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MMV’s Support:  Local Production of Antimalarials MMV’s Support:  Local Production of Antimalarials

MMV’s Support: Local Production of Antimalarials - PowerPoint Presentation

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MMV’s Support: Local Production of Antimalarials - PPT Presentation

Mr Palu Dhanani UCL Kenya AGENDA Facility overview and history Manufacturing capabilities amp QMS Corporate Office Strides House Bilekahalli Bannerghatta Road Bangalore560 076 India ID: 919679

ucl amp 000 local amp ucl local 000 management tablets tablet dispersible africa manufacturer training sulfadoxine kenya quality 2019

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Presentation Transcript

Slide1

MMV’s Support:

Local Production of Antimalarials

Mr Palu DhananiUCL, Kenya

Slide2

AGENDA

Facility overview and history

Manufacturing capabilities & QMS

Corporate Office:

Strides House, Bilekahalli,

Bannerghatta Road,

Bangalore-560 076, India

Manufacturing Site:

Club Road, Past Kikuyu Post office

P.O. BOX 1748-00902,Kikuyu Town, Kikuyu, KenyaContact Details:Mr Perviz DhananiPhone: +254 733513075 Email: Palu@ucl.co.keWebsite: www.ucl.com

UCL initiatives & updates

MMV’s support: Local production

Empower AFRICA & key challenges

Slide3

UCL, MMV & RENA collaboration

(antimalarials)

Project summary:

Sulfadoxine and pyrimethamine is a combination medication used to treat malaria

Sulfadoxine is a sulfonamide antibiotic and pyrimethamine is an antiprotozoal. The combination is considered to be more effective for intermittent preventive treatment of malaria in pregnancy (IPTp)

IPTp reduces maternal malaria episodes, maternal and foetal anaemia, placental parasitaemia, low birth weight and neonatal mortality

WHO recommends IPTp with sulfadoxine-pyrimethamine (IPTp-SP) in all areas with moderate-to-high malaria transmission

Sulfadoxine and pyrimethamine is on the World Health Organization's List of Essential Medicines

Sulfadoxine and pyrimethamine formulation is being jointly developed

by Rena Exports, India and Universal Corporation Limited, Nairobi, Kenya in collaboration with MMVProcess optimization and validation batches are already completed at UCL for WHO submissionS. No.Product NameLabel ClaimPrimary Packing SubmissionTarget for SubmissionCurrent Status

[Nov 2019] 01

Sulfadoxine and Pyrimethamine Dispersible Tablets

Each dispersible tablet contains,Sulfadoxine – 500 mgPyrimethamine – 25 mg

10’s & 100’s

WHODEC 2019

[Q3 FY 2019–20]Stability

studies and BE under progress

Each dispersible tablet contains,

Sulfadoxine – 250 mg

Pyrimethamine – 12.5 mg

Slide4

S.

No.

Product Name

Label Claim

Target for Submission

01

Amodiaquine Hydrochloride Dispersible Tablets

Each dispersible tablet contains,

Amodiaquine Hydrochloride equivalent to Amodiaquine 150 mg

MAY 2020[Q1 FY 2020–21]Each dispersible tablet contains,Amodiaquine Hydrochloride equivalent to Amodiaquine 75 mgMAY 2020[Q1 FY 2020–21]02

Artemether and Lumefantrine Tablets

Each uncoated tablet contains,

Artemether – 20 mgLumefantrine – 120 mg

Submitted [SEP 2019]

03

Artemether and Lumefantrine DISPERSIBLE Tablets

Each DISPERSIBLE tablet contains,

Artemether – 20 mgLumefantrine – 120 mg

DEC 2019

[Q3 FY 2019–20]

04

Artemether and Lumefantrine Tablets

Each uncoated tablet contains,Artemether – 80 mgLumefantrine – 480 mgDEC 2019 [Q3 FY 2019–20]05Tenofovir + Lamivudine + Dolutegravir TabletsTenofovir Disoproxil – 245 mgLamivudine – 300 mgDolutegravir Sodium equivalent to Dolutegravir – 50 mgFEB 2020[Q4 FY 2019–20]06Albendazole Tablets 400 mgEach uncoated chewable tablet contains,Albendazole – 400 mgDEC 2020[Q4 FY 2020–21]07Sulfamethoxazole + Trimethoprim + Isoniazid + Pyridoxine Hydrochloride TabletsEach tablet contains,Sulfamethoxazole – 800 mg , Trimethoprim – 160 mgIsoniazid – 300 mg & Pyridoxine Hydrochloride – 25 mgOCT 2020[Q3 FY 2020–21]08Zinc Tablets [Dispersible]Each dispersible tablet contains,Zinc Sulphate Monohydrate equivalent toZinc – 20 mg DEC 2019[Q3 FY 2019–20]

WHO-PQ submission projects at UCL

Slide5

Slide6

Deaths due to malaria caused by

falciparum stands at ~

90% in AfricaA lot of effort is required to considerably reduce this numberThe developed countries have always played a major role in this battle, but a larger contribution is required to win the warMost manufacturers of pre-qualified antimalarials are located in

India, followed by China, and some in the western countriesIn Africa, there are only 2–3 manufacturers that are able to continuously supply pre-qualified antimalarials

The gap in ability of local manufacturers must be addressed to make the distance between manufacturer and procurer/consumer shorter, enhancing access in this region

Empower:

Local manufacturing

Slide7

EXPECTATION

CHALLENGES

IMPACT

PROPOSED ACTION PLAN

SKILLLED & EXPERIENCED RESOURCES

Cultural

and behavioural

Attrition of skilled resources

Outsourcing

of resources with higher costInconsistencies in product deliveriesRepeated deficiencies/non-compliancePoor-quality investigations/CAPA, and inadequate problem-solving skills and decision-making capabilitySignificant reduction in tender allocations from institutionsStringent monitoring & heightened supervision Continuous training/evaluation and development [technical and behavioural]REGULATORY COMPLIANCE Too many inspections by regulatory authorities and institutions Continuous improvement as witnessed by inspectorsKnowledge enhancement & exposure to regulatory requirements Mutual recognition by regulators & institutions will help AFRICA to grow skill & experience

SUPPORT AFRICA

In spite of WHO-prequalified facilities available in AFRICA [e.g. UCL], key product tenders [e.g. ORS/Co Trimoxazole, etc.] were allotted to other facilities outside Africa that were not even WHO prequalified

More than 70% of the medicines consumed in Africa are imported

Level playing field Help develop capacity/capability in Africa

Key challenges as an African manufacturer

Slide8

UCL, MMV & RENA collaboration (antimalarials)

Description

Local Manufacturers

Funded Program Export

Summary

RDL

1.5%

Exempt

Local manufacturer can not attempt to bid for any export order or a donor-funded tender (PEPFAR (USAID)/Global Fund) since there is a significant disadvantage because of the payment of RDL and GOK [Almost 3.75%]

GOK2.25%ExemptExcise DutyN/AN/A

Duty

Exempt0%

VAT

Exempt

0%

THE CURRENT SITUATION:

2. INCENTIVES BY FOREIGN GOVERNMENT TO THEIR MANUFACTURERS:  

In Kenya there is no subsidy to the local manufacturerIn India and China there are export subsidies accorded to their manufacturers e.g. in India the manufacturer receives a subsidy of almost 3.5%–4.6% on their export price

Using the price examples, local Kenyan manufacturer is clearly disadvantaged by 7–7.5% over the imported product

3.

STATUS UPDATE ON FUNDED PROGRAMMES & EXPORTS:  

In Kenya there is no subsidy to the local manufacturer

Local manufacturer in Kenya has lost out to Indian & Chinese counterparts due to price difference of 1–5%

Slide9

Our views

If we had enjoyed similar conditions, if we had been given the preference, the local manufacturer would have been more competitive than the Indian and Chinese counterparts

The result of local manufacturing means:

Ancillary dependent industry would grow. More locally manufactured goods like jars, shippers, etc.

Growth of local clearing and forwarding companies

Corporate tax, PAYE and other social benefits making more of technical and skilled resources

Generate foreign exchange retained in the country

More employment

Making certain SDGs a reality

When the donor funds eventually dry up, there will be no capacity built for self-sustainability and the country/region will experience challenges in the supply of quality medicines Current situation is:Kenya or the local manufacturer:Does not earn any revenue as items are currently procured from either India or ChinaLoss of the opportunity to create employment (export of jobs to other countries) Loss of opportunity to develop the country.Loss of foreign exchangeNo capacity-development of local industry

Slide10

Our initiatives

STRATEGY

EDUCATION

SUCCESS

Slide11

Future Leadership

Programme

(FLP)

Total of 17 staff selected, comprising Production/Warehouse/QA/QC/Eng/Planning /Finance

Inauguration of the programme on

05/04/2018

FLP programme of UCL comprises 6 modules

Know your business [business and product strategy]

Finance and non-finance

Ownership and accountability Understanding human dynamics and leadership stylesHigh-impact presentations

Target date to complete the modules

March 2019

Slide12

Training

programme: concept

Identification

Selection

Training

Empowering

Skills development

Skilled and empowered resource

Slide13

Advantages for trainees:

A good level of support, when starting career

Training and development opportunities within UCL

A mentor to talk through any problems

The chance to understand different departments of UCL and gain experience of different functions

“TRAINEE PROGRAMME” is UCL’s unique initiative and its efforts create employment for local population [Kenyans], started in 2017. This is in line with the Sustainable Development Goals

“TRAINEE” is an individual who undergoes training for managerial or supervisory positions

The trainee

programme

eases candidates into the world of work and gives them the skills necessary to become part of the larger teamThe trainee programme is the best way to prepare UCL employees to become managers in the future. It equips them with the required skills, judgment and know-how of being an effective and responsible manager

Objectives

Slide14

Team – Product Development

Team – Quality Control

Security & Administration

Procurement

Procurement

Quality Assurance

A few UCL trainees

Slide15

Department-wise summary

2017

2018

Total

Recruited

Attrition

Current status

[TOTAL – OCT 2019]

PRODUCTION

19NA19811ENGINEERING1NA11NA

QUALITY CONTROL

714

214

17QUALITY ASSURANCE

93

125

7PRODUCT DEVELOPMENT

NA

5

5

NA

5

FINANCE 12312SUPPLY CHAIN MANAGEMENT 14523HR, SECURITY & ADMINISTRATION13413INFORMATION TECHNOLOGY1NA11NASALES & MARKETING34743TOTAL4335782751Status update on trainee recruitment

Slide16

The way forward:

Trainee

programme

UCL plans to recruit about 30 to 50 trainees in 2020 in various functions of UCL,

while sustaining the current numbers

This depends on UCL business forecast and sustenance

Finding new ways to motivate to trainees and develop skill sets

Healthy & empowered AFRICA

Slide17

Facility overview and history

Slide18

O

verview and history

Located at Kikuyu, KENYA, 21 km from Nairobi & 37 km from Jomo Kenyatta International Airport

1996 I

ncorporation of Universal Pharmacy Ltd

2004

Manufacturing starts at the facility

2005 & 2008

Finn fund invested in UCL

2011 WHO-PQ approval of lamivudine 150 mg and zidovudine 300 mg tablets2013 Certified in Environmental, Health and Safety management system ISO 14001 and OHSAS 18001 (by bureau VERITAS KENYA)2016 Merger of Strides Pharma Care Limited, Cyprus and UCL (JUNE 2016)2018 WHO acceptance for variation submitted [site transfer] for Efavirenz tablets 600 mg [HA390] & lamivudine, nevirapine and zidovudine tablets 150/200/300 mg [HA 524]

Capabilities

Tablets

Hard gelatin capsules

Liquid orals

Dry syrups

Topical

Slide19

UCL

Slide20

Regulatory approvals

August

2004

August

2007

February

2009

August

2010

September

2013

October

2017

April

2007

March

2014

July

2016

November

2010

IVORY COAST

August2012June2011April2012September2014June2016August2018ETHIOPIAMay2007April2008LESOTHODecember2008October2017MALAWIJuly2006August2006October2009October

2012

NAMIBIA

December

2008

May

2011

SIERRA LEONE

December

2008

Slide21

Key customers

Slide22

Manufacturing capabilities

and QMS

Slide23

Key statistics

Site Specifications

Employee Strength

Department

Strength

Production and Packaging

101

Quality Control

36

Quality Assurance43

Storage and Distribution

25

Facilities & Engineering

23

Support Service 100

Total

328

Blocks

Built-up area

(sq. meter approx.)

Warehouse [RM/PM]

4001

TabletsORSLiquidsOintment & Creams3299Packaging [Including Jar Packing & Coding]1631Finished Goods warehouse 2770QA and QC 831Facilities and engineering 550Change rooms and laundry 566CapacitiesDosagePer Annum[Single shift operation]

Tablets

2,500,000,000

Satchets

160,000,000

Liquids

20,000,000

Ointments and creams

12,000,000

Dry powders

5,000,000

Capsules

160,000,000

Slide24

QMS and IT enablers

Material Management

Production & Planning

Quality Management

Plant Maintenance

Sales & Distribution

Finance & Controlling

Change Management

Deviation/OOS/OOT/Complaints

CAPA/FAR/Recall Internal & Vendor Audit Chromatography Management System

Sample mgt. / Specification / STP

Analytical Worksheet

Stability Management

Standard / Column Management

Master Document Control

BMR / BPR Issuance & Control

Training Management

Training Assessment

Training Content

Access Control

Attendance software

Time sheet management

Leave ManagementPayrollTravel Management

Slide25

QMS and IT enablers

T

E

A

M

Together

Everyone

Achieves

More

Thank you