south africa and aids

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    Submitted by:

    Latika Bhojwani(04)

    Ranu Goyal (14)Jaykishan Joshi(24)Jaydev Maheta (34)Hiren Ranpara (44)

    Priyanka Thakker(54)

    South Africa and the AIDS Epidemic

    Submitted to:

    Prof. Suresh R Lalwani

    When you are willing to make sacrifices for a greatcause, you will never be alone.

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    Introduction

    South Africa has always been in International News but only for the wrong reasons:

    Apartheid

    Economic crisis

    Poverty

    AcquiredImmuno DeficiencySyndromeRatio in 2002 1:9

    Life expectancy below 50 years

    (A nations health is its wealth)

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    Conditions in South Africa

    Unemployment ---------- 26 %

    Inflation in 1991 ----------- 15.3%

    Per capita income ------- $3000 (86th in world)

    AIDS EPIDEMIC

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    World Wide AIDS & HIV Stats

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    PREVENTION IS BETTER THAN CURE

    The slogan has to be revised in the fight against AIDSPrevention is equal to cure

    STAKEHOLDERS involved :

    Society

    Government

    Awareness by NGOs

    PHARMACEUTICAL INDUSTRY

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    Society

    Great stigma attached with AIDS

    In December 1998 on International AIDS day an AIDSactivist declared she was HIV +ive

    The affected people were and are treated as if they are

    a burden to the society and they should no longer existin the society

    They were expelled from even their own family

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    Government

    Slow in addressing the problem

    Gov. was did not provide free distribution of AZT

    And the Gov. played the opposite role:

    Budget for AIDS $17 million in 1999 and unspent $6.2million

    Supported the scientists

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    Pharmaceutical Industry

    Major players:

    Pfizer (USA) ----------- $ 7.3 billion

    Glaxo (USA) ------------ $ 7.8 billion

    SmithKline (UK) ------------ $ 4.4 billion

    Pricing policies:

    Drugs were price insensitive

    R & D:

    Average time 10 to 15 years

    Average Cost -- $ 800 million

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    Social responsibility --- classical view {STOCK HOLDER}

    Commitment to deliver performance

    Focus on diseases prevalent in major markets

    Price discrimination

    Selling costs

    Lobbying {Power & Politics}

    Estimated that the industry spent $167 million during 2000elections in USA

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    WTO and Intellectual Property Rights

    Copyrights for literary & artistic works

    Trademarks

    Patents

    WTOs Agreement on TRIPS:

    Gov. could deny patent protection when:

    Patent holder abused the rights granted by the patent

    Medical emergency

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    BRAZIL and its commitment for AIDS

    In 1996 Brazil passed a law for patent protection

    Encouraged domestic players to produce unlicensed copiesof drugs

    With this move the costs were cut by 80% for double

    therapy and 35% for triple therapy Brazilian President Fernando Cardoso applauded for his

    escalation of commitmenteven when he was underpressure to reduce the commitment

    Gov. negotiations for lower prices for patented drugs

    Merck & Government

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    Pharmaceutical Industrys position

    Intellectual property rights ---- sine qua non

    Compulsory licensing in developing countries

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    Issues related to Drug Pricing in DevelopingNations

    1997, South African passed law to permit compulsorylicensing of essential drugs

    Bristol-Myers Squibb & Merck responded

    US placed South Africa on the 301 watch list

    Criticism against US policy

    < Private welfare instead of Public welfare >

    < Trade Terrorism >

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    Reactions for the Social Cause

    AIDS activists & NGOs {Doctors Without Borders, Act-Up,Health Action international}

    September 1999, step backward

    December 1999, President Clinton adopted flexible

    Summers 2000, Bristol-Myers, Merck & Glaxo made offers

    Public reaction

    Pfizer agreed for pilot project but feared the evilconsequences

    The capitalists should set aside funds for humanitariancause

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    Global Fund

    India & China in the race to face the same results as Africa

    In 2001, UN General Secretary, Kofi Annan, proposed aGlobal Fund to combat AIDS

    In 2002, lawsuit dropped against South African Gov.

    In May 2001, President Bush announced $200 million inseed money for the fund

    Opposition from orthodox countries

    By July 2002, $2 billion pledged by the developed countries

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    Relation with MANAGEMENT

    Management theories are the pathway to resolve anyproblem in a STEP WISE manner

    It may be applied from a Small Scale Enterprise to Nation

    The Stakeholders need to actively participate to combat thisGlobal Terrorism of AIDS which is the worst war on anynation from a disguised enemy

    Society

    Government

    NGOs

    Pharmaceutical Industries

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    Society

    Cultural Transmission

    Social Responsiveness

    Situational leadership

    The Calm Waters Metaphor CHANGE Process

    Awareness more important about the misbelieves regardingthe disease

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    Government

    The initial steps of MANAGEMENT

    Planning

    Organizing

    Leading

    Control

    Types of control: Feed forward the most vital

    Concurrent control

    Feed back

    Strategic Tie-ups

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    Pharmaceutical Industry

    Social responsibility ---- Stakeholder Approach

    Greening of Management --- Stage 2

    Social Entrepreneurship --- Social Responsiveness to Responsibility

    Balanced Scorecard --- Financial Health, Customer Satisfaction, Assets of firm & Growth

    Ethical Organization

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    NGOs

    Role of awareness : Society, Government & Pharma Industry

    Self Motivated

    Indirect Control on stakeholders

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    UNITY AGAINST AIDS

    Thank You