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Dr Aneek Gupta
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Focus Points
Ghana & Nigeria Macroeconomic Overview
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Focus Points
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Total Pharmaceutical Industry: Market Engineering Measurements, Ghana & Nigeria, 2013
Market Overview
Growth
Market Revenue
$1.63 B
65.9%
Decreasing
r.
34.1%
(2013)
(2013)
OTC Pharmaceutical
Segment Revenue
Stable
Customer Price
Sensitivity
14.0%
(2013)
(2013)
Degree of Technical
Change
Prescription
Pharmaceutical
Segment Revenue
(2018)
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(2013)
$3.12 B
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Market Stage
9
(scale:1 [low] to 10 [High])
6
(scale:1 [low] to 10 [High])
Compound
Annual Growth
Rate
13.9%
(CAGR, 20132018)
Number of
Registered Market
Participants
185
(approximately)
(active market competitors in
2013)
Increasing
Key Segments
2011
1.26
13.5
2014
1.85
13.5
2015
2.09
13.0
2016
2.40
14.8
Ghana
2017
2.73
13.8
2018
3.12
14.3
Branded
Generic
21.6%
25%
44.3%
75%
Nigeria
r.
2013
1.63
14.0
2012
1.43
13.5
20.0
18.0
16.0
14.0
12.0
10.0
8.0
6.0 2.4%
4.0
2.0
0.0
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2010
Revenue
1.11
Growth Rate
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CAGR(2013
(2013 2018)
2018)= =13.9%
13.9%
CAGR
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3.50
3.00
2.50
2.00
1.50
1.00
0.50
0.00
Revenue ($ Billion)
Key Trends
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OTC
34.1%
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Ghana is expected to witness higher growth than Nigeria because of increased NHIS
coverage and well-defined regulatory guidelines.
Total Pharmaceutical Industry: Per Cent Revenue Forecast by Region, Ghana & Nigeria, 2010
2018
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75.0
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50.0
Ghana
Nigeria
2010
2011
2012
2013
2014
2015
2016
2017
2018
27.3
25.0
26.7
25.0
27.8
28.6
29.2
29.6
29.0
72.7
75.0
73.3
75.0
72.2
71.4
70.8
70.4
71.0
r.
0.0
25.0
Revenue (%)
100.0
Year
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OTC
34.7%
Anti-infectives
25.8%
Cardiovascular
11.9%
r.
Others
7.9%
Oncology
3.5%
Diabetes
6.2%
CNS
4.4%
Respiratory
5.6%
14%
Fast
Growing
Fast
Growing
4%
2%
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6%
Continuous burden of
anti-infectives is
expected to contribute
to significantly high
growth of this
segment throughout
the forecast period.
Anti-infectives
Cardiovascular
Increasing awareness
of mental conditions
and efforts to protect
mental health of
people are expected
to drive growth in the
long-term.
Fast
Growing
This is the fastest
growing segment.
Early diagnosis,
coupled with
increasing
awareness, is
expected to fuel
the growth of this
segment.
Declining
r.
8%
Fast
Growing
CAGR
10%
Growing
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12%
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Diabetes
Respiratory
CNS
Oncology
Source: Frost & Sullivan
Drivers
Weak
distribution
systems
Restraints
Weak
regulatory
policies
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Increased
healthcare
spending
Pharmaceutical
spending in Africa
to reach $35 billion
by 2018
Implementation of
NHIS to improve
access and
availability of drugs
FDI in Africa
expected to double
by 2016
Increasing
adoption of
western
lifestyle
NCDs to
constitute 21%
by 2030
Steep rise in
chronic drugs to
essential
medicines ratio
Largest reservoir of
malaria, TB and
AIDS
Recent outbreak of
Ebola virus
Increased public
health coverage
(90%)
Expanded program
on immunization
(EPI)
Increasing
incidence
of NCDs
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Continuous
burden of
infectious
diseases
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Inadequate
number of
pharmacies
and private
clinics
Counterfeit
drugs and
illegitimate
drug trading
Drug registration
process time consuming
and open to corruption
Absence of structured
pricing system poses
challenge to public
sector
Private sector
challenged by high outof pocket spending
Poor
diagnosis
and patient
awareness
Poor knowledge
of diagnostic
procedures
Patients
skeptical about
use of modern
medicines
Lack of trained
doctors and
nurses
Source: Frost & Sullivan
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Key Takeaway: Engaging in strategic partnerships with local distributors is crucial for effective product distribution
in Ghana and Nigeria.
Total Pharmaceutical Industry: Procurement Process, Ghana & Nigeria, 2013
Local Manufacturers
Branded
Companies
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Distributors
Direct Sales
Manufacturer
Representatives
Generic Companies
Teaching hospitals,
private hospitals, clinics,
pharmacies, and chemical
sellers
End User
Distributors
Local
manufacturers
28.8%
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pharmaceutical companies.
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Branded
companies
34.5%
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Importers
36.7%
r.
manufacturers
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Competitive
Pricing
Loyalty
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Brand
Recognition/
Good product
quality
r.
Key Success
Factors
Marketing
Strategies
Wellestablished
distribution
network
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Prescription
71.2%
r.
Branded
28.9%
Generic
71.1%
OTC
28.8%
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Ghana
has
approximately
55
registered
pharmaceutical manufacturers producing finished
dose formulations.
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Locally
manufactured
34.0%
Imported
66.0%
50.6%
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Generic
Branded
OTC
Traditionally
largest
segment comprising half
the market
Key suppliers include
importers from India and
China
Local
manufacturers
produce drugs for PEDs
Cent
percent
NHIS
coverage major growth
driver
Generic companies likely
to win tenders in public
sector, particularly in
diabetes
and
cardiovascular segments
Expected
to
witness
highest
growth,
representing almost 60%
by 2018
r.
20.6%
28.8%
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r.
Tertiary
level
(Central
authorities)
Secondary level
(District and regional)
Primary level
(Community and rural areas)
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Ghana
National Malarial Control
Program
o TB drugs Ghana National TB
Program and WHO
o NTD drugs Ghana MOH and
WHO
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Donations
Shopping
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procured
publically
via
ICB/NCB
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Drugs
Private Sector
are
Highly
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vast majority
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thousands
of
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with
intermediaries involved
chaotic
Distribution
particularly
Artemesinin-
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48.0%
0%
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Local manufacturers producing drugs for malaria, TB and HIV export to other parts of West Africa.
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Large-scale manufacturers compelled to produce under capacity as the local pharmaceutical market is primarily
focused on the OTC non-essential products.
Local pharmaceutical industry strives to address PEDs and control population morbidity.
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Supply of medicines for PEDs through TGF funding and ICB procedure is as follows:
ARVs heavily dependent on Indian suppliers
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Besides traditional oral and topical formulations, Ghana also has local capacity for the production of parenteral
fluids (Intravenous Infusions Limited and San Bao Company Limited).
Vaccines and injectables imported mostly through ICB/ NCB as well as drug donations
Increasing investment by MNCs and Indian companies in local pharmaceutical production
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Rank
Branded Companies
Local Manufacturers
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4
5
Generic Companies
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Other
Noticeable
Participants
Novartis, Jansen-Cilag
Danadams Pharmaceuticals
Ltd., La Gray Chemical
Company
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Threats
Weaknesses
Opportunities
Strengths
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OTC
39.4%
Generic
62.9%
Branded
37.1%
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Prescription
60.6%
r.
Locally
manufactured
30.0%
Imported
70.0%
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38.1%
22.5%
Smaller as compared to
Ghana as consumers are
price-sensitive
70% of generics imported
while
30%
produced
locally
Anti-infectives,
cardiovascular
and
diabetes
are
key
therapeutic segments
Expected to witness high
growth CAGR 14.6%
Generics
Branded
OTC
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39.4%
Tertiary
healthcare
under Federal
Government
Secondary healthcare
controlled by the
State MOH
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Procurement (NCPP)
evaluating
tenders,
companies.
while
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Private Sector
own
distribution
channels
to
supply
medicines
Drugs are traded in unregistered and
another in Abhuja.
pharmacists
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improve distribution
country
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Distribution
A predominant hub of counterfeit drugs 17% of essential generic drugs and 30% of
anti-malarials are routinely faked
NAFDAC strives to tackle this problem
through radio frequency identification (RFID)
technology for logistics and tagging to detect
fake medicines
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Pharmaceutical Industry: Public Sector Drug ProcurementMega Distribution Company Consensus Model, Nigeria, 2013
FACTORY/EXPORT
Regional Hub
North
Wholesalers
Wholesalers
Retailers Clinics
Retailers Clinics
Hospitals
Hospitals
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Regional Hub
SE
Regional Hub
SW
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Mega Distribution
r.
Wholesalers
Retailers Clinics
Hospitals
Regional Hubs
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42.0%
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Local industry meets 30% of demand while 70% is imported from India and China
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Local manufacturers produce tablets, capsules, ointments, liquid preparations, creams, lotions, and ophthalmic
preparations
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Fluctuations in capacity demand are attributed to low purchasing power within the population and the irregular
government purchase of drugs and delayed payments
Drugs locally produced in Nigeria represent as much as 60% of the pharmaceutical production in the ECOWAS
region.
In 2010, 6 Nigerian companies gained WHO pre-qualification for supply of ARVs, anti-malarials and anti-TB drugs
Ban imposed by Nigerian FMoH on the import of certain essential medicines to attain self-sufficiency and
reduce parallel trade
Revised ECOWAS tariff structure for import of drugs: essential medicines, industry machinery and equipment 0% tariff; raw materials and other capital goods 5% tariff; intermediates 10%; finished goods 20% tariff;
finished products with adequate local capacity 50% tariff
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Rank
Branded Companies
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Generic Companies
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Local Manufacturers
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AstraZeneca, Jansen-Cilag,
Eli Lilly
Other
Noticeable
Participants
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Threats
Weaknesses
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Opportunities
Strengths
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Pharmaceutical Industry: Key Mergers, Acquisitions & Partnerships, Ghana & Nigeria, 2012 - 2014
Imperial Logistics
Worldwide
Commercial Ventures
Limited (WWCV)
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Value: Undisclosed
Year of Deal: February 2014
Key Reason:
Imperial Health Sciences, the
Life Sciences division of Imperial
Logistics, a leading distribution
company in South Africa, bought
53% stake in WWCV.
By this deal, Imperial Logistics is
expected to leverage the wellestablished supply chain network
of WWCV in Nigeria, thereby
pioneering into the healthcare
space.
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Adcock Ingram
Cosme Farma
Sanofi aventis
Medreich
Value: Undisclosed
Year of Deal: May 2012
Key Reason:
Sanofi Aventis acquired
Medreichs portfolio of
branded generics in SubSaharan Africa
Med Reich being the leading
generic pharmaceutical
company, Sanofi has managed
to significantly increase its
market shares in the generic
pharmaceuticals segment by
this acquisition.
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Engage in strategic
Addressing
Technical Training of
partnerships with loopholes in supply
distributors and
trustworthy local chain and distribution
retailers
stakeholders
channels
Pharmacists
influence choice of
customers and
brand image
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Training of
physicians and
nurses
Corporate Social
Responsibility (CSR)
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Thanks
Dr Aneek Gupta