General Introduction

  • Maurice CassierEmail author
  • Marilena Correa


We posit that an innovation system developed in Brazil’s health industry during the AIDS epidemic, from the 1990s onwards, and based on universal access to treatment, the local production of generic medicines, and public and citizen-based regulation of intellectual property and the markets. This model inspired the World Health Organization (WHO) in the early 2000s and continues to inspire humanitarian organizations such as the Drugs and Neglected Diseases Initiative. It does nevertheless have weaknesses and disparities: there has not been a sufficient increase in public health spending, and the shortcomings of the pharmaceutical raw materials industry are still evident. We posit, however, that the institutions, technological capacities and health democracy underpinning this innovation model are likely to withstand the economic and political crisis, and may even provide resources to overcome it. In December 2017, during a time of stagnant growth in Brazil, the Ministry of Health decided to set up 25 additional Product Development Partnerships to supply the public health system and learn new technologies.


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Copyright information

© The Author(s) 2019

Authors and Affiliations

  1. 1.CNRSVillejuifFrance
  2. 2.Social Medicine InstituteRio de Janeiro State UniversityRio de JaneiroBrazil

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