1. © IFPMA 2009ECOSOC R&D and Access 08 July 2009 Access, Capacity Building and R&D: IFPMA Member Company Programs to help improve Health in Developing Countries ECOSOC, Geneva, 8 July 2009

2. © IFPMA 2009ECOSOC R&D and Access 08 July 2009 2 Growing Industry Effort to help achieve MDGs Additional Initiatives Chronic Diseases Child & Maternal Preventable Diseases Tropical Diseases MalariaMalaria TuberculosisTuberculosis HIV/AIDSHIV/AIDS Section 9 9 8 8 1111 1212 2424 2006 64 1111 1717 1010 1919 1313 1313 5252 2007 135 TOTALS 2020 2323 1212 1818 1414 1414 5454 2008 155 + 21 (26)(26) 2424 2929 1515 2121 1717 1616 5454 2009 176 (202)

3. © IFPMA 2009ECOSOC R&D and Access 08 July 2009 3 Industry Programs for Access… and more Industry Partnerships to Improve Health in Developing World What the programs are doing: Access (36 % of all programs)Access (36 % of all programs) Capacity-Building (55 % of all programs)Capacity-Building (55 % of all programs) Education (32 % of all programs)Education (32 % of all programs) R&D for DDW* (23 % of all programs)R&D for DDW* (23 % of all programs) (* DDW = Diseases of the Developing World) (NOTE: Many programs have more than 1 area of activity)

4. © IFPMA 2009ECOSOC R&D and Access 08 July 2009 4 Example: HIV / AIDS Abbott, Boehringer-Ingelheim, Johnson & Johnson Abbott, Boehringer-Ingelheim, Johnson & Johnson Partners: Elizabeth Glaser Pediatric AIDS Foundation Partners: Elizabeth Glaser Pediatric AIDS Foundation Access – Donation Access – Donation Capacity Building – Training Capacity Building – Training Education Education In 17 Developing Countries In 17 Developing Countries Elizabeth Glaser Pediatric AIDS Foundation Trains Health WorkersTrains Health Workers HIV counselingHIV counseling Prevention educationPrevention education Infant feeding educationInfant feeding education Donation of ARVs for PMTCTDonation of ARVs for PMTCT Donation of rapid test kitsDonation of rapid test kits

5. © IFPMA 2009ECOSOC R&D and Access 08 July 2009 5 Example: Tuberculosis Eli Lilly and Company Eli Lilly and Company Partners: WHO & Others Partners: WHO & Others Access – Pricing & Licensing Access – Pricing & Licensing Capacity Building – Support & Training Capacity Building – Support & Training Education Education In 60 developing countries In 60 developing countries Lilly MDR-TB Partnership Access to medicinesAccess to medicines Production Technology TransferProduction Technology Transfer Training Health WorkersTraining Health Workers Disease SurveillanceDisease Surveillance Educating People at RiskEducating People at Risk Community SupportCommunity Support

6. © IFPMA 2009ECOSOC R&D and Access 08 July 2009 6 Example: Malaria Pfizer Pfizer Partner: London School of Hygiene & Tropical Medicine, KEMRI- Wellcome Trust, Health Partners Ghana & others Partner: London School of Hygiene & Tropical Medicine, KEMRI- Wellcome Trust, Health Partners Ghana & others Capacity Building – Support & Training Capacity Building – Support & Training In Ghana, Kenya, Senegal In Ghana, Kenya, Senegal Mobilize Against Malaria Training Health WorkersTraining Health Workers Technical AssistanceTechnical Assistance Material supportMaterial support Sharing Best PracticesSharing Best Practices

7. © IFPMA 2009ECOSOC R&D and Access 08 July 2009 7 Example: Tropical Diseases Merck KGaA Merck KGaA Partner: Programme for Research & Training in Tropical Diseases (TDR), sponsored by UNICEF, UNDP, World Bank & WHO Partner: Programme for Research & Training in Tropical Diseases (TDR), sponsored by UNICEF, UNDP, World Bank & WHO Research & Development Research & Development Merck Serono Collaboration with TDR Training ResearchersTraining Researchers Malaria & Sleeping SicknessMalaria & Sleeping Sickness Screening Compound LibraryScreening Compound Library Identify new Lead MoleculesIdentify new Lead Molecules

8. © IFPMA 2009ECOSOC R&D and Access 08 July 2009 8 Example: Preventable Diseases Crucell, GlaxoSmithKline, Merck & Co, sanofi-aventis, Wyeth Crucell, GlaxoSmithKline, Merck & Co, sanofi-aventis, Wyeth Partners: GAVI Alliance, WHO & other partners Partners: GAVI Alliance, WHO & other partners Access – Donation & Pricing Access – Donation & Pricing Capacity Building – Support & Training Capacity Building – Support & Training In many low-income countries In many low-income countries GAVI Alliance Existing / new vaccines to LDCsExisting / new vaccines to LDCs Preferential pricing of vaccinesPreferential pricing of vaccines Donation of vaccinesDonation of vaccines Technical & Training SupportTechnical & Training Support

9. © IFPMA 2009ECOSOC R&D and Access 08 July 2009 9 Example: Child & Maternal Health Schering-Plough Schering-Plough Partners: WHO Regional Office for Africa, International Federation of Gynecology & Obstetrics (FIGO) Partners: WHO Regional Office for Africa, International Federation of Gynecology & Obstetrics (FIGO) Capacity Building – Training Capacity Building – Training 10 countries in Africa & Latin America 10 countries in Africa & Latin America Postpartum Hemorrhage Training Material Postpartum management guidePostpartum management guide For low resource environmentsFor low resource environments Complementary posters, etc.Complementary posters, etc. In English, French & SpanishIn English, French & Spanish

10. © IFPMA 2009ECOSOC R&D and Access 08 July 2009 10 Example: Chronic Diseases Novo Nordisk & Roche Novo Nordisk & Roche Partners: World Diabetes Federation, Ministries of Health & patient organizations Partners: World Diabetes Federation, Ministries of Health & patient organizations Access – Donation Access – Donation Capacity Building – Support & Training Capacity Building – Support & Training Cameroon, DR Congo, Guinea, Tanzania, Uganda Cameroon, DR Congo, Guinea, Tanzania, Uganda Changing Diabetes in Children Develop infrastructureDevelop infrastructure Train Health WorkersTrain Health Workers Guidelines & Education MaterialGuidelines & Education Material Medicines & Medical SuppliesMedicines & Medical Supplies

11. © IFPMA 2009ECOSOC R&D and Access 08 July 2009 11 Example: Additional Health Initiatives Japanese Pharmaceutical Manufacturers Association (JPMA) Japanese Pharmaceutical Manufacturers Association (JPMA) Partners: WHO, Thailand Ministry of Health Partners: WHO, Thailand Ministry of Health Capacity Building – Support & Training Capacity Building – Support & Training Bhutan, Cambodia, Laos, Thailand Bhutan, Cambodia, Laos, Thailand Strengthening Quality Control in SE Asia Improve Medicine QualityImprove Medicine Quality Train Government PersonnelTrain Government Personnel Provide Analytical InstrumentsProvide Analytical Instruments Supply Reference SubstancesSupply Reference Substances

12. © IFPMA 2009ECOSOC R&D and Access 08 July 2009 12 www.ifpma.org/healthpartnerships Search by Developing Country: Kenya 43 programs found

13. © IFPMA 2009ECOSOC R&D and Access 08 July 2009 13 www.globalhealthprogress.org Find Details of Partner Organizations that Industry works with in different areas…

14. © IFPMA 2009ECOSOC R&D and Access 08 July 2009 14 Number of Active Research and Development Projects* *1 project = 1 compound in development or 1 screening program for 1 disease Medicine R&D projects Vaccine R&D projects Source: IFPMA IFPMA Status Report on DDW R&D - 2009 R&D for TDR 10 Priority Diseases: - Chagas - Dengue - Human African Trypanosomiasis - Leishmaniasis - Leprosy - Lymphatic Filariasis - Malaria - Onchocerciasis - Schistosomiasis - Tuberculosis

15. © IFPMA 2009ECOSOC R&D and Access 08 July 2009 15 Overview of R&D Projects by Disease Area – 2009 Disease Ongoing Medicines R&D Projects Ongoing Vaccines R&D Projects Approvals Since 2005 R&D Projects Stopped Since 2005 Tuberculosis22306 Malaria304212 Other Tropical Diseases 23232 Totals759520

16. © IFPMA 2009ECOSOC R&D and Access 08 July 2009 16 Developing World Disease R&D Funders 2007 US Government 48.9 % US Government 48.9 % Bill & Melinda Gates Foundation 17.7 % Pharma Industry 9.1 % European Commission 4.7 % United Kingdom (Govt) 3.9 % Wellcome Trust 2.3 % Netherlands (Govt) 1.3 % Pasteur Institute 1.2% Ireland (Govt) 0.9 % Brazil (Govt) 0.9 % Sweden (Govt) 0.8 % Canada (Govt) 0.7% Australia (Govt) 0.7 % Russia (Govt) 0.7 % Belgium (Govt) 0.6 % France (Govt) 0.5 % South Africa (Govt) 0.2 % All Other Philanthropic 1.0 % All Other Govts 4.4 % Source: G-FINDER, George Institute, 2009 © IFPMA 2009ECOSOC R&D and Access 08 July 2009

17. © IFPMA 2009ECOSOC R&D and Access 08 July 2009 17 www.ifpma.org/clinicaltrials Terms to search for: Malaria & Vaccine Trials conducted in: Kenya

18. © IFPMA 2009ECOSOC R&D and Access 08 July 2009 Thank You! Ch. Louis-Dunant 15 P.O. Box 195 121211 Geneva 20 Switzerland Tel: +41-22-338 32 00 Fax:+41-22-338 32 99 Email: info@ifpma.org Web:www.ifpma.org