A/HRC/29/44
particularly when States lacked appropriate national policies, access to affordable and
quality generic medicines and/or financial resources. New, effective treatment for
hepatitis C was largely inaccessible to many patients owing to prohibitive costs. UNITAID
intervened by providing funding to organizations working to demonstrate the impact, costeffectiveness and utility of new treatment and diagnostic tools and to develop the evidence
needed to inform health policy and normative guidance. It also helped to improve the
affordability of new commodities, often by leveraging its purchasing power to negotiate
with manufacturers for the supply of quality-assured health products at lower prices or by
enabling generic, low-cost production of medicines.
56.
Hans Rietveld, Director, Market Access and Capacity-Building, Malaria Initiative,
Novartis Pharma AG, introduced the Novartis Malaria Initiative. The latter had been
involved in providing low-cost, life-saving treatment for malaria patients, a disease which
had been taking the life of one child every 60 seconds for the past 15 years. It pursued
multiple strategies to combat malaria including research and development of new treatment
options, capacity-building, improving access and provision of treatment. Since 2001, the
Initiative had delivered more than 700 million treatments without profit to 65 malaria
endemic countries. It had developed paediatric tablets that were dissolvable in liquid for
babies and children and an improved formulation for adults. The Power of One campaign
treated one child for every dollar raised. Its partnership with the fund-raising organization
Malaria No More had rallied public support and funds for 3 million malaria treatments in
Zambia. The Initiative sought simple and innovative solutions to complex problems. For
example, it had utilized mobile phones to monitor drug supplies in Africa and head off
stock-outs, and published and distributed education materials on malaria prevention and
treatment. However, much remained to be done including on development of new treatment
for drug-resistant malaria and on strengthening health systems.
57.
During the interactive dialogue, the following took the floor: representatives of
Brazil, Indonesia, the International Association for Hospice and Palliative Care, New
Generation Ishaka, Safe Observer International, Rencontre Africaine pour la défense des
droits de l’homme, Third World Network, Universities Allied for Essential Medicines;
Drs. Sengupta, Bermudez, Schiavon and Zhang; Ms. Forman. Many speakers called for a
rights-based health paradigm to replace market-oriented solutions, and related actions from
the Human Rights Council. They recommended increasing attention to the medical needs of
children, corporate responsibility, equitable access to medicines, and reduction of
regulatory barriers to access, including TRIPs and TRIPs-plus provisions, research and
development of treatments for neglected tropical diseases, access to pain medication, and
the use of tariffs to safeguard local manufacturing capacity. Several speakers called on
States to promote access without discrimination, to put people first, and to refrain from
exerting political pressure to increase patent protections at the expense of access to
medicines. They called on the Secretariat to issue strong recommendations on intellectual
property rights, regulatory measures, and equal access to health care and sexual and
reproductive health. Reiterating that access to medicines was a matter of life and death,
they demanded that States and the private sector take immediate action to remove barriers
to access to medicines.
58.
In response, Mr. Rietveld clarified that he spoke for the Novartis Malaria Initiative,
and not Novartis as a whole. The Initiative worked because the non-profit business model
and the scale of the problem had allowed Novartis and partners to combine their approaches
into a sustainable effort to promote access to life-saving medicines. Ms. Ramoul urged
governments, health-care professionals, activists and industry to avoid finger-pointing and
instead collaborate to promote access to medicines. Mr. de Felice explained the
methodology of the Access to Medicine Index and suggested additional research into
neglected tropical diseases. He supported initiatives to promote sharing and enhanced
access to intellectual property like the Medicines Patent Pool. Citing positive impacts of the
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