Exploring Conditions for Development of the Pharmaceutical Industry in KwaZulu-Natal, South Africa


  • N. W. Dlamini
  • Krishna Kistan Govender University of KwaZulu-Natal


pharmaceutical sector; economic growth; socioeconomic challenges


Various studies of the pharmaceutical industry suggest that the sector is critical for economic growth, access to affordable healthcare, and addressing socio-economic challenges. Recently, public healthcare in South Africa encountered numerous challenges such as the non-availability of vaccinations to deal with the COVID-19 pandemic. This was due to inter-alia, the lack of manufacturing capabilities resulting in overreliance on imported vaccinations. This study aimed to critically review the growth dynamics of the pharmaceutical healthcare sector in KwaZulu-Natal (KZN) province in South Africa, by analysing the conditions for the development and growth of the sector. By using a qualitative research design, data was collected from the key players in this sector by conducting five (5) in-depth interviews with purposively selected individuals from the industry. The analysis reveals that there is minimal interest from the government to grow the sector since there is a poor regulatory framework and the KZN province is thus struggling to attract foreign investment in this sector. It also became apparent that a sectorial long-term vision necessitates a skills development plan related to sector demand and addressing socioeconomic challenges. The framework and policies must be linked to this strategy to achieve aggregate productivity growth in the province. Furthermore, the government’s responsiveness to the pharmaceutical sector requires an agile approach to capacitate the industry players and strengthen coherence. The primary implication of this inquiry is that the socioeconomic challenges will persist, resulting in the country relying on foreign aid to grow the sector. Even though the study had limitations regarding the cases reviewed and the scope, it would provide a much-needed practical and theoretical lens for future similar studies.


Adhabi, E. & Anozie, C.B. (2017). Literature review for the type of interview in qualitative research. International Journal of Education, Vol. 9(3), pp. 86-97.

Agénor, P.R. & Neanidis, K.C. (2015). Innovation, public capital, and growth. Journal of Macroeconomics, Vol. 44, pp. 252-275.

Aghmiuni, S.K.; Siyal, S.; Wang, Q. & Duan, Y. (2020). Assessment of factors affecting innovation policy in biotechnology. Journal of Innovation & Knowledge, Vol. 5(3), pp. 180-190.

Aguilar, F.J. (1967). Scanning the business environment. New York: MacMillan Co.

Akhtar, G. (2013). Indian pharmaceutical industry: an overview. IOSR Journal of Humanities and Social Science, Vol. 13(3), pp. 51-66.

Altenburg, T. & Rodrik, D. (2017). Green industrial policy: Accelerating structural change towards wealthy green economies. Green Industrial Policy - Concept, Policies, Country Experiences.

Asenahabi, B.M. (2019). Basics of research design: A guide to selecting appropriate research design. International Journal of Contemporary Applied Research, Vol. 6(5), pp. 76-89.

Brunello, G. & Wruuck, P. (2021). Skill shortages and skill mismatch: A review of the literature. Journal of Economic Surveys, Vol. 35(4), pp. 1145-1167.

Carpenter, K. (2021). Pharmaceutical Manufacturing in Singapore: Toward a Sustainable Future. ACS Sustainable Chemistry & Engineering, Vol. 9(38), pp. 12729-12732.

Casiano Flores, C.; Chantillon, M. & Crompvoets, J. (2021). Towards a governance assessment framework for geospatial data: A policy coherence evaluation of the geospatial data policy in Flanders. AGILE: GIScience Series, Vol. 2(23).

Chenoy, D.; Ghosh, S.M. & Shukla, S.K. (2019). Skill development for accelerating the manufacturing sector: the role of ‘new-age skills for Make in India. International Journal of Training Research, 17(sup1), pp. 112-130.

Cherian, J.J.; Rahi, M.; Singh, S.; Reddy, S.E.; Gupta, Y.K.; Katoch, V.M.; Kumar, V.; Selvaraj, S.; Das, P. & Gangakhedkar, R.R. (2021). India’s road to independence in manufacturing active pharmaceutical ingredients: focus on essential medicines. Economies, Vol. 9(2), p. 71.

Cherif, R.; Hasanov, F.; Spatafora, N.; Giri, R.; Milkov, D.; Quayyum, S.N.; Salinas, G. & Warner, A.M. (2022). Industrial Policy for Growth and Diversification: A Conceptual Framework. Departmental Papers, No. 2022/017.

Creswell, J.W. & Creswell, J.D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches. California: Sage publications.

Dietz, T.; Börner, J.; Förster, J.J. & Von Braun, J. (2018). Governance of the bioeconomy: A global comparative study of national bioeconomy strategies. Sustainability, Vol. 10(9), p. 3190.

Donegan, M.; Lester, T.W. & Lowe, N. (2021). Striking a balance: A national assessment of economic development incentives. Urban Affairs Review, Vol. 57(3), pp. 794-819.

Flores, C.C.; Vikolainen, V. & Crompvoets, J. (2021). Governance assessment of a blue-green infrastructure project in a small size city in Belgium. The potential of Herentals for a leapfrog to water sensitive. Cities, Vol. 117(2).

Fourie, W. (2018). Aligning South Africa’s National Development Plan with the 2030 Agenda’s Sustainable Development Goals: Guidelines from the policy coherence for development movement. Sustainable Development, Vol. 26(6), pp. 765-771.

Glasmeier, A.K. (2017). The High-Tech Potential. Routledge.

Gutiérrez, J.A. & Macken-Walsh, Á. (2022). Ecosystems of collaboration for sustainability-oriented innovation: the importance of values in the agri-food value-chain. Sustainability, Vol. 14(18).

Haldane, V.; De Foo, C.; Abdalla, S.M.; Jung, A.S.; Tan, M.; Wu, S.; Chua, A.; Verma, M.; Shrestha, P. & Singh, S. (2021). Health systems resilience in managing the COVID-19 pandemic: lessons from 28 countries. Nature Medicine, Vol. 27(6), pp. 964-980.

Harrison, A. & Rodríguez-Clare, A. (2010). Trade, foreign investment, and industrial policy for developing countries. Handbook of development economics, Vol. 5, pp. 4039-4214.

Horner, R. (2022). Global value chains, import orientation, and the state: South Africa’s pharmaceutical industry. Journal of International Business Policy, Vol. 5(1), pp. 68-87.

Javadi, M. & Zarea, K. (2016). Understanding thematic analysis and its pitfall. Journal of client care, Vol. 1(1), pp. 33-39.

Linde, J. & Peters, Y. (2020). Responsiveness, support, and responsibility: How democratic responsiveness facilitates responsible government. Party Politics, Vol. 26(3), pp. 291-304.

Mailu, R.N.; Ntale, J.F. & Ngui, T.K. (2018). Strategy implementation and organizational performance in the pharmaceutical industry in Kenya. International Academic Journal of Human Resource and Business Administration, Vol. 3(2), pp. 33-47.

Malerba, F. & Orsenigo, L. (2015). The evolution of the pharmaceutical industry. Business history, Vol. 57(5), pp. 664-687.

Matovic, I.M. (2020). PESTEL analysis of external environment as a success factor of startup business. ConScienS Conference Proceedings.

McGlacken, G.P.; Hayes, S.; Maguire, A.R.; O’Halloran, J. & Hodnett, K. (2018). Industry–Academia Partnership: The Synthesis and Solid‐State Pharmaceutical Centre (SSPC) as a Collaborative Approach from Molecule to Medicine. Chemistry–A European Journal, Vol. 24(2), pp. 499-503.

Naudé, C.T.W. & Luiz, J.M. (2013). An industry analysis of pharmaceutical production in South Africa. South African Journal of Business Management, Vol. 44(1), pp. 33-46.

Nielsen, B.B.; Asmussen, C.G. & Weatherall, C.D. (2017). The location choice of foreign direct investments: Empirical evidence and methodological challenges. Journal of World Business, Vol. 52(1), pp. 62-82.

Nowell, L.S.; Norris, J.M.; White, D.E. & Moules, N.J. (2017). Thematic analysis: Striving to meet the trustworthiness criteria. International journal of qualitative methods, Vol. 16(1), p. 160.

Pecchia, L.; Piaggio, D.; Maccaro, A.; Formisano, C. & Iadanza, E. (2020). The inadequacy of regulatory frameworks in time of crisis and in low-resource settings: personal protective equipment and COVID-19. Health and Technology, Vol. 10(6), pp. 1375-1383.

Pece, A.M.; Simona, O.E.O. & Salisteanu, F. (2015). Innovation and economic growth: An empirical analysis for CEE countries. Procedia Economics and Finance, Vol. 26, pp. 461-467.

Peres, M.A.; Macpherson, L.M.; Weyant, R.J.; Daly, B.; Venturelli, R.; Mathur, M.R.; Listl, S.; Celeste, R.K.; Guarnizo-Herreño, C.C. & Kearns, C. (2019). Oral diseases: a global public health challenge. The Lancet, Vol. 394(10194), pp. 249-260.

Rashid, Y.; Rashid, A.; Warraich, M.A.; Sabir, S.S. & Waseem, A. (2019). Case study method: A step-by-step guide for business researchers. International Journal of Qualitative Methods, Vol. 18.

Rastogi, Nitank & Trivedi, M.K. (2016). PESTLE technique–a tool to identify external risks in construction projects. International Research Journal of Engineering and Technology, Vol. 3(1), pp. 384-388.

Santos, J.B. (2020). Knowledge-intensive business services and innovation performance in Brazil. Innovation & Management Review, Vol. 17(1), pp. 58-74.

Schneider, M.R.; Schulze-Bentrop, C. & Paunescu, M. (2010). Mapping the institutional capital of high-tech firms: A fuzzy-set analysis of capitalist variety and export performance. Journal of International Business Studies, Vol. 41(2), pp. 246-266.

Songling, Y.; Ishtiaq, M.; Anwar, M. & Ahmed, H. (2018). The role of government support in sustainable competitive position and firm performance. Sustainability, Vol. 10(10), p. 3495.

South African Health Product Authority (SAHPRA) (2017). Medicines and Related Substances Act, 1965. Retrieved from https://www.sahpra.org.za/wp-content/uploads/2021/11/Medicines-Act-General-Regulations-2017.pdf.

Starr, P. (2017). The social transformation of American medicine: The rise of a sovereign profession and the making of a vast industry. New York City: Basic Books.

Tawfik, E.A.; Tawfik, A.F.; Alajmi, A.M.; Badr, M.Y.; Al-Jedai, A.; Almozain, N. H., Bukhary, H. A., Halwani, A. A., Al Awadh, S.A. & Alshamsan, A. (2022). Localizing pharmaceuticals manufacturing and its impact on drug security in Saudi Arabia. Saudi Pharmaceutical Journal, Vol. 30(1), pp. 28-38.

The Department of Trade and Competition (DTIC) (2024). Special Economic Zone (SEZ). Retrieved from http://www.thedtic.gov.za/sectors-services-2/industrial-development/special-economic-zones.

The South African Human Rights Commission (SAHRC) (2021). Access to Health Care. Retrieved from https://www.sahrc.org.za/home/21/files/Access-to-HealthCare.pdf.

The KwaZulu-Natal Province Health Republic of SA (2020-2021). Retrieved from https://www.kznhealth.gov.za/2020-2021-annual-report.pdf.

Vasileiou, K.; Barnett, J.; Thorpe, S. & Young, T. (2018). Characterising and justifying sample size sufficiency in interview-based studies: systematic analysis of qualitative health research over a 15-year period. BMC medical research methodology, Vol. 18, pp. 1-18.

Wentzel, L. & De Hart, K. (2015). Incentives for the manufacturing sector: what South Africa can learn form Malaysia and Singapore. Journal of Economic and Financial Sciences, Vol. 8(1), pp. 105-124.

Yüksel, I. (2012). Developing a multi-criteria decision-making model for PESTEL analysis. International Journal of Business and Management, Vol. 7(24), p. 52.

Zhu, T.T.; Peng, H.R. & Zhang, Y.J. (2018). The influence of higher education development on economic growth: evidence from central China. Higher Education Policy, Vol. 31, pp. 139-157.




How to Cite

Dlamini, N. W., & Govender, K. . K. (2024). Exploring Conditions for Development of the Pharmaceutical Industry in KwaZulu-Natal, South Africa. EuroEconomica, 43(1), 19–39. Retrieved from https://dj.univ-danubius.ro/index.php/EE/article/view/2683