roundtable on generic rh commodity supply among developing countries · 2015-01-08 · commodity...
TRANSCRIPT
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Fresenius Kabi South Africa
Roundtable on Generic RH Commodity Supply Among
Developing Countries
SOUTH AFRICA REPORT
Beijing, China
John-Heyns Ferreira
6-10 November 2006
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Fresenius Kabi South Africa
AFRICA SHOWING SOUTH AFRICA
SOUTH AFRICA
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Fresenius Kabi South Africa
9 PROVINCES IN SOUTH AFRICA
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Fresenius Kabi South Africa
RH BACKGROUND IN SOUTH AFRICA
• Healthcare Services are provided byboth Government (free) and PrivateHealth institutions
• Reproductive Health forms part of Primary Health care in South Africa
• The bulk of Reproductive Health isprovided by the government and private institutions account for asmall percentage
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Fresenius Kabi South Africa
RH in SOUTH AFRICA - Fresenius Kabi
• South African market is covered by 5 reps calling mainly on state clinics
• Brand Manager – calls on key opinion leaders and manages the brand locally
• Education is the key focus• Healthcare Practitioners mainly choose
contraceptive methods on behalf of clients
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Fresenius Kabi South Africa
STATE CONTRACEPTIVE MARKET – SOUTH AFRICA
29%Other1.9%IUD1.7%Male sterilization12%Female sterilization2.1%Condoms12.3%Pill (oral)41%Injectables% Usage**Method used
**Department of Health and Family Planning
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Fresenius Kabi South Africa
INJECTABLES AVAILABLE IN SOUTH AFRICA
- EDL listed
• Petogen (DMPA)(depot medroxyprogesterone acetate)- State and private
• Nur Isterate (NET-EN)- State and private
• Depo Provera (DMPA)- Private market
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Fresenius Kabi South Africa
WHO and SA NATIONAL CONTRACEPTIVE GUIDELINES
The Following Women Can Use PETOGEN
• Women who are breastfeeding• Women > 40 years of age• Women who suffer from TB, malaria or diabetes• Women who smoke• Women who are HIV+
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Fresenius Kabi South Africa
SHORT HISTORY OF DMPA
Depot Medroxyprogesterone Acetate (DMPA)• 3 monthly injection (4 / year)
• progestogen-only injectable
• arguably the most extensively studied and widely used hormonal injectable
• registered and available in >130 countries
• used by millions of females globally
• Depo Provera developed by Pfizer – the brand
• has been extensively used by Aid Agencies
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Norethisterone Oenanthate (NET-EN)
• 2 monthly injection (6 injections / year)• progestogen-only injectable• registered in > 60 countries• Nur-Isterate developed by Schering the
brand product
Combined Injectables
• monthly injection (12 injections / year)• Cyclofem / Lunelle• containing progestogen and estrogen
SHORT HISTORY OF OTHER INJECTABLES
Fresenius Kabi South Africa
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Fresenius Kabi South Africa
BRIEF SWOT ANALYSIS of PETOGEN
Strengths• Local manufacturer (Africa for Africa)• Quality Generic (International)• Cost-effective (International)• DMPA POI of choice (International)• Dedicated sales team (South Africa)
Weaknesses• Slow penetration of Petogen globally
(International)• Capacity increase timing
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Fresenius Kabi South Africa
BRIEF SWOT ANALYSIS of PETOGEN cont'd
Opportunities• Substantial market share gain both
locally and internationally • Petogen as a core product for Fresenius
• “Proudly” manufactured in South Africa• Ideal for state healthcare patients
Threats• Loss of units due to social grants for additional
children (South Africa)• Marketing & Sales strategies by competitors
(South Africa and Internationally)
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Fresenius Kabi South Africa
PETOGEN VIAL SHOT
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Fresenius Kabi South Africa
--800650South Cape
++4,4984,703Western Cape
++7,7358,451Kwa-Zulu Natal
++2,6503,420Limpopo
++2,8673,300North West
++7,8539,107Gauteng
--2,6402,276Mpumalanga
--1,170920Northern Cape
--2,7002,400Free State
4,377
2005 (YTD)
++
GROWTH
5,875Eastern Cape
2006 (YTD)Territory
GROWTH IN PETOGEN SALES IN SOUTH AFRICA
INDEX ONLY
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Fresenius Kabi South Africa
05,000,000
10,000,00015,000,00020,000,00025,000,000
2000 2001 2002 2003 2004 2005 2006
Export
SA
SALES DEVELOPMENT OF PETOGEN
South Africa and Export
UNITS
YEARS
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Fresenius Kabi South Africa
ONGOING CHALLENGES FOR FRESENIUS
• CAPACITY – sufficient to meet expanding demand
• CURRENCY – ongoing fluctuations
• TENDERS – risky nature of the business
• WHO – pre-qualification
• DEMAND – aim to smooth demand / forecast
• EDUCATION – all markets
• PACKAGING – variations in format
• REGULATORY – variations per country
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Fresenius Kabi South Africa
OVERCOMING CHALLENGES
• INVEST – increased manufacturing capacity
• BALANCE –ongoing demand/capacity
• PORTFOLIO – inc hormonal portfolio thus inc market
• STABLE – supply by co-operation and agreement
• RELATIONSHIPS – ongoing building with relevant parties
• MARKETING – affordable generic and social marketing
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Fresenius Kabi South Africa
C O M P O N E NT PR EP
G o w n ing 1
G o w n 2
V IA L F ILLIN G
E X LA Y FLATS TO RE
B AGS TO RE
B A G A S SEM BLYC O M PO UN D
A irlock G own
A utoc la ve
E X E X T R U S IO N A N D B A G M AKING DEPARTM ENT
Current Layout
current layout
A irlock
COM PO UNDGown 2
R aw Materials
P a llet P ackaging
office
VISUAL INSPECTION
Feeder
BAG STORAGE
FAU6000
D HT 2550
Gowning 1
C O MPO NENT PREP
FFV6024
VIAL FILLING
CAPPING
R VB 12000 InspectionMachine
LAB ELLING AND PACKING
Labelling Machine
Shr
ink
Tunn
el
BAG ASSEMBLY
office
office
BAG STAGING
office
Gown 3
PRE COMPO UND
R aw Materials
GownA irlock
A utoclave
EX EXTRUSION AND BAG MAKING DEPARTMENT
FACTORY INCREASED CAPACITY 2006
previous layout
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Fresenius Kabi South Africa
PAST PETOGEN MARKETING CAMPAIGNS
IN THE SOUTH AFRICAN CONTEXT
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Fresenius Kabi South Africa
“WHEN TIME COSTS MONEY”
PIL
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Fresenius Kabi South Africa
“SAY YES TO PETOGEN”
POSTER
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Fresenius Kabi South Africa
“QUICK STOP IN FAMILY PLANNING”
POSTER
DETAIL AID
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Fresenius Kabi South Africa
CONCLUSION
CONSTRUCTIVE – dialogue and communication
CO-OPERATION – all stakeholders in this market
PRODUCT – provide a quality product at globally affordable price
SUPPLY – the correct product at the right time and right place