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Supply and use of essential drugs in sub-Saharan Africa: Some issues and possible solutions

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  • Foster, Susan

Abstract

The paper describes drug supply systems in Africa, both public and private, and concludes that the 'private sector' may have serious drawbacks. Many opportunities exist for improving efficiency and reducing waste; the paper gives evidence for the savings to be made. Finally, there are several issues of specific importance to Africa, namely, geographic and spatial constraints to improving logistics, which are much more severe than elsewhere in the world; the problem of counterfeit drugs; financing of drug supplies and cost recovery; and the impact of the HIV/AIDS epidemic on supply and use of essential drugs.

Suggested Citation

  • Foster, Susan, 1991. "Supply and use of essential drugs in sub-Saharan Africa: Some issues and possible solutions," Social Science & Medicine, Elsevier, vol. 32(11), pages 1201-1218, January.
    • Handle: RePEc:eee:socmed:v:32:y:1991:i:11:p:1201-1218
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    Citations

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    Cited by:

    1. Arvate, Paulo Roberto & Barbosa, Klênio & Gambardella, Dante, 2013. "Generic-branded drug competition and the price for pharmaceuticals in procurement auctions," Textos para discussão 333, FGV EESP - Escola de Economia de São Paulo, Fundação Getulio Vargas (Brazil).
    2. Streefland, Pieter, 2005. "Public health care under pressure in sub-Saharan Africa," Health Policy, Elsevier, vol. 71(3), pages 375-382, March.
    3. Valeria Oliveira-Cruz & Kara Hanson & Anne Mills, 2003. "Approaches to overcoming constraints to effective health service delivery: a review of the evidence," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 41-65.
    4. Gilson, Lucy & Mills, Anne, 1995. "Health sector reforms in sub-Saharan Africa: lessons of the last 10 years," Health Policy, Elsevier, vol. 32(1-3), pages 215-243.

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