@incollection{fdi:010084099, title = {{C}lashes between subsidized and private {ACT} markets : when administrative, {G}lobal {H}ealth, and marketing regulations collide}, author = {{B}axerres, {C}arine and {P}ourraz, {J}.}, editor = {}, language = {{ENG}}, abstract = {{T}he supply of artemisinin-based combination therapies ({ACT}s) in {B}enin and {G}hana is made up of both subsidized {ACT}s produced by {E}uropean multinationals or {A}sian generics companies and {ACT}s produced for private markets by {A}sian or {A}frican manufacturers. {G}lobal {H}ealth programs significantly structure pharmaceutical markets in the {G}lobal {S}outh, including in countries where distribution is largely liberalized, as in the case of {G}hana. {T}hus, the subsidized drugs they distribute are abundantly found and take precedence over local production, as we will show through the study of a pilot program, the {A}ffordable {M}edicines {F}acility-malaria ({AMF}m), and its effects on the {G}hanaian private market. {F}aced with this, {A}sian {ACT} producers, as well as local and {E}uropean ones, are deploying marketing strategies to conquer unsubsidized private markets and reach consumers as closely and directly as possible. {T}hey are supported in this by their representatives as well as by distributors and retailers, in both urban and rural areas, who rely in particular on the socioeconomic positions of consumers. {B}y analyzing these {ACT} markets, this chapter shows how companies have to maneuver to capture market share between the administrative regulations implemented by national and transnational actors and the marketing regulations developed by the firms themselves.}, keywords = {{BENIN} ; {GHANA}}, booktitle = {{U}nderstanding drugs markets : an analysis of medicines, regulations and pharmaceutical systems in the {G}lobal {S}outh}, numero = {}, pages = {136--156}, address = {{O}xon ({GBR}) ; {N}ew-{Y}ork}, publisher = {{R}outledge}, series = {{R}outledge {S}tudies in the {S}ociology of {H}ealth and {I}llness}, year = {2021}, DOI = {10.4324/9780429329517-6}, ISBN = {978-1-03-204313-5}, URL = {https://www.documentation.ird.fr/hor/fdi:010084099}, }