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Providing affordable essential medicines to African households: The missing policies and institutions for price containment

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  • Tetteh, Ebenezer kwabena

Abstract

Medicines are integral of any healthcare system, and limited access to medicines undermines health systems' objectives of equity, efficiency and health development. In African countries, where it is estimated that 50-60% of the populace lack "access" to essential medicines, health problems associated with limited drug benefits are more damaging. However, there is no single solution to medicine access problem given its multiple dimensions: availability, acceptability, affordability and accessibility. This paper explores affordability dimension of medicine access and concentrates solely on price regulatory policies and institutional structures that national and international policy makers may consider in making prices of essential drugs compatible to the purchasing power of African households. The main theme is the application of the concept of bilateral dependence in creating price-sensitive purchasers to exert countervailing market power on drug price setting in African healthcare systems.

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  • Tetteh, Ebenezer kwabena, 2008. "Providing affordable essential medicines to African households: The missing policies and institutions for price containment," Social Science & Medicine, Elsevier, vol. 66(3), pages 569-581, February.
    • Handle: RePEc:eee:socmed:v:66:y:2008:i:3:p:569-581
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    References listed on IDEAS

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    1. Maïga, Fatoumata Ina & Haddad, Slim & Fournier, Pierre & Gauvin, Lise, 2003. "Public and private sector responses to essential drugs policies:: a multilevel analysis of drug prescription and selling practices in Mali," Social Science & Medicine, Elsevier, vol. 57(5), pages 937-948, September.
    2. Quick, Jonathan D., 1982. "Applying management science in developing countries: ABC analysis to plan public drug procurement," Socio-Economic Planning Sciences, Elsevier, vol. 16(1), pages 39-50.
    3. Grabowski, Henry & Mullins, C. Daniel, 1997. "Pharmacy benefit management, cost-effectiveness analysis and drug formulary decisions," Social Science & Medicine, Elsevier, vol. 45(4), pages 535-544, August.
    4. Alan T. Sorensen, 2003. "Insurer‐hospital bargaining: negotiated discounts in post‐deregulation connecticut," Journal of Industrial Economics, Wiley Blackwell, vol. 51(4), pages 469-490, December.
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    1. Ebenezer Tetteh, 2009. "Implementing differential pricing for essential medicines via country-specific bilateral negotiated discounts," Applied Health Economics and Health Policy, Springer, vol. 7(2), pages 71-89, June.

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