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制药生产质量投资的成本效益:一家尼日利亚制药商的世卫组织药品生产质量管理规范认证前后情况

Cost benefit of investment on quality in pharmaceutical manufacturing: WHO GMP pre- and post-certification of a Nigerian pharmaceutical manufacturer.

作者信息

Anyakora Chimezie, Ekwunife Obinna, Alozie Faith, Esuga Mopa, Ukwuru Jonathan, Onya Steve, Nwokike Jude

机构信息

Promoting the Quality of Medicines Program, U.S. Pharmacopeial Convention, Rockville, MD, USA.

Department of Clinical Pharmacy and Pharmacy Management, Nnamdi Azikiwe University, Awka, Nigeria.

出版信息

BMC Health Serv Res. 2017 Sep 18;17(1):665. doi: 10.1186/s12913-017-2610-8.

Abstract

BACKGROUND

Pharmaceutical companies in Africa need to invest in both facilities and quality management systems to achieve good manufacturing practice (GMP) compliance. Compliance to international GMP standards is important to the attainment of World Health Organization (WHO) prequalification. However, most of the local pharmaceutical manufacturing companies may be deterred from investing in quality because of many reasons, ranging from financial constraints to technical capacity. This paper primarily evaluates benefits against the cost of investing in GMP, using a Nigerian pharmaceutical company, Chi Pharmaceuticals Limited, as a case study. This paper also discusses how to drive more local manufacturers to invest in quality to attain GMP compliance; and proffers practical recommendations for local manufacturers who would want to invest in quality to meet ethical and regulatory obligations.

METHOD

The cost benefit of improving the quality of Chi Pharmaceuticals Limited's facilities and system to attain WHO GMP certification for the production of zinc sulfate 20-mg dispersible tablets was calculated by dividing the annual benefits derived from quality improvement interventions by the annual costs of implementing quality improvement interventions, referred to as a benefit-cost ratio (BCR).

RESULT

Cost benefit of obtaining WHO GMP certification for the production of zinc sulfate 20-mg dispersible tablets was 5.3 (95% confidence interval of 5.0-5.5).

CONCLUSION

Investment in quality improvement intervention is cost-beneficial for local manufacturing companies. Governments and regulators in African countries should support pharmaceutical companies striving to invest in quality. Collaboration of local manufacturing companies with global companies will further improve quality. Local pharmaceutical companies should be encouraged to key into development opportunities available for pharmaceutical companies in Africa.

摘要

背景

非洲的制药公司需要在设施和质量管理体系方面进行投资,以实现药品生产质量管理规范(GMP)合规。遵守国际GMP标准对于获得世界卫生组织(WHO)预认证至关重要。然而,由于诸多原因,从资金限制到技术能力等,大多数当地制药公司可能会在质量投资方面望而却步。本文主要以尼日利亚制药公司奇制药有限公司为例,评估投资GMP的收益与成本。本文还讨论了如何推动更多当地制造商投资于质量以实现GMP合规;并为希望投资于质量以履行道德和监管义务的当地制造商提供切实可行的建议。

方法

通过将质量改进干预措施产生的年度收益除以实施质量改进干预措施的年度成本,计算出提高奇制药有限公司设施和系统质量以获得WHO GMP认证生产20毫克硫酸锌分散片的成本效益,称为效益成本比(BCR)。

结果

获得WHO GMP认证生产20毫克硫酸锌分散片的成本效益为5.3(95%置信区间为5.0 - 5.5)。

结论

对当地制造公司而言,投资质量改进干预措施具有成本效益。非洲国家的政府和监管机构应支持努力投资于质量的制药公司。当地制造公司与全球公司的合作将进一步提高质量。应鼓励当地制药公司抓住非洲制药公司可利用的发展机遇。

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