Uganda's Minister of State for Primary Health Care, Emmanuel Otaala, has expressed mixed feelings over the launch across the region of a pediatric antimalarial medicine, Coartem Dispersible (artemether/lumefantrine; Marketletters passim). The artemsinin-based combination therapy, developed by Swiss drug major Novartis and the Medicines for Malaria Venture, is the first dispersible fixed-dose formulation of an ACT to be developed specifically for infant and child use.
Local newspaper The New Vision reported only a few days prior to the launch of the new product that the Ugandan government had placed an emergency order for the adult formulation, Coartem, from the locally-based Quality Chemicals, a joint venture with India's generics firm Cipla. Supplies of the ACT ran out after a dispute with the Global Fund over accountability issues led to a suspension of funds.
Mr Otaala welcomed the arrival of Coartem Dispersible as an "enhancement of our efforts in the fight against malaria in children." However, the $0.37 per treatment cost competes with Quality's product, which is manufactured in a facility that has not been World Health Organization pre-qualified, he warned.
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