对非洲的药物可用性和负担能力进行系统范围审查
Jeff Lane1, Hilma Nakambale2, Asha Kadakia2
1Department of Global Health, School of Public Health, University of Washington, Seattle, WA, USA. lanej3@uw.edu.
BMC health services research
|January 17, 2024
概括
本综述强调了评估非洲药物获取的各种方法. 需要更多地关注非传染性疾病和地理多样性,以改善药物的可用性和负担能力.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 制药政策 制药政策
背景情况:
- 正如2011年世界药物状况报告所指出的那样,非洲仍然面临大量的药物供应和负担能力挑战.
- 医疗获取是可持续发展目标 (SDG) 目标3.8.8的关键组成部分.
- 缺乏对非洲药物可用性和负担能力现有研究的系统分析.
研究的目的:
- 系统地审查和分析关于世卫组织非洲地区药物可用性和负担能力的研究方法,措施,药物类别和地理分布.
- 识别知识缺口并为未来的研究,可持续发展目标目标3.8的监测系统和政策决策提供信息.
- 为改善非洲医药获取提供见解.
主要方法:
- 进行了系统的范围审查.
- 包括2009年至2021年间发表的评估世卫组织非洲地区药物可用性或负担能力的研究.
- 提取和分析了研究方法,措施,药物类型和地理覆盖范围的数据.
主要成果:
- 241篇文章符合资格标准,其中88%是描述性的,12%是干预性的.
- 最常见的可用性指标是"在调查日期库存" (63%). 可负担性通常是根据最低薪水的政府雇员的日薪 (54%) 衡量.
- 抗寄生虫和抗菌药物是最受研究的. 46%的非洲国家没有研究,其中一半以上集中在埃塞俄比亚,肯尼亚,坦桑尼亚和乌干达.
结论:
- 用于评估药物可用性和负担能力的方法和措施广泛.
- 需要更多地关注非传染性疾病的药物,并在研究中提供更广泛的地理代表性.
- 需要更多的干预研究来制定有效的战略,以改善该地区的药物获取.
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