Evidence map›Paper›PMID 37343667›Full record

ArticleJournal of the Royal Society of Medicine2023

Registration of essential medicines in Kenya, Tanzania and Uganda: a retrospective analysis.

A Green, R Lyus, M Ocan, A M Pollock, P Brhlikova

Abstract read
In one paragraph

Article in Journal of the Royal Society of Medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. Article
  9. Establishing links between drug registers and essential medicines lists.Bulletin of the World Health Organization · 2025
    Article
  10. Article
  11. Rigour and science in drug regulatory approval.Journal of the Royal Society of Medicine · 2023
    Article
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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.

A GreenPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK.
R LyusPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK.ORCID 0000-0002-3093-3704
M OcanDepartment of Pharmacology and Therapeutics, Makerere University, Republic of Uganda, Kampala, PO Box 7062.
A M PollockPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK.ORCID 0000-0002-7388-3110
P BrhlikovaPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK.ORCID 0000-0003-2085-0304

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo audit national drug registers (NDRs) in Kenya, United Republic of Tanzania and Uganda with respect to national Essential Medicine Lists (EMLs) and to conduct an analysis of highly registered products including a sub-analysis of highly registered antimicrobial products.

designRetrospective analysis of registration of essential medicines and medicinal products on NDRs as of February 2018.

settingNot applicable.

participantsNone.

main outcome measuresRegistration status of essential medicines by country, essential medicine status of registered products by country and medicines with more than 50 registrations across all three countries.

resultsA high proportion of essential medicines are not registered: Kenya 28% (175/632), United Republic of Tanzania 50% (400/797) and Uganda 40% (266/663). Of registered products on the NDRs, more than half are not essential: Kenya 71% (4350/6151), United Republic of Tanzania 64% (2278/3590) and Uganda 58% (2268/3896). When the three NDRs were combined, there were 42 medicines with over 50 registered products, accounting for 30% (4153/13637) of products, many of which were non-essential.

conclusionsNon-registration of essential medicines is a barrier to availability. Over-registration of medicines, particularly non-essential medicines, diverts regulatory resources towards registering non-priority and, sometimes, clinically sub-optimal medicines. The East African Community Medicines Registration Harmonization Project has the potential to improve access to key medicines if registration of essential medicines is prioritised and registration of non-essential medicines is restricted.

Indexed as

Drugs, EssentialHumansKenyaRetrospective StudiesTanzaniaUgandaDrugs, EssentialClinicalmedicines regulationnon-clinicalpharmacology and therapeuticspublic health

Identifiers

PMID37343667
PMCPMC10695152

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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.