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Health, Health Care and Pharmacy in India

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Professor of Pharmaceutical and Public Health Policy, ... India has recently re-introduced patents for pharmaceutical products. ... – PowerPoint PPT presentation

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Title: Health, Health Care and Pharmacy in India


1
Health, Health Care and Pharmacy in India
  • David Taylor
  • Professor of Pharmaceutical and Public Health
    Policy,
  • The School of Pharmacy, University of London
  • Introductory presentation for the conference on
  • Health and Biomedical Research in India,
  • Barcelona, November 25th, 2005

The School of Pharmacy, University of London
2
This presentation
  • Introduces some concepts relating to global
    health development and the role of pharmacy and
    pharmaceuticals
  • Offers some information about modern India, and
    pharmacy today
  • Outlines a proposal for enhancing collaboration
    between pharmacists and other health care
    providers in India and the EU, aimed at
    contributing to better (global) public health in
    the future

The School of Pharmacy, University of London
3
Initial points
  • This presentation relates to work still in
    progress
  • It is not based on a neo- colonialistic
    philosophy, or one which fails to understand the
    interests of Europeans who happen to have south
    Asian or other non-Caucasian ethnic backgrounds
  • It is in the first instance suggested that an
    EU/India pharmacy collaborative should be
    established. But initiatives involving nations
    such as Pakistan and the countries of Africa
    ought also to be considered

4
Demographic Transition
DEATHS
BIRTHS
RATE
INCREASE
TIME
The School of Pharmacy, University of London
5
Demographic transition (population increase and
ageing) Epidemiological transition (from acute
infection to chronic potentially disabling
illness) Care transition?
The School of Pharmacy, University of London
6
Dimensions of Care Transition include
  • Increasingly assertive consumerism in health care
  • Decreased social distance between health
    professionals and service users
  • Increased recognition of the role of self care in
    health improvement

The School of Pharmacy, University of London
7
Stages of public health improvement
  • Improving sanitation and water macro
    environmental progress
  • Improving homes and child care micro
    environmental progress
  • Improving lifestyles
  • Understanding genetically mediated risks and
    pathologies, and tailoring biomedical
    interventions to fit the requirements of specific
    phenotypes

The School of Pharmacy, University of London
8
In western Europe pharmaceuticals played only a
very limited role in improving health until the
later stages of demographic and epidemiological
transition. But they are central to care
transition in Europe today, and are of much more
potential importance in all stages of current
emergent economy development
The School of Pharmacy, University of London
9
Challenges for Pharmacy, in Europe and Globally
  • A partial profession, threatened with collective
    redundancy?
  • As dispensing is delegated and mechanised, can
    pharmacists develop a cost effective clinical
    role?
  • As societies change and regulatory strategies
    evolve, can pharmacys professional structures
    move on from the defence of sectional interests
    to the positive pursuit of the (global) publics
    interests in better treatment and better health?

King James 1 granting the British Apothecaries
their first Royal Charter in 1617
The School of Pharmacy, University of London
10
Population growth in India
The School of Pharmacy, University of London
11
Health and ill-health in India
  • Infant mortality rate still ten times the EU
    average
  • Over a third of the annual global total of
    maternal deaths occur within India
  • Infections such as TB and HIV are prevalent
  • Rural health care facilities are often very
    limited
  • Death rates from suicide and violence are notably
    high in young women
  • Overall cancer rates are low, but rising
  • India already has more people with type 2
    diabetes that any other country on earth

The School of Pharmacy, University of London
12
Key points about India and its pharmaceutical
sector
  • Presently, the domestic market is characterised
    by tens of thousands of competing brands
  • Pharmacy is not well established as a health care
    profession in India. Pharmacy graduates
    frequently work in industrial research,
    production and sales settings. Community
    pharmacies are normally staffed by less qualified
    individuals
  • There are opportunities to build on tradition
    approaches such as Ayurvedic medicine, and also
    to improve modern pharmaceutical care in the
    community and hospitals
  • Despite a strong heritage of centralised
    authority India is highly diverse. Its states are
    in widely differing stages of development
  • Indias public spending on health care is low, at
    about 0.9 of GDP ( 600 per capita in exchange
    rate terms)
  • India has recently re-introduced patents for
    pharmaceutical products. This should encourage
    investment. India is already the worlds fourth
    largest volume producer of medicines

The School of Pharmacy, University of London
13
Opportunities for Pharmacy?
  • To improve the health of the Indian public, and
    meet shared moral responsibilities at an
    international level
  • To further develop clinical and public health
    pharmacy in both the EU and India
  • To secure the interests of Europe and India in
    the future of the knowledge based pharmaceutical
    industry

The School of Pharmacy, University of London
14
The Proposal
  • To establish an EU/India pharmacy and medicines
    use collaborative, aimed primarily at sharing
    educational opportunities and promoting the
    development of pharmacy as a fit for purpose
    twenty first century health care profession
  • To fund and build this collaborative in ways
    which help enable Indian and global
    pharmaceutical companies fairly to access
    national and international markets, and invest in
    research that can contribute to improved global
    health

The School of Pharmacy, University of London
15
David.Taylor_at_ulsop.ac.uk
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