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. 2023 Jun 13:15:443-458.
doi: 10.2147/CEOR.S413546. eCollection 2023.

Challenges to the Availability and Affordability of Essential Medicines in African Countries: A Scoping Review

Aderaw Yenet  1 , Getinet Nibret  1 , Bantayehu Addis Tegegne  1
Affiliations

Challenges to the Availability and Affordability of Essential Medicines in African Countries: A Scoping Review

Aderaw Yenet et al. Clinicoecon Outcomes Res. .

Abstract

Introduction: The availability and affordability of safe, effective, accessible, and high-quality essential medicines is a critical benchmark for achieving the right to good health, and it is also one of the goals of the global health development agenda. To that end, it is critical to conduct rigorous studies to identify the major challenges confronting developing countries, particularly those in Africa.

Objective: The purpose of this review was to identify the major challenges that Africans face in obtaining reasonably priced and readily available essential medicines.

Methods: Generally the Boolean operators "AND" and "OR" were employed. Making progress also involves using duplicate checks, field definitions, and comparisons of articles and criteria. The analysis included all English-language papers published in any African country between 2005 and 2022, depending on the year of publication. The technique searches electronic databases for key phrases related to essential medication availability and affordability, such as PubMed, Web of Science, Scopus, Science Direct, Plos Medicine, and Google Scholar.

Results: A total of 91 articles; by using search engines and handpicking including duplicates, were primarily searched. The electronic database search earned 78 articles while only eleven studies met the criteria for review and were reviewed of which 5 (50%) were from East African countries. Inadequate human resources, financial constraints, high cost of available medications on the market, poor inventory management, manual consumption forecasting, inefficiencies in drug registration, and trade-related aspects of intellectual property rights agreement regulations are all obstacles to the availability of essential medicines in African nations.

Conclusion: This review revealed that in Africa, the availability and affordability of essential medicines face numerous challenges. The primary challenge, according to the review research, is a lack of adequate financing to pay for an appropriate set of essential medications, which account for a significant portion of household spending.

Keywords: African countries; affordability; availability; challenges; essential medicines.

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Conflict of interest statement

The authors state that there were no commercial or financial relationships that may be considered as a potential conflict of interest during the research.

Figures

Figure 1
Figure 1
A diagram of literature searching using the PRISMA checklist.
Figure 2
Figure 2
A conceptual framework of factors affecting essential medicine availability.
See this image and copyright information in PMC

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References

    1. Wambui MC. Factors influencing availability of essential medicines in public health facilities in Kenya: a case of Embu county; 2017.
    1. Oridanigo EM, Salgedo WB, Kebene FG. Affordability of essential medicines and associated factors in public health facilities of Jimma Zone, Southwest Ethiopia. Adv Pharmacol Pharm Sci. 2021;2021:1–9. - PMC - PubMed
    1. World Health Organization. WHO Guideline on Country Pharmaceutical Pricing Policies WHO Guideline on Country Pharmaceutical Pricing Policies. World Health Organization; 2020:1–70.
    1. Adebisi YA, Nwogu IB, Alaran AJ, et al. Revisiting the issue of access to medicines in Africa: challenges and recommendations. Public Heal Challenges. 2022;1:1–13. doi: 10.1002/puh2.9 - DOI
    1. Bruno O, Nyanchoka OA, Ondieki MC, Nyabayo MJ. Pharmaceutical care & health systems availability of essential medicines and supplies during the dual pull-push system of drugs acquisition in Kaliro District, Uganda. J Pharm Care Heal Syst. 2015;1–5. doi: 10.4172/jpchs.S2-006 - DOI

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