Support for Local Pharmaceutical Manufacturing Proposed Model for the Growth of the East African Pharmaceutical Manufacturing Sector Background This Model is based on the Government of Ghana’s interventions in supporting its local pharmaceutical manufacturers. The ‘Ghana Model’ has proven to be successful in developing a very healthy local industry which has reduced the reliance on imports and the prevalence of counterfeit products in the market. In the mid 1980’s the Ministry of Health in Ghana was very concerned about the proliferation of counterfeit and sub-standard medicines in the country. Their research indicated that these types of medicines were mostly imported into the country. Concurrently, there was pressure on the Government to support local production of essential drugs which was in a nascent stage at that time. The Government set about developing a policy to address the above issues. The Policy The proposed Model is based on the positive impact of the policy interventions adopted by the Government of Ghana in the late 1980s. The so called “Ghana Model” aimed to achieve the following: • Eliminate or reduce the high level of substandard and counterfeit medicines on the market, which were mostly imported into the country; • Grow the local pharmaceutical manufacturing industry and thus reduce the reliance on imports. Key Features of the Policy Price Preference A preferencial margin of 20% for all locally Produced Medicines and medical devices in national tenders Tax Incentives No duties on imports of raw and packing material, pharmaceutical manufacturing related equipment as well as spare parts for this equipment Import Classification Classification of medicines according to the table which shows different approaches to banning and/or taxing the import of medicines Import Classification “Ghana Model” Category Feature Finished product imports banned List of finished products that are NOT allowed to be imported, initial list included 14 products. These were products manufactured by more than one local company with the right quality and in quantities necessary. Finished product imports allowed but taxed A large list of finished products which could be imported but the following taxes need to be paid: Import duty VAT NHI tax Others Total 30% Finished product imports allowed with no tax 10% 12.5% 2.5% 5.0% (VAT no re-claimable) A list of products that can be imported without any tax. These were mostly specialised products that local companies could not produce and had no immediate plans of producing. Policy Impact In the past 20 years since the implementation of the policy, many positive effects have been achieved: • • Significant reduction in the prevalence of sub-standard and counterfeit products ; The share of local products has increased to around 30% of the total medicines used in Ghana (Market Growth); • In 1989 there were only 9 manufacturing companies in Ghana, today there are 25; • Three pharmaceutical companies are listed on the Ghana stock exchange; • • • • • • The pharmaceutical industry currently employs approximately 3800 persons directly; Three Ghanaian companies are in the process of attaining WHO approval; Several of the companies export their products within the West African Region; One Company manufacturers Active Pharmaceutical Ingredients (APIs); Several companies have partnered with multi-nationals to manufacture products and One company manufactures ARVs. Conclusion The success of the Ghana Model can serve as a best practice example and therefore as a justification for the EAC to put in place more preferential policies for local pharmaceutical manufacturers. FEAPM’s Position Through the adoption of the East African Community Regional Pharmaceutical Manufacturing Plan of Action (EACRPMPOA) and the EAC TRIPS Policy, the EAC Partner States have made a significant step towards strengthening and promoting local pharmaceutical production at the EAC level. In order to achieve this, a balanced mix of policy measures regarding procurement, taxation and import should be put into action, including: • 20% price preference for local manufacturers; • Import substitution of key finished products that can be produced locally in the right • Zero tax on all raw materials used in pharmaceutical manufacturing; quality and quantities. In the context of the EAC Common Market, these measures can only bring positive results, if they are developed and enforced in a harmonized and coordinated manner.
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