Associate Professor, Leslie Dan Faculty of Pharmacy and Munk School of Global Affairs, University of Toronto, Toronto, Canada.
BMC Int Health Hum Rights. 2012 Dec 6;12:34. doi: 10.1186/1472-698X-12-34.
This research assesses informal markets that dominate pharmaceutical systems in severely disrupted countries and identifies areas for further investigation. Findings are based on recent academic papers, policy and grey literature, and field studies in Somalia, Afghanistan, the Democratic Republic of Congo and Haiti. The public sector in the studied countries is characterized in part by weak Ministries of Health and low donor coordination. Informal markets, where medicines are regularly sold in market stalls and unregulated pharmacies, often accompanied by unqualified medical advice, have proliferated. Counterfeit and sub-standard medicines trade networks have also developed. To help increase medicine availability for citizens, informal markets should be integrated into existing access to medicines initiatives.
本研究评估了在遭受严重破坏的国家主导医药体系的非正规市场，并确定了进一步调查的领域。研究结果基于最近的学术论文、政策和灰色文献，以及在索马里、阿富汗、刚果民主共和国和海地的实地研究。研究国家的公共部门的特点是卫生部较弱，捐助者协调程度低。非正规市场中，药品经常在市场摊位和无监管的药店出售，通常还伴有不合格的医疗建议，这些市场已经大量涌现。假冒伪劣药品贸易网络也已经发展起来。为了帮助增加公民获得药品的机会，应将非正规市场纳入现有的获取药品倡议中。
