Related Experiment Video
Updated: Feb 26, 2026

Author Spotlight: Developing a Disposable Dosator for Preclinical Testing of Dry Powder Inhalers in Small Animal Models
Published on: August 18, 2023
Availability of pediatric-evaluated formulations in Serbia
Bojana Božić1, Sanja Stupar2, Duško Stupar3
1Department of Pharmacology, Clinical Pharmacology and Toxicology, School of Medicine, University of Belgrade, Belgrade, Serbia.
Insights
Pediatric medicine availability in Serbia is alarmingly low, with only 49% of medicines suitable for children. Health insurance covers 64% of licensed pediatric drugs, but global disparities in access require urgent attention.
Area of Science:
- Pediatric pharmacology
- Health services research
- Global health
Background:
- Limited availability of pediatric-specific drug formulations poses a global health challenge.
- Access to essential pediatric medicines varies significantly worldwide.
- Understanding national drug availability is crucial for improving child health outcomes.
Purpose of the Study:
- To assess the availability and health insurance coverage of pediatric formulations in Serbia.
- To compare pediatric medicine availability with the World Health Organization's (WHO) Model List of Essential Medicines for Children.
- To identify gaps in pediatric drug access for children up to 12 years old.
Main Methods:
- Analysis of drug availability data from Serbia's official drug registry (2013).
- Review of Summary of Product Characteristics and National Health Insurance Fund (NHIF) Drug Lists.
- Comparison with WHO Model Lists of Essential Medicines for Children.
Main Results:
- Only 49% of all medicines in Serbia were available in pediatric formulations.
- The lowest availability was observed for neonates (0-27 days).
- The National Health Insurance Fund (NHIF) covered 64% of licensed pediatric medicines, and 51% of WHO essential medicines for children were available.
Conclusions:
- Serbia faces a significant deficit in pediatric-suitable drug formulations.
- Disparities in pediatric medicine availability highlight a critical global health inequity.
- Improving access to essential pediatric medicines should be a global health priority.
Objectives:
The aim of this study is to analyze the availability and coverage by health insurance reimbursement of pediatric formulations labeled for children up to the age of 12 in Serbia. To provide good insight in general availability of pediatric medicines, results were compared with the World Health Organization's (WHO) "Model List of Essential Medicines for Children" and with published evidence.
Materials And Methods:
Sources of information about medicines are the Summary of Product Characteristics, National Health Insurance Fund (NHIF) Drug Lists, WHO Model Lists of Essential Medicines for Children, and Serbia's official drug registry (2013).
Results:
Out of total number of medicines in Serbia, only 49% (496) were available for children. Of all available drugs for children, 66% were with license and majority were parenteral formulation (57%), followed by drugs for local use (28%) and formulations for oral use (23%). The lowest availability of medicines was for children 0-27 days. From the total number of licensed medicines for children up to 12 years old, NHIF covers 64% of drugs. The availability of the WHO essential medicines for children in Serbia was 51%, from which 92% were licensed for pediatric use.
Conclusions:
Our results demonstrated the alarming lack of pediatric suitable formulations in Serbia. Significant differences in the availability of drugs suitable for children exist worldwide. From global health point of view, the differences in the access to children formulations should, therefore, be of the highest priority.
More Related Videos
06:08Evaluation of Drug Sorption to PVC- and Non-PVC-based Tubes in Administration Sets Using a Pump
Published on: March 11, 2017
12:02An Efficient Method for the Synthesis of Peptoids with Mixed Lysine-type/Arginine-type Monomers and Evaluation of Their Anti-leishmanial Activity
Published on: November 2, 2016
Related Concept Videos
Drug Dosing: Infants and Children
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Pharmaceutical Alternatives: Polymorphic Form-Related and Particle Size-Related Therapeutic Nonequivalence
Pharmacokinetics in Pediatric Patients: Drug Distribution
Pharmacokinetics in Pediatric Patients: Drug Excretion
Pharmacokinetics in Pediatric Patients: Drug Metabolism