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Availability, price, and affordability of essential medicines to manage noncommunicable diseases : a national survey from Nepal
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Khanal, Saval, Veerman, Lennert, Ewen, Margaret, Nissen, Lisa and Hollingworth, Samantha (2019) Availability, price, and affordability of essential medicines to manage noncommunicable diseases : a national survey from Nepal. Inquiry, 56 . doi:10.1177/0046958019887572 ISSN 0020-174X .
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Official URL: http://dx.doi.org/10.1177/0046958019887572
Abstract
The aim of this study was to evaluate the availability, price, and affordability of essential noncommunicable disease (NCD) medicines in Nepal. A cross-sectional survey was conducted in Nepal in 2015 using World Health Organization/Health Action International (WHO/HAI) methodology. We collected data on the availability and price of 60 essential NCD medicines from medicine distribution outlets in both the public and private health care sectors in 6 regions. Essential NCD medicines were more available in the private sector (78%) than the public sector (60%). Furosemide tablets were the cheapest (NPR 0.6/10 tablets) and streptokinase injections were the most expensive (NPR 2200/vial) drugs. There was no significant difference (P > .05) in availability and affordability of essential NCD medicines across the 6 survey areas. Treating selected NCD conditions with medicines was generally affordable, with 1 month of treatment costing no more than a day’s wage of the lowest paid unskilled government worker. The lower availability of NCD medicines in the public sector limits the effectiveness of the government’s policy of providing free health services at public facilities. Although NCD medicines were generally affordable, future health policy should aim to ensure improved equitable access to NCD medicines, particularly in public facilities.
| Item Type: | Journal Article | ||||||||
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| Subjects: | H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RA Public aspects of medicine R Medicine > RB Pathology R Medicine > RC Internal medicine R Medicine > RS Pharmacy and materia medica |
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| Divisions: | Faculty of Social Sciences > Warwick Business School > Behavioural Science Faculty of Social Sciences > Warwick Business School |
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| Library of Congress Subject Headings (LCSH): | Chronic diseases, Drug accessibility -- Nepal, Chronic diseases -- Patients -- Drug use , Drugs -- Prices , Drugs -- Prices -- Nepal | ||||||||
| Journal or Publication Title: | Inquiry | ||||||||
| Publisher: | Routledge | ||||||||
| ISSN: | 0020-174X | ||||||||
| Official Date: | 1 January 2019 | ||||||||
| Dates: |
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| Volume: | 56 | ||||||||
| DOI: | 10.1177/0046958019887572 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| Date of first compliant deposit: | 4 March 2020 | ||||||||
| Date of first compliant Open Access: | 9 March 2020 |
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