马拉维儿童基本药物的可用性,定价和负担能力
Francis Kachidza Chiumia1, Cynthia Chithope-Mwale1, Felix Abikoloni1
1Department of Pharmacy, School of Life Sciences and Allied Health Professions, Kamuzu University of Health Sciences, Blantyre, Malawi.
Frontiers in pharmacology
|April 26, 2024
概括
马拉维的儿科药品供应不足,影响了儿童的健康. 虽然一些药物是负担得起的,但供应链的改进对于普及医疗覆盖至关重要.
科学领域:
- 全球健康 全球健康
- 加强卫生系统 加强卫生系统
- 制药政策 制药政策
背景情况:
- 获得必要的儿科药物对于医疗保健质量至关重要,直接影响儿童发病率和死亡率.
- 脆弱的儿科人口不成比例地受到药品短缺的影响.
- 评估儿科药物的可用性,定价和负担能力对于改善医疗保健结果至关重要.
研究的目的:
- 评估马拉维的儿科配方的可用性,定价和负担能力.
- 识别马拉维不同医疗保健部门在医药获取方面的差异.
主要方法:
- 在2023年3月至5月期间,在马拉维的76个卫生机构 (公共,宗教,私人) 进行了一项横截面研究.
- 世卫组织/国际卫生组织的方法被调整为从库存记录和药房人员的价格中收集有关药品可用性的数据.
- 医学负担能力是通过计算最低工资收入者负担治疗费用的工作日来评估的.
主要成果:
- 总体而言,儿科医药的可用性很低:公共设施的38.1%,私人零售的53.7%,私人诊所的49.5%,CHAM设施的48.3%.
- 在多达54%的药店里,只需处方药的药物是非法获得的.
- 虽然超过50%的药物是负担得起的 (需要不到一天的工资),但在所有行业中仍然存在显著的可用性差距.
结论:
- 马拉维公共,CHAM和私营部门的儿科配方缺乏,对儿童健康构成风险,可能会增加发病率和死亡率.
- 应对供应链挑战,并优先考虑儿童等特殊人群的需求,对于实现全民健康覆盖是必不可少的.
- 需要采取政策干预措施,以改善对基本儿科药物的持续可用性和公平获取.
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