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Access to medicines from a health system perspective
Maryam Bigdeli1, Bart Jacobs, Goran Tomson
1Alliance for Health Policy and System Research, World Health Organization, Geneva, Switzerland.
Health Policy and Planning
|November 24, 2012
Summary
Access to medicines (ATM) is often fragmented, ignoring health system interconnections. This study proposes a holistic health system perspective, emphasizing interconnectedness and demand-side factors for improved ATM.
Area of Science:
- Health Systems Strengthening
- Pharmaceutical Policy
- Public Health
Background:
- Health system strengthening interventions often overlook crucial interconnections between components.
- Fragmented, supply-focused approaches to access to medicines (ATM) neglect broader health service access issues.
Purpose of the Study:
- To embed access to medicines (ATM) within a comprehensive health system perspective.
- To analyze existing ATM frameworks and identify gaps in addressing multi-level determinants.
Main Methods:
- Structured literature review of ATM frameworks and determinants.
- Analysis of how existing frameworks address constraints at different health system levels.
Main Results:
- ATM barriers are complex, interconnected, and manifest at multiple health system levels.
- Current ATM frameworks inadequately address the full spectrum of access barriers.
Conclusions:
- Proposing three paradigm shifts for a holistic view of ATM, integrating demand-side constraints and dynamic relationships.
- Emphasizing the national, regional, and international contextual determinants of ATM.
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