Countering Drug Resistance in the Developing World: An Assessment of Incentives Across the Value Chain and Recommendations for Policy Intervention

29 Pages Posted: 27 Jan 2010

Date Written: September 24, 2009

Abstract

The emergence and spread of drug resistance is draining available resources and threatening our ability to treat infectious diseases in developing countries. HIV/AIDS, tuberculosis, malaria, diarrhea, and respiratory tract infections continue to be the leading causes of death in many developing countries, many of which have already been exacerbated by resistance. Countering drug resistance often involves complex tradeoffs between activities such as the development of new products; ensuring treatment heterogeneity; and guaranteeing quality and ensuring systemic availability, affordability, compliance, adherence and rational use of drugs and diagnostics. A careful understanding of all the players involved in the resistance problem and their incentives to engage in activities that counter drug resistance is crucial for policymakers and resource managers in a range of institutions and agencies. This paper presents results gathered through quasi-structured interviews to understand these incentives and develop recommendations to better align them with resistance-countering activities.

Keywords: drug resistance, developing countries, incentives, supply chains, drugs, diagnostics, HIV/AIDS, tuberculosis, malaria, treatment

Suggested Citation

Yadav, Prashant, Countering Drug Resistance in the Developing World: An Assessment of Incentives Across the Value Chain and Recommendations for Policy Intervention (September 24, 2009). Center for Global Development Working Paper No. 183, Available at SSRN: https://ssrn.com/abstract=1479669 or http://dx.doi.org/10.2139/ssrn.1479669

Prashant Yadav (Contact Author)

Harvard Medical School ( email )

25 Shattuck St
Boston, MA 02115
United States

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