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The term "Fairtrade" has been gaining steady acknowledgment since the 1940s - and justifiably so. After all, when consumers pay just a little more for products like organic coffee, bananas, nochocolate and even clothes, farmers are

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

guaranteed a fair price for their goods and labour. So, the fact that over 2,500 product lines in the UK now carry the Fairtrade mark - t to mention that Britain spent over ?290 million on fair trade coffee, food, furniture and clot

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

ing last year (an increase of 46% on the previous year) - should seem like a good thing, right?

Not quite, as many people are now questioning the effectiveness of the fair-trade practice - or more specifically, whether the support

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

f Fairtrade purchase can actually damage the progress of developing world farmers. Many are claiming that a focus on fair prices for poor farmers doesn't necessarily address issues of mechanisation and industrialisation - radical ch

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

anges that might enable farmers in developing countries to break out of the poverty cycle. In other words, they believe Fairtrade just encourages Third World farmers to accept and settle for just a bit more than they were originally

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

getting - which still leaves farmers at a level of dependence.

Steve Daley of the Worldwrite charity told the BBC: "How can a few extra pennies a day from Fairtrade be celebrated as an outstanding achievement?"

Daley cites a repor

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

from the Financial Times last September, which revealed that a group of fair trade coffee farmers in Peru were getting 10 soles (about US$3) for working a ten-and-a-half hour day, in comparison to the 8 soles (about US$2.40) they w

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

ere getting prior to the Fairtrade agreement. While there is a difference, it's not significant, and Daley is thus concerned that the fair trade movement is being reshaped to increase farmers' wages by small amounts, rather than to

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

ransform poor communities through development.

Madsen Pirie from the Adam Smith Institute - another sceptic of the Fairtrade practice - shares Daley's concern, commenting to the BBC:

"[Fairtrade farmers] become dependent on us con

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

inuing to pay 'premium' prices for their goods, [making them] prisoners to our market."

This perspective therefore claims that while small-scale fair trade deals are beneficial to some degree, they aren't enough for Third World far

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

ers to lift themselves out of poverty; they need bigger market developments to achieve that.

Others, however, argue otherwise. , howevEileen Maybin, a spokeswoman for the Fairtrade Foundation, said:

"Fairtrade focuses on ensuring

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

that farmers in developing countries receive an agreed and stable price for the crops they grow, as well as an additional Fairtrade premium to invest in social projects or business development programmes. Typically, farmers' groups

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

ecide to use the premium on education, healthcare and clean water supplies, or the repair of roads and bridges, and to strengthen their businesses, improve the quality of their crop or convert to organic production."

She added that

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

farmers and workers involved in Fairtrade always talk about how much they, their families and their communities benefit.

Justin Purser, the commodities manager for Trade Aid Importers in New Zealand, has also witnessed some of the

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

big changes fair trade can make:

"It is very common for fair trade coffee co-operatives to seek to build infrastructure which will cut down on the amount of labour required to process their coffee, and will also enable them to impr

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

ve their coffee quality and, thereby, the higher prices they can command in the market."

So, the debate of whether fair trade promotes dependency or self-sufficiency continues. However, one thing is certain: fair trade conditions a

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

e far more beneficial to Third World farmers than non-fair trade conditions. So, while bigger issues may still be at hand, Fairtrade is certainly a starting point to put an end to cheap production through exploitation. Moreover, buy

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

ing Fairtrade is something everyone can personally do on a daily basis to help.

There are various ways to support the fair trade practice: you could always pick fair trade products when faced with a choice of fairtrade or non-fairt

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

ade. Many stores, markets and coffee shops do, after all, stock products from both categories. However, why not shop specifically for fair trade products? Or better yet, if

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

the store you normally shop at doesn't stock fair trade products, ask them if they plan to. If companies see enough consumer interest in the fair-trade practice, they may very well decide to switch over - and every little bit counts

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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