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Pharma Futures 3 Emerging Opportunities

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<strong>Pharma</strong> <strong>Futures</strong> 3<br />

Taking as a starting point the five<br />

key challenges of operating in<br />

emerging markets outlined above:<br />

(1) complexity; (2) affordability; (3)<br />

accessibility; (4) government relations;<br />

and (5) the social contract, PF3<br />

undertook research into how other<br />

companies in other sectors have<br />

developed successful models for<br />

operating in these markets. The intent<br />

was to investigate whether innovative<br />

ways to address affordability and<br />

accessibility can extend the reach of<br />

the market to meet the needs of<br />

greater numbers of consumers.<br />

The research did not address what<br />

will still need to be done to meet the<br />

needs of the poorest who simply<br />

cannot afford to pay, though the PF3<br />

Working Group was in agreement that<br />

this pressing issue should receive<br />

urgent attention, and all expressed<br />

their willingness to be involved in<br />

finding solutions to this systemic<br />

market failure.<br />

*<br />

Social enterprises are defined by<br />

Wikipedia as: ‘social mission driven<br />

organizations which trade in goods or<br />

services for a social purpose. Their<br />

aim to accomplish targets that are<br />

social and environmental as well as<br />

financial is often referred to as having<br />

a triple bottom line.<br />

PF3 reviewed ten cases in depth,<br />

available on the <strong>Pharma</strong> <strong>Futures</strong> 3<br />

website (www.pharmafutures.org).<br />

This report looks at a selection of<br />

these, including Nokia, as an example<br />

of a Western multinational which is<br />

evolving its business models to reach<br />

beyond the urban centres to rural<br />

populations in India and China.<br />

It highlights how two global firms<br />

based in emerging markets, Cemex<br />

and Manila Water, are proving adept<br />

at innovation solutions to better align<br />

societal needs with shareholder value.<br />

And finally its study of the Aravind Eye<br />

Hospital and Fabio Rosa illustrates the<br />

potential for social enterprise* models<br />

to leverage the market to offer health<br />

and energy solutions.<br />

While PF3 did not conduct in-depth<br />

research into current pharmaceutical<br />

approaches in emerging markets,<br />

the project identified evidence that<br />

the industry is undertaking various<br />

initiatives to reach low-income<br />

consumers with affordable, accessible<br />

medicine. Select case studies of<br />

PF3 pharmaceutical participants can<br />

be found on pages 36–37.<br />

23<br />

These efforts are a positive signal that<br />

some companies are actively<br />

exploring solutions to extend the<br />

reach of needed medicines and<br />

healthcare services in these markets.<br />

What follows below is an attempt to<br />

uncover possible lessons from other<br />

sectors to shed light on how current<br />

experiments with new business<br />

models can be developed and scaled<br />

to achieve much greater impact.<br />

In reviewing the case studies, PF3<br />

identified three common elements to<br />

the business models that appear to be<br />

most successful in meeting the needs<br />

of lower income consumers: (1) they<br />

are human-centred; (2) they have<br />

taken a radically new approach to<br />

understanding affordability; and (3)<br />

they have sought new means of<br />

achieving market penetration, by<br />

taking a much more active role to<br />

ensure that their offering is accessible.<br />

In addition to these guiding principles,<br />

success in new markets requires a<br />

healthy dose of patience, a willingness<br />

to experiment and a can-do mindset.<br />

‘It is only when you can sit down<br />

and have a beer with your customers<br />

that you can truly understand<br />

their hopes and fears.’<br />

Luis Sota<br />

Patrimonio Hoy<br />

Social enterprises are profit-making<br />

businesses set up to tackle a social or<br />

environmental need. Many commercial<br />

businesses would consider themselves<br />

to have social objectives, but<br />

social enterprises are distinctive<br />

because their social or environmental<br />

purpose is central to what they do.’<br />

Note: social enterprises can be forprofit<br />

or not-for-profit; it’s the mission<br />

rather than the legal structure that<br />

distinguishes them.

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