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BUKO Pharma-Kampagne and HEPS Uganda have scrutinised the business behaviour of the pharma companies Bayer, Boehringer Ingelheim and Baxter in Uganda. The conclusion: The brand manufacturers have no or only little interest in supplying a country without solvent patients with drugs or in getting involved in research there. While Baxter has already given up on the Ugandan market, Boehringer Ingelheim is planning to retreat. Only Bayer carries on selling drugs in Uganda – among them several hormone preparations and contraceptives, some of them of rather dubious benefit. This study presents valid facts and analyses concerning Uganda and raises important questions actors and deciders in development and health policy have to face: For instance, how can you fill gaps in supply while the free market fails? How can you consolidate local production?

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