Managing Pharmaceuticals in International Health

  • Stuart C. Anderson
  • Reinhard Huss
  • Robert S. Summers
  • Karin A. Wiedenmayer

Table of contents

  1. Front Matter
    Pages i-xix
  2. Karin Wiedenmayer
    Pages 53-69
  3. Stuart Anderson
    Pages 71-85
  4. Rob Summers
    Pages 87-104
  5. Reinhard Huss, Stuart Anderson
    Pages 105-124
  6. Rob Summers
    Pages 125-140
  7. Karin Wiedenmayer
    Pages 141-152
  8. Reinhard Huss
    Pages 175-189
  9. Reinhard Huss
    Pages 191-205
  10. Stuart Anderson, Karin Wiedenmayer
    Pages 207-221
  11. Stuart Anderson, Rob Summers
    Pages 223-236
  12. Back Matter
    Pages 237-256

About this book


"One third of the world's population lack effective access to quality assured essential medicines used rationally". When WHO first made this statement fifteen years ago, there was general concern that medical miracles such as antibiotics, antiparasitic medicines, vaccines and anal­ gesics would not be available to many people. Today, the proportion of those lack­ ing access is lower in Asia and Latin America and higher in Africa but there are probably about two billion people in this situation. This book describes the many problems involved, and then puts together possible solutions based on country expe­ riences in a comprehensive and coherent manner. Many people lack access to essential medicines because they and their countries are poor, and because of inefficiencies in their health systems. We know that in low and middle income countries between 25 and 40 per cent of health expenditure is on medicines, and that most of that expenditure is out of pocket. Often this amounts to less than US $ 2 per head per year! In contrast, high income countries spend only 8 to 15 per cent of health expenditure on medicines, and this is mostly paid for by health insurance or social security funds. High income country expen­ diture may be over US $ 400 per person per year! So managing the scanty resources available in low income countries becomes all the more important.


Europe International Health Pharmaceutical Policy Public Health World Health Organization assessment

Authors and affiliations

  • Stuart C. Anderson
    • 1
  • Reinhard Huss
    • 2
  • Robert S. Summers
    • 3
  • Karin A. Wiedenmayer
    • 4
  1. 1.Department of Public Health and PolicyLondon School of hygiene and Tropical MedicineLondonUK
  2. 2.Department of Tropical Hygiene and Public HealthRuprecht-Karls-University of HeidelbergHeidelbergGermany
  3. 3.School of PharmacyMedical University of Southern Africa (MEDUNSA)MedunsaRepublic of South Africa
  4. 4.Swiss Centre for International HealthSwiss Tropical InstituteBaselSwitzerland

Bibliographic information