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Of all medicines consumed across Sub-Saharan Africa, only 20-30% are produced locally. While this number varies somewhat across regions, it demonstrates a fundamental challenge to regional and national health systems: the inability of local pharmaceutical manufacturers to satisfy a greater share of local medicine demand paired with complete dependence on imports for APIs present challenges around commodity security (e.g. shortages caused by broken supply chains), and presence of substandard and counterfeits products in the market.

 

According to UNCTAD and the WHO, many developing countries need help to build their capacity to produce essential medical products, whether they are vaccines, antibiotics, or personal protective equipment. APIFA is working with local manufacturers to develop that capacity by providing access to affordable financing and providing technical support for their expansion plans both upstream and downstream as well as in diversification of their product portfolios.

Being an unaffiliated non-profit, APIFA serves as an objective platform that can accommodate all investors, work with Donors and Governments, and objective broker partnerships with various providers – from equipment suppliers to DFIs and other capital providers.

 

Active Pharmaceutical Ingredients (APIs) are the actual drugs that are then formulated into tablets, liquids, capsules or injections. Access to quality, affordable APIs is thus critical to functioning health systems anywhere. Yet despite their centrality in the pharmaceutical value chain, the manufacturing of APIs is largely concentrated in two markets: India and China. The usual argument justifying this dynamic is that labour and other cost advantages place manufactures in China and India in a position that manufactures elsewhere cannot compete with.  While this argument might hold true for developed countries in Europe and North America, it may not hold for sub-Sahara Africa. Thus, there is both a compelling commercial and a strong policy case to develop API manufacturing capacity on the continent.

The policy case, in particular, has been well developed: that the dependence of local pharmaceutical manufacturers on two main supply nodes causes significant challenges and may threaten the supply of critical ingredients, particularly for manufacturers and markets in sub-Sahara Africa that tend to be the first ones to be impacted when global supply tightens.

Despite the desire by policymakers to diversify API supply chains and an appetite by manufacturers in sub-Saharan Africa to explore expansion into the API market, no meaningful progress in establishing manufacturing capacity on the continent (outside of South Africa) has been made. Manufacturers are disincentivized by the cost of capital, lack of technology and end-market access. Potential capital providers have always questioned whether there was sufficient expertise and capacity in the market to support production. APIFA, as a non-profit manages to break this deadlock by providing a non-commercial platform that provides access to resources and visibility to manufacturers while assuring capital providers of their investments.

Supply disruptions of essential medicines become particularly acute during health emergencies such as in the case of the COVID-19 pandemic where supply of most essential medicines and raw material were significantly hampered. For example, there were reports of acute shortages of family planning commodities and delayed delivery of HIV commodities in Africa (2020) due to supply chain disruptions that could have left vulnerable populations exposed. APIFA and its partners are working to address this challenge by strengthening local manufacturing capacity across the value chain and thus address critical supply shortages that may be occasioned by pandemic emergencies or other factors.

APIFA also works with local manufacturers in developing production capacity for other HPTs such as bulk medical gases, devices, and equipment wherever appropriate.

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