Briefcase nr 40
Cheaper AIDS drugs

The aim is to have 2 million people on medication by 2008

An agreement to drastically reduce the price of HIV/AIDS drugs has been reached between the Clinton Foundation and drug manufacturers

In an endeavour to make life-saving drugs more widely available to people with AIDS in the developing world, former US president Bill Clinton announced that his foundation has reached an agreement with drug manufacturers on a major reduction in the price of
AIDS medicine. The agreement covers antiretroviral
drugs (ARVs) delivered to people in Africa and the Caribbean, where the Clinton Foundation HIV/AIDS Initiative is working with governments and organisations
to set up country-wide integrated care, treatment and prevention programmes. As an example, under the
Clinton Foundation agreement, the price of a commonly used triple drug therapy combination will be substantially reduced to around 37 cents per person per day
(less than $140 per person per year). Overall, the agreement will reduce the price of drugs in the developing world by one-third to one-half. The Clinton Foundation is also focusing on ways to scale up production of so-called ‘triple drug cocktails’, which can substantially extend the lives of people living with AIDS and help prevent
mother-to-child transmission of HIV.

Clare Short, British secretary of state for international development, said, "…we must complement this
[reduction in HIV/AIDS drug prices] by a combined effort to build basic health systems in developing countries.
We need to be clear, no matter how cheap the drugs,
most poor people will not receive them because there
is no health system that reaches them. This is the priority for the next 10 years if we are to meet the challenge of
the Millennium Development goals." Worldwide
5-6 million people living with AIDS currently need treatment to save their lives. With more than
40 million people infected with HIV that number will rise substantially over the next few years. However, only about 300 000 people in the developing world are receiving ARVs. In sub-Saharan Africa only about 50 000 people are on ARVs out of 4 million in need of the medicine. "The crisis of AIDS in the developing world requires an emergency response from the global community," former president Clinton said. "I applaud these manufacturers for doing
the right thing."

The Clinton Foundation is working closely with the
World Health Organization and UNAIDS on the
‘3 by 5’ programme to scale up AIDS care and treatment
in developing countries. It is also working with other organisations, such as the Global Fund to Fight AIDS, Tuberculosis and Malaria. Through its collaboration with the WHO, UNAIDS and the Global Fund, the foundation hopes to extend the benefits of this program to other countries and organisations that provide treatment in the developing world and that have instituted appropriate safeguards. The drug manufacturers that have signed agreements with the Clinton Foundation include: Aspen Pharmacare Holdings Ltd, of Johannesburg, South Africa; Cipla Ltd, of Mumbai, India; Ranbaxy Laboratories Ltd, of Delhi, India; and
Matrix Laboratories Ltd, of Hyderabad, India. The World Health Organisation and the Medicines Control Council of South Africa (MCC) have certified that ARVs supplied by these companies are of high quality.

"The crisis of AIDS in the developing world requires an emergency response from the global community” - President Clinton.

QUICK ACCESS

Clinton Foundation on reduction of AIDS drugs price

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The Clinton Foundation website

SAHIMS is a project of the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)
Johannesburg, 31 October 2003


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