Variation in the availability and cost of essential medicines for non-communicable diseases in Uganda: A descriptive time series analysis.
<h4>Background</h4>Availability of essential medicines for non-communicable diseases (NCDs) is poor in low- and middle-income countries. Availability and cost are conventionally assessed using cross-sectional data. However, these characteristics may vary over time.<h4>Methods</h...
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doaj-75ecde6e0f1f4bcbb88e7b638a5323b82021-03-04T12:45:46ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-011512e024155510.1371/journal.pone.0241555Variation in the availability and cost of essential medicines for non-communicable diseases in Uganda: A descriptive time series analysis.Mari Armstrong-HoughSrish SharmaSandeep P KishoreAnn R AkitengJeremy I Schwartz<h4>Background</h4>Availability of essential medicines for non-communicable diseases (NCDs) is poor in low- and middle-income countries. Availability and cost are conventionally assessed using cross-sectional data. However, these characteristics may vary over time.<h4>Methods</h4>We carried out a prospective, descriptive analysis of the availability and cost of essential medicines in 23 Ugandan health facilities over a five-week period. We surveyed facility pharmacies in-person up to five times, recording availability and cost of 19 essential medicines for NCDs and four essential medicines for communicable diseases.<h4>Results</h4>Availability of medicines varied substantially over time, especially among public facilities. Among private-for-profit facilities, the cost of the same medicine varied from week to week. Private-not-for-profit facilities experienced less dramatic fluctuations in price.<h4>Conclusions</h4>We conclude that there is a need for standardized, continuous monitoring to better characterize the availability and cost of essential medicines, understand demand for these medicines, and reduce uncertainty for patients.https://doi.org/10.1371/journal.pone.0241555 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mari Armstrong-Hough Srish Sharma Sandeep P Kishore Ann R Akiteng Jeremy I Schwartz |
spellingShingle |
Mari Armstrong-Hough Srish Sharma Sandeep P Kishore Ann R Akiteng Jeremy I Schwartz Variation in the availability and cost of essential medicines for non-communicable diseases in Uganda: A descriptive time series analysis. PLoS ONE |
author_facet |
Mari Armstrong-Hough Srish Sharma Sandeep P Kishore Ann R Akiteng Jeremy I Schwartz |
author_sort |
Mari Armstrong-Hough |
title |
Variation in the availability and cost of essential medicines for non-communicable diseases in Uganda: A descriptive time series analysis. |
title_short |
Variation in the availability and cost of essential medicines for non-communicable diseases in Uganda: A descriptive time series analysis. |
title_full |
Variation in the availability and cost of essential medicines for non-communicable diseases in Uganda: A descriptive time series analysis. |
title_fullStr |
Variation in the availability and cost of essential medicines for non-communicable diseases in Uganda: A descriptive time series analysis. |
title_full_unstemmed |
Variation in the availability and cost of essential medicines for non-communicable diseases in Uganda: A descriptive time series analysis. |
title_sort |
variation in the availability and cost of essential medicines for non-communicable diseases in uganda: a descriptive time series analysis. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2020-01-01 |
description |
<h4>Background</h4>Availability of essential medicines for non-communicable diseases (NCDs) is poor in low- and middle-income countries. Availability and cost are conventionally assessed using cross-sectional data. However, these characteristics may vary over time.<h4>Methods</h4>We carried out a prospective, descriptive analysis of the availability and cost of essential medicines in 23 Ugandan health facilities over a five-week period. We surveyed facility pharmacies in-person up to five times, recording availability and cost of 19 essential medicines for NCDs and four essential medicines for communicable diseases.<h4>Results</h4>Availability of medicines varied substantially over time, especially among public facilities. Among private-for-profit facilities, the cost of the same medicine varied from week to week. Private-not-for-profit facilities experienced less dramatic fluctuations in price.<h4>Conclusions</h4>We conclude that there is a need for standardized, continuous monitoring to better characterize the availability and cost of essential medicines, understand demand for these medicines, and reduce uncertainty for patients. |
url |
https://doi.org/10.1371/journal.pone.0241555 |
work_keys_str_mv |
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