Licensing Life-Saving Drugs for Developing Countries: Evidence from the Medicines Patent Pool

2021 ◽  
Author(s):  
Alberto Galasso ◽  
Mark Schankerman



1992 ◽  
Vol 22 (3) ◽  
pp. 513-528 ◽  
Author(s):  
T. K. Sundari

This article attempts to put together evidence from maternal mortality studies in developing countries of how an inadequate health care system characterized by misplaced priorities contributes to high maternal mortality rates. Inaccessibility of essential health information to the women most affected, and the physical as well as economic and sociocultural distance separating health services from the vast majority of women, are only part of the problem. Even when the woman reaches a health facility, there are a number of obstacles to her receiving adequate and appropriate care. These are a result of failures in the health services delivery system: the lack of minimal life-saving equipment at the first referral level; the lack of equipment, personnel, and know-how even in referral hospitals; and worst of all, faulty patient management. Prevention of maternal deaths requires fundamental changes not only in resource allocation, but in the very structures of health services delivery. These will have to be fought for as part of a wider struggle for equity and social justice.



Author(s):  
Melina Lynn ◽  
Matt Hannula ◽  
Icaro Dos Santos

The disparity in appropriate healthcare technologies between developed and developing countries is one of the greatest issues facing the global quality of healthcare today. While hospitals in developing countries boast cutting edge-life saving healthcare technologies, many healthcare facilities in the developing world do not have access to even the most rudimentary supplies and technologies to treat patients. This mismatch results from a number of shortcomings across the medical device industry and represents a failure of new healthcare technologies to reach their full potential. This paper aims to promote awareness of the healthcare technology disparity and provide recommendations for the design and implementation of medical devices for the global market.



2016 ◽  
Vol 130 (10) ◽  
pp. 923-927 ◽  
Author(s):  
M B Avnstorp ◽  
P V F Jensen ◽  
T Dzongodza ◽  
N Matinhira ◽  
C Chidziva ◽  
...  

AbstractBackground:In developing countries with limited access to ENT services, performing emergency cricothyroidotomy in patients with upper airway obstruction may be a life-saving last resort. An established Danish–Zimbabwean collaboration of otorhinolaryngologists enrolled Zimbabwean doctors into a video-guided simulation training programme on emergency cricothyroidotomy. This paper presents the positive effect of this training, illustrated by two case reports.Case reports:A 56-year-old female presented with upper airway obstruction due to a rapidly progressing infectious swelling of the head and neck progressing to cardiac arrest. Cardiopulmonary resuscitation was initiated and a secure surgical airway was established via an emergency cricothyroidotomy, saving the patient. A 70-year-old male presented with upper airway obstruction secondary to intubation for an elective procedure. When extubated, the patient exhibited severe stridor followed by respiratory arrest. Re-intubation attempts were unsuccessful and emergency cricothyroidotomy was performed to secure the airway, preserving the life of the patient.Conclusion:Emergency cricothyroidotomy training should be considered for all surgeons, anaesthetists and, eventually, emergency and recovery room personnel in developing countries. A video-guided simulation training programme on emergency cricothyroidotomy in Zimbabwe proved its value in this regard.



2019 ◽  
Vol 12 (3) ◽  
pp. 187-200 ◽  
Author(s):  
Efrain Araujo Perini ◽  
Mikhail Skopchenko ◽  
Tran Thu Hong ◽  
Rahmat Harianto ◽  
Alexis Maître ◽  
...  

Background:A significant number of developing countries have no facilities to produce medical radioisotopes and radiopharmaceuticals.Objective:In this paper we show that access to life-saving radioisotopes and radiopharmaceuticals and the geographical distribution of corresponding infrastructure is highly unbalanced worldwide.Methods:We discuss the main issues which need to be addressed in order to establish the production of radioisotopes and radiopharmaceuticals, which are especially important for developing countries as newcomers in the field. The data was gathered from several sources, including databases maintained by the International Atomic Energy Agency (IAEA), World Health Organization (WHO), and other international organizations; personal interactions with representatives in the nuclear medicine field from different regions of the world; and relevant literature.Results:Developing radioisotope and radiopharmaceutical production program and installing corresponding infrastructure requires significant investments, both man-power and financial. Support already exists to help developing countries establish their medical radioisotope production installations from several organizations, such as IAEA.Conclusion:This work clearly shows that access to life-saving radioisotopes and the geographical distribution of corresponding infrastructure is highly unbalanced. Technology transfer is important as it not only immediately benefits patients, but also provides employment, economic activity and general prosperity in the region to where the technology transfer is implemented.



2018 ◽  
Vol 34 (3) ◽  
pp. 291-294
Author(s):  
Benjamin Ferguson ◽  
Roberto Veneziani

The notion of exploitation is prominent in political discourse and policy debates. It is central in analyses of labour relations, especially focusing on the weakest segments of the labour force including women and children (International Labour Office 2017a, 2017b). It features in controversies on surrogate motherhood (Wood 1995; Wertheimer 1996), and on drug-testing and the price of life-saving drugs, especially in developing countries.



2017 ◽  
Vol 27 (12) ◽  
pp. 1792-1803 ◽  
Author(s):  
Lilian Teddy Mselle ◽  
Megan Aston ◽  
Thecla W. Kohi ◽  
Columba Mbekenga ◽  
Danielle Macdonald ◽  
...  

Postpartum education can save lives of mothers and babies in developing countries, and the World Health Organization recommends all mothers receive three postpartum consultations. More information is needed to better understand how postpartum education is delivered and ultimately improves postpartum health outcomes. The purpose of this qualitative study was to examine how postpartum care was delivered in three postnatal hospital clinics in Dar es Salaam, Tanzania. Semistructured interviews with 10 nurse-midwives and three obstetricians were conducted. Feminist poststructuralism guided the research process. Postpartum education was seen to be an urgent matter; there was a lack of supportive resources and infrastructure in the hospital clinics, and nurse-midwives and obstetricians had to negotiate conflicting health and traditional discourses using various strategies. Nurse-midwives and obstetricians are well positioned to deliver life-saving postpartum education; however, improvements are required including increased number of nurse-midwives and obstetricians.



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