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Improving the supply and use of essential drugs in sub-Saharan Africa

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  • Foster, S. D.

Abstract

Few people in sub - Saharan Africa have access to essential drugs. And where drugs are available, they are inequitably distributed and improperly used. Shortages of drugs in Africa are caused not only by lack of funds, although in many countries this is the major reason. Poor utilization and wastage of drugs in public and private sectors are also responsible and can be improved; and the wastage of available foreign exchange can be reduced. While the private sector has a role to play, it is important to be realistic about its ability to serve the whole population and about the quality of the service it provides. Producing local drugs would need to be evaluated in a realistic manner taking account of individual country circumstances. Specific measures to improve selection, quantification, procurement, storage and distribution, and prescription and use of drugs have been implemented in a number of African countries, resulting in significant improvements in the availability of drugs.

Suggested Citation

  • Foster, S. D., 1990. "Improving the supply and use of essential drugs in sub-Saharan Africa," Policy Research Working Paper Series 456, The World Bank.
    • Handle: RePEc:wbk:wbrwps:456
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    References listed on IDEAS

    as
    1. Van Der Geest, Sjaak, 1987. "Self-care and the informal sale of drugs in South Cameroon," Social Science & Medicine, Elsevier, vol. 25(3), pages 293-305, January.
    2. Marzagao, Carlos & Segall, Malcolm, 1983. "Drug selection: Mozambique," World Development, Elsevier, vol. 11(3), pages 205-216, March.
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    Cited by:

    1. Hammer, Jeffrey S., 1992. "To prescribe or not to prescribe: On the regulation of pharmaceuticals in less developed countries," Social Science & Medicine, Elsevier, vol. 34(9), pages 959-964, May.
    2. Boniface Ayanbekongshie Ushie & David Betelwhobel Ugal & Justin Agorye Ingwu, 2016. "Overdependence on For-Profit Pharmacies: A Descriptive Survey of User Evaluation of Medicines Availability in Public Hospitals in Selected Nigerian States," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-13, November.

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