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Finding Fortune in Traditional Medicine

By David South, Development Challenges, South-South Solutions

SOUTH-SOUTH CASE STUDY

Traditional medicines and treatments could help provide the next wave of affordable drugs and medicines for the world. But a phenomenon known as ‘bio-prospecting’ – in which global companies grab a stake in these once-free medicines – has been placing traditional medicines out of reach of Southern entrepreneurs. Pharmaceutical patents (http://en.wikipedia.org/wiki/Patents) taken out by international drug companies are making traditional medicines expensive and inaccessible to the poor.

Indian scientists have identified more than 5000 bio-prospecting patents, worth some US $150 million, taken out by companies outside India.

Now governments in countries like India are moving to protect these recipes and the plants and animals they are made from.

The Indian government has labelled 200,000 traditional treatments as public property and free for anyone to use. These treatments are key parts of the 5000-year-old Indian health system called Ayurvedic medicine (http://en.wikipedia.org/wiki/Ayurveda) – ayur means health in Sanskrit, veda means wisdom.

“We began to ask why multinational companies were spending millions of dollars to patent treatments that so many lobbies in Europe deny work at all,” said Dr. Vinod Kumar Gupta, head of the Traditional Knowledge Digital Library, which lists in encyclopaedic detail the 200,000 treatments.

“If you can take a natural remedy and isolate the active ingredient then you just need drug trials and the marketing. Traditional medicine could herald a new age of cheap drugs,” Gupta told The Guardian..

Currently, it is very expensive to follow the Western approach to developing drugs. A so-called “blockbuster drug” can cost US $15 billion and take 15 years to bring to the market. With patents lasting 20 years, a drug company can have as little as five years to recover its development costs. This helps explain the high prices for drugs.

Unlike traditional healers in the South, multinational corporations can marshal the money, time and legal resources to file patents.

In the past, India has fought expensive and lengthy battles to revoke patents on traditional remedies. One example is the battle over the popular Indian spice turmeric powder (used for healing wounds, among other things). A patent awarded to the University of Mississippi in 1995 was successfully withdrawn after a legal battle by the Indian government.

The Indian government’s move to make traditional medicines and therapies public property promises to unleash a new wave of natural remedies and drugs and to expand the market for Southern health entrepreneurs drawing on traditional knowledge and recipes.

As the world’s economy continues to suffer, finding new ways to earn incomes and spark a whole new generation of businesses will be crucial to recovery.

The World Health Organization (WHO) defines traditional medicine as “the sum total of knowledge, skills and practices based on the theories, beliefs and experiences indigenous to different cultures that are used to maintain health, as well as to prevent, diagnose, improve or treat physical and mental illnesses.”

The importance of traditional medicines in primary health care can be seen in Asia and Africa, where its usage reaches 80 percent of the population in some countries (WHO). Herbal medicines alone are worth billions of dollars a year in sales. Examples of traditional remedies include antimalarial drugs developed from the discovery and isolation of artemisinin from Artemisia annua L., a plant used in China for almost 2000 years. In 2003, doctors found scientific evidence supporting the use of traditional Ghanaian plants to help wounds heal. Parts of the African tulip tree and the Secamone afzelli are made into pastes which are applied to wounds.

The downside of traditional medicine is the urgent need for better regulation and safety standards. While more than 100 countries have regulations for herbal medicines, counterfeit, poor quality or adulterated herbal medicines are still a major problem.

Herbal treatments are the most popular form of traditional medicine, and are highly lucrative in the international marketplace. Annual revenues in Western Europe reached US $5 billion in 2003-2004.. In China, sales of products totalled US $14 billion in 2005. Herbal medicine revenue in Brazil was US $160 million in 2007 (WHO).

One initiative is ensuring there is a solid future for traditional medicine in India. Charity Bodytree India, set up in 2004 by a group of health, human rights and education workers, addresses issues surrounding access to health care and the disappearing traditional medical practices amongst isolated indigenous communities. Bodytree has established a successful educational programme that trains young people from different indigenous communities to become community health workers and operates programmes of health education for community groups (http://www.bodytree.org/index.html).

Almost four-fifths of India’s billion people use traditional medicine and there are 430,000 Ayurvedic medical practitioners registered by the government in the country. The department overseeing the traditional medical industry, known as Ayush, has a budget of 10 billion rupees (US $260 million).

In the state of Kerala in India’s South, Ayurveda medical tourism has become a good income generator. And it is so popular in the nearby nation of Sri Lanka, hotels can have Ayurveda included in the name.

Indian entrepreneurs are drawing on increasing awareness of the importance of healthy living and rising interest in vegetarian diets – what were once holidays are now health experiences. With global obesity rates rapidly rising, along with the attended diseases like cancer and diabetes, more and more people are looking for a dramatic change to their eating and lifestyle habits to ensure long-term health. And traditional medicine has solutions.

Published: March 2009

Resources

Development Challenges, South-South Solutions was launched as an e-newsletter in 2006 by UNDP’s South-South Cooperation Unit (now the United Nations Office for South-South Cooperation) based in New York, USA. It led on profiling the rise of the global South as an economic powerhouse and was one of the first regular publications to champion the global South’s innovators, entrepreneurs, and pioneers. It tracked the key trends that are now so profoundly reshaping how development is seen and done. This includes the rapid take-up of mobile phones and information technology in the global South (as profiled in the first issue of magazine Southern Innovator), the move to becoming a majority urban world, a growing global innovator culture, and the plethora of solutions being developed in the global South to tackle its problems and improve living conditions and boost human development. The success of the e-newsletter led to the launch of the magazine Southern Innovator.

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This work is licensed under a
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ORCID iD: https://orcid.org/0000-0001-5311-1052.

© David South Consulting 2022

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Archive Development Challenges, South-South Solutions Newsletters

Successful Fuel-Efficient Cookers Show the Way

By David South, Development Challenges, South-South Solutions

SOUTH-SOUTH CASE STUDY

A Kenyan entrepreneur has cooked up a fuel-efficient stove and oven that uses less of a precious national resource: wood from trees.

Most African households using fuel-burning stoves either cannot afford clean-burning fuels like natural gas or electric stoves, or do not have access to them. They are stuck having to burn wood or other materials like animal dung – collectively called biomass – on open fires.

As well as using up wood and contributing to deforestation, there is another downside to these stoves. The use of polluting fuel-burning stoves by half the world’s population – including 80 percent of rural households – is a documented contributor to a host of health problems. Poor households not only have to contend with the ill health effects of dirty water and poor sanitation, the fumes from burning dung, wood, coal or crop leftovers lead to the global deaths of more than 1.6 million people a year from breathing toxic indoor air (WHO).

Two solutions in Kenya are helping people to cook more efficiently (meaning less time wasted on gathering material to burn, and less fuel used) and reducing cooking time by using heat more effectively.

Invented by Dr Maxwell Kinyanjui, the Kinyanjui Jiko is a fuel-efficient charcoal oven that comes in small, medium and large industrial sizes. Made entirely in Kenya, the ovens are custom designed for a variety of environments, from domestic household use and on-the-go safari models to high-capacity models for micro-enterprises and large institutions. Cooks can use the ovens to bake, toast, steam or boil. And they are 40 percent cheaper than cooking with electricity and between 15 and 20 percent cheaper than gas.

Kinyanjui’s Musaki Enterprises Ltd. (www.reskqu.blogspot.com/2009/01/arboretum-project.html) has developed a reputation for pioneering work in developing fuel-efficient stoves and ovens. Its most popular success to date has been the Kenya Ceramic Jiko (jiko is Swahili for cooker), or KCJ, a cheap, simple and effective stove. The company was set up in 1992, but has been involved in international aid-funded research and development efforts since the 1980s.

“My dad was on a very good team of highly motivated individuals in the early 80s who developed the stove through pragmatism, logic and good old-fashioned ingenuity,” said his son, Teddy Kinyanjui. “He then set up the independent Musaki Enterprises.”

The KCJ uses a ceramic liner placed inside a metal container. The metal is usually recycled, often taken from 55 gallon steel drums. The ceramic liner stops the heat energy from simply escaping into the environment and helps to focus the heat on cooking. Simply adding the ceramic liner reduces the stove’s fuel consumption by between 25 and 40 percent. The charcoal or wood sits in the ceramic basin and the burnt ash falls through holes in the bottom of the liner.

The stove design was a result of international and Kenyan cooperation, and has become popular in many African countries, including Uganda, Rwanda, Ethiopia, Malawi, Niger, Senegal and Sudan. It is used in 50 percent of urban homes in Kenya and 16 percent of rural homes.

Musaki Enterprises say the KCJ stoves on average save between 1 and 1.5 tons of CO2 per stove per year compared to other models. In supermarkets, the KCJs retail for around US $5 and the Kinyanjui Jiko ovens start at around US $100.

The deployment of the KCJ stoves has helped in slowing the deforestation of the country, but has not been able to bring it to a halt because of population growth and poor re-forestation efforts, says Teddy Kinyanjui.

“The lack of forward planning in tree planting is making firewood and charcoal harder and harder to obtain,” he said. “Fossil fuels are unavailable or unaffordable. Tree planting must begin now on a huge scale for people to continue cooking.”

Teddy won’t reveal how profitable the KCJ stoves have been, but says, “I wouldn’t have gone to school if they didn’t sell well.”

“Well, more and more people keep buying the damn things as fast as we can make them, so I think our customers like them,” he said. “They really all seem to like that the stoves cook really well for really cheap and are very high quality.”

Published: June 2009

Resources

https://davidsouthconsulting.org/2021/02/20/baker-cookstoves-designing-for-the-african-customer/

https://davidsouthconsulting.org/2022/02/14/cleaner-stoves-to-reduce-global-warming/

https://davidsouthconsulting.org/2022/02/11/cooking-bag-helps-poor-households-save-time-money/

https://davidsouthconsulting.org/2022/02/15/innovative-stoves-to-help-the-poor/

Development Challenges, South-South Solutions was launched as an e-newsletter in 2006 by UNDP’s South-South Cooperation Unit (now the United Nations Office for South-South Cooperation) based in New York, USA. It led on profiling the rise of the global South as an economic powerhouse and was one of the first regular publications to champion the global South’s innovators, entrepreneurs, and pioneers. It tracked the key trends that are now so profoundly reshaping how development is seen and done. This includes the rapid take-up of mobile phones and information technology in the global South (as profiled in the first issue of magazine Southern Innovator), the move to becoming a majority urban world, a growing global innovator culture, and the plethora of solutions being developed in the global South to tackle its problems and improve living conditions and boost human development. The success of the e-newsletter led to the launch of the magazine Southern Innovator. 

https://davidsouthconsulting.org/2021/03/05/southern-innovator-issue-5/

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This work is licensed under a
Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

ORCID iD: https://orcid.org/0000-0001-5311-1052.

© David South Consulting 2022

Categories
Archive Development Challenges, South-South Solutions Newsletters

African Botanicals to be used to Boost Fight against Parasites

By David South, Development Challenges, South-South Solutions

SOUTH-SOUTH CASE STUDY

More than 1 billion people in the developing world currently suffer from tropical diseases, which leave a trail of disfigurement, disability and even death. Yet only 16 out of 1,393 – 0.01 percent – of new medicines marketed between 1975 and 1999 targeted tropical diseases (International Journal of Public Health).

A combination of poverty and lack of political will means disease-ridden countries do not invest enough in research and development to find new medical remedies to save lives.

A pioneering project hopes to turn to the continent’s plants to dig up new remedies to tackle the many diseases borne by parasites.

It seeks to boost prosperity in Africa while taking on the many diseases that harm and kill people and hold back economic progress on the continent. If successful, it will make disease-fighting part of the future prosperity of African science – and boost the woefully neglected field of tropical medicine.

What is at stake is the future of Africa, as the continent has the lowest life expectancies in the world. With just 15 percent of the world’s population, Africa carries a high disease burden, for example it has 60 percent of the global HIV/AIDS-infected population. Access to clean water is poor, with only 58 percent of people living in sub-Saharan Africa having access to safe water supplies (WHO). This leaves people exposed to water-borne parasites like Schistosoma (http://en.wikipedia.org/wiki/Schistosoma), which infects hundreds of millions and is the most crucial parasitic disease to tackle after malaria.

Africa’s biggest killers in order of severity are HIV/AIDS, diarrhoeal diseases, tuberculosis, malaria, childhood diseases, sexually transmitted diseases, meningitis, tropical diseases, Hepatitis B and C, Japanese encephalitis, intestinal nematode and leprosy.

Health resources are not being proportionately allocated: only 10 percent of financing for global health research is allocated to problems that affect 90 percent of the world’s population. This has been called the 10/90 gap (http://www.globalforumhealth.org/About/10-90-gap).

“The untapped potential of African innovation capacity is enormous,” explains Dr. Éliane Ubalijoro, an adjunct professor of practice for public and private sector partnerships at Canada’s McGill University Institute for the Study of International Development (ISID) (http://www.mcgill.ca/isid). Her research interests focus on innovation in global health and sustainable development.

“Using African biodiversity to produce solutions to local (and global) problems will provide a generous return on investment in an area of the world that is destined for growth.”

Ubalijoro was recently awarded, along with Professor Timothy Geary, director of McGill’s Institute of Parasitology, a Grand Challenges Canada (http://www.grandchallenges.ca)grant of CAD $1 million (US $1.04 million) to address parasitic disease through African biodiversity.

The Grand Challenges Canada grants are “dedicated to improving the health and well-being of people in developing countries by integrating scientific, technological, business and social innovation.”

It’s predicted Africa’s growing population will reach between 1.5 and 2 billion inhabitants before 2050: a lot of people needing affordable remedies and treatments.

Innovators have spotted an opportunity to simultaneously improve public health while also boosting Africa’s income from discovering new drugs. Traditional knowledge can play a critical part in the evolving innovation and commercialisation of Africa’s medicines and treatments.

Turning to these remedies and botanicals needs careful stewardship: Africa has a terrible reputation for counterfeit medicines, which kill and harm many people every year. The medicines also need to be affordable and accessible.

In some Asian and African countries, 80 percent of people use traditional medicines for primary care at some point (WHO). There may be sceptics amongst those used to name-brand medicines but traditional African medicines have a rich cultural heritage and have sustained Africans over the centuries. It is estimated the continent has over 50,000 plants to draw from, with fewer than 10 percent so far investigated to tap their potential medical utility.

From the start, most of the new funding for the McGill project will be spent in Africa. Out of the CAD $1 million dollar grant, more than half the funds will go directly to partners at the University of Cape Town and the University of Botswana. At first, the funds will be used to screen local biodiversity for promising leads. These will then be subjected to chemical testing in the lab to extract their potential utility for treatments.

“This system allows selection of natural product compounds that act on multiple target sites in the parasite,” according to Ubalijoro, “thus reducing the chances of developing resistance to the kinds of novel drugs that we hope to develop based on promising leads derived from this effort.”

The approach being taken by the project hopes to reduce the time it takes to get drugs to market and to shift the power and initiative to local solutions and scientists, rather than waiting for outsiders to come to the rescue.

The project hopes to contribute to not only improving people’s health but to stimulating local economies. This will be done by growing local pharmaceutical industries, retaining local talent which often now leaves the continent and doing rewarding and dynamic science within Africa. In short: making being in Africa attractive.

It is hoped the success of the project will breed more success, as has happened in other places – think Silicon Valley in California, or Bangalore in India.

“Success in this project will diminish the risk for technology-based investments related to health innovation,” said Ubalijoro, “helping to encourage local venture capital to help grow African science entrepreneurs. The overall benefit is improved livelihoods and prosperity locally as well as reduced spread of disease threats locally and internationally as we travel globally. ”

By bringing the science closer to those who need the help, it is hoped the painfully slow process of new drug development will take on a greater urgency.

“Discovery to production of a marketable drug can be a lengthy process,” said Ubalijoro. “But as novel methodologies are used to decrease candidate drug failure through the development and clinical processes, we can decrease the time it takes to bring drugs to market while empowering local innovation systems to lead the process instead of waiting for others to do so.

“The sense of urgency felt by local scientists to solve local problems can stimulate innovation and safe delivery of new medicines for African populations.”

Ubalijoro wants to see greater cooperation across disciplines and for people to come together in “innovation clusters,” that bring together policy, business and technical capability.

“I would like to see local investment in innovation coming from the public, private and NGO sectors,” explained Ubalijoro. “I would also like to see women scientists taking an active role in leadership and in becoming the next generation of innovating African scientists.”

Ubalijoro says that for those with money to invest, this is a vast opportunity waiting to be tapped. And she would like to see a dedicated African Innovation Fund set up for this purpose

“The message for venture capitalists and investors is simple: by cultivating local talent, we can help African scientists and entrepreneurs explore indigenous-based solutions to local health problems while taking advantage of the most advanced technologies available globally to ensure that quality, risk mitigation and profits can grow hand in hand with healing the ailments of African populations.”

Published: May 2011

Resources

1) RISE-AFNNET: African Natural Products Network: RISE-AFNNET works to develop Africa’s rich biodiversity into a natural products industry of social and economic significance. Building on an already active research network of 10 member countries called NAPRECA, RISE-AFNNET expands existing research programs and formalizes educational activities in such natural products (NP) fields as engineering, biochemistry, environmental science, pharmacology, economic development and nutrition. Students work on natural product research projects in the context of poverty alleviation, gender equity, and Millennium Development Goals. Website:http://sites.ias.edu/sig/rise/rise-afnnet

2) GIBEX: The Global Institute for Bioexploration is a global research and development network that promotes ethical, natural product-based pharmacological bio exploration to benefit human health and the environment in developing countries. GIBEX was established by Rutgers, the State University of New Jersey, and the University of Illinois at Urbana-Champaign. Both are leading US universities with strong records of building successful international programs in discovering and developing life-saving medicines. Website: http://www.gibex.org/index.php

3) Screens-to-Nature Training: Scientists Learn New Way of Screening Plants for Pharmaceutical Applications. Website:http://www.gibex.org/article.php?id=132

Development Challenges, South-South Solutions was launched as an e-newsletter in 2006 by UNDP’s South-South Cooperation Unit (now the United Nations Office for South-South Cooperation) based in New York, USA. It led on profiling the rise of the global South as an economic powerhouse and was one of the first regular publications to champion the global South’s innovators, entrepreneurs, and pioneers. It tracked the key trends that are now so profoundly reshaping how development is seen and done. This includes the rapid take-up of mobile phones and information technology in the global South (as profiled in the first issue of magazine Southern Innovator), the move to becoming a majority urban world, a growing global innovator culture, and the plethora of solutions being developed in the global South to tackle its problems and improve living conditions and boost human development. The success of the e-newsletter led to the launch of the magazine Southern Innovator. 

Creative Commons License

This work is licensed under a
Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

ORCID iD: https://orcid.org/0000-0001-5311-1052.

© David South Consulting 2023

Categories
Archive data Development Challenges, South-South Solutions Newsletters Southern Innovator magazine

New Kenyan Services to Innovate Mobile Health and Farming

By David South, Development Challenges, South-South Solutions

SOUTH-SOUTH CASE STUDY

Kenya is home to a vibrant innovation culture centred around mobile phones. While not all the services launched will be successful, the flurry of start-ups shows the country has the right combination of technical skills, bright ideas and cash to make a go of new services.

With the number of mobile phone users leaping 28 per cent in 2011, to reach 25 million subscribers out of a population of 39 million (Reuters), the country has a large market for mobile phone-based services. Kenya also has 10 million people with access to the Internet, up from 4 million in 2009.

Two issues critical to the well-being of Kenyans – health services and farming – are being tackled by new mobile phone services. One is a service being run and marketed by a major player in the market, and the other, by a small start-up.

Statistics indicate that in Kenya, one doctor attends to over 10,000 patients. The World Health Organization recommends a ratio of 1:600. There are just over 7,500 licensed medical facilities in the country.

Safaricom, Kenya’s largest telecoms operator, is trying to take the pressure off overstretched medical and health systems with a new mobile health service. Its 24-hour health advice and referral service is called ‘Daktari 1525’ and lets people call and speak with a doctor or an expert to get advice on any health issue. The number 1525 refers to the dialling code which links users directly to the Safaricom call centre. Daktari 1525 is available to the 18 million Safaricom subscribers.

Safaricom has partnered with ‘Call-a-Doc’ to launch the tool. The new service hopes to relieve outpatient departments in government hospitals and health facilities with its advice and referrals. The Daktari 1525 service does not prescribe a treatment to the callers, avoiding the legal risks of remote diagnosis.

It also offers home remedies and health tips on healthy lifestyles. In an emergency, users can also dial Daktari 1525 if there is Safaricom network coverage.

The partnership is divided between Safaricom and Call-a-Doc. Safaricom handles all the mobile phone network infrastructure, the call centre facility and the marketing of the service. Call-a-Doc takes care of recruiting doctors.

But how does the service use the doctors’ time well? The shifts are designed to surge the number of doctors to 15 during peak times, falling to as few as four doctors during off-peak times. The doctors work on a part-time basis and there are currently 50 employed by the service.

Not everyone is convinced the service will work.

“It is a good attempt to venture into the field; however we would like to caution the practitioners involved that they must remain ethical and must at all times uphold professional confidentiality,” Medical Practitioners and Dentist Board Chief Executive Officer Daniel Yumbya told Capital News.

Another new service based in the capital, Nairobi, is trying to shake up the world of farming. Its new mobile phone service, “MFarm: connecting farmers” (http://mfarm.co.ke/) calls itself “a transparency tool for Kenyan farmers”.

It bills itself as a “factory of ideas” looking to find “creative agribusiness solutions.” The service is a paid-for web platform that helps farmers keep track of prices in the capital, Nairobi, and claims to have signed up 3,000 farmers in the first year of operations.

The service offers crop prices by sending a text to the numbers 3535 if the user gives the crop location required. As an example, the user texts “price crop location” “price maize Nairobi”. Users can also sell their crops, or buy farm supplies.

It also allows farmers to group sell their crops by getting together with other small-scale farmers. This is a crucial service because it allows the smaller farmer to sell into the wholesale markets where prices are better. Farmers can also group buy, benefiting from lower prices by buying bulk from suppliers. It cleverly offers several ‘plans’ to suit budgets. There is an ‘Eco Plan’ at the low end, a mid-range ‘Pro Plan’, and a bells-and-whistles option, ‘Biz Plan’.

The service also benefits from its connections with iHub Nairobi (http://ihub.co.ke/pages/home.php), the buzzing “open space for technologists, investors, tech companies and hackers in Nairobi.” It provides a strong support network to turn to when problems arise.

It seems as if it would be a mistake to enter the African market with any new tech solution without first checking out the scene in Nairobi.

Published: January 2012

Resources

1) iHub Nairobi: Nairobi’s Innovation Hub for the technology community is an open space for the technologists, investors, tech companies and hackers in the area. The space has a focus on young entrepreneurs, web and mobile phone programmers, designers and researchers. Website: http://ihub.co.ke/pages/home.php

2) EPROM: Entrepreneurial Programming and Research on Mobiles aims to foster mobile phone-related research and entrepreneurship. Website: http://www.media.mit.edu/ventures/EPROM

Development Challenges, South-South Solutions was launched as an e-newsletter in 2006 by UNDP’s South-South Cooperation Unit (now the United Nations Office for South-South Cooperation) based in New York, USA. It led on profiling the rise of the global South as an economic powerhouse and was one of the first regular publications to champion the global South’s innovators, entrepreneurs, and pioneers. It tracked the key trends that are now so profoundly reshaping how development is seen and done. This includes the rapid take-up of mobile phones and information technology in the global South (as profiled in the first issue of magazine Southern Innovator), the move to becoming a majority urban world, a growing global innovator culture, and the plethora of solutions being developed in the global South to tackle its problems and improve living conditions and boost human development. The success of the e-newsletter led to the launch of the magazine Southern Innovator. 

Creative Commons License

This work is licensed under a
Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

ORCID iD: https://orcid.org/0000-0001-5311-1052.

© David South Consulting 2023