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ZIMBABWE: Rising costs of medical drugs impacts on poor
IRIN News
October 07, 2003
The cost of
health care in Zimbabwe finally went beyond the reach of most people
this month when medical drug suppliers and pharmacies hiked prices
by more than 1,000 percent, citing an increase by the same margin
in import costs.
Health care
specialists told IRIN the new prices were a fresh blow to access
to health care by ordinary citizens, coming just two weeks after
the country's private medical practioners increased their fees by
80 percent.
Zimbabwe's public
health sector has been hard-hit by a wide range of problems, including
drug and medicine shortages, the exodus of skilled medical personnel
and the high cost of medical care.
A recent survey
of pharmacies in Bulawayo, the country's second city, revealed that
paracetemol went up from Zim $110 (US 13 cents) in August, to Zim
$1,100 (US $1.30) this month, while a 500 ml bottle of children's
cough mixture now costs Zim $6,000 (US $7.50), up from Zim $450
(US 5 cents) last month.
"At this
rate, no ordinary Zimbabwean worker can afford to buy drugs at these
prices. But as drug retailers we have no choice but to pass the
increases on to patients, because they are imposed on us by drug
wholesalers. Our increases are in fact the ripple effects of the
high drug importation costs, which suppliers have always complained
about," said a manager at one of the city's major pharmacy
chains.
The secretary-general
of the Zimbabwe Medical Wholesalers Association (ZMWA), Isaiah Shoniwa,
was recently quoted by local media as saying price increases in
the drug sector were imminent because importation costs had gone
up by 1,000 percent.
"We find
the cost of importing drugs highly prohibitive. In fact, most of
us are not sure if we will remain in business because of the high
costs involved," Shoniwa said.
Zimbabwe imports
most of its medication requirements and the shortage of foreign
currency in the mainstream economy has forced suppliers to source
foreign currency in the parallel market - hence the new prices.
ZMWA has also
dismissed assertions that locally manufactured drugs should cost
much less, arguing that 98 percent of the raw materials have to
be imported. The association said the inability of the industry
to access foreign currency at bank rates was making production increasingly
expensive.
In the interests
of public health, government has in the past threatened to extend
price controls to the medical services sector, to curb what it called
"arbitrary prices increases".
Shoniwa said
the introduction of price controls in the sector would force wholesalers
to stop importing and deal a final blow to the ailing public health
sector. Efforts to obtain comment from Health Minister David Parirenyatwa
were fruitless. Blessing Chebundo, the chairman of the parliamentary
portfolio on public health, was also not available.
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