# \[e-drug\] Ensuring access to essential drugs in Africa

**URL:** <https://talk.edrugplus.org/t/e-drug-ensuring-access-to-essential-drugs-in-africa/7657>\
**Category:** e-drug\
**Created:** [March 15, 2000, 10:51am UTC](https://talk.edrugplus.org/t/e-drug-ensuring-access-to-essential-drugs-in-africa/7657 "2000-03-15T10:51:55Z")\
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**Author:** ![Victor\_Adefela](https://avatars.discourse-cdn.com/v4/letter/v/4af34b/32.png) [@Victor\_Adefela](https://talk.edrugplus.org/u/Victor_Adefela)\
**Post date:** [March 15, 2000, 10:51am UTC](https://talk.edrugplus.org/t/e-drug-ensuring-access-to-essential-drugs-in-africa/7657/1 "2000-03-15T10:51:55Z")

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E-DRUG: Ensuring access to essential drugs in Africa  
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[The press release below is written by Mr Adefela, WHO/AFRO press officer  
who is attending the 3rd Anglophone African Essential Drug Programme  
Managers Meeting in Grabouw,  
South Africa. WB]

WHO-AFRO PRESS RELEASE

ENSURING ACCESS TO ESSENTIAL DRUGS IN AFRICA

African governments and their partners in the health sector must emphasise  
equity, availability and affordability in their drug policies and  
programmes in order to ensure that people have access to essential drugs.  
This is the consensus among essential drugs programme managers currently  
attending a meeting in Cape Town, South Africa, on the Intensified  
Essential Drugs Programme for the African Region.

Addressing participants at the meeting on Tuesday, Dr Jonathan Quick, WHO  
Director of Essential Drugs Programme, said that the organization intended,  
among other things, to "focus on priority problems, the poor and  
vulnerable" in the implementation of its programme in the next four years.

He pointed out that in many countries less than 50% of the population had  
regular access to essential drugs and commitment to public drug funding was  
low.

He emphasised that "public financing and social health insurance are the  
best ways to achieve equity, but this requires effort."

He recommended rational selection and use of drugs, sustainable financing,  
affordable prices and reliable supply systems as ways of achieving  
equitable access to essential drugs.

Dr Eric Goemaere of Medecins Sans Frontieres, which is carrying out a  
campaign to promote access to essential drugs, also addressed the group. He  
told them that pharmaceutical research and development were now focused on  
the needs of the most promising market, the developed countries. At the  
same time, less and less attention was being given to the needs of the  
developing countries where communicable diseases are still the leading  
cause of deaths, he added.

He said that some communicable diseases, such as tuberculosis and malaria,  
were showing growing resistance to certain drugs and therefore urged more  
active review of the essential drugs list.

As a way of ensuring access to essential drugs, he recommended that African  
governments identify good quality sources and, with partners like WHO,  
secure production, availability and affordability.

Another speaker, Dr Wilbert Bannenberg, of the WHO/South African Drug  
Action Programme, warned that the new system being introduced by the World  
Trade Organization and the Agreement on Trade-Related Aspects of  
Intellectual Property Rights would have a negative effect on drug  
availability.

"It will weaken local production, by making it difficult for local  
industries to compete against the multinationals, and concentrate  
production in the industrialised countries," he said.

To ensure equitable access to essential drugs, the group recommended a  
number of measures. These include rational drug use; good financial  
management; introduction of price control for essential and vital drugs;  
elimination of taxes and duties on essential drugs and raw materials for  
them; and joint bulk purchasing of essential drugs for priority health  
problems by countries.

Victor Adefela  
WHO/AFRO information officer  
adefelav@whoafr.org  
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