Building Trust and Accelerating Innovation: Africa's Regulatory Revolution

?Bill & Melinda Gates Foundation/Martina Machakova

Regulatory systems are the backbone of safe, effective, and accessible healthcare. They build public confidence in new medicines and technologies, ensuring rigorous standards of quality, safety, and efficacy are met. Africa faces unique challenges in this area, with historically fragmented regulatory frameworks impacting the timely availability of life-saving innovations. However, there's a growing momentum to transform Africa's regulatory landscape.

A few weeks ago, the Gates Foundation’s Integrated Development Team hosted the Africa Regulatory Systems Strategy Convening, where more than 40 stakeholders gathered to discuss how to strengthen the continent's regulatory ecosystem and ensure access to essential medical products.?

?Bill & Melinda Gates Foundation/Martina Machakova

The clinical pipeline for new products that can help solve some of our greatest health and development challenges is more robust than at any other point in history. But to translate innovation into impact, these tools must reach beyond the lab bench and clinical trial sites to be used by communities who need them the most.

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The convening underscored the game-changing potential of a fully operational, well-structured African Medicines Agency (AMA). This specialized technical agency of the @African Union could have a transformative impact on the regulation and delivery of health products across Africa, as noted by Hon. Dr Michel Sidibé, the Special Envoy for AMA, at the Convening.

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By creating a unified continental market and clinical trial landscape, AMA could attract investment and spur innovation. Regulators would benefit from greater capacity, faster review processes, and harmonized international standards.

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AMA has a strong technical foundation to build on, thanks to existing programs to harmonize clinical trial reviews and regulatory standards, spearheaded by partners at the @World Health Organization and the @African Union Development Agency-NEPAD.

?Bill & Melinda Gates Foundation/Martina Machakova

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?Bill & Melinda Gates Foundation/Martina Machakova

Strong national regulatory agencies will be crucial to AMA’s success. Several African countries have already strengthened agencies to serve as the backbone or anchor for the network. As the continent builds towards a more harmonized, reliant approach to regulation, it's vital to ensure smaller countries and less-established agencies are not left behind in this regulatory revolution.

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It was also inspiring to meet H.E. Ambassador Minata Samaté Cessouma, Commissioner for Health, Humanitarian Affairs, and Social Development at the @African Union Commission, who joined us off the heels of a successful Conference of State Parties (COSP) where the inaugural AMA Governing Board was appointed. She shared efforts by the AU to initiate the recruitment process for the Director General and the Secretariat.

?Bill & Melinda Gates Foundation/Martina Machakova


The inaugural AMA Governing Board Chair, @Dr Yossounon CHABI, joined the Convening in Seattle and underscored his commitment to operationalizing AMA with partner support. His emphasis on a shared vision is key to ensuring Member States and stakeholders collaborate effectively for continent-wide access to quality medicines.

?Bill & Melinda Gates Foundation/Martina Machakova

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The Convening buzzed with ideas and energy. The next step is to build on this momentum, taking decisive action to ensure AMA becomes a reality. Let's work together towards a future where high-quality health products will always reach those who need them, regardless of where they live in Africa.

Olufemi Ajumobi, MD, PhD

Epidemiologist| Physician-Scientist

5 个月

David Mukanga seeing this belated progress in the African regulatory space for medicines, technologies and potentially medical devices is gladdening. This is an area of keen interest for me especially because its emerging. I am aware that ISPOR—The Professional Society for Health Economics and Outcomes Research has a special interest group, Global Access to Medical Innovation which seeks to drive this initiative globally

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Monica Musenero Masanza

Minister for Science Technology and Innovation at Government of Uganda

6 个月

Good to see Africa begin to move into institutionalized frameworks like this. Hope AMA has included Market access authorization which had been ommitted . Great to hear from you David.

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Janine Jamieson

European Editor at International Pharmaceutical Quality

6 个月

So wonderful to read this! ??

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Kgosietsile II Matthews Mmopi

Partner at McKinsey & Company, Leader of McKinsey's Life Sciences Practice in EEMA and Public health Practice in Africa

6 个月

Well said David!

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Joseph Kabatende, Ph.D.

Technical Officer/Health Products Regulatory Systems Strengthening– Eastern and Southern Africa at WHO AFRO

6 个月

Thanks Dr David for an informative and a very interesting article on Africa's regulatory revolution. That's the way to go.

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