Assessment of prices, availability and affordability of essential medicines in Juba County, South Sudan.

IF 3.3 Q1 HEALTH POLICY & SERVICES Journal of Pharmaceutical Policy and Practice Pub Date : 2023-12-30 DOI:10.1186/s40545-023-00675-5

Justin Deng, Augustino Ting Mayai, Egide Kayitare, Theoneste Ntakirutimana, Omary Swallehe, Thomas Bizimana

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Abstract

Background: Access to safe, effective, affordable, and high-quality medications has been included in the Sustainable Development Goals (SDGs) of the United Nations as a crucial step towards attaining universal health coverage. Access to medicines is a fundamental human right. If medicines are accessible and affordable, they save lives by reducing mortality and morbidity associated with acute and chronic diseases. WHO recommends that all countries voluntarily reach the minimum target of 80% availability of medicines by 2025. The primary purpose of this research is to assess access to essential medicines in Juba County, South Sudan.

Methods: This study was undertaken using the standard World Health Organization/Health Action International Organization (WHO/HAI) approach for surveying the prices, availability, and affordability of medicines. A survey was conducted in six payams of Juba County, South Sudan, and 55 health facilities were assessed.

Results: Prices for generic medicines were better in faith-based health facilities with a median price ratio of 1.95. Private pharmacies and private clinics had MPRs of 4.64 and 4.32, respectively. Local prices were high compared to International referent prices. Availability of medicines was highest in the faith-based health facilities (65.5%) and slightly lower in private pharmacies (55.4%), private clinics (57.7%) and public (50.4%) sectors. Most of the surveyed medicines were unaffordable. The medicines needed to treat non-communicable diseases cost up to 33.7-day wages for one full course of treatment.

Conclusions: In South Sudan, medicines are poorly available in all sectors. Medicines are affordable in the public sector but Most medicines are unaffordable in private pharmacies, private clinics and faith-based health facilities. Poor medicines availability in the public sector contributes to the overall unaffordability of medicines in all the other sectors.

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评估南苏丹朱巴县基本药物的价格、可获得性和可负担性。

背景：获得安全、有效、负担得起的优质药品已被纳入联合国可持续发展目标（SDGs），作为实现全民医保的关键一步。获得药品是一项基本人权。如果能够获得负担得起的药品，就能降低与急性和慢性疾病相关的死亡率和发病率，从而挽救生命。世卫组织建议所有国家自愿实现到 2025 年药品供应率达到 80% 的最低目标。本研究的主要目的是评估南苏丹朱巴县的基本药物获取情况：本研究采用世界卫生组织/国际健康行动组织 (WHO/HAI) 的标准方法调查药品的价格、可用性和可负担性。在南苏丹朱巴县的六个乡进行了调查，并对 55 家医疗机构进行了评估：结果：信仰医疗机构的非专利药品价格较高，中位价格比为 1.95。私人药房和私人诊所的中位价格比分别为 4.64 和 4.32。与国际参考价格相比，当地价格偏高。宗教医疗机构的药品供应率最高（65.5%），私营药房（55.4%）、私营诊所（57.7%）和公共部门（50.4%）的药品供应率略低。大多数被调查的药品都买不起。治疗非传染性疾病所需的药品一个完整疗程的费用高达 33.7 天的工资：在南苏丹，所有部门的药品供应情况都很差。公共部门的药品价格低廉，但私人药房、私人诊所和宗教医疗机构的大多数药品价格昂贵。公共部门药品供应不足导致所有其他部门总体上买不起药品。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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