Académique Documents
Professionnel Documents
Culture Documents
PREFACE
The project pharmaceutical in rural market give a i!ea that although over "#$ o% the population live in rural area onl& '"$ o% pharmaceutical ale are in tho e area ( A large ection o% In!ia) rural population *ith a ri ing level o% !i po a+le income that i hitherto uncovere! +& mo!ern me!icine *ill eventuall& come un!er the am+it o% healthcare program an! *ill create a %re h !eman! %or pro!uct !irecte! to*ar! in%ectiou !i ea e ( The project con i t te,t an! ca e *ith In!ian conte,t an! eparate chapter have +een !evote! to emerging pharmaceutical companie gro*th in rural area an! variou trategie u e! +& pharmaceutical companie in rural area to tappe! the rural market(
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METHODOLOGY
In or!er to reali.e the tu!& the o+jective a con i!era+l& volume o% +oth primar& an! econ!ar& !ata i nee!e!( It ha +een there%ore %oun! nece ar& to vi it an o%%ice *hich help poor people %or there me!ical treatment( Primar& /ata ha +een collecte! through a vi it to an o%%ice *hich help poor people %or there me!ical treatment an! help me to gather relevant !ata( 0econ!ar& /ata the in%ormation regar!ing the rural market ha +een !ra*n %rom variou pu+li he! ource ( The !ata relating to pharmaceutical compan& ha +een collecte! %rom compan& recor! ( Thi tu!& i nece aril& +a e! on the limite! kno*le!ge an! little
practical e,po ure the con traint o% re ource an! time have %urther impo e! limit to the tu!& +oun!arie (
PHARMACEUTICAL IN RURAL MARKET Project 0hakti3 *hich i not onl& helping their compan& attain ome revenue +ut al o helping the poor *omen o% the village to attain ome mone& *hich i urel& going to increa e their purcha ing po*er( Al o thi *ill increa e their +ran! lo&alt& a *ell a recognition in that area( 0imilarl& *e can think o% the ITC E4Chaupal3 *hich i helping the poor %armer get all the in%ormation a+out the *eather a *ell a the market price o% the %oo! grain the& are pro!ucing( In other vie* the e activitie are al o helping the companie increa e their +ran! value( 0o a it i given a+ove the igni%icance o% the rural market ha increa e! !ue to the aturation o% the ur+an market a *ell a in uch con!ition the compan& *hich *ill lea! the *a& *ill +e +ene%ite! a ho*n +& the ucce o% HUL an! ITC initiative (
intere t in rural In!ia are HLL3 Marico in!u trie 3 Colgate 8 Palmolive an! >ritannia In!u trie ( "# $ o% In!ia? population live in ;'"### village in rural area ( @# $ o% the Population i concentrate! in village *ith a than '###3 *ith Agriculture +eing the main +u ine ( Thi population o% le
impl& ho* the great potentialit& rural In!ia Ha to +ring the much4nee!e! volume an! help the <MC= companie to +ank upon the Aolume 8!riven gro*th( Thi +ring a +oon in !i gui e %or the <MC= Compan& *ho ha alrea!& reache! the plateau o% their +u ine curve in ur+an In!ia( A per the National Council %or Applie! Economic Re earch 9NCAER: tu!&3 there area man& )mi!!le income an! a+ove) hou ehol! in the rural area a there are in the ur+an area ( There are almo t t*ice a man& )lo*er mi!!le income) hou ehol! in rural Area a in the ur+an area ( At the highe t income level there are '(1 million ur+an Hou ehol! a again t -(; million hou ehol! in rural area ( Accor!ing to the NCAER projection 3 the num+er o% mi!!le an! high4income Hou ehol! in rural In!ia i e,pecte! to gro* %rom B# million to --- million +& '##"( In Ur+an In!ia3 the ame i e,pecte! to gro* %rom 2; million to 5@ million( Thu 3 the A+ olute i.e o% rural In!ia i e,pecte! to +e !ou+le that o% ur+an In!ia(
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PHARMACEUTICAL IN RURAL MARKET communication3 the me!ical health care3 the culture an! e!ucation entertainment an! the hou ing rapi!l& ri e (At the ame time3 the countr& i!e inha+itant) con umer i!ea an! the con umer cu tom are changing3 the cit& an! countr& i!e inha+itant +ecome rational an! mature3 *ith con umer i!ea al o !eveloping %rom el%4 accumulation to the appropriate con umption an! cre!it con umption( Cith enhancement o% inha+itant con umption level an! pee!ing up o% li%e rh&thm3 countr& i!e inha+itant) ervice con uming !eman! gro* rapi!l&( The concrete mani%estations are: 9-: The inhabitants domestic electric appliances renewal step speeds up. The family appliance o% comparativel& high technolog&3 high 6ualit& an! lo* price 9color%ul televi ion3 *a her3 air con!itioning an! o on: can +e %oun! in the common %amilie 3 *hich +ecome the hot pot o% con umption in pre ent tage( 9': The health care disbursement rises increasingly. Along with the increase of the inhabitant living standard, they also pay more attention to their own health, health health care care consciousness strengthen increasingly,
disbursement also correspondingly increasing. 91: The transportation communication e pends is fast growing. Along with !uick change of the transportation infrastructure countryside construction, inhabitant have the travel conditions of remarkable improvement"
#oreover, along with the populari$ation of countryside fi ed telephone and mobile phone, the countryside communication enterprise also obtains the opportunity of the swift development.
PHARMACEUTICAL IN RURAL MARKET 9%& The rural consumer market is progressing toward 'normali$ation(, which has presented 'the buyer market 'characteristics )ith the advent of the information age and the rapid development of the rural communications, the rural consumer market is moving toward 'information(. According to the survey investigations, in recent years, for the fi ed telephone, mobile phone, T* channels, networks and other modern communication facilities in rural areas, the coverage population is rapidly villages increasing: with fi ed +n phones ,--., have /hina's already administrative
reached more than 012, the radio and television network nearly covered all the administrative villages. Ce can ee that the rural market) in%ormation channel i +eing gra!uall& unimpe!e!3 the in%ormation tran mi ion pee! i al o gra!uall& pee!ing up3 in certain countr& i!e3 and its information propagation velocity already corresponds to city market. At present, the rural market is nearly the same as the city market. /ommodity is various, and the source of goods is abundant. 3early all the daily necessities, the manufactured item for daily use, the durable consumable and so on, the farmers all can nearby buy. Along with further enhancement of the income, compared with the traditional big city, the rural market has relatively high scale of new 'latest wealthy community'. This community is younger than the traditional wealthy community, which is more thoughtful and more open. To some degree, in the rural market, the supply and demand relation has presented the buyer market characteristics.
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*ill +e mainl& an e,ten ion o% ur+an market an! *ill eventuall& em+race the pro!uct an! +ran! li%e t&le o% the latter3 upporte! +& higher !i po a+le income 3 aggre ive retail promotion an! a!verti ing(
come into +eing an! make uni6ue !eman! on ho* the pro!uct i !e igne! an! ho* the +ran! i po itione! an! promote!( =reater the trategic attention to the e uni6ue !eman! 3 a ure greater the chance o% pro!uct) rural market( ucce in the
interpolation o% current penetration level an! ale volume an! that even %ringe pre ence or limite! acceptance o% li%e t&le con umer pro!uct in rural market *oul! tran late into %uture market potential to +e tappe!(
The Re !"ty:
in!ication o% market potential( It actuall& *oul! onl& re ult in higher inci!ence o% +ran! an! pro!uct mortalit& a more %irm tr& to choke tho e egment *ith competing +ran! ( Rural market !&namic in tea! !eman! u taine! e%%ort at +ran! +uil!ing an! pro!uct acceptance(
Myth No $:
homogenou
matri, o% attitu!e 3 value an! purcha ing +ehavior acro *hat ma& +e terme! Eone i.e %it allE approach(
region lea!ing to
PHARMACEUTICAL IN RURAL MARKET lan! o*ner hip ma& till +e the major !eci!ing %actor accounting %or ocial !i%%erentiation3 the& !o not &iel! reciprocal cohort +ehavioral pattern 3 *ith re pect to con umption pattern 3 purcha ing !eci ion an! prioritie o% pro!uct o*ner hip(
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PHARMACEUTICAL IN RURAL MARKET inha+itant) income level i till ver& lo*3 the countr& inha+itant con umption
till take thri%t& a primar& matter( C hen purcha e pro!uct3 the pro!uct price i the mo t important con i!eration %actor to the countr& inha+itant( There%ore3 *hen entering the market3 the enterpri e houl! con i!er a!opting lo* price3 although the hort4term +ene%it i lo*er3 once ei.e the market3 the countr& i!e huge con ume potential *ill +e a+le to +ring the long4term high pro%it to the enterpri e( In +rie%3 *hen the enterpri e !evelop the rural market3 fi ing a product price is a very essential problem. They must considers the countryside consumer characteristics, and measures the enterprise6s own benefit, competitor and market demand and so on, finally fi es the most reasonable product price.
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PHARMACEUTICAL IN RURAL MARKET traditional selling personnel is too high. #oreover the result is very poor. Therefore the selling personnel are not suitable for the development of the rural market.
+roa!( <or e,ampleF the enterpri e ma& +ru h the pro!uct a!verti ement logan on the pea ant hou ehol!) *all3 cau e it ever&*here o+viou l&3 through thi la tingl&3 repeate!l& an! latent marketing mean 3 the countr& i!e con umer all accept the marketing in%ormation regar!le o% active or pa ive( Here *hat mu t +e pai! attention to i the choice o% a!verti ement content mu t have pointed moreover must be melt with the countryside social culture environment, the difference between the advertisement slogan and the acceptable scope of the country inhabitant cannot be too large. The advertisement must put the emphasis on the topic which the farmer pays attention, lets the country consumer think this kind of product is essential to their life.
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PHARMACEUTICAL IN RURAL MARKET aroun!3 con e6uentl& the in%ormation i e,tremel& open3 an! the oral ol! an&
!i emination i the main !i emination *a&( There%ore3 i% ome ha 6uantitie o% people to purcha e or tick3 then %orm the goo!(
goo! thing on cre!it3 it *ill prea! ver& 6uickl&3 an! it can lea! the large
*+e ,-.to/e* 0 .e
Cith a total population o% more than "5# million3 an! covering aroun! @5$ o% the countr&3 rural area have a huge cu tomer +a e( Although !ue to the increa e in ur+ani.ation3 the rural population a a percentage o% the countr&) total population i e,pecte! to %all3 +ut in a+ olute term 3 it continue to compri e a large pool o% cu tomer an! i e timate! to touch @## million +& '#'#( #. I1,*e
There have +een everal %actor that have re ulte! in an increa e in income level in the la t %e* &ear ( Accor!ing to e timate 3 the percentage o% hou ehol! earning le than U0/- *a a high a @;$ in -@B53 *hich i
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PHARMACEUTICAL IN RURAL MARKET e timate! to come !o*n to '@$ +& '#'5( 0imilarl&3 the percentage o% hou ehol! earning *ithin U0/' to U0/5 i e,pecte! to increa e %rom -$ in -@B5 to '#$ +& '#'5( Let) look at ome %actor that *ill re ult in increa e! purcha ing po*er in rural In!ia(
' I1,*e
%oo! grain pro!uction 9'1# million tone %or <G#B: an! the increa e in M0P in the la t couple o% &ear have increa e! purcha ing po*er in rural an! emi4ur+an area o% the countr&( <or e,ample3 thi ha re ulte! in an a!!itional income o% INR ;3### per acre per crop c&cle %or pa!!&( 0'N
emplo&ment to nearl& 25 million rural %amilie 9mainl& lan!le la+ourer : that live +elo* the povert& line( The cheme guarantee -## !a& o% emplo&ment 9in a %inancial &ear: to ever& hou ehol! tho e volunteer to participate( It ha re ulte! in a ri e in minimum *age in man& tate 3 *ith the average *age ri e +eing aroun! 1'$( ,' S"5th
emplo&ee *ho +ene%ite! %rom the 0i,th Pa& Commi ion live in ECE an! uncla i%ie! citie ( Un!er the pa& commi ion3 the average alar& ha +een increa e! +& '- $3 *hich entail an a!!itional government e,pen!iture o% INR B# +illion ever& &ear in a!!ition to a one4time pa&ment o% arrear %or 'H &ear 3 *hich i e timate! at INR -B# +illion( 2'F
agricultural loan to the e,tent o% -##$ %or aroun! 1# million mall an! marginal %armer an! '5$ %or other %armer ( The e %armer al o +ecame eligi+le %or %re h agricultural loan ( The total co t to the government %or the e *aiver i e timate! to +e INR "'# +illion(
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cre!it upport to %armer in rural area ( Currentl&3 there are "' million enrolment un!er KCC in rural area D urpri ingl&3 thi e6ual the num+er o% cre!it car! u er in ur+an area ( I Cooperative ocietie have +een the tra!itional ource o% %inance in rural area ( The e ocietie have a mem+er hip o% over -'# million rural people( 7ver he la t %e* &ear 3 che!ule! commercial +ank have al o e,pan!e! their net*ork 3 *hich currentl& tan! at --31;" o%%ice in rural area ( I <rom an automotive compan&) per pective3 the 7EM have trie! to leverage e,i ting %inancial in titution in the e area ( The num+er o% tie4 up *ith local +ank an! N><C ha igni%icantl& increa e! over the la t %e* &ear ( Currentl&3 the hare o% %inancing +& N><C account %or '#$ o% the total num+er o% vehicle %inance!( %. I17*
.t*-,t-*e 2e3e!o4/e1t
In%ra tructural !evelopment in In!ia) rural +elt ha gaine! momentum in recent &ear an! i the ke& to narro* the ur+an4rural !ivi!e in the countr&( Currentl&3 ;#$ o% the village are connecte! *ith roa! net*ork ( A a part o% the Eleventh <ive Gear Plan3 the government plan to con truct -1#3### kilometer o% ne* rural roa! an! ha earmarke! aroun! 1#$ o% the total pu+lic inve tment %or rural in%ra tructure !evelopment( The Pra!han Mantri =ram 0a!ak Gojana 9PM=0G: aim to connect all village *ith a population o% 5## an! a+ove 9'5# in the ca e o% hill& an! !e ert area : *ith
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PHARMACEUTICAL IN RURAL MARKET all4*eather roa! ( The target i to con truct -2;3### kilometer o% rural roa! an! upgra!e another -@;3### kilometer ( Telecom penetration i a %air repre entation o% in%ra tructure a!vancement( It ha increa e! igni%icantl& in rural area in the la t !eca!e *ith the e market contri+uting over "#$ to the total gro*th in the countr&) u+ cri+er +a e( In coming &ear 3 inve tment in rural telecom in%ra tructure are e,pecte! to re ult in More than '5# million u+ cri+er +& <G-5(
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PHARMACEUTICAL INDUSTRY
PHARMACEUTICAL INDUSTRY
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PHARMACEUTICAL IN RURAL MARKET The pharmaceutical in!u tr& i con tantl& +eing challenge! to meet the ri ing tan!ar! o% 6ualit& an! to compl& *ith rigorou international compliance 0ar+ane an i olate! regulator& a%et& re6uirement ( Regulator& re6uirement inclu!e </A an! reporting man!ate 3 !rug tan!ar! 3 an! cro 4in!u tr& re6uirement uch a the Act( 7,le& tipulate! +& la*
Compliance i evolving %rom !epartmental initiative to an enterpri e level Ri k Management challenge( In%o 0trength o%%er an integrate! olution %or ucce %ull& meeting regulator& re6uirement *hile imultaneou l& lo*ering a ociate! co t that can other*i e +e u+ tantial( In%o 0trength? 0mart Enterpri e 0uite i +eing u e! in the li%e cience in!u tr& %or upporting ke& proce e an! re6uirement %or compliance at variou tage (
Inve tigational /rug Application 9IN/: an! Ne* /rug Application 9N/A: +a e! on the !ata an! !ocumentation provi!e! %or !rug a%et& an! e%%icac&3 ri k management3 compliance i ue %or clinical3 la+orator&3 manu%acturing proce!ure ( In%o 0trength? 0mart Enterpri e 0uite allo* cu tomer to re!uce their !evelopment ri k an! accelerate approval c&cle +& ena+ling them to manage their RJ/ proce e an! commerciali.ation project 3 capture an! track potential a%et& i ue 3 a e i!enti%& potential 6ualit& i ue ( ri k an! implement corrective action 3 an!
D*-+ M 1-7 ,t-*"1+: '-C<R Part '-# an! '-- !e%ine the
(((minimum current goo! manu%acturing practice %or metho! to +e u e! in3 an! the %acilitie or control to +e u e! %or3 the manu%acture3 proce ing3 packing3 or hol!ing o% a !rug to a ure that uch !rug meet the re6uirement o% the act a to a%et&3 an! ha the i!entit& an! trength an! meet the 6ualit& an! purit& characteri tic that it purport or i repre ente! to po e an!
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PHARMACEUTICAL IN RURAL MARKET %ailure to compl&3 hall +e u+ject to regulator& action( In%o 0trength? 0mart Enterpri e 0uite re!uce non4compliance ri k +& creating a tran parent environment %or proactivel& i!enti%&ing3 tracking an! re olving 6ualit& i ue (
R".9 M 1 +e/e1t:
In%o 0trength?
provi!e an integrate! an! %le,i+le %rame*ork %or !ocumenting an! a e ing ri k 3 !e%ining control 3 managing au!it 3 i!enti%&ing i ue an! implementing recommen!ation an! reme!iation plan ( Pharmaceutical Challenge <or a Pharmaceutical Compan& !eveloping a !rug3 the ultimate goal i to en ure the a%et&3 relia+ilit&3 an! high 6ualit& o% the pro!uct( To achieve thi goal3 the compan& mu t a!!re man& challenge 3 inclu!ingF
I1e77","e1t Sy.te/.:
%acilitie t&picall& have in!epen!ent3 h&+ri! & tem an! even paper4+a e! & tem in place( In the long term3 ho*ever3 the e & tem are ine%%icient3 re6uiring tremen!ou !i cu man4hour in term o% routing 07P an! other !ocumentation3 o+taining approval an! ignature 3 %ace4to4%ace meeting to change 3 an! manual earch an! retrieval o% !ocument !uring </A in pection ( In%o trength 0mart Enterpri e 0uite i !e igne! to incorporate the *hole compan& at the enterpri e level3 *hile maintaining each !ivi ion? in!epen!ent *ork%lo*(
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PHARMACEUTICAL IN RURAL MARKET !rug manu%acture an! technolog&( It rank ver& high in the thir! *orl!3 in term o% technolog&3 6ualit& an! range o% me!icine manu%acture!( <rom imple hea!ache pill to ophi ticate! anti+iotic an! comple, car!iac compoun! 3 almo t ever& t&pe o% me!icine i no* ma!e in In!ia( The organi.e! ector o% the Pharmaceutical In!u tr& ha pla&e! a ke& role in promoting an! u taining !evelopment in thi vital %iel!( International companie a ociate! *ith thi ector have timulate!3 a i te! an! pearhea!e! thi !&namic !evelopment in the pa t %i%t& three &ear an! helpe! to put In!ia on the pharmaceutical map o% the *orl!( The Pharmaceutical In!u tr& in In!ia provi!e e,cellent %acilitie ( It ha 6ualit& pro!ucer an! man& unit are approve! +& regulator& authoritie in U0A an! UK( It ha a pool o% per onnel *ith high managerial an! technical competence a al o kille! *ork%orce( It track recor! o% !evelopment3 particularl& in the area o% improve! co t4+ene%icial chemical &nthe i %or variou !rug molecule i e,cellent( It provi!e a *i!e variet& o% +ulk !rug an! e,port ophi ticate! +ulk !rug ( The In!ian market ha ome uni6ue a!vantage ( In!ia ha a ;1 &ear ol! Pro%e ional
!emocrac&( It ha an e!ucate! *ork %orce an! Engli h i commonl& u e!( It ha a oli! legal %rame*ork an! trong %inancial market ( in!u tr& an! +u ine communit&( ervice are ea il& availa+le( There i alrea!& an e ta+li he! international It ha a goo! net*ork o% *orl!4cla e!ucational in titution an! e ta+li he! trength in In%ormation Technolog&( The countr& i no* committe! to a %ree market econom& an! glo+ali.ation( A+ove all3 it ha a "# million mi!!le cla gro*ing( market3 *hich i continuou l&
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PHARMACEUTICAL IN RURAL MARKET The pharmaceutical in!u tr& in In!ia i poi e! to gro* to U0K25 +illion +& '#-5( The gro*th *ill emerge %rom RJ/ ervice 3 e,port o% +ulk !rug an! generic 3 increa e! ale in therapeutic area relating to *omen) an! chil!ren) !i ea e an! +etter penetration into the market( <or the %ir t time in man& &ear the international pharmaceutical in!u tr& i %in!ing great opportunitie in In!ia( The proce in!u tr& ha o% con oli!ation *hich ha +ecome a generali.e! phenomenon in the *orl! pharmaceutical tarte! taking place in In!ia( The Pharmaceutical In!u tr&3 *ith it rich cienti%ic talent an! re earch capa+ilitie 3 upporte! +& Intellectual Propert& Protection regime3 i *ell et to mark it place a a 0unri e In!u tr&(
0R(N7
Compan&
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=la,o4Cellcome Cipla Ran+a,& Hoech t Marion Rou el 0un Pharma L&!u Ca!ila Knoll Pharma Cockhar!t4Merin! P%i.er Nichola Piramal
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!eveloping countrie ( The pharmaceutical market in In!ia i e timate! at U0 K ;(B +illion in '#-#( It account %or B$ in term o% volume o% *orl! pro!uction an!-(-$ in term o% value( =lo+all& it rank 2th in volume term an! -1th in value( The market i highl& %ragmente! *ith more than '#3### manu%acturer ( Ho*ever3 onl& '5# o% them are in the organi.e! ector repre enting "#$ o% the pro!uction( The market i inten el& competitive( The market hare o% the top ranking compan& i 5("$( Mo t o% the Multi4National Companie 9MNC? : operate in In!iaD +ut onl& 2 %igure in the top -#( The top -# pharmaceutical companie together cover aroun! 1-$ o% the total market( 0ome +a ic characteri tic o% the In!ian Pharmaceutical In!u tr& areF
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PHARMACEUTICAL IN RURAL MARKET 0uita+l& aggre ive in the North3 appealing to emotion in the Ea t3 to logic in the 0outh an! to the intellect in the Ce tM Thi a+ilit& to tailor approache to uit cu tomer trait an! p &che i an a+ilit& that can +e e%%ectivel& leverage! in international marketing
in%ra tructure *ill pre!icate u taina+le economic !evelopment i recogni.e! +& economi t an! +ureaucrat alike3 &et the e inve tment have +een !ela&e! %ar too long an! *ill oon +egin to mani%e t an! +ur!en the nation *ith high ocial an! economic co t (
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! 2".e .e 4 tte*1:
=ro*th o% population in In!ian u+4continent an! other !eveloping A ian countrie *ith imilar !i ea e pattern an! purcha ing po*er coul! provi!e opportunitie %or In!ian pharmaceutical in!u tr& to %ocu %actor in thi on !eveloping molecule in the e market ( 0ucce e%%ectivel&( egment *oul!
The / *9et %or alternative me!icine in I12" i e timate! at U0K"1# million an! the government3 recogni.ing the contri+ution o% the e & tem 3 ha e ta+li he! a eparate !epartment to encourage tan!ar!i.ation in manu%acturing an! packing metho! an! 6ualit& improvement( 0ome MNC? have !emon trate! intere t in RJ/ o% her+al !rug an! are eeking joint venture *ith In!ian companie (
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In '#-#4--3 In!ia e,porte! !rug *orth U0K"(' +illion in to the U0 an! Europe %ollo*e! +& Central an! Ea tern Europe3 A%rica an! Latin America(
The In!ian vaccine market *hich *a *orth U0K;;5 million in '#-#4 -- i gro*ing at a rate o% more than '#$
The retail pharmaceutical market in In!ia i e,pecte! to cro -1 +illion +& '#-5(
U0K -'4
inve tment to the tune o% U0K -(21 +illion %rom April '### to
DRUGS LA(S
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PHARMACEUTICAL IN RURAL MARKET At pre ent the %ollo*ing Act an! Rule ma!e there un!er that govern the manu%acture3 ale3 import3 e,port an! clinical re earch o% !rug an! co metic in In!ia(
The /rug an! Co metic Act3 -@2#( The o+ject o% thi Act i to regulate the import3 manu%acture3 !i tri+ution an! ale o% !rug (
The Pharmac& Act3 -@2B( The aim o% thi la* i to regulate the pro%e ion o% Pharmac& in In!ia(
The /rug an! Magic Reme!ie 97+jectiona+le A!verti ement: Act3 -@52 Thi Act i meant to control the A!verti ement regar!ing !rug ( It prohi+it the a!verti ing o% reme!ie allege! to po e matter connecte! there*ith( magic 6ualitie an! to provi!e %or
The
Narcotic
/rug
an!
P &chotropic
0u+ tance
Act3
-@B5
Thi i an Act to con oli!ate an! amen! the la* relating to Narcotic /rug 3 to make tringent provi ion %or the control an! regulation o% operation relating to Narcotic /rug an!(
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PHARMACEUTICAL IN RURAL MARKET Although over "#$ o% the population live in rural area onl& '#$ o% pharmaceutical ale are in tho e area ( A large ection o% In!ia) rural population *ith a ri ing level o% !i po a+le income that i hitherto uncovere! +& mo!ern me!icine *ill eventuall& come un!er the am+it o% healthcare program an! *ill create a %re h !eman! %or pro!uct !irecte! to*ar! in%ectiou !i ea e (
Hence3 the greate t market potential e,i t in In!ia) interior an! rural market *here the gro*th rate i e timate! at '5$ per &ear( Currentl& the reach o% allopathic me!icine in rural area i onl& ';$( The reach i poor !ue to non4availa+ilit&3 ina!e6uac& an! un!erutili.ation o% me!ical %acilitie in village ( 7nce the in%ra tructure 9+oth ph& ical 4 roa! 3 communication an! health 4 ho pital 3 primar& health center : improve a it mu t3 rural market %or me!icine *ill open up( Aroun! "## million people3 or "#$ o% In!ia? population3 live in ;3 '"3### village in rural area ( @#$ o% the rural population i concentrate! in village *ith a population o% le than '###( 7% thi a large percentage o% village !o not even have the %acilit& o% roa! or rail tran port an! have to travel mile on motorc&cle O cooter 3 +ic&cle or +ullock cart to reach the neare t progre ive village %or meeting their +a ic nece itie ( Cherea the tate government J N=7 have ma!e e%%ort to*ar! provi!ing %e* o% the e +a ic nece itie it i the <MC=? like HLL3 Ai!eocon3 Hero Hon!a J E cort *ho have trie! to provi!e e ential pro!uct %or +etter
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PHARMACEUTICAL IN RURAL MARKET living con!ition to thi !eprive! cla the proce through their rural marketing e%%ort ( In
*ell a pro!uct penetration in to the rural p &che3 la&ing the %oun!ation o% a long4term +ene%it to the e companie ( Ho*ever3 there ha +een a con picuou a+ ence in thi !irection +& the Pharmaceutical Companie 3 *ho are uppo e!l& the health provi!er o% the nation( It *oul!3 o% cour e +e un%air3 not to mention the pioneering e%%ort o% a %e* Large pharma hou e in thi !irection e(g( =la,o0mithKline3 /a+ur an! Alkem etc( *ith varia+le ucce e ( The rea on %or thi pathetic lack o% intere t are man&3 the non4e,i tence o% !i tri+ution channel 3 retail outlet or %or that matter even 6uali%ie! !octor *ho are prepare! to !o &eoman? o*n a *ell a their %amilie ? com%ort an! intere t ( In a!!ition to the e %actor one coul! perhap al o a!! that majorit& o% the +ig companie have more than -### ale per onnel3 +a e! at virtuall& ever& /i trict Hea! Puarter o% the tate 3 *ho uch travel to virtuall& all rail tran portation i availa+le an! hence there i ervice to their countr&men3 living in !eep interior o% the countr&3 +& acri%icing their
interior market *here roa! or cope to make the pro!uct o% their companie availa+le in the e interior market ( Un!er tan!a+l& the e companie !o not perceive an& nee! %or %urther penetration into more remote village (
11
There are everal national an! international pharmaceutical companie that operate in rural In!ia( Mo t o% the countr&) re6uirement %or pharmaceutical pro!uct are met +& the e companie ( 0ome them +rie%l& !e cri+e! +elo*F o% are
the +igge t
compan& in In!ia( The compan& i ranke! manu%acturing %acilitie in ho*e! a pro%it o% R --;(;
at the Bth po ition among the glo+al generic pharmaceutical companie an! ha pre ence in 2B countrie inclu!ing *orl! cla La+oratorie '##@4'#-# P1 Net Pro%it Re ult crore a compare! to R corre pon!ing perio! la t %i cal( -# countrie an! erve to cu tomer %rom over -'5 countrie ( Ran+a,& 1@2(5 crore !e%icit 3 recor!e! !uring the
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*i!e range o% Pharmaceutical +oth in In!ia an! a+roa!( The compan& ha ;# active pharmaceutical ingre!ient to manu%acture !rug 3 critical care pro!uct 3 !iagno tic kit an! +iotechnolog& pro!uct ( The compan& ha ; </A plant that pro!uce active pharma ingre!ient an! " </A in pecte! an! I07 @##an! I07 -2##- certi%ie! plant ( /r( Re!!&) P- <G-# re ult ho* the revenue o% the compan& at R ( -B3-B@ million *hich i up +& '-$( /uring thi 6uarter the compan& intro!uce! '2 ne* generic pro!uct 3 applie! %or '' ne* generic pro!uct regi tration an! %ile! 2 /M< (
12
C"4!
manu%acture o% lo* co t anti AI/0 !rug ( The compan&) pro!uct range compri e o% anthelmintic 3 oncolog&3 anti4+acterial3 car!iova cular !rug 3 anti+iotic 3 nutritional upplement 3 anti4ulcerant 3 anti4a thmatic other ervice an! cortico teroi! ( Cipla al o o%%er like 6ualit& control3
engineering3 project apprai al3 plant uppl&3 con ulting3 commi ioning an! kno*4ho* tran %er3 upport( <or the %inancial &ear '##B4#@ the compan& regi tere! an increa e o% ''$ in ale an! other income over the previou &ear(
&%'
N",ho! . P"* / !
the
healthcare compan& in In!ia( The +ran! manu%acture! +& the compan& inclu!e =ar!enal3 I mo3 0temetil3 Rejoint3 0upra!&n3 Phen e!&l an! Haemaccel( Nichola Piramal ha entere! into join venture an! alliance *ith everal international corporation like Chei i3 Ital&D IAAQ CorpD UK3 <( Ho%%mann4La Roche Lt!(3 Allergan Inc(3 U0A etc( &<'
G! 5o S/"th9!"1e &GSK'
re pirator&3 oncolog&3 vaccine 3 anti4in%ective an! ga tro4inte tinalOmeta+olic pro!uct among other ( 7n Novem+er '##@3 the </A ha! announce! that the H-N- vaccine manu%acture! +& =0K *oul! join the li t o% the %our vaccine approve!(
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@y2-. C 2"!
pharmaceutical compan& locate! in =ujarat( The compan&) -P<G'#-# re ult ho* the net ale at R BB#(1cr *hich i higher than the e timate! R ""1cr( The net pro%it *a R -'2(Bcr *hich *a increa e o% 1@$D the increa e *a on account o% higher ale in rural area
15
Co/4 1y Total Market Cipla Ran+a,& =la,o 0mithkline Piramal Healthcare L&!u Ca!ila
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1B
inci!ental to re earch carrie! out i!e RJ/ %acilit& in In!ia or in an& %oreign countr&3 *ithin the am+it o% *eighte! !e!uction(
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Control 7r!er 9/PC7: place re triction on the en! elling price( E6uall& create a rever e pre ure +& un!ervaluation o% importe! API O </< ( There i a clear ca e to +eing in harmon& in tran %er pricing3 cu tom an! /PC7 regulation ( 7ther i ue *hich pharma compan&? %ace i compari on o% price o% innovatorO re earch oriente! companie *ith generic companie *ithout taking cogni.ance o% 6ualit& an! e%%icac&( Thi nee! to a!!re cau e igni%icant har! hip %or innovator companie *ho pen! igni%icant co t on re earch( There i an imme!iate the e i ue a *ell( Al o3 *hile it i propo e! that A!vance Pricing Agreement 9APA : an! a%e har+or rule *oul! +e intro!uce!3 it nee! to +e e,pe!ite!(
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PHARMACEUTICAL IN RURAL MARKET coul! con i!er rationali.ing the !ut& tructure +& making it at par *ith !ut& on %inal output( Another !eman! ha +een to increa e the a+atement limit allo*e! %or computation o% e,ci e !ut& on me!icament 3 %rom 15 to 25 percent( <urther3 in!u tr& ha me!icine acro ought rationali.ation o% Aalue A!!e! Ta, 9AAT: on tate *ith peci%ic e,emption o% li%e aving !rug an! li%e
aving me!ical !evice ( In a nut hell3 *hile the glo+al !evelopment have le! to e,citing opportunitie %or In!ian pharma in!u tr&3 it i once again in earch o% upport %rom the =overnment to tap the ame( 7n the other han!3 the =overnment i making progre ervice in +ringing t*o major ta, re%orm 3 i(e( !irect ta, co!e3 an! goo! an! ta,D the& carr& an un!erl&ing agen!a o% +ringing ta, re%orm 3
impli%ication o% proce!ure an! minimi.ation o% ta, incentive ( =iven that the =overnment inten! to implement the e legi lation in the near %uture3 it appear that it ma& not +ring in an& major change in thi +u!get(
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PHARMACEUTICAL IN RURAL MARKET p &che o% the rural con umer an! then act accor!ingl&( To e%%ectivel& tap the rural market a +ran! mu t a ociate it el% *ith the thing that the rural %olk are %amiliar *ith( Per onal contact *ith the rural cu tomer not onl& %acilitate un!er tan!ing o% the rural min! et +ut al o %acilitate e%%ective ale promotion(
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PHARMACEUTICAL IN RURAL MARKET 9-: The me age remain at the ite %or a con i!era+le !uration o% time %or the me age to percolate !eep into the min! o% the +ehol!er( Mutilate! po ter 3 *all painting are replace! at the earlie t opportunit&( 9': The ale people maintain regular contact *ith the village %olk through per onal meeting 3 to clari%& an& lingering !ou+t or provi!e a!!itional in%ormation( 91: The me age i imple an! hence ea il& perceiva+le +& the rural cu tomer (
92: The communication o% the me age i mainl& through pictorial !epiction rather than through cop& matter( 95: The concerne! !octor !oe clo e %ollo* up o% the treatment initiate! an! change the me!icine or mo!i%& the !o age che!ule( The other channel o% ale promotion coul! +e the circulation o% Ai!eoca ette on u+ject o% intere t to the village %olk3 along *ith pro!uct me age 3 through =rampancha&at or the cooperative tore %or communit& vie*ing an! u+ e6uent !i cu ion *ith the concerne! ale per onnel or !octor( Chat ha to +e recogni.e! i that there i much more that nee! to +e !one to ervice the rural market ( The ke& i ue that nee! to +e a!!re e! are not onl& availa+ilit& an! a*arene +ut al o the more !i%%icult i ue o% overcoming prevalent attitu!e an! ha+it ( Changing ha+it an! attitu!e are !i%%icult3 to a& the lea t3 o the re ult take long to come( 7ne mu t keep on !ogge!l& *ithout letting up in the mi!!le an! the *eetne o% ucce *ill eventuall& +e reli he!(
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PHARMACEUTICAL IN RURAL MARKET Pharmaceutical companie have long courte! In!ian !octor *ith gi%t an! junket ( The me!ical repre entative o% pharma companie approach the e !octor *ith uch varie! gi%t %rom ke&4chain an! pen4hol!er to air4 con!itioner an! colour televi ion ( Pharma companie al o hol! regular regional meeting %or !octor *here the& are invite! along *ith their %amilie to ta& in hotel an! enjo& vacation at the compan&? co t( Man& companie al o take the e !octor on tour a+roa! o a to !evelop goo! relation *ith them an! al o to make them pre cri+e the compan&? !rug ( Thi 3 even though it ma& eem e,pen ive3 i ver& goo! in the long run a it +oo t the ale o% the compan&( A the num+er o% In!ian companie proli%erate! an! their repre entative +egan !e cen!ing on !octor ) o%%ice in !rove 3 the& o%ten *ere given cant time to promote their pro!uct ( 0o the !rug maker +egan pa&ing more attention to pharmaci t ( Incentive to +u& large 6uantitie o% pre cription !rug have +ecome commonplace in In!ia3 *here thou an! o% !rug manu%acturer compete %or hel% pace an! the countr&) hal%4million pharmaci t *iel! an unu ual amount o% clout( In In!ia3 man& patient are too poor or too +u & to ee a !octor an! o%ten rel& on local pharmaci t %or me!ical a!vice( A a re ult3 po*er%ul !rug are routinel&3 an! illegall&3 ol! over the counter(
In the In!ian pharmaceutical a!verti ing3 pharma companie !o not u e televi ion a a mean o% a!verti ing %or mo t o% their !rug other than !rug
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PHARMACEUTICAL IN RURAL MARKET %or cough J col!3 a thma etc( Mo t o% the marketing take place through me!ical repre entative o% the compan& an! al o through incentive cheme ( In the rural area 3 mo t o% the patient are not a*are a+out even the imple t o% me!icine an! rel& olel& on their !octor? a!vice a+out *hich +ran! to +u&( Al o3 man& poorer people go !irectl& to the pharmaci t an! take the me!icine that he recommen! %or curing their ailment ( Hence3 the primar& target %or all marketing activitie 3 e peciall& in rural area 3 are not actuall& the en! u er +ut the !octor an! pharmaci t ince the e are the people *ho can recommen! the me!icine J more importantl&3 +ran! 3 to the rural population( The rural population al o relie heavil& on a&urve!ic3 unani an! other uch alternative cure ( Hence3 multinational companie are either entering the e market or tr&ing to *oo the rural population a*a& %rom it(
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Lorno%en( The e innovative *a& gave Lomo%en the no( - po ition in anti4 !iarrhea market( There i a a&ing that B#$ o% the +u ine o% the cu tomer ( There%ore3 retaining a cu tomer i ea ier than ac6uiring one3 a ac6uiring cu tomer re6uire e,pen!iture( Thi i a novel approach *hich Pharmaceutical companie can a!opt a it can give e,tra mileage(
o7
.o," !
/ *9et"1+
*o-te
7o*
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PHARMACEUTICAL IN RURAL MARKET Thi i &et another avenue that can +e taken up to +oo t the ale o% the cu tomer ( The Hepatiti !etection campaign3 H&perten ion !etection camp are *ell kno*n in thi !irection( It not onl& help in !etecting %re h ca e +ut al o help in increa ing ale ( 0ample are given to the cu tomer %or ome !a& 3 *hich are %ollo*e! +& the cu tomer un!er upervi ion o% their me!ical /octor ( Thi help to improve the +u ine the ne* cu tomer ( Cricket i a pa ion in In!ia( Recentl& 0un Pharmaceutical ha! a uni6ue *a& on calling ENT peciali t %or the cricket match along *ith their %amil& mem+er ( Thi generate! an intere t among the /octor lea!ing to 6uick re pon e %or the pro!uct )Relie% 4 an anti4col! preparation( Thi i a novelt& compare! to other like partie 3 cocktail 3 !inner etc( No !ou+t3 to!a& ocial marketing i again getting importance +ecau e /octor to!a& are not intere te! in partie Ococktail !ue to large no ( o% companie going %or the ame( There%ore3 there i no innovation in that re pect( in the long term( The ucce o% /aonil an! La i, can +e attri+ute! al o to thi innovative campaign in tapping
2B
PHARMACEUTICAL IN RURAL MARKET narrate! thi ( Ho*ever3 thi in relation hip( imple techni6ue help to !evelop a ne* hori.on
To!a& rural market i emerging a %a t potential egment( 0tockie t role i ver& important in thi egment(
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There are even trategicall& locate! me!ical tore organi.ation 3 *hich uppl& to government ho pital an! !i pen arie in rural an! u+ur+an area ( The e organi.ation procure goo! !irectl& %rom companie +& inviting ten!er o a to keep the co t lo*( =overnment ho pital an! in titution al o invite ten!er ( 0ome private in titution al o go in %or ten!er *hile the majorit& negotiate *ith companie to !i count tockie t an! chemi t margin in a!!ition to +ulk purcha e !i count (
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RURAL MODELS
There i nee! %or innovative rural mo!el having concurrence *ith the health mini tr& *hich *oul! i!eall& act a a no!al agenc& %acilitating the e%%ort o% variou +o!ie like N=7 3 the /i trict or Taluka level IMA +o!ie an! roping in the goo! o%%ice an! el!er ( o% gram pancha&at village Perhap
it i time %or a rethink o% the entire concept o% PHC ( A tart coul! +e ma!e atlea t +& !elinking them %rom !rug procurement a mo t are !e%unct %or *ant o% me!icine ( The ne* mo!el ha to +e *orke! out ve ting private initiative an! partner hip in !rug !i tri+ution an! !i pen ation( Revive an! put li%e into the PHC *ith minimal clinical acce orie an! &oung !octor manning them %or a minimum o% t*o &ear man!ator& po ting( The& houl! pre cri+e the e ential me!ication *hich then houl! +e ma!e availa+le at the private &n!icate! outlet like gram pancha&at o%%ice or rural co4operative *here people pa& or get me!icine on +arter %or their pro!uce( It i here that pharmaci t %rom rural or emi rural area can +e gain%ull& emplo&e!( The& *oul! +e more than *illing to go there an! liai e *ith &oung !octor at the PHC 3 +oth o% *ho *ill have a +urning !e ire to rai e health tan!ar! ( 7% cour e3 the nitt&4grittie have to +e *orke! out peci%ic to each region( Pharma companie *ill have to make the %ir t move to provi!e 6ualit& generic at co t3 not charit&(
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51
-(54' per cent hare o% the rural market in the ne,t %ive &ear (Aventi Pharma plan to manu%acture the pro!uct meant %or the rural market through In!ian manu%acturer on a contract +a i to make them co t4e%%ect an! on par *ith the o%%ering price o% companie operating in rural market (Aventi Pharma ha al o i!enti%ie! ome +roa! therapeutic area to +e targete! in the rural marketplace con i!ering the prevalence o% !i ea e pattern in the e area a uch uch a re pirator&3 ga trointe tinal an! nutritional !i ea e ( Currentl&3 the
rural market in In!ia account %or a+out '#$ o% the countr&? R 1;3###4 crore total !rug retail market( A+out t*o4thir! o% In!ia? - +illion plu population live in rural area (Aventi Pharma hope increa ing a*arene a+out healthcare an! ri e in income *ill !rive the gro*th in rural region (0ano%i ha complete! the %ir t pha e o% it rural !octor e!ucational programme UPra&a ? covering 13'## me!ical practitioner in >ihar3 UP an! Ce t >engal( >e i!e Aventi Pharma everal other multinational are charting out trategie to e,ploit the potential opportunitie in In!ia? gro*ing village ( =la,o0mithKline an! A++ott La+oratorie have reporte!l& rampe! up plan to enter the largel& untappe! rural market o% In!ia in a +ig
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PHARMACEUTICAL IN RURAL MARKET *a&(MNC inclu!ing Eli Lill&3 Novo Nor!i k3 an! Novarti are al o chalking out programme to tap the rural cu tomer(Novarti i currentl& targeting village in even tate *ith lo*4price! pro!uct availa+le in a variet& o% package i.e ( The mo!el upplie me!icine to more than -;3### pharmacie ( Novarti al o create a*arene on health i ue u ing au!iovi ual inter%ace through through health a!vi or in village ( Novo Nor!i k prea! a*arene ha +een *orking *ith the 0el%4Emplo&e! Comen?
mo+ile clinic along the village in =oa to creen patient %or !ia+ete ( Lill& A ociation in Ahme!a+a! to e!ucate people on tu+erculo i ( =ro*ing at compoun!e! annual gro*th rate o% nearl& -2$ in the ne,t %e* &ear 3 the In!ian pharmaceutical market i e,pecte! to touch U0/ 2# +illion +& '#-53 pre!icte! a recent report +& the glo+al management con ulting major Mckin e& an! Compan&( In!ian pharma market3 *hich i currentl& value! at U0/ '# +illion3 coul! ee the %igure almo t !ou+le in ne,t 5 &ear majorl& propelle! +& the tea!& gro*th in the !ome tic egment( Relate! tor&F In!ian pharma market ale up !e pite rece ion( The !ome tic market *hich i gro*ing at almo t -# to -2 per cent at pre ent it el% *ill provi!e U0K '# to '2 +illion in '#-5 an! the e,port an! contract manu%acturing +u ine 3 *hich are gro*ing at -# per cent per annum3 *ill contri+ute to achieve the pre!icte! gro*th(
55
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CASE STUDY8 1
A TYPICAL CASE OF A PHARMACIST IN RURAL INDIA IS GIVEN BELO(:
7n a +u & recent 0un!a& a%ternoon at the 0hree 0amarth Me!ical 0tore in the *e tern In!ia agricultural to*n o% /in!uri3 o*ner >apu ahe+ Patil *a openl& elling pre cription !rug *ithout pre cription 3 inclu!ing anti4 an! anti4tu+erculo i !rug ( He u e! a in%lammator& pill 3 ulcer ta+let
note+ook to keep track o% hi regular cu tomer ) %avorite me!icine 3 in ca e the& %orgot the name or remem+ere! onl& the color( Mr( Patil al o !i!n)t !i gui e hi motivation %or recommen!ing certain +ran! ( EThe ultimate !eci ion i +a e! on *hat the margin are3E he ai!( <or %ever F he u uall& recommen!e! a generic ver ion o% the anti+iotic cipro%lo,acinD a recent incentive !eal %rom an In!ian manu%acturer o%%ere! him a '5#$ pro%it margin an! a chance to *in a motorc&cle( Mr( Patil ai! he nee!e! the e,tra pro%it +ecau e man& o% hi cu tomer are poor villager *ho +u& on cre!it an! ometime %ail to pa& up( He ai! he ell vial o% injecta+le me!icine to the area) village !octor ( A in much o% rural In!ia3 %e* o% them have %ormal training in Ce tern me!icine or are even licen e! +& the In!ian government to practice conventional me!icine( Mr( Patil al o let hi cu tomer return an& unu e! pill ( EI tell them to top a%ter a %e* pill i% the& have i!e e%%ect 3E ai! Mr( Patil3 *ho ha a !egree in pharmacolog&( He ai! he *on)t recommen! !rug he +elieve are ha.ar!ou (
5B
Othe* e5 /4!e.:
=la,o0mithKline) 0mithKline >eecham unit an! 0chering A= o% >erlin3 among other 3 recentl& o%%ere! a promotion !u++e! EMega Merchant F 0ell an! Enjo&(E In e,change %or +u&ing three +o,e o% Primolut4N3 a 0chering hormone pre cri+e! %or men trual irregularitie 3 an! everal other !rug 3 a retailer receive! a %ree +o, o% the anti+iotic amo,&cillin3 an! a ticket %or a !ra*ing %or -'2 vacation in =erman&3 Nepal an! everal In!ian !e tination ( Makaran! /e hpan!e3 general manager o% ale an! marketing %or =erman Reme!ie 3 a& the %our4month promotion *a a Emo!erate ucce (E It +oo te! ale o% ome lo*4 elling !rug +& K- million3 *hile the trip co t the compan& onl& a+out K-##3###( He ackno*le!ge that ome o% Primolut4 N) ale in general are over4the4counter3 +ut he a& the promotion *a n)t The multinational companie *hich !o not o%%er uch cheme have to u%%er at the han! o% the po*er%ul pharmaci t a ociation ( Aino! Topa3 !irector o% La+oratorie ale an! marketing %or the In!ian u+ i!iar& o% A++ott a!!le! a& *hen he joine! the compan& in /ecem+er3 it *a aime! at encouraging that(
*ith huge amount o% e,pire! me!icine returne! +& pharmacie that ha! +ought them un!er incentive program +ut %aile! to ell them( He noti%ie! !i tri+utor that there *oul! +e no more +onu plan a%ter Rul& 1-3 +ut he a& pharmacie imme!iatel& re pon!e! +& re!ucing purcha e o% A++ott !rug ( EI am %acing the mu ic no*3E he a& ( A tu!& +& the >om+a& market4re earch %irm Interlink Healthcare Con ultanc& %oun! that all +ut one o% the top '5 !rug companie in In!ia o%%er uch !i counting !eal at lea t once a month(
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CASE STUDY #
The .4-*"o-. 2*-+. /e1 ,e:
A major pro+lem %ace! +& pharmaceutical companie to!a& i the gro*ing menace o% puriou !rug in the market( The !ome tic i in !ol!rum ( The menace o% pharmaceutical in!u tr& i no* pa ing through a cri i ( Alrea!& a+out one4 i,th or R -35## crore *orth o% it +u ine puriou 3 counter%eit an! %ake !rug ha hit it +a!l&( In or!er to tackle the pro+lem hea! on3 nine companie namel& Alem+ic Lt!(3 Ca!ila Healthcare Lt!(3 Cipla Lt!(3 /r Re!!&) La+oratorie Lt!(3 Lupin La+oratorie Lt!(3 Nichola Piramal In!ia Lt!(3 Ran+a,& La+oratorie Lt!(3 0un Pharmaceutical In!u trie Lt!( an! Cockhar!t Lt!( have joine! han! un!er the aegi o% In!ian Pharmaceutical Alliance 9IPA:( 0puriou !rug not onl& hurt companie +& lo o% ale 3 the& al o tarni h image an! reputation o% their +ran! ( The con umer get cheate! a puriou !rug !o not treat the ailment an! there%ore the patient continue to u%%er( In ca e o% critical con!ition3 it coul! even +e li%e threatening( The government too u%%er %rom revenue lo a manu%acturer o% puriou !rug !o not pa& e,ci e !ut&3 ale ta, an! income ta,( Like*i e the tra!e in puriou !rug +eing unaccounte!3 tho e !ealing in them al o !o not pa& ta, thereon(
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VISIT REPORT
I have vi ite! the o%%ice o% All In!ia 7rgani.ation o% chemi t an! !ruggi t at !a!ar on "th octo+er '#-1 an! met Mr(R(0(0HIN/E the pre i!ent o% thi organi.ation( Thi organi.ation provi!e variou !onation an! %ree me!ical treatment to variou poor people *ho u%%er %rom variou !i ea e ( The& organi.e! variou me!ical camp in the rural area an! provi!e them e!ucation relate! to variou !i ea e an! provi!e %ree me!ical treatment( I have a ke! him variou 6ue tion relate! to pharmaceutical in rural area an! accor!ing to him %ollo*ing are the major pro+lem in rural area F i( ii( iii( Lack o% kno*le!ge a+out variou !i ea e !ue to illiterac& Mo t o% the people in rural area are %rom poor %amil& o the& cant a%%or! me!ical treatment( Corruption i the major rea on !ue to *hich variou cheme an! help provi!e! +& the government i not a+le to reach to the poor people( He al o tate! variou olution to the a+ove ai! pro+lem( He ai! that the
rural people houl! take initiative to kno* a+out the variou !i ea e an! houl! take precautionar& mea ure at the earl& tage( He ai! that the pharmaceutical compan& houl! take variou mea ure to improve their ale ( At the en! o% thi report I *oul! like to thank Mr( R(0(0HIN/E pre i!ent o% All In!ia 7rgani.ation o% chemi t an! !ruggi t %or olving m& 6uerie relate! to pharmaceutical in rural area (
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CONCLUSION
The gro*th o% in titutional ale ha! little impact on the acce i+ilit& o% me!icine in rural area ( A large proportion o% the rural population till !oe not have acce to proper me!ication an! the ituation ma& take long to improve( Rural area contri+ute aroun! '-$ to the total pharmaceutical market( In '##;8#"3 the rural pharmaceutical market *a e timate! at aroun! K-(2 +illion( Nearl& "#$ o% In!ia? population live in rural area *here healthcare in%ra tructure i poor( Cith increa ing rural hou ehol! income 3 the rural market i +ecoming more attractive( Accor!ing to e timate +& the Planning Commi ion3 rural hou ehol! no* pen! -'$ o% their income on healthcare(
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BIBLIOGRAPHY
-: RURAL MARKETIN= 4PHILIP K7TLER ': IN/IAN PHARMACEUTICAL A007CIATI7N 4RAMA 0CAMG 1: PHARMA PUL0E
4 KAILA0H 0HARMA
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(IBLIOGRAPHY
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