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Africa medicines

Improving access to drugs: Fitting the solution to the problem

Shanta Devarajan's picture

Patricio Marquez’s post correctly  identifies lack of access  to quality medicines as one of the  constraints to poor people’s health in Africa.    But the  solutions he recommends—more public money for “essential drugs benefits”, building  resilient institutions,  and providing  physicians  with better  scientific information  and guidelines  about  drug  prescriptions—are   unlikely   by    themselves  to   improve poor   people’s   health  outcomes.

More public money.  Patricio notes that out-of-pocket expenditures are about 40 percent of total health expenditures and most of this is spent on outpatient drugs.  He assumes the reason is that countries have not adopted a program of essential drugs benefits, and the reason for the latter is lack of public resources.  But consider the following facts.