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How are pharmaceutical companies redefining success in low- and middle-income countries (LMICs) as both access priorities and market opportunities evolve?

Rabin Martin conducted interviews with two dozen experts from 13 of the largest pharmaceutical companies working in market access and strategy roles across the industry. The goal was to understand better how these companies are navigating the complexity of LMICs, where traditional models don’t always apply and success looks different than in high-income settings.

Interviewees shared practical insights on operating models, team structures, partnerships, and what it takes to deliver both innovation and impact in these complex markets. Their perspectives reflect a wide range of experiences yet share common themes, tensions, and lessons. Download the report to see what we learned.

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Maria Schneider
Partner

Maria is an award-winning strategist who leads the Secretariat for the Private Sector Roundtable on Global Health Security – a cross-industry coalition. She has more than 20 years of experience in public/private partnerships with expertise in a range of health areas. She provides counsel to a diverse group of clients on initiatives to improve access to health care around the world. Before she joined Rabin Martin, Maria was Senior Vice President in Edelman's Corporate Social Responsibility practice, where she created the Partnership for Disaster Response for the Business Roundtable, (winning the prestigious public relations Gold Sabre Award). Prior to that, she helped refocus the mission of the Pfizer Foundation. ​

Manisha Sabharwal
Managing Consultant

Manisha Sabharwal is a global health consultant with over a decade of experience advancing access to health innovations across low- and middle-income countries. At Rabin Martin, she advises pharmaceutical companies, donors, and global health partners on access and commercialization strategy, policy engagement, and evidence-based decision-making, with a focus on market shaping, horizon scanning, and system readiness for new technologies. Prior to Rabin Martin, Manisha held senior roles at IQVIA and the Clinton Health Access Initiative, where she worked closely with governments and in-country teams to support program design, scale-up, and monitoring across infectious diseases and diagnostics, translating data and evidence into actionable policy and implementation strategies.