Improving access to affordable quality-assured inhaled medicines in low- and middle-income countries.
El Sony, A
Int J Tuberc Lung Dis
International Union Against Tuberculosis and Lung Disease
MetadataShow full item record
Stolbrink, M., Chinouya, M., Jayasooriya, S., Nightingale, R., Evans-Hill, L., Allan, K., Allen, H., et al. (2022). Improving access to affordable quality-assured inhaled medicines in low- and middle-income countries.. Int J Tuberc Lung Dis, 26 (11), 1023-1032. https://doi.org/10.5588/ijtld.22.0270
Funder: Medical Research Council
<b>BACKGROUND:</b> Access to affordable inhaled medicines for chronic respiratory diseases (CRDs) is severely limited in low- and middle-income countries (LMICs), causing avoidable morbidity and mortality. The International Union Against Tuberculosis and Lung Disease convened a stakeholder meeting on this topic in February 2022.<b>METHODS:</b> Focused group discussions were informed by literature and presentations summarising experiences of obtaining inhaled medicines in LMICs. The virtual meeting was moderated using a topic guide around barriers and solutions to improve access. The thematic framework approach was used for analysis.<b>RESULTS:</b> A total of 58 key stakeholders, including patients, healthcare practitioners, members of national and international organisations, industry and WHO representatives attended the meeting. There were 20 pre-meeting material submissions. The main barriers identified were 1) low awareness of CRDs; 2) limited data on CRD burden and treatments in LMICs; 3) ineffective procurement and distribution networks; and 4) poor communication of the needs of people with CRDs. Solutions discussed were 1) generation of data to inform policy and practice; 2) capacity building; 3) improved procurement mechanisms; 4) strengthened advocacy practices; and 5) a World Health Assembly Resolution.<b>CONCLUSION:</b> There are opportunities to achieve improved access to affordable, quality-assured inhaled medicines in LMICs through coordinated, multi-stakeholder, collaborative efforts.
Humans, Respiration Disorders, Developing Countries, Poverty, Income, Global Health
Wellcome Trust (203919/Z/16/Z, R 203919/Z/16/Z)
World Health Organization (001)
External DOI: https://doi.org/10.5588/ijtld.22.0270
This record's URL: https://www.repository.cam.ac.uk/handle/1810/343661
Attribution 4.0 International
Licence URL: https://creativecommons.org/licenses/by/4.0/