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Export Import Management Component 2
Export Import Management Component 2
Batch 2022-25
Submitted to – Submitted By –
INTRODUCTION
2. Developing Effective Market Entry Strategies: These theories help businesses identify
and evaluate various market entry modes, such as exporting, licensing, joint ventures, and
foreign direct investment, to determine the most suitable approach for international
expansion.
1. Market Analysis and Entry Strategies: This includes theories related to market research,
segmentation, targeting, and positioning, as well as theories guiding the selection of
appropriate market entry modes and strategies.
2. Trade Finance and Payment Mechanisms: This encompasses theories related to trade
finance instruments, such as letters of credit, documentary collections, and export credit
insurance, as well as theories guiding the management of foreign exchange risk and
international payment mechanisms.
3. International Product Life Cycle (IPLC): This theory suggests that products go through
distinct stages—introduction, growth, maturity, and decline—each with implications for
international trade. Ranbaxy's focus on generic drugs aligns with the maturity stage of the
product life cycle, where products become standardized, and competition intensifies. By
targeting markets with established demand for generic pharmaceuticals, Ranbaxy capitalized
on this stage to expand globally.
4. Market Entry Modes: Ranbaxy employed various market entry modes, including
acquisitions, joint ventures, and strategic alliances, which align with theories of market entry
strategies. These approaches allowed Ranbaxy to access new markets quickly, leverage local
expertise, and share risks and resources with partners. For example, the acquisition of Terapia
in Romania provided Ranbaxy with immediate access to the European market and local
manufacturing capabilities.
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5. Transaction Cost Theory: This theory suggests that firms seek to minimize transaction
costs associated with market exchange by choosing the most efficient governance structure,
such as hierarchical control or market-based coordination. Ranbaxy's strategic alliances and
acquisitions allowed the company to reduce transaction costs by accessing existing
distribution networks, regulatory approvals, and market knowledge, rather than building them
from scratch.
SWOT ANALYSIS
1) Strengths
Whereas in US, cost of living is high, so doctors have to be paid more. Number of patients
are less, so per patient cost will be increased by the hospital. US does not believe in subsidies
at all.
II. Traditional Medicine Practices: India has a rich tradition of alternative medicine
systems like Ayurveda, Yoga, Naturopathy, and Homeopathy which are increasingly
gaining recognition globally. Traditional medical systems often emphasize a holistic
approach to health, considering not only physical symptoms but also mental,
emotional, and spiritual well-being. This approach resonates with many individuals
who seek alternatives to conventional medicine. Traditional medicine practices often
utilize natural remedies, dietary modifications, and lifestyle changes, which can be
more cost-effective compared to modern medical interventions involving expensive
drugs or procedures. This affordability makes traditional medicine accessible to a
broader segment of the population, particularly those with limited financial means.
IV. Technology Adoption: The Indian healthcare sector is rapidly adopting technological
advancements like telemedicine, electronic health records (EHR), and health apps,
improving accessibility and efficiency of healthcare delivery. There are number of
health care apps operating in the country some of them are Net meds, Pharm easy,
Apollo 247 etc
2) Weakness
II. Underfunding: Public healthcare in India suffers from chronic underfunding, leading
to inadequate resources, staff shortages, and poor quality of care in government-run
hospitals. India’s government health spending at a little over 1% of gross
domestic product is among the lowest in the world.
Insufficient funding compromises the quality of care provided in public healthcare
facilities. Lack of investment in infrastructure maintenance, medical equipment, and
staff training can lead to deteriorating facility conditions, outdated technology, and
lower standards of care. This can result in medical errors, preventable complications,
and patient dissatisfaction.
III. Regulatory Challenges: Complex regulations and bureaucratic hurdles hinder the
growth and effectiveness of the healthcare sector, leading to delays in approvals and
investments.
A 2011 study estimated that India has roughly 20 health workers per 10,000 population, with
allopathic doctors comprising 31% of the workforce, nurses and midwives 30%, pharmacists
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11%, AYUSH practitioners 9%, and others 9%.[16] This workforce is not distributed
optimally, with most preferring to work in areas where infrastructure and facilities for family
life and growth are higher. In general, the poorer areas of Northern and Central India have
lower densities of health workers compared to the Southern states
3) Opportunities
I. Healthcare Tourism: India has the potential to further capitalize on medical tourism
by offering high-quality treatments at competitive prices, leveraging its skilled
workforce and advanced infrastructure in select healthcare facilities. The India
Medical Tourism Market size is estimated at USD 7.69 billion in 2024, and is
expected to reach USD 14.31 billion by 2029, growing at a CAGR of 13.23% during
the forecast period (2024-2029).
II. Telemedicine and Digital Health: The increasing penetration of smartphones and
internet connectivity presents an opportunity for widespread adoption of telemedicine
and digital health solutions, especially in remote and underserved areas. By
leveraging telemedicine platforms, patients gain increased access to healthcare
services, regardless of their geographical location. This is particularly advantageous
for individuals residing in rural or underserved areas, where access to healthcare
facilities is limited. Additionally, telemedicine expands the reach of healthcare
providers, connecting patients with specialists and consultants who may not be readily
available locally.
III. Research and Development: Investing in research and development can lead to
breakthroughs in areas such as drug discovery, medical devices, and treatment
protocols, contributing to both domestic healthcare improvements and global
competitiveness.
3) Threat
has only 0.55 doctors and 1.7 nurses per 1,000 population, well below the World
Health Organization's recommended minimum of 1 doctor per 1,000 population.
II. Brain Drain: The emigration of skilled healthcare professionals to other countries in
search of better opportunities creates a shortage of talent within the domestic
healthcare sector, affecting service delivery and quality. In many cases, healthcare
professionals, including doctors, nurses, and specialists, may perceive limited
opportunities for career advancement, professional development, and research in
India. The lack of adequate infrastructure, resources, and incentives for healthcare
professionals can drive them to seek opportunities abroad where they can access
better facilities, higher salaries, and more favorable working conditions.
PESTEL ANALYSIS
1. Political Factors
Political factors refer to changes in tax legislation, consumer protection laws, employment
regulations, and insurance mandates that can significantly impact the healthcare industry.
These factors directly influence healthcare costs and operations. For instance, shifts in tax
policies may necessitate adjustments in strategies to either leverage increased government
spending on healthcare or accommodate reduced subsidies. Similarly, changes in
employment laws, such as legislation affecting overtime requirements, could prompt
healthcare organizations to modify staffing and overtime practices to remain compliant.
Political factors encompass various governmental actions and regulations that affect the
healthcare industry. It's crucial for healthcare entities to stay abreast of political changes to
adapt their strategies accordingly and remain compliant with evolving regulations.
In 2008, the U.S. Food and Drug Administration (FDA) issued a warning letter to Ranbaxy
regarding violations of manufacturing practices at its facilities in India. The FDA highlighted
concerns about data integrity, quality control procedures, and documentation practices at
these facilities. This warning letter had significant implications for Ranbaxy's ability to
export its products to the United States, one of its key markets.
As a result of the FDA's warning letter and subsequent investigations, Ranbaxy faced
challenges in obtaining regulatory approvals for its products, and some of its products were
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even banned from the U.S. market. This had a detrimental impact on Ranbaxy's business
operations and financial performance.
The political aspect of this situation lies in the regulatory actions taken by the U.S.
government through the FDA. Changes in import and export procedures, as well as
documentation requirements, were enforced due to concerns raised by regulatory authorities
regarding the quality and safety of Ranbaxy's pharmaceutical products.
Sociocultural factors involve changes in demographics, values, and beliefs within different
consumer groups, which also impact healthcare services. Understanding the community being
served helps healthcare providers avoid conflicts with prevalent values or norms. Moreover,
cultural beliefs and preferences affect individuals' choices regarding healthcare, with some
preferring traditional methods while others opt for alternative or holistic approaches.
Sociocultural factors highlight the importance of understanding the diverse backgrounds and
preferences of healthcare consumers. This knowledge enables healthcare organizations to
tailor their services and marketing strategies effectively. By aligning with the values and
beliefs of target demographics, providers can enhance their engagement and performance
within communities.
This situation had a profound impact on Ranbaxy's ability to export its pharmaceutical
products to various countries, particularly to markets in the United States and Europe, where
stringent quality standards are enforced and consumer trust in pharmaceutical safety is
paramount.
Sociocultural factors played a crucial role in shaping the response to Ranbaxy's quality
issues. Consumers in Western markets, influenced by cultural attitudes emphasizing the
importance of safety and quality in healthcare products, became increasingly wary of
purchasing medications from Ranbaxy. Regulatory authorities in these markets also
intensified scrutiny of Ranbaxy's manufacturing practices and product quality standards,
leading to import bans, product recalls, and legal penalties.
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3. Legal Factors
Legal factors encompass adherence to laws and regulations governing healthcare operations,
including compliance with HIPAA regulations, pending lawsuits, and potential mergers.
Failure to comply with legal requirements can lead to severe consequences for healthcare
organizations. Additionally, taxation laws applicable to the healthcare industry must be
considered and complied with accordingly.
Legal factors emphasize the necessity for healthcare organizations to operate within the
bounds of established laws and regulations. Compliance with legal requirements such as
HIPAA ensures patient confidentiality and avoids legal liabilities.
In 2013 with the U.S. Department of Justice (DOJ) regarding allegations of fraudulent
conduct in relation to the company's generic drug applications.
In this case, Ranbaxy Laboratories was accused of submitting false data and statements to the
FDA as part of its Abbreviated New Drug Applications (ANDAs) for generic drugs. The DOJ
alleged that Ranbaxy had knowingly made false statements about the quality and reliability of
its products, including claims related to stability testing, manufacturing processes, and data
integrity.
This legal settlement had significant implications for Ranbaxy Laboratories, impacting its
reputation, financial standing, and future operations.
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https://www.dgft.gov.in/CP/
The above graph shows all the countries from which India import drugs and medicines with
USA having the major share of approx. 50 million USD. (Source: DGCI&S)
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The above graph shows all the countries to which India export Drugs and Medicines with
Nepal having the major share of approx. 10000 USD. (Source: DGCI&S)
The above graph shows the states that contribute the most for export of drugs and medicines
for India with Maharashtra having the major share of 90000 USD. (Source: DGCI&S)
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Merchandise exports have shown fluctuations over the years, with a significant
increase from 2018-19 to 2019-20, followed by a decrease in 2020-21 and further
fluctuations in subsequent years.
Quantity-wise, both exports and imports also show variations, with notable increases
in some years.
(Source: DGCI&S)
The import policies regarding the import of drugs and medicines in India, as outlined in the
provided excerpts, can be explained as follows:
Applicability of General Chapter: This provision states that certain goods, even if
they fall under more specific headings in the Schedule, are subject to the conditions
outlined in the chapter. This suggests that regardless of where drugs and medicines
may be categorized specifically, they are subject to the regulations mentioned within
this chapter.
Exclusions from Headings 9803 and 9804: These headings do not apply to motor
vehicles, alcoholic beverages, tobacco and tobacco products, as well as articles
imported by passengers or crew members under specific conditions. This exclusion
suggests that drugs and medicines are not covered under these headings but are
subject to other regulations.
Heading 9803 Exemption for Personal Use: Goods imported by passengers or crew
members for personal use, under specific licenses or permits, are exempt from
heading 9803. This could include certain medicinal products brought in by individuals
for personal health purposes.
Heading 9804 Exemption for Licensed Imports: Articles imported under import
licenses or Customs Clearance Permits are not covered under heading 9804. This
implies that drugs and medicines imported under specific licensing arrangements have
different regulatory considerations.
Heading 9804 Exemption for Printed Books: This heading does not apply to
printed books. While not directly related to drugs and medicines, this provision
highlights certain exemptions within the broader import regulations, indicating that
certain categories of goods have specific treatment.
Import Policy: The import policy for this category is listed as "Free," indicating that
there are no duties imposed on these imports.
o This indicates that there hasn't been any contemplation for a new export policy
specifically for domestically manufactured drugs. However, it mentions the
announcement of the new Foreign Trade Policy (FTP) 2023, aimed at boosting
trade, manufacturing, exports, and ease of doing business. This policy is
expected to enhance local manufacturing and make exports more competitive.
o Manufacturers are required to obtain licenses for drug manufacturing from the
concerned authorities and comply with the requirements of importing
countries.
Incidents of Adulteration:
o The report mentions that in the financial year 2022-23, a total of 89,729 drug
samples were tested, out of which 422 were declared spurious/adulterated.
Actions Taken:
o The response doesn't explicitly detail the actions taken specifically regarding
the incidents of adulteration. However, it outlines various schemes and
regulatory measures aimed at promoting domestic manufacturing, ensuring
quality, and regulating drug exports.
https://www.dgft.gov.in/CP/
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The above graph shows the countries importing from India with USA having the major share
of 400000000 USD. (Source: DGCI&S)
The following graph depicts the countries to whom India exports Medical Equipments with
USA having the major share of approx. 250000000 USD. (Source: DGCI&S)
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The above graph shows the states that contribute towards the export of Medical Equipment
with Haryana having the major share of approx. 300000000 USD. (Source: DGCI&S)
For the years 2018-19, 2019-20, 2020-21, and 2021-22, there are no recorded values
for merchandise exports or imports, indicating either no trade or missing data for
these years.
In 2022-23, there are two entries. One shows significant merchandise exports worth
32,317.136 thousand USD, while the other shows substantial merchandise imports
totaling 11,27,686.298 thousand USD. This suggests a significant trade imbalance
favoring imports in this year.
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The second entry for 2022-23 shows exports of 11,27,686.298 thousand USD with no
corresponding imports recorded, indicating either an error in reporting or a significant
discrepancy in the data.
(Source: DGCI&S)
The import policy for medical equipment, as outlined in the provided excerpts, can be
explained as follows:
Exclusions: The chapter specifies certain exclusions from its coverage, such as
articles made of specific materials like rubber, leather, textile, refractory goods,
mirrors, certain metal goods, and various technical instruments and apparatus. This
implies that medical equipment falling under these categories is not covered by this
chapter.
Telescopic Sights and Instruments: Heading 9005 does not apply to certain
telescopic sights and telescopes designed for specific uses, which are instead
classified under heading 9013.
Import Policy: The import policy for this category is not explicitly mentioned in the
provided excerpt. However, it can be inferred that since this category encompasses
medical equipment, it likely falls under specific import policies and regulations set by
the Indian government for healthcare-related imports.
Policy Condition: The policy condition column is empty in the provided excerpt, so
specific conditions related to the importation of medical equipment are not mentioned
here. However, it's common for medical equipment imports to be subject to various
regulatory requirements, including quality standards, certification, and licensing
procedures.
As of now there is no clear export policy of medical equipment in India. But some initiatives
are being taken by government:
The EPC will help exporters in promoting their products in international markets
through various promotional activities including organising and participating in
international trade fairs, buyer-seller meets, in line with the foreign trade policy of
India. The Council may also organise awareness campaigns regarding the assistance
available for the MSME exporters under various government schemes.
The government said it will provide Rs 3 crore initial financial support, free office of
around 5000 sqft area at the upcoming Medical Devices Park Common Facility
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Centre (CFC), Greater Noida and required secretarial staff. Till the completion of the
CFC, YEIDA shall provide suitable office space in their current building.
The EPC for medical devices will be under the administrative control of the
Department of Pharmaceuticals, which is a part of the Ministry of Commerce and
Industry. It will be administered by a committee of administration (CoA) that have
both the nominated and elected members from the government and medical device
industry.
Mercantilism:
The theory of mercantilism states that each country should focus on exporting more and more
and try to cut down the import. India is applying this theory in the healthcare sector by
curtailing its import with the help custom duties on import of medical equipment which is
around 7.5 – 10%. Though there has been several recommendations have been given to gov
to reduce the import duty in order to get cheaper medical equipment which off course relates
to basic human needs.
taxes on medical devices in India are among the highest in the world. There is no customs
duty on import of medical devices in countries like Singapore, Hong Kong, Italy and
Norway, while Australia and Japan levy just 0.5% duty. In the United States...
number of medical devices are imported illegally in India to avoid taxes. “Such products
don’t get proper service and thus pose risks to patients. Moreover, it’s a...
Comparative Advantage:
The US likely has an advantage in some areas, particularly for complex or high-tech medical
equipment that requires significant research and development, it would we better for the india
to import these high tech instrument rather himself producing whereas if we talk about India
it is a major producer of generic drugs and medical equipment, which are often more
affordable. India is also the largest provider of generic medicines globally, occupying a 20%
share in global supply by volume. The industry manufactures about 60,000 different generic
brands across 60 therapeutic categories.
CONCLUSION
Export-import management theories serve as guiding principles for businesses venturing into
international trade, offering strategies to enhance competitiveness, navigate market
complexities, and capitalize on opportunities while mitigating risks. Ranbaxy's global
expansion strategies exemplify the practical application of these theories, demonstrating the
importance of leveraging comparative advantages and strategic market entry modes.
The SWOT and PESTEL analyses shed light on the strengths, weaknesses, opportunities, and
threats within India's healthcare sector, alongside the political, economic, social,
technological, environmental, and legal factors influencing its operations. India's healthcare
industry exhibits strengths such as cost advantages, a robust pharmaceutical sector, and
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technological adoption, yet faces challenges like infrastructure gaps, regulatory hurdles, and
workforce shortages.
Import and export policies for drugs, medicines, and medical equipment underscore India's
efforts to promote domestic manufacturing, ensure product quality and safety, and facilitate
international trade. While import policies reflect efforts to protect domestic industries, export
policies aim to reduce dependence on imports and boost exports through incentives and
regulatory measures.
FUTURE RECOMMENDATIONS
Based on the comprehensive analysis of India's healthcare sector provided above, here are
some future recommendations:
By implementing these recommendations, India can address existing challenges, leverage its
strengths, and capitalize on emerging opportunities to further strengthen its position as a
global leader in the healthcare industry.