Strengthening access to cancer medicines for children in East Africa:policy options to enhance medicine procurement,forecasting,and regulations  

作　　者：Kadia Petricca Laura Carson Joyce Kambugu Avram Denburg 

机构地区：[1]Peter Gilgan Centre for Research and Learning,The Hospital for Sick Children,Toronto,ON,Canada [2]Department of Paediatric Oncology,Uganda Cancer Institute,Kampala,Uganda [3]Department of Paediatrics,University of Toronto,Toronto,ON,Canada [4]Division of Haematology/Oncology,The Hospital for Sick Children,Toronto,ON M5G 1X8,Canada

出　　处：《Global Health Research and Policy》2024年第1期356-361,共6页全球健康研究与政策(英文)

基　　金：This policy brief was generously funded through the American Childhood Cancer Organization,the Canadian Institutes for Health Research,and the Hospital for Sick Children.

摘　　要：Gaps in access to quality essential medicines remain a major impediment to the effective care of children with can-cer in low-and middle-income countries(LMICs).The World Health Organization reports that less than 30%of LMICs have consistent availability of childhood cancer medicines,compared to over 95%in high-income countries.Infor-mation provided within this policy brief is drawn from a review of the literature and a mixed-methods study pub-lished in the Lancet Oncology that analyzed determinants of cancer medicine access for children in Kenya,Tanzania,Uganda,and Rwanda.Three key policy options are presented to guide strategic policy direction and critical health system planning for strengthening access to cancer medicines for children:pooled procurement,evidence-based forecasting,and regional harmonization of regulatory processes.Enhancing regional pooled procurement to address fragmented markets and improve medicine supply,investing in health information systems for improved forecasting and planning of childhood cancer medicine needs,and promoting regulatory harmonization to streamline medicine approval and quality assurance across East Africa are recommended.This policy brief is intended for policymakers,clinicians,and health-system planners involved in the procurement,supply chain management,policy and financing of childhood cancer medicines.

关 键 词：Access to medicines Childhood cancer Pooled procurement Regional harmonization Policy brief 

分 类 号：R73[医药卫生—肿瘤]