Concentration and drug prices in the retail market for malaria treatment in rural Tanzania
Identifieur interne : 001885 ( Main/Exploration ); précédent : 001884; suivant : 001886Concentration and drug prices in the retail market for malaria treatment in rural Tanzania
Auteurs : Catherine Goodman [Royaume-Uni, Kenya] ; S. Patrick Kachur [États-Unis] ; Salim Abdulla [Tanzanie] ; Peter Bloland [États-Unis] ; Anne Mills [Royaume-Uni]Source :
- Health Economics [ 1057-9230 ] ; 2009-06.
English descriptors
- Teeft :
- Amodiaquine, Antimalarial, Antimalarial prices, Antimalarial sales, Antimalarial tablets, Antimalarial type, Appropriate treatment, Chloroquine, Chloroquine amodiaquine quinine, Combination therapies, Commercial drug stores, Concentration ratio, Copyright, Disease control, Dispensary, Drug prices, Drug shops, Drug store, Drug stores, Drug type, Econ, Facility, General retailers, General shops, General stores, Geographical market, Goodman, Government facilities, Health care, Health centres, Health econ, Health economics, Higher prices, Hospital markets, Ifakara health institute, Important factor, Innovator brands, John wiley sons, Kilombero, London school, Malaria, Malaria treatment, Market concentration, Market shares, Market structure, Median, Median price, Outlet, Outlet survey, Outlet type, Private facilities, Private sales volumes, Private sector, Private sector sales values, Provider, Public health, Quinine, Retail audit, Retail audits, Retail market, Retail sector, Retailer, Rural area, Rural areas, Rural tanzania, Sales data, Sales values, Sample size, Tablet, Tanzania, Tropical medicine, Ulanga, Vertical integration.
Abstract
The impact of market concentration has been little studied in markets for ambulatory care in the developing world, where the retail sector often accounts for a high proportion of treatments. This study begins to address this gap through an analysis of the consumer market for malaria treatment in rural areas of three districts in Tanzania. We developed methods for investigating market definition, sales volumes and concentration, and used these to explore the relationship between antimalarial retail prices and competition. The market was strongly geographically segmented and highly concentrated in terms of antimalarial sales. Antimalarial prices were positively associated with market concentration. High antimalarial prices were likely to be an important factor in the low proportion of care‐seekers obtaining appropriate treatment. Retail sector distribution of subsidised antimalarials has been proposed to increase the coverage of effective treatment, but this analysis indicates that local market power may prevent such subsidies from being passed on to rural customers. Policymakers should consider the potential to maintain lower retail prices by decreasing concentration among antimalarial providers and recommending retail price levels. Copyright © 2009 John Wiley & Sons, Ltd.
Url:
DOI: 10.1002/hec.1473
Affiliations:
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This study begins to address this gap through an analysis of the consumer market for malaria treatment in rural areas of three districts in Tanzania. We developed methods for investigating market definition, sales volumes and concentration, and used these to explore the relationship between antimalarial retail prices and competition. The market was strongly geographically segmented and highly concentrated in terms of antimalarial sales. Antimalarial prices were positively associated with market concentration. High antimalarial prices were likely to be an important factor in the low proportion of care‐seekers obtaining appropriate treatment. Retail sector distribution of subsidised antimalarials has been proposed to increase the coverage of effective treatment, but this analysis indicates that local market power may prevent such subsidies from being passed on to rural customers. Policymakers should consider the potential to maintain lower retail prices by decreasing concentration among antimalarial providers and recommending retail price levels. Copyright © 2009 John Wiley & Sons, Ltd.</div></front></TEI><affiliations><list><country><li>Kenya</li><li>Royaume-Uni</li><li>Tanzanie</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Grand Londres</li><li>Géorgie (États-Unis)</li></region><settlement><li>Londres</li></settlement></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Goodman, Catherine" sort="Goodman, Catherine" uniqKey="Goodman C" first="Catherine" last="Goodman">Catherine Goodman</name></region><name sortKey="Mills, Anne" sort="Mills, Anne" uniqKey="Mills A" first="Anne" last="Mills">Anne Mills</name></country><country name="Kenya"><noRegion><name sortKey="Goodman, Catherine" sort="Goodman, Catherine" uniqKey="Goodman C" first="Catherine" last="Goodman">Catherine Goodman</name></noRegion><name sortKey="Goodman, Catherine" sort="Goodman, Catherine" uniqKey="Goodman C" first="Catherine" last="Goodman">Catherine Goodman</name></country><country name="États-Unis"><region name="Géorgie (États-Unis)"><name sortKey="Kachur, S Patrick" sort="Kachur, S Patrick" uniqKey="Kachur S" first="S. Patrick" last="Kachur">S. Patrick Kachur</name></region><name sortKey="Bloland, Peter" sort="Bloland, Peter" uniqKey="Bloland P" first="Peter" last="Bloland">Peter Bloland</name></country><country name="Tanzanie"><noRegion><name sortKey="Abdulla, Salim" sort="Abdulla, Salim" uniqKey="Abdulla S" first="Salim" last="Abdulla">Salim Abdulla</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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