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Brossard Antonielli Alila

PhD candidate in sociology, EHESS 

Contact: alila.antonielli(at)ehess.fr

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Dissertation title: The technology transfer from Brazil to Mozambique for manufacturing local generic antiretroviral medicines

Phd advisors: Maurice Cassier (Cermes 3 – CNRS) and Marilena Correa (IMS - UERJ)

Since 2003, Brazil supports the implementation of a generic drug factory in Mozambique for the local production of generic antiretrovirals (ARV). This ambitious project in South-South cooperation aims to improve HIV/AIDS treatment coverage in developing countries and reduce the sanitary gap that had widened since the globalization of pharmaceutical patents monopolies.

Brazil is globally renowned for its innovating policy of universal treatment of HIV/AIDS, closely associated with an industrial policy for the manufacturing of generic medicines, and its international engagement for the access to ARV medicines. The Oswaldo Cruz Foundation (Fiocruz) and Farmanguinhos, the main public pharmaceutical producer in Brazil, transferred to Mozambique the technology acquired in the last two decades by reverse engineering of ARVs and trained the factory’s staff. The need for essential medicines in the Mozambican National Health Service let the heads of the Mozambican Ministry of Health to include in the factory’s production portfolio the manufacturing of drugs for diabetes, hypertension and mental health issues.

This research examines the unfolding of this project that involves public health, diplomacy and technical knowledge circulation, the political dynamics around its implementation and the practical conditions of complex knowledge circulation and acquisition. Our aim is to contribute to the understanding of the stakes, from acquiring technical capabilities to public policies, involving the manufacturing of generic drugs and the access to treatments in low-resource countries, especially in Sub-Saharan Africa. It will also contribute to new insights into their participation in a new global political economy of medicines and its consequences for the treatment policies of the countries in the global South in the context of the HIV/AIDS burden.

This research is funded by a grant from the Île-de-France Region (2015-2018) and by Sidaction Young Scholar grant (2019).

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