Wiseman Roger, Truter Ilse
Drug Utilisation Research Unit, Department of Pharmacy, Nelson Mandela University, Gqeberha, South Africa.
Explor Res Clin Soc Pharm. 2024 Dec 7;17:100548. doi: 10.1016/j.rcsop.2024.100548. eCollection 2025 Mar.
Access to medicine is fundamental to the provision of equitable health systems. However, availability of affordable quality-assured medicines continues to be poor, especially in Low- and Middle-Income Countries (LMICs). Targeted efforts associated with transparency and accountability around medicine utilisation are required in LMICs to address this problem. With the increased global focus on improved access to medicines, there is a heightened imperative to understand the current landscape of medicine prescribing in these territories. In Sub-Saharan Africa, drug utilisation research is generally under-developed due to the lack of access to databases that capture prescribed drug utilisation information. The advent of private health insurance in many African countries, including Mozambique, where the average life expectancy at birth is of the lowest in Sub-Saharan Africa, has created an opportunity to collect comprehensive medicine-related prescription data to facilitate monitoring and evaluation of medicine use thereby assisting in directing medicine-related policy. This overview focuses on Mozambique as one such country where future drug utilisation studies might assist in informing medicine-related health policy and improving medicine access. In addition, it explores drug utilisation as a research methodology and how it might be of assistance in meeting Mozambique's unmet needs.
药品可及性是提供公平卫生系统的基础。然而,价格可承受且质量有保证的药品供应仍然不足,尤其是在低收入和中等收入国家(LMICs)。低收入和中等收入国家需要做出有针对性的努力,提高药品使用的透明度和问责制,以解决这一问题。随着全球对改善药品可及性的关注度不断提高,了解这些地区当前的药品处方情况变得更加迫切。在撒哈拉以南非洲,由于缺乏获取记录处方药使用信息的数据库,药物利用研究普遍不够发达。包括莫桑比克在内的许多非洲国家出现了私人医疗保险,莫桑比克的出生时平均预期寿命在撒哈拉以南非洲是最低的之一,这为收集全面的药品相关处方数据创造了机会,以便于监测和评估药品使用情况,从而协助指导药品相关政策。本综述聚焦于莫桑比克这样一个国家,未来的药物利用研究可能有助于为药品相关卫生政策提供信息并改善药品可及性。此外,它探讨了药物利用作为一种研究方法,以及它如何有助于满足莫桑比克未满足的需求。