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    • #HealthyMeans Working Together

    The promise of collective action in shaping global health markets

    The United States and other foreign aid donors are increasingly using "market-shaping pathways" to improve global health. Why — and what can we learn from them? A #HealthyMeans guest commentary by USAID’s Joseph Wilson.

    By Joe Wilson // 21 November 2014

    It has been said the most worthwhile achievements are the result of many small tasks being accomplished in the same direction.  

    If that is true, the path to achieving large-scale social change should be no exception. In considering the enormity of the challenges we face in global health — creating an AIDS-free generation, ending preventable maternal and child death or fighting Ebola —  how, then, can we expect to solve pressing global issues without imagining a more holistic and coordinated approach?

    In recent years, organizations such as the U.S. Agency for International Development, UNITAID, the Clinton Health Access Initiative, the Global Fund to Fight AIDS, Tuberculosis and Malaria and others have addressed this question by working together to enact ecosystem-level change in health care markets through a tactic known as market shaping. By examining the totality of buyers, sellers and actors in the marketplace, these organizations are coordinating to shape markets by leveraging their purchasing power, technical leadership and influence to address five archetypal market shortcomings  — what we refer to as the “5As”: affordability, availability, assured quality, appropriate design and awareness, each individually capable of preventing access to potentially lifesaving products.

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    Read more #HealthyMeans articles:

    ● HIV in children — we need to do more
    ● Time to end AIDS and (finally) leave no one behind post-2015
    ● Toward a global partnership for an AIDS-free generation

    • Global Health
    • Private Sector
    Printing articles to share with others is a breach of our terms and conditions and copyright policy. Please use the sharing options on the left side of the article. Devex Pro members may share up to 10 articles per month using the Pro share tool ( ).
    The views in this opinion piece do not necessarily reflect Devex's editorial views.

    About the author

    • Joe Wilson

      Joe Wilson

      Joe Wilson is a market access adviser in the Center for Accelerating Innovation and Impact at the U.S. Agency for International Development. Before joining USAID, he worked for the Clinton Health Access Initiative in Ethiopia on innovative finance and market access. He has nearly a decade of experience in the private sector working in finance and pharmaceuticals, and is the co-founder of the House of Hope Foundation, a nonprofit supporting orphaned children in Kenya.

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