The pharmaceutical industry, intellectual property rights and access to medicines in Pakistan

The pharmaceutical industry in Pakistan is worth around US$ l.18 billion, with annual growth in 2010 approaching 10 per cent (Khan, 2012). There are more than 650 registered companies, including 31 multinationals, which in 2006 had a market share in value terms of 53.3 per cent, with national firms controlling the remaining 46.7 per cent (IMS Health, 2007). In 2007 medicines worth about US$100 million were exported. Medicines are a vital component of healthcare, and Pakistan spends around three-quarters of its healthcare budget on medicines (WHO, 2004). This chapter provides an overview, from a public health perspective, of the national pharmaceutical market and the development of drug policies and regulation. Pakistan adopted a Trade Related Aspects of Intellectual Property Rights (TRIPS) compliant patent regime in 2000, and the intersection between patents and public health is a central policy challenge. This chapter highlights key issues related to intellectual property, Free Trade Agreements (FTAs), and production and access to medicines.

The development of international mindedness in an Australian primary school

“International mindedness” is a term that appears in the mission statements of a growing number of declared international schools worldwide, yet educational thinkers have found it difficult to define what this is or how to go about fostering it in children of today. This thesis explores teachers’ understandings of international mindedness and the development of international mindedness through a case study of one Australian primary school.

An assessment of empowerment through highly participatory asset-based community development in Myanmar

Asset-based community development (ABCD) is a highly participatory approach to development that seeks to empower communities to draw on tangible and social community assets to manage their own development. The strength of ABCD is its ability to facilitate people imagining their world differently, resulting in action to change their circumstances. Previous research has shown international non-government organisations have found highly participatory, community-led approaches to development to have been particularly effective forms of poverty mitigation and community empowerment within Myanmar, even before the current reforms, which is surprising given the restrictive socio-political context created by authoritarian rule by a regime with an international reputation for human rights violations. 

This paper documents ABCD programs within Myanmar, one of the poorest countries in Asia suffering major underdevelopment and ranking poorly across a wide range of socioeconomic indicators. It explores the operation, effectiveness and reasons behind the success of ABCD programs in this environment, and reflects on the role of outsiders in ABCD in the light of underlying theory and this contemporary experience. This research draws largely on recent field interviews and personal experience working in this sector within Myanmar, as well as surveying a number of evaluation reports which have been made publically available.