WEST AFRICA INSIDE THE THE AFRICAN MARKET. International Business and Investment Forum UN Campus, Bonn, Germany, 1st to 2nd March 2018

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WEST AFRICA INSIDE THE THE AFRICAN MARKET International Business and Investment Forum UN Campus, Bonn, Germany, 1st to 2nd March 2018 Dr. Assane COULIBALY UNIDO Expert

Content 1. Introduction 2. General Overview and Dynamics 3. Market Size 4. Status of the AMRH 5. Trade Harmonization throughout the ECOWAS region (CET) 6. Conclusions 1. What levers / ways to develop this local production? 2

1-Introduction: What are the challenges for the pharmaceutical industry in West Africa? By 2020, ECOWAS must cover more than 50% of its generic needs through its own production. ECOWAS must start to take advantage of: TRIPS flexibilities on intellectual property Patent Pool initiative in the context of public procurement Meet the requirements of social security organizations that promote the prescription of good quality generics medicines, cheaper than the originators. Provide our people with reliable and locally established sources for the supply of drugs. 3

Nearly 60% of drugs purchased in the Gulf of Guinea fall under the falsified quality classification of the World Health Organization (WHO). And the problem of fake medicines does not affect only Africa since 10% of all drugs in circulation in the world are falsified (WHO). Many countries therefore see a need to enhance the capabilities of this industry locally. PMPA, ERPP are very evocative on this subject 4

2-General Overview and Dynamics The West African Region 15 Member Countries* Population: about 350 million. Estimated Pharma size: $5b. 5

The West African Pharmaceutical Manufacturers Association (WAPMA) Regional Association for local medicines manufacturers. Established October 2005. Initially only 2 Member Countries Nigeria Ghana Other Member Countries Côte d Ivoire Cabo-Verde Senegal Togo Benin Mali Guinea Conakry Niger 6

Regional spread of Local Medicines Manufacturers. Benin 1 Cape Verde 1 Côte d Ivoire 5+ Ghana 30+ Guinea 1 Mali 2 Nigeria 120+ Niger 1 Benin 1 Senegal 5 Togo 3 7

3-Market size Regional prospects are very promising, like the growth of the African pharmaceutical market. 8

The African pharmaceutical market doubled between 2006 and 2012, from $ 10.4 billion in 2006 to $ 19.9 billion in 2012. The predicted growth in the global pharmaceutical market between 2012 and 2021 is estimated at 26% (according to PROPARCO's SP & D publication), but the African drug market could increase by 200% according to a realistic assumption, or by 300% according to an optimistic hypothesis within this same period Multinationals will always have a key role, at the innovation level. The ECOWAS region is very attractive and many projects need to be supported 9

4-Status of the AMRH AMRH initiative is ongoing in the ECOWAS Region despite some difficulties Once Regional Harmonization is achieved, products registered in one ECOWAS/WAHO country do not need go through reregistration in another. WAPMA wishes this unique regional visa be granted only to companies that are local manufacturers. This should reduce the regulatory barriers to intraregional trade in pharmaceuticals. One of the eligibility criteria for companies to obtain this regional visa should be their commitment to the GMP Roadmap initiative. 10

4-Trade Harmonization throughout the ECOWAS CET The CET allows States wishing to protect their new industries to adopt special protection measures, including: Import Adjustment Taxes with prohibitive customs duties to discourage imports. Import Prohibitions for a limited list of medicines locally produced. These measures are all provisional and every Member State is free to apply them. Protective measures favor drugs manufactured within ECOWAS TEC grants exemption from customs duties and VAT to finished products and manufacturing inputs 11

5- CONCLUSIONS Action by local authorities: Promote investment (tax exemption, subsidized financing), Request WHO standards for imported medicines Extension of universal coverage Use compulsory licenses, parallel imports for public supply Balancing public health and industrial development interests Action by local players Optimize their industrial management to achieve economies of scale Put in place effective infrastructures Avoid investing in projects that are not innovative or do not bring local added value 12

THANK YOU 13