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South Africa Pharmaceuticals and Healthcare Report Q1 2008

Published by: Business Monitor International

Published: Feb. 28, 2008 - 84 Pages


Table of Contents


Executive Summary
South Africa Political SWOT
South Africa Economic SWOT
South Africa Business Environment SWOT
Business Environment Ranking
Pharmaceutical Ratings: Revised Methodology
Ratings Overview
Table: Pharmaceutical Business Environment Indicators
Weighting
Table: Weighting Of Components
South Africa - Business Environment Ranking
Table: Pharmaceutical Business Environment Ratings
Limits To Potential Returns
Risks To Realisation Of Returns
South Africa - Market Summary
Regulatory Regime
Intellectual Property Environment
Counterfeit Activity
Pricing And Reimbursement Issues
Industry Developments
Healthcare Sector
Health Insurance
Epidemiology
Table: Leading Causes Of Disease In Africa, 2002
HIV/AIDS
Tuberculosis
Research And Development Sector
Traditional African Medicine
Pharmaceutical Sector
Table: Top 10 Drugmakers, 2006
Table: PIASA Membership
Table: Results Of South Africa’s HIV/AIDS Drug Tender, March 2005
Foreign Company Developments
Domestic Company Developments
Enaleni
Aspen
Table: Strategic Partnership Between Strides Arcolab And Aspen Pharmacare - Key Facts
Adcock Ingram
Pharmacy sector
Industry Forecast Scenario
Overall Market Forecast
Table: South Africa’s Drug Market Forecast Indicators
Key Growth Factors - Industry
Table: Health Expenditure Indicators
Key Growth Factors - Macroeconomic
Table: South Africa - Economic Activity
Prescription And OTC Market Forecasts
Table: South Africa’s Prescription Drug Market Forecast Indicators (US$mn unless otherwise stated)
Table: South Africa’s OTC Drug Market Forecast Indicators (US$mn unless otherwise stated)
Generics Market Forecast
Table: Generic And Patented Drug Market Forecasts
Export/Import Forecasts
Table: South Africa Export And Import Trade Forecast Indicators (US$mn)
Key Risks To BMI’s Forecast Scenario
Company Monitor
Leading Foreign Companies
GlaxoSmithKline
Sanofi-Aventis
Pfizer
Bayer
Roche
Leading Indigenous Manufacturers
Aspen Pharmacare
Adcock Ingram
Enaleni Pharmaceuticals
BMI Forecast Modelling.82
How We Generate Our Industry Forecasts
Pharmaceutical Industry
Sources


Abstract

South Africa’s US$3.34bn pharmaceutical market continues to display dynamism to match its rapidexpansion. The market should reach US$5.82bn by 2012 representing a CAGR of 11.8%. Rising demandfor pharmaceuticals is expected to be driven by strong economic growth - GDP should itself experience aCAGR of 9.6% over the forecast period - as well as a high infectious disease burden and the growingprevalence of non-communicable diseases.

Despite forecasts of strong increases in drug consumption, we caution that it will be the generics sectorthat sees the greatest expansion as cost containment measures by the government are set to favour thecheapest treatments. Authorities plan to draw up a new National Health Reference Price List for 2008 forhealth costs in the private sector, which will increase transparency. Many in the industry see this as a wayfor the government to exert a downward pressure on pharmaceutical prices. However, observersincreasingly concur that something needs to be done to control the rises seen in private health insurancecosts that are placing it ever further out of reach of the majority of the population.

The face of the local manufacturing industry is changing fast. Enaleni offloaded the bulk of its consumerhealth arm at the beginning of November 2007. Tiger Brands hopes to have its pharmaceutical interestAdcock Ingram sold, or spun off as is currently looking more likely, by March 2008. Meanwhile, SouthAfrica’s largest drugmaker Aspen signed a wide ranging strategic partnership with India’s StridesArcolab in Q408 part of which will see it expand into Latin America through a share in Strides Latina.All three players now have antiretroviral (ARV) ranges after Adcock launched its products in early 2007.Consequently, the government HIV/AIDS drug tender in April 2008 should be hotly contested thistime around.

Anglo-Swedish multinational AstraZeneca sold off its packaging plant in Alrode. AstraZeneca's exit hasbeen on the cards for some time - ever since it started to phase out manufacturing in 2000 - however, wesee the move as stemming from the drugmaker’s own troubles rather than as representing a widersymptom of problems in the market.

For Q108, BMI has overhauled its Business Environment Ratings methodology. The new system ranksSouth Africa’s business environment sixth out of 14 markets surveyed in the Middle East and Africa(MEA) region. South Africa scores strongly due to its large market size in regional terms and favourablegrowth forecast. However, it is held back by slow population growth and an unfavourable regulatoryenvironment when compared with some Middle Eastern markets.


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