非洲国家基本药物的可用性和负担能力的挑战:一个范围审查
Aderaw Yenet1, Getinet Nibret1, Bantayehu Addis Tegegne1
1Department of Pharmacy, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
在非洲,获得负担得起的基本药物受到几个因素的阻碍. 主要挑战包括资金不足,高药费用和资源管理效率低下,影响健康公平.
科学领域:
- 全球健康 全球健康
- 卫生经济学 卫生经济学
- 制药政策 制药政策
背景情况:
- 基本药物对于实现全民健康覆盖和全球健康发展目标至关重要.
- 识别非洲药物可访问性方面的挑战对于有针对性的干预至关重要.
研究的目的:
- 确定阻碍非洲人口获得和负担得起必需药物的主要障碍.
主要方法:
- 在主要数据库 (PubMed,Scopus,Web of Science等) 中对2005-2022年英语出版物的系统审查. ) 的情况.
- 使用布尔运算符和与药物的可用性和负担能力相关的特定搜索术语.
- 包括重复检查和文章标准比较,以进行严格的分析.
主要成果:
- 11项研究符合审查标准,其中50%来自东非.
- 确定的障碍包括人力资源不足,财务限制,高药费用,库存控制不足和监管效率低下.
- 知识产权协议也给医药的可访问性带来了挑战.
结论:
- 显著的挑战阻碍了非洲基本药物的可用性和可负担性.
- 资金不足是主要的障碍,导致家庭在必需药物上的大量支出.
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