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Promoting public health using competition law: applying the essential facilities doctrine to increase access to drugs in South Africa
The impact and nature of HIV/ AIDS pandemic epitomizes the greatest threat to public health and the most important challenge facing South Africa today. In 2007, it was estimated that more than five million people are living with HIV/ AIDS in South Africa which represents the highest number of suffer...
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| Format: | Thesis |
| Language: | English English |
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Department of Commercial Law
2026
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| _version_ | 1867613146138542080 |
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| access_status_str | Open Access |
| author | Ntambirweki, Barbara |
| author2 | Davis, Judge Dennis |
| author_browse | Davis, Judge Dennis Ntambirweki, Barbara |
| author_facet | Davis, Judge Dennis Ntambirweki, Barbara |
| author_sort | Ntambirweki, Barbara |
| collection | Thesis |
| description | The impact and nature of HIV/ AIDS pandemic epitomizes the greatest threat to public health and the most important challenge facing South Africa today. In 2007, it was estimated that more than five million people are living with HIV/ AIDS in South Africa which represents the highest number of sufferers in any country in the world. It is likely that close to 400,000 South Africans die of the disease each year. Despite this reality, the government for sometime was reluctant to deal with urgency and commitment required by the epidemic. After many years of controversy with civil society, the government fina11y adopted a new National HIV/ AIDS & STI Strategic Plan for South Africa 2007-11 (NSP). The primary aims of the NSP is to reduce the rate HIV infections by 50% by 2011 and reduce the impact of AIDS by expanding access to appropriate treatment care and support to 80% of those in need by 2011. The four priority areas of NSP include prevention, treatment, care, support; research monitoring and surveillance. Inspite of the efforts by the South African government, a number of obstacles continue to hinder the realization of access to affordable health treatment. One of the major causes for the overwhelming low rate of access is drug prices6. The drug prices are set by pharmaceutical companies that have invested money into research and development that leads to medical discoveries.In order to recover research and development expenditures, the pharmaceutical companies patent their ideas to exclude other manufacturers from cheaply producing and profiting from their inventions. Therefore, international trade regimes seek to guarantee that certain minimum standards are adopted for protection of intellectual property rights. Thus pharmaceutical patents as a major impediment to accessing affordable medicine will be discussed below. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/42850 |
| institution | University of Cape Town (South Africa) |
| language | English eng |
| last_indexed | 2026-06-10T12:31:30.019Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2026 |
| publishDateRange | 2026 |
| publishDateSort | 2026 |
| publisher | Department of Commercial Law |
| publisherStr | Department of Commercial Law |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/42850 Promoting public health using competition law: applying the essential facilities doctrine to increase access to drugs in South Africa Ntambirweki, Barbara Davis, Judge Dennis public health competition law drug access South Africa The impact and nature of HIV/ AIDS pandemic epitomizes the greatest threat to public health and the most important challenge facing South Africa today. In 2007, it was estimated that more than five million people are living with HIV/ AIDS in South Africa which represents the highest number of sufferers in any country in the world. It is likely that close to 400,000 South Africans die of the disease each year. Despite this reality, the government for sometime was reluctant to deal with urgency and commitment required by the epidemic. After many years of controversy with civil society, the government fina11y adopted a new National HIV/ AIDS & STI Strategic Plan for South Africa 2007-11 (NSP). The primary aims of the NSP is to reduce the rate HIV infections by 50% by 2011 and reduce the impact of AIDS by expanding access to appropriate treatment care and support to 80% of those in need by 2011. The four priority areas of NSP include prevention, treatment, care, support; research monitoring and surveillance. Inspite of the efforts by the South African government, a number of obstacles continue to hinder the realization of access to affordable health treatment. One of the major causes for the overwhelming low rate of access is drug prices6. The drug prices are set by pharmaceutical companies that have invested money into research and development that leads to medical discoveries.In order to recover research and development expenditures, the pharmaceutical companies patent their ideas to exclude other manufacturers from cheaply producing and profiting from their inventions. Therefore, international trade regimes seek to guarantee that certain minimum standards are adopted for protection of intellectual property rights. Thus pharmaceutical patents as a major impediment to accessing affordable medicine will be discussed below. 2026-02-17T10:09:20Z 2026-02-17T10:09:20Z 2009 2026-02-17T10:06:04Z Thesis / Dissertation Masters LLM http://hdl.handle.net/11427/42850 en eng application/pdf Department of Commercial Law Faculty of Law University of Cape Town |
| spellingShingle | public health competition law drug access South Africa Ntambirweki, Barbara Promoting public health using competition law: applying the essential facilities doctrine to increase access to drugs in South Africa |
| thesis_degree_str | Master's |
| title | Promoting public health using competition law: applying the essential facilities doctrine to increase access to drugs in South Africa |
| title_full | Promoting public health using competition law: applying the essential facilities doctrine to increase access to drugs in South Africa |
| title_fullStr | Promoting public health using competition law: applying the essential facilities doctrine to increase access to drugs in South Africa |
| title_full_unstemmed | Promoting public health using competition law: applying the essential facilities doctrine to increase access to drugs in South Africa |
| title_short | Promoting public health using competition law: applying the essential facilities doctrine to increase access to drugs in South Africa |
| title_sort | promoting public health using competition law applying the essential facilities doctrine to increase access to drugs in south africa |
| topic | public health competition law drug access South Africa |
| url | http://hdl.handle.net/11427/42850 |
| work_keys_str_mv | AT ntambirwekibarbara promotingpublichealthusingcompetitionlawapplyingtheessentialfacilitiesdoctrinetoincreaseaccesstodrugsinsouthafrica |