Evidence map›Paper›PMID 40496656›Full record

ReviewPublic health challenges2022

Revisiting the issue of access to medicines in Africa: Challenges and recommendations.

Yusuff Adebayo Adebisi, Ifechukwu Benedict Nwogu, Aishat Jumoke Alaran, Abubakar Olaitan Badmos, Adeboye Olakunle Bamgboye, Basirat Oluwadamilola Rufai, Osaretin Christabel Okonji, Malik O Malik, John Oluwafemi Teibo, Samah Faisal Abdalla and 3 more

Abstract readReview
In one paragraph

Review in Public health challenges, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
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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

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

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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

13 authors.

Yusuff Adebayo AdebisiGlobal Health Focus Africa Abuja Nigeria.ORCID https://orcid.org/0000-0002-2381-0984
Ifechukwu Benedict NwoguThe Comparative Health Outcomes Policy and Economics (CHOICE) Institute School of Pharmacy University of Washington Seattle Washington USA.ORCID https://orcid.org/0000-0001-9845-9327
Aishat Jumoke AlaranGlobal Health Focus Africa Abuja Nigeria.ORCID https://orcid.org/0000-0001-8443-8701
Abubakar Olaitan BadmosNational Primary Healthcare Development Agency Abuja Nigeria.ORCID https://orcid.org/0000-0002-7762-7018
Adeboye Olakunle BamgboyeFaculty of Pharmacy Obafemi Awolowo University Ile-Ife Nigeria.
Basirat Oluwadamilola RufaiDepartment of Clinical Pharmacy and Pharmacy Administration Faculty of Pharmacy University of Ibadan Ibadan Nigeria.
Osaretin Christabel OkonjiSchool of Pharmacy University of the Western Cape Cape Town South Africa.ORCID https://orcid.org/0000-0002-1511-2094
Malik O MalikDepartment of Clinical Pharmacy and Pharmacy Administration Faculty of Pharmacy University of Ibadan Ibadan Nigeria.
John Oluwafemi TeiboDepartment of Biochemistry and Immunology Ribeirão Preto Medical School University of São Paulo Ribeirão Preto SP Brazil.ORCID https://orcid.org/0000-0002-0833-4828
Samah Faisal AbdallaFaculty of Medicine University of Khartoum Sudan.
Don Eliseo Lucero-PrisnoDepartment of Global Health and Development London School of Hygiene and Tropical Medicine and Health United Kingdom.ORCID https://orcid.org/0000-0002-2179-6365
Mohamed SamaiDepartment of Pharmacology and Therapeutics College of Medicine and Allied Health Sciences University of Sierra Leone Freetown Sierra Leone.ORCID https://orcid.org/0000-0002-1427-9482
Wuraola Akande-SholabiDepartment of Clinical Pharmacy and Pharmacy Administration Faculty of Pharmacy University of Ibadan Ibadan Nigeria.ORCID https://orcid.org/0000-0003-0869-1726

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Access to safe, effective, affordable, and quality medicines is an essential component of the right to health and is also one of the targets in the global development agenda. In this review article, we extensively discuss the challenges and issues surrounding access to medicines in the African region as well as provides recommendations for ensuring medicines security on the continent. Methods: We conducted narrative review with the use of data reported in published literature, reports, and grey literature available in African countries on topics pertaining access to medicines. The authors also snowballed further data to gather information for this review and narrative synthesis was conducted. Results: Africa faces a double burden of infectious and non-communicable diseases and the need for effective universal access to medicines cannot be deemphasized. However, access to medicines on the continent is not without issues and challenges. Some of which are the high burden of infectious diseases and non-infectious diseases, limited pharmaceutical industries and high costs of raw materials, overdependence on countries abroad for medicines, poor supply chain systems, lack of government investment in the pharmaceutical sector, unfavourable manufacturing conditions, limited health workforce, lack of sustainable health financing mechanisms, lack of infrastructures and technical know-how, low investment on research and development, and circulation of fake and counterfeit medicines among others. Conclusion: This review reifies that access to medicines in Africa faces numerous challenges and it emphasizes the urgent need to address these issues as the continent geared towards strengthening its health systems for universal health coverage.

Indexed as

access to medicinesAfricapublic healthUniversal Health Coverage

Identifiers

PMID40496656
PMCPMC12039675

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.