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Transparency in Nigeria's public pharmaceutical sector: perceptions from policy makers
Habibat A Garuba1, Jillian C Kohler, Anna M Huisman
1Leslie Dan Faculty of Pharmacy, University of Toronto, 144 College Street, Toronto, Ontario, Canada. habibat.garuba@utoronto.ca
Nigeria's pharmaceutical system shows marginal vulnerability to corruption, particularly in drug registration and port inspections. Strengthening governance and implementing conflict of interest guidelines are crucial for improvement.
Area of Science:
- Pharmaceutical governance
- Health systems research
- Anti-corruption strategies
Background:
- Weaknesses in pharmaceutical governance negatively impact health outcomes, especially in developing nations.
- Nigeria's pharmaceutical sector has struggled with corruption and substandard drugs, despite reforms by the National Agency for Food and Drug Administration and Control (NAFDAC).
Purpose of the Study:
- To assess the perceived transparency and vulnerability to corruption in key areas of Nigeria's pharmaceutical sector.
- To identify specific areas within drug registration, procurement, inspection, and distribution that are susceptible to corruption.
Main Methods:
- Utilized standardized questionnaires adapted from the World Health Organization assessment tool.
- Conducted semi-structured interviews with stakeholders in both public and private pharmaceutical sectors.
- Scored responses numerically, with lower scores indicating higher vulnerability to corruption.
Main Results:
- Nigeria's pharmaceutical system scored 7.4 out of 10, indicating marginal vulnerability to corruption.
- Drug registration and port inspection were identified as the weakest areas.
- Perceived corruption levels did not consistently align with qualitative evidence.
Conclusions:
- Despite NAFDAC reforms, Nigeria's pharmaceutical system remains vulnerable to corruption.
- Key deficiencies include the lack of conflict of interest guidelines, inconsistent documentation, and inadequate monitoring and evaluation.
- Targeted interventions and enhanced checks and balances are needed in identified vulnerable areas.
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