Medicines for those who need them most: How are pharmaceutical companies doing?


A health centre pharmacy in Bungoma county, Kenya (photo: Tugela Ridley/Save the Children)
A health centre pharmacy in Bungoma county, Kenya (photo: Tugela Ridley/Save the Children)

On Monday, the 2014 Access to Medicines Index (ATMI) was released – an independent ranking of pharmaceutical companies’ efforts to improve access to medicine in developing countries.

Some good news…

This is the fourth edition of the ATMI, which has been published every two years since 2008. There’s plenty of encouraging news: .

…and some bad

There are, however, some critical areas in which the industry continues to lag behind:

A spur for change

So while it’s certainly important to acknowledge where pharmaceutical companies are improving access to medicines, the findings should also be a spur for other stakeholders to push companies to do more in those areas where they aren’t. Save the Children’s goal in partnering with GSK is to do just that. We hope that by working with the company in a dynamic and new way we’ll help transform its business to guarantee that:

  • development of child-friendly formulations is a core commitment
  • medicines and vaccines prices are not a barrier to access for the most vulnerable and marginalised
  • health-systems are strengthened to ensure those medicines and vaccines are delivered in a timely and appropriate manner to communities in need.

One way we hope to encourage this is by pushing for companies to develop, expand and improve on equitable pricing policies in a way that really gets to the heart of problems of medicines and vaccines affordability. The ATMI indicates that companies only consider affordability for a third of their products.

I’ll have more to say on this later, but briefly, if companies start making medicines and vaccines prices and policies more transparent, focus much more on in-country equity and make sure that all the stakeholders have input into the process, they’ll begin to make real in-roads.

Not forgetting governments

All this talk about pharmaceutical companies doesn’t mean governments have no role. Countries must do all they can to make sure that medicines and vaccines affordable, particularly for the most vulnerable and marginalised. This may mean making use of intellectual property flexibilities to increase competition in medicines and vaccines markets, joining with other countries to enter into bulk procurement agreements or even promoting new systems of R&D that ‘delink’ the costs associated with R&D from the price of medicines and vaccines themselves.

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  • Simon Wright

    It is interesting that GSK is the top for the fourth consecutive time (I think this is every time the Index has been published, isn’t it?). The Index seems pretty robust and independent. It is therefore fair to say that GSK is leading the pack in initiatives and attempts to make a business which is less driven by profit at any cost and more responsible about its impact on the world. But I know other companies are moving in this direction as well. Is this modern business? It is no longer acceptable for a company to not have concerns for the social impact of its business. If a company wants a sustainable future, it needs to stay on the right side of the debates. This is testament to strong civil society holding them to account.