Retail pharmacy prescription medicines’ availability, prices and affordability in Eswatini

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Retail pharmacy prescription medicines’ availability, prices and affordability in Eswatini
 
Creator Shambira, Garikai Suleman, Fatima
 
Subject Primary Care Eswatini; comparison; South Africa; retail medicines’ prices; affordability; availability
Description Background: Limited availability of medicines in public facilities and unaffordable prices in the private sector act as barriers to medicines’ access. Patients in Eswatini may be forced to buy medicine from the private sector resulting from chronic medicines’ shortages in public health facilities. The extent to which they can afford to do so is unknown.Aim: To determine the availability, price and affordability of medicines in the retail pharmacies in Eswatini, and to compare the results regionally and internationally.Setting: Retail pharmacy sector in the four administrative regions of Eswatini.Methods: Data on availability, price and affordability to patients for 50 medicines in the originator brand (OB) and the lowest priced generic (LPG) equivalent, were collated using the standardised World Health Organization/Health Action International methodology from 32 retail pharmacies in the four regions of Eswatini. Prices were then compared with selected countries.Results: The overall mean availability of all medicines in selected retail pharmacies was 38.5%; standard deviation [s.d.] = 20.4% for OBs and 80.9%; s.d. = 19.0% for LPGs. The overall median price ratio (MPR) in the surveyed pharmacies was 18.61 for the OBs and 4.67 for LPGs. Most standard treatments with LPGs cost less than a day’s wages whilst for OBs cost more than a day’s wages. The differences between Eswatini and South African prices were statistically significant.Conclusion: Drug pricing policies and price monitoring tools are needed for the whole pharmaceutical chain in Eswatini to monitor availability, affordability and accessibility of medicines to the general populace.
 
Publisher AOSIS
 
Contributor None
Date 2021-09-15
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Quantitative Survey
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/phcfm.v13i1.2986
 
Source African Journal of Primary Health Care & Family Medicine; Vol 13, No 1 (2021); 11 pages 2071-2936 2071-2928
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://phcfm.org/index.php/phcfm/article/view/2986/4892 https://phcfm.org/index.php/phcfm/article/view/2986/4893 https://phcfm.org/index.php/phcfm/article/view/2986/4894 https://phcfm.org/index.php/phcfm/article/view/2986/4895
 
Coverage Africa; Eswatini June 2020 - August 2020 Pricing
Rights Copyright (c) 2021 Garikai Shambira, Fatima Suleman https://creativecommons.org/licenses/by/4.0
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