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    Improvement of global access to life-saving medicines. Facing the future.

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    Volume 1 (thesis text) NEW VERSION for FINAL SUBMISSION (V011010Fin).pdf (1.257Mb)
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    Volume 2 (addenda) NEW VERSION for FINAL SUBMISSION (V011010Fin TYPO CORRECTED).pdf (1.336Mb)
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    Publication date
    2012-01-11
    Author
    Versteynen, Leo
    Supervisor
    Huisingh, Donald
    Wang, Chengang
    Keyword
    Global access
    Life-saving medicines
    Resource-limited countries
    Neglected diseases
    Poverty alleviation
    TRIPS
    Sustainability
    Self-sufficiency
    Prevention
    P3 S3-model
    HIV/AIDS
    Tuberculosis
    Malaria
    Brazil
    Thailand
    South Africa
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    Rights
    Creative Commons License
    The University of Bradford theses are licenced under a Creative Commons Licence.
    Institution
    University of Bradford
    Department
    School of Management
    Awarded
    2010
    
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    Abstract
    This research, with the main focus on HIV/AIDS, tuberculosis and malaria, was based on data from the literature, and on questionnaire and interview surveys with the main stakeholders: authorities, drug-developers and NGOs/foundations. It revealed the following determinants, which contributed to the occurrence of drug pricing conflicts in Brazil, Thailand and South Africa: governmental constitutional commitments to supply medicines to poor people, the existence of a local pharmaceutical industry capable of producing generic versions of patented medicines and long histories of disease treatment programmes. The research documented the preferred approaches to increase global access to life-saving medicines for the next decade, which were found to be: public-private-partnerships, prevention measures, dedication of >0.5% of GNP to poor countries, and improvement of national healthcare/insurance systems. Those approaches were integrated into a conceptual framework, which could enable country-level organizations to move beyond the conflict mentality via a ¿Public-Private-Partnership for gradual Self-Sufficiency and Sustainability Model,¿ (P3S3). Within this framework, rich countries should invest >0.5% of their GNP to help to alleviate poverty in poor countries. With these funds, national governments should implement programmes to expand implementation of disease prevention measures and improve national - 4 - healthcare/insurance systems and the quality of the medicines involved. Public-private-partnerships should act as ¿steering-and-controlling¿ organizations to guide the process and to minimise corruption. As a positive message to all who currently lack access to these medicines, the thesis author¿s conclusion is that the use of this model could help to turn the current unsustainable development policies into sustainable ones, and as a consequence, it would contribute to improvements in the quality of life of millions of people in poor countries.
    URI
    http://hdl.handle.net/10454/5328
    Type
    Thesis
    Qualification name
    DBA
    Collections
    Theses

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