| Themes | National Drug Policy | Rational Drug Use | Essential Drugs | Access to Drugs | Procurement | Pricing | Supply Systems | Regulation | Monitoring and Quality Assurance | Counterfeiting, Diversion, Corruption | Role of the Private Sector | Pharmaceutical Research and Development | Pharmaceutical Manufacturing Making a pill is technically easy, but manufacturing a medicine that delivers an active compound in a narrowly defined dose range and within a time that ensures clinical efficiency is much more difficult. Setting up a manufacturing plant that produces drugs according to international quality standards requires significant investment and a highly skilled and specialized workforce. Given the fact that current global manufacturing capacity for drugs is under-utilized and practically all medicines that are easy to make can be purchased at fairly low prices in reasonable quality, local manufacturing should not necessarily be a priority from a drug policy perspective unless there is a solid analysis showing that it makes economic sense. Factors to be considered in such an analysis are: - Size of domestic market
- Availability and price of imported generic drugs
- Availability of skilled managers and workers
- Functioning regulatory framework to ensure market access and quality control
- Costs of inputs (building, equipment, training, labor, utilities, raw materials, taxes etc.)
For further study: US Good Manufacturing Practice regulations – showing the complexity of the issue: http://www.fda.gov/cder/dmpq/index.htm WHO guide on GMP: http://www.who.int/medicines/organization/qsm/activities/qualityassurance/gmp/gmpcover.html
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