Itschner, Novartis: Market segmentation
and price differentiation: a novel approach (MS Word,
4 pages, 31.5KB)(pdf,
17KB)
- Keith
McCollough, Vuna Healthcare Logistics: Purchase
undertakings (MS PowerPoint, 11 pages, 956KB) (pdf, 234KB)
- Clifford
Wong, Medimpact Healthcare Systems, Inc: Differential
Pricing Impact On Drug Costs To A Purchaser: Effectiveness of
"Ex Post Reimbursement" Strategies (MS PowerPoint,
7 pages, 52KB)(pdf, 535KB)
Governmental
measures
The
use of intellectual property rights
Competition
policy considerations
Session
VI — Purchaser Perspectives and Incentives for Differential Pricing
This
session considered the perspectives of purchasers in
high and low income markets and consider their influence
on the price of essential drugs. It asked whether
differential pricing for low income countries will put
downward pressure on prices in industrialized countries
even with market segmentation. It considered existing
and potential fiscal and other incentives for companies
to implement differential pricing.
- Pascal
Hessou, ACAME: Joint Bulk Purchasing of
Essential Drugs (MS Word, 5 pages, 32KB)(pdf,
17KB)
- Hanne
Bak Pedersen, UNICEF: Equity Access to
Life-saving Products (MS Word, 4 pages, 26KB)(pdf,
14KB)
- Malaya
Harper (Department for International Development, UK): UK
Policy considerations on increasing access to medicines for the
poor in developing countries (MS PowerPoint, 8 pages,
62.5KB)(pdf, 34KB)
- K.Balasubramaniam,
Consumers’ International: Equitable
Pricing, Affordability and Access to Essential Drugs in Developing
Countries: Consumers Perspective (MS Word, 12 pages, 58KB)(pdf,
41KB)
- Ed
Schoonveld, Cambridge Pharma: Market
segmentation and international price referencing (MS Word,
8 pages, 426KB)(pdf, 80KB)
Session
VII — Perspectives on Financing and Differential Pricing back
to top
This
session provided an opportunity for a range of views
on the issues under discussion in the Workshop to be
provided from different perspectives, and for general
discussion of these matters. Among the questions considered were how to deal with problems of the
political acceptability in developed country markets of
lower prices in developing countries.
- David
Henry, Newcastle University, Australia: Levelling the playing
field: Using evidence to determine ‘fair’
drug prices (MS PowerPoint, 18 pages, 123KB)(pdf, 30KB)
- Seth
Berkley, IAVI: Accelerating the global
effort to create an AIDS vaccine: IP issues for future global
public goods products (MS PowerPoint, 39 pages,
1.96MB)(pdf, 259KB)
- Jamie
Love, Consumer Project for Technology: Policies
that ensure access to medicine, and promote innovation, with
special attention to issues concerning the impact of parallel
trade on the competitive sector, and a trade framework to support
global R&D on new health care inventions (MS Word,
8 pages, 93KB) (pdf, 29KB) and
tables (MS Word, 17 pages,
55KB)(pdf, 37KB)
- Mabel
Torongo, International Pharmacy Federation: A
pharmacy professional perspective (MS Word, 2 pages,
22.5KB)(pdf, 6KB)
- Bill
Haddad, Cipla, India: Back to the future
(MS Word, 6 pages, 42KB)(pdf, 23KB)
- Paul
Vandoren, European Commission: Financing And Differential Pricing: A Developed Country Government Perspective
(MS Word, 14 pages, 43KB)(pdf, 27KB)
- Desmond
Johns, Government of South Africa: A
developing country perspective (MS Word, 5 pages,
33.5KB)(pdf, 19KB)
Closing remarks
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