A/HRC/29/44
improve vaccination delivery including with regard to thermostability, presentation and
packaging, combinations, safety and efficiency. Timely, transparent and accurate market
information for manufacturers and States was essential to its work to promote sustainable
access to vaccines for all.
45.
Nana Boohene, Procurement and Supply Specialist, Global Fund to Fight AIDS,
Tuberculosis and Malaria, and Hye-Young Lim, Human Rights Adviser at the Global Fund,
presented the Fund’s work to promote access to medicines. A rapidly evolving global
health landscape required innovative approaches to increasing access to essential health
commodities. The Global Fund operated in 140 countries and adaptability was integral to
maximizing its impact. When States reached middle-income status, they lost access to
certain benefits in international assistance and delayed implementation of TRIPs which had
an impact on their ability to procure medicines. The Fund sought to improve access by
underserved populations worldwide by reducing market fragmentation to capitalize on
collective negotiating power including through the use of electronic marketplaces and
exchanges. Its strategies directly integrated human rights considerations, focused on
procurement for impact, leveraged new technologies for innovation and supply chain
management, and promoted market access and continuity of supply. The Fund sought to
increase investment in programmes that addressed human rights barriers to accessing health
services and withdraw support from programmes that infringed upon human rights.
46.
Rohit Malpani, Access to Medicines Campaign Director of Policy and Analysis,
Médecins Sans Frontières, described the Access Campaign, which responded to doctors’
frustration regarding the availability, affordability and suitability of medicines. It sought to
address basic market failures of the patent system, under which research and development
costs were to be recouped through monopolies leading to high-priced products. There was
no incentive for research and development for the poor nor for expanding their access. The
Campaign called for delinking product prices from research and development costs. Its 3P
project, “push, pull, pool”, aimed to combine push funding, pull funding and the pooling of
intellectual property rights to promote innovative research and development for new,
effective tuberculosis drug regimens and affordable access to quality medicines for all. In
multidrug-resistant tuberculosis, the 3P project incentivized collaborative, early-stage
research through patent pooling and pull and push funding. By securing public funding for
prizes and clinical trials, ensuring an open and collaborative model, it promoted the
collaborative development of drug regimens through patent pooling. The Campaign was
seeking to promote a model of research and development that delinked its cost from the
final product price and ensured that research and development for tuberculosis was carried
out in a manner that delivered effective, short-course, affordable tuberculosis regimens
for all.
47.
Lena Kähler, Researcher, Human Rights and Development, Danish Institute for
Human Rights, a national human rights institution mandated to promote and protect human
rights in Denmark and abroad, introduced the Institute’s efforts to develop indicators for
accessibility, availability, acceptability and quality in the context of the right to health. The
lack of consensus on the interpretation of economic, social and cultural rights constituted an
obstacle to its work. By developing a generally applicable toolbox on right to health
indicators, it hoped to promote realization of the right to health locally and globally. The
Institute had identified as core obligations the availability of essential medicines,
prevention, treatment and control of epidemic and endemic diseases, immunization against
major infectious diseases, and reproductive, maternal and child health care.
48.
During the discussion, there were interventions from representatives of Brazil, Chile,
the China Medical Association, the Colombian Commission of Jurists, Third World
Network, Universities Allied for Essential Medicines, as well as from Dr. Sengupta,
Dr. Mohamed and Dr. Meguid. Some speakers described efforts to impede production of
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