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Published on: April 21, 2023
Essential medicines for children
Kalle Hoppu1, Shalini Sri Ranganathan2
1Hospital for Children and Adolescents and Department of Clinical Pharmacology, University of Helsinki and Poison Information Centre, Helsinki University Central Hospital, Helsinki, Finland.
Insights
Millions of children die annually from treatable conditions. The World Health Organization (WHO) developed the Model List of Essential Medicines for Children to improve access, but significant challenges remain in ensuring availability.
Area of Science:
- Global Health
- Pediatric Pharmacology
- Public Health Policy
Background:
- Millions of children under five die yearly from treatable conditions.
- The World Health Organization (WHO) Model List of Essential Medicines (EML) was established in 1977 to ensure access to necessary drugs.
- Initially, children's specific needs were not systematically addressed in the EML.
Purpose of the Study:
- To highlight the evolution of the WHO Model List of Essential Medicines for Children.
- To assess the progress and persistent challenges in providing essential medicines to children globally.
Main Methods:
- Review of the historical development of the WHO Model List of Essential Medicines.
- Analysis of the establishment and updates of the WHO Model List of Essential Medicines for Children (EMLc).
- Examination of country survey data on access to pediatric essential medicines.
Main Results:
- The first WHO EMLc was adopted in 2007, followed by subsequent revisions, with the 4th edition in 2013.
- Despite dedicated lists for children, country-level data indicate that access to essential medicines for pediatric populations remains inadequate.
- Significant disparities in access persist, necessitating further interventions.
Conclusions:
- The creation of the WHO EMLc marked a crucial step towards addressing children's health needs.
- Current access levels to essential medicines for children are generally poor, underscoring the need for intensified global efforts.
- Continued focus and investment are required to improve the availability and accessibility of vital medicines for children worldwide.
Abstract:
Millions of children die every year before they reach the age of 5 years, of conditions largely treatable with existing medicines. The WHO Model List of Essential Medicines was launched in 1977 to make the most necessary drugs available to populations whose basic health needs could not be met by the existing supply system. During the first 30 years of the Model List of Essential Medicines, children's needs were not systematically considered. After adoption of the 'Better medicines for children' resolution by the World Health Assembly, things changed. The first WHO Model List of Essential Medicines for Children was drawn up by a Paediatric Expert Subcommittee and adopted in October 2007. The most recent, 4th Model List of Essential Medicines for Children was adopted in 2013. Data from country surveys show that access to essential medicines for children is still generally poor; much more work is needed.
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