Evidence map›Paper›PMID 39524690›Full record

ArticleJournal of pharmaceutical policy and practice2024

A 20-year evidence-based experience of the evolving medicine regulation in Zanzibar.

Burhani Simai, Daniel Joshua, Salma Ali, Bora Lichanda, Sharifa Ali, Amne Issa, Heber Anandan, Raphael Zozimus Sangeda

Abstract read
In one paragraph

Article in Journal of pharmaceutical policy and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Burhani SimaiDepartment of Medicine and Cosmetics, Zanzibar Food and Drug Agency, Zanzibar, Tanzania.
Daniel JoshuaDepartment of Human Research, Zanzibar Health Research Institute, Zanzibar, Tanzania.ORCID https://orcid.org/0000-0002-1720-0506
Salma AliDepartment of Medicine and Cosmetics, Zanzibar Food and Drug Agency, Zanzibar, Tanzania.
Bora LichandaDepartment of Medicine and Cosmetics, Zanzibar Food and Drug Agency, Zanzibar, Tanzania.
Sharifa AliDepartment of Medicine and Cosmetics, Zanzibar Food and Drug Agency, Zanzibar, Tanzania.
Amne IssaDepartment of Medicine and Cosmetics, Zanzibar Food and Drug Agency, Zanzibar, Tanzania.
Heber AnandanDepartment of Clinical Research, Dr. Agarwal's Health Care Ltd, Tirunelveli, South India.ORCID https://orcid.org/0000-0002-5850-301X
Raphael Zozimus SangedaDepartment of Pharmaceutical Microbiology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.ORCID https://orcid.org/0000-0002-6574-5308

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Access to medicine is crucial for the effective functioning of healthcare systems. A robust regulatory framework is necessary to ensure the safety, effectiveness, and availability. However, weak regulatory frameworks persist in many low- and middle-income countries, leasing to the circulation of falsified and substandard medicines as well as anti-competitive restrictions on registering poor-quality medicines, which poses a significant public health threat. This study evaluated the evolution of Zanzibar's medicine regulatory system over the past two decades and identified the key factors contributing to its success by elaborating on the Zanzibar Food and Drug Agency, seeking the expertise of regional, continental, and global experts to assess its regulatory capacity and maturity level. Methods: This study was conducted at the Zanzibar Food and Drug Agency (ZFDA) in Unguja, Zanzibar, using a retrospective cross-sectional review and qualitative approach. It thoroughly reviewed relevant regulatory documents, including Acts, policies, guidelines, and assessment reports. Data were collected using a standardised checklist and analysed to uncover patterns and insights regarding the evolution of Zanzibar's medicine regulatory system. Results: This study revealed substantial legal provisions, organisational development, strategic planning, and resource allocation improvements. Notable achievements include establishing a structured organisational framework, developing a comprehensive strategic plan, and implementing a Quality Management System (ISO 9001:2015 certified). The ZFDA also addressed human resource limitations by creating job descriptions and a staff scheme of service, enhancing financial resources through revised fee regulations and government support, and improving infrastructure with new office and laboratory facilities. Conclusion: Zanzibar's medicine regulations have evolved significantly, with marked regulatory capacity and infrastructure improvements. Future efforts should address the remaining challenges and foster collaboration with regional and international bodies to ensure the continued evolution and effectiveness of Zanzibar's medicine regulatory framework.

Indexed as

Medicine regulationpharmaceutical qualitypublic healthregulatory frameworkTanzaniaZanzibar

Identifiers

PMID39524690
PMCPMC11544740

What OpenQuestion holds

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LicenceCC BY
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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.