additionally inequality impact assessments for interventions in the health sector need to be introduced this would draw attention to the inequality implications of proposed actions by local authorities and through international cooperation including those of ghps access particularly under the paragraph system should be further reviewed and amended so that the current patent and property rights regime is truly development friendly and more importantly improves access to essential medicines for the poor since agreement on and implementation of reforms is likely to be protracted in the meantime the provision of technical assistance to improve countries capacities to comply with the provisions of the trips amendment is recommended making health systems more equitable lancet vol