Evidence map›Paper›PMID 29201366›Full record

ArticleSAGE open medicine2017

Survey on the availability, price and affordability of selected essential medicines for non-communicable diseases in community pharmacies of Kathmandu valley.

Rajeev Shrestha, Anish Ghale, Bijay Raj Chapagain, Mahasagar Gyawali, Trishna Acharya

Open access · goldAbstract read
In one paragraph

Article in SAGE open medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
10.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  3. Oral Ethanol for Methanol Poisoning: A Case Report.JNMA; journal of the Nepal Medical Association · 2025
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  15. Commodity security frameworks for health planning.Exploratory research in clinical and social pharmacy · 2021
    Article
  16. Article
  17. Article
  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Rajeev ShresthaDepartment of Pharmacy, Janamaitri Foundation Institute of Health Sciences, Tribhuvan University, Lalitpur, Nepal.
Anish GhaleDepartment of Pharmacy, Janamaitri Foundation Institute of Health Sciences, Tribhuvan University, Lalitpur, Nepal.
Bijay Raj ChapagainDepartment of Pharmacy, Janamaitri Foundation Institute of Health Sciences, Tribhuvan University, Lalitpur, Nepal.
Mahasagar GyawaliDepartment of Pharmacy, Janamaitri Foundation Institute of Health Sciences, Tribhuvan University, Lalitpur, Nepal.
Trishna AcharyaNepal Health Research Council, Kathmandu, Nepal.
Tribhuvan University · NPNepal Health Research Council · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe access to essential medicines for non-communicable disease treatment is unacceptably low worldwide. The fundamental right to health cannot be fulfilled without equitable access to essential medicines. METHODOLOGY: A cross-sectional study was carried out in 94 community pharmacies of Kathmandu valley. Non-probability quota sampling method was adopted for the purpose. Village Development Committees with more than 5000 populations were included in the study. The availability of the selected essential medicines, their price and producer identity were observed. Data entry and analysis were carried out in Microsoft Excel and Statistical package for social science.

resultThe availability of the essential medicines was not 100% in Kathmandu valley. High competition and high price variation were seen in metformin 500 mg (254.6%) and atorvastatin 10 mg (327.6%). The study showed that maximum (54.7%) brands were manufactured in Nepal. Furthermore, atorvastatin 10 mg (0.6 day wage) was found to be quite expensive, and glibenclamide 5 mg (0.1 day wage) was the cheapest one for diabetes mellitus treatment for 1 month of treatment period compared to daily wages of other essential medicines.

conclusionThe availability of the selected essential medicines was found to be ununiform and insufficient in the entire region. High competition was observed in the products with high price variation, and the access to cost-effective brand was poor. Furthermore, it was found that government salary is affordable to treat non-communicable disease with the help of the essential medicines.

Indexed as

Affordabilityavailabilitycommunity pharmacyessential medicineNepalnon-communicable diseaseprice variation

Identifiers

PMID29201366
PMCPMC5697585
OpenAlexW2770481671

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.