Policy Briefs

Resources Policy Briefs

Access to insulin no longer just an issue for low-and middle-income countries: Should Switzerland be worried?
More than 100,000 people in Switzerland depend on insulin every day, yet global market shifts and supply vulnerabilities are reshaping the security of this life-saving medicine. What was once framed as a challenge for low- and middle-income countries is increasingly a strategic concern for Switzerland.
This policy brief examines why access to insulin demands renewed attention at national and global levels. It outlines the scale of diabetes in Switzerland, analyses the highly concentrated global insulin market dominated by three multinational companies, and explores emerging risks linked to product withdrawals, price disparities compared with other European countries, and shifts in production toward more profitable medicines such as GLP-1 agonists. The brief highlights how these trends could fundamentally alter the insulin market, particularly for people with type 1 diabetes who rely on insulin for survival and sets out concrete avenues for Swiss action.
From strengthening security of supply and supporting biosimilar competition to leveraging Swissmedic’s regulatory expertise and Switzerland’s global health leadership, the document argues for proactive engagement to safeguard affordable, quality-assured insulin both domestically and worldwide.
Feb 18, 2026
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Results of the Multisectoral Roundtable for Access to Medicines and Supplies for Diabetes
What happens when key actors across the health system come together to tackle one of the most pressing challenges in diabetes care?
Early 2025, CRONICAS convened a full-day multisectoral roundtable bringing together 25 representatives from 15 institutions, including the Ministry of Health, regional health authorities, integrated health networks, civil society, academia, and international partners.
The objective was clear: to identify systemic barriers to access and co-develop practical, sustainable solutions to improve access to medicines and health technologies for diabetes in Peru
Building on high-level presentations on regulatory frameworks and supply systems, participants engaged in structured discussions across three thematic areas:
• regulation and registration,

• procurement and supply, and

• access to diabetes technologies
Using a deliberative dialogue methodology, stakeholders jointly analysed root causes and mapped actionable pathways forward.
The discussions highlighted critical challenges, including limited trust in biosimilar insulins, inefficiencies in procurement and supply chains leading to stock-outs and overstocking, and inequitable access to essential diabetes technologies such as glucometers and test strips. These systemic issues were linked to fragmented information systems, regulatory gaps, and insufficient coordination across levels of the health system.
Importantly, the roundtable went beyond problem identification. Participants developed problem trees, solution pathways, and concrete recommendations, ranging from strengthening regulatory alignment and pharmacovigilance, to modernizing procurement systems and ensuring sustainable financing for diabetes care. The overarching conclusion was that improving access requires coordinated, system-wide reforms rather than isolated interventions.
This policy brief provides a concise synthesis of these discussions, offering evidence-informed insights and actionable recommendations for policymakers, practitioners, and partners working to strengthen diabetes care systems
Organiser: CRONICAS
May 31, 2025
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Access to essential medicines, diagnostics and medical devices for NCDs: PRIORITIES FOR THE 4TH UN HIGH LEVEL MEETING ON NCDs
Access to essential medicines, diagnostics, and medical devices for Noncommunicable diseases (NCDs) is a critical global health issue, particularly in low- and middle-income countries. In the lead-up to the 4th UN High-Level Meeting on NCDs, this policy brief, developed in collaboration between the NCD Policy Lab, NCD Alliance, and key NGOs, calls on Member States to commit to strengthening health systems by advancing Universal Health Coverage (UHC). This means fully integrating essential NCD medicines, diagnostics, and medical devices into UHC, with a strong emphasis on the public health sector, particularly primary care, and ensuring effective referral pathways to specialized care when necessary.
The brief outlines five key recommendations to support WHO Member States in making meaningful progress towards this goal, accelerating action on their existing commitments, and ultimately improving access to NCD treatments and technologies worldwide.
Authors: NCD Policy Lab, University of Geneva, NCD Alliance
Dec 1, 2024
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