SUPPLY AND USE OF ESSENTIAL DRUGS IN SUB-SAHARAN AFRICA - SOME ISSUES AND POSSIBLE SOLUTIONS

SUPPLY AND USE OF ESSENTIAL DRUGS IN SUB-SAHARAN AFRICA - SOME ISSUES AND POSSIBLE SOLUTIONS
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DOI:
10.1016/0277-9536(91)90035-b
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发表时间:
1991-01-01
影响因子:
5.4
通讯作者:
FOSTER, S
FOSTER, S
中科院分区:
医学2区
文献类型:
--
作者:
FOSTER, S

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这篇论文描述了非洲的药品供应系统,包括公共和私营部门,并得出结论,“私营部门”可能存在严重缺陷。提高效率和减少浪费的机会很多;这篇论文为节省开支提供了证据。最后,还有几个对非洲特别重要的问题,即改善物流的地理和空间限制,这些限制比世界其他地方严重得多;假药问题;药品供应筹资和费用回收;艾滋病毒/艾滋病流行病对基本药品供应和使用的影响。
The paper describes drug supply systems in Africa, both public and private, and concludes that the ‘private sector’ may have serious drawbacks. Many opportunities exist for improving efficiency and reducing waste; the paper gives evidence for the savings to be made. Finally, there are several issues of specific importance to Africa, namely, geographic and spatial constraints to improving logistics, which are much more severe than elsewhere in the world; the problem of counterfeit drugs; financing of drug supplies and cost recovery; and the impact of the HIV/AIDS epidemic on supply and use of essential drugs.