Journal of International Development – August 2016

Journal of International Development
August 2016 Volume 28, Issue 6 Pages 825–1010
http://onlinelibrary.wiley.com/doi/10.1002/jid.v28.6/issuetoc

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Research Articles
Training Professionals and Eroding Relationships: Donors, Aids Care and Development in Urban Zambia (pages 827–844)
Amy S. Patterson
Version of Record online: 26 APR 2016 | DOI: 10.1002/jid.3222

Research Articles
Determinants and Trends of Socioeconomic Inequality in Child Malnutrition: The Case of Mozambique, 1996–2011 (pages 857–875)
Vincenzo Salvucci
Version of Record online: 6 AUG 2015 | DOI: 10.1002/jid.3135

Field Report
Deregulation and Access to Medicines: the Peruvian Experience (pages 997–1005)
Joan Costa Font
Version of Record online: 10 APR 2015 | DOI: 10.1002/jid.3096
Abstract
How does the deregulation of medicine influence access to drugs? This paper provides an economic policy assessment of the effects of medicine deregulation drawing on the Peruvian experience between 1991 and 2006. As in other low-income countries, health insurance development is inadequate, drug expenditure is mostly paid out-of-pocket and approximately one third of the Peruvian population has limited access to ‘essential medicines’. Market deregulation in this context could have exerted an impact on prices and hence reduce access to medicines. Based on this evidence, we find that product and price deregulation of the medicines market appears to have reduced consumer trust of locally produced medicines and incentivised a switch to branded and more expensive drugs. The latter resulted in a drug price spike, which in turn further decreased access to medicines.