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Organization: USAID Center for Accelerating Innovation and Impact
Year: Fall 2014
Document Type: Report
Abstract/Summary: Global health is inextricably linked to the health of the marketplace that delivers life-saving products to low-income populations. A well-functioning healthcare market with public and private sector participation requires manufacturers to produce high-quality products, distributors to deliver the necessary quantities, providers to administer them correctly, and patients to be educated and active participants in their own health. However, markets sometimes fall short. Developers may not see enough demand to develop a new product, manufacturers may not know how much to produce, and distributors may not see enough profit to justify delivery. The unfortunate reality is that a single breakdown in this complex system can keep life-saving products from those most in need.
Designed to be transformative, market shaping interventions aim to reduce long-term demand and supply imbalances and reach a sustainable equilibrium. Across health sectors – from vaccines to HIV to family planning – market shaping has demonstrated its potential to enhance donor or national governments’ value for money, diversify the supply base, increase shipment reliability, and ultimately increase product access for end users. Inspired by the possibility of this approach, USAID, UNITAID, UNICEF, Gates Foundation, DFID, Norad, the Global Fund, the Government of South Africa, and other donors and procurers are engaging in market shaping in partnership with CHAI, Dalberg, WDI, RHSC, McKinsey, R4D, and other implementing and advisory groups.
The evidence base for market shaping continues to grow and provide a basis for assessing historical impacts as well as opportunities for future application. In an effort to draw on learnings from past experience, this primer aims to pull together lessons learned and guidance on how to approach future opportunities through a Market Shaping Pathway framework and five case study Spotlights across the HIV, malaria, diarrhea, and immunization health areas. Seeing the shared interest and organizational momentum within the global health community, we hope this primer can foster a common dialogue and strengthen efforts to continue shaping healthy markets for life-saving products.
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