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Drug shortage in Egypt: causes and mitigation measures

Drug shortage is a worldwide problem, which gained the attention of many authorities in recent years including the Egyptian government. The problem has markedly increased in Egypt during the past few years and has had a significant negative impact on patient care with subsequent costly financial imp...

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Main Author: Saad, Abeer Alanwar
Format: Thesis
Published: AUC Knowledge Fountain 2019
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access_status_str Open Access
author Saad, Abeer Alanwar
author_browse Saad, Abeer Alanwar
author_facet Saad, Abeer Alanwar
author_sort Saad, Abeer Alanwar
collection Thesis
dc_rights_str_mv The author retains all rights with regard to copyright. The author certifies that written permission from the owner(s) of third-party copyrighted matter included in the thesis, dissertation, paper, or record of study has been obtained. The author further certifies that IRB approval has been obtained for this thesis, or that IRB approval is not necessary for this thesis. Insofar as this thesis, dissertation, paper, or record of study is an educational record as defined in the Family Educational Rights and Privacy Act (FERPA) (20 USC 1232g), the author has granted consent to disclosure of it to anyone who requests a copy. The author has granted the American University in Cairo or its agents a non-exclusive license to archive this thesis, dissertation, paper, or record of study, and to make it accessible, in whole or in part, in all forms of media, now or hereafter known.
description Drug shortage is a worldwide problem, which gained the attention of many authorities in recent years including the Egyptian government. The problem has markedly increased in Egypt during the past few years and has had a significant negative impact on patient care with subsequent costly financial implications. Despite the importance of the drug shortage problem and its consequences on the health of Egyptians and society as a whole, only a few researchers have addressed the topic in Egypt. This qualitative study aims at filling the gap and providing a better understanding of the problem in the Egyptian context. To achieve the study objective, the root causes of the problem and the actions taken by the government to mitigate the problem are explored. In-depth, semi-structured interviews are carried out with different stakeholders including from government, industry, distributors, and pharmacies. The findings of this research revealed that the drug shortage is attributed to a myriad of interlinked causes. The most critical causes of drug shortages are as follows: the drug pricing constraints, the devaluation, economic changes, overdependence on the importation of production inputs, illegal distribution practices, excessive bureaucracy and complicated procedures, manufacturing problems, poor supply chain management, and scarcity of raw materials. The findings also show that although the government has exerted many efforts to tackle drug shortages, there is still a gap to be addressed. Based on experiences of other countries and according to the Egyptian context, solutions are proposed to help in mitigating drug shortages in Egypt which include enhancing the sustainability of the production of medicines by improving companies’ profitability, improving collaboration between various stakeholders, developing a system for reporting and communication of drug shortage information, and modifying workflow within MoHP to avoid unnecessary delays.
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publishDate 2019
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spelling oai:fount.aucegypt.edu:etds-2751 Drug shortage in Egypt: causes and mitigation measures Saad, Abeer Alanwar Drug shortage is a worldwide problem, which gained the attention of many authorities in recent years including the Egyptian government. The problem has markedly increased in Egypt during the past few years and has had a significant negative impact on patient care with subsequent costly financial implications. Despite the importance of the drug shortage problem and its consequences on the health of Egyptians and society as a whole, only a few researchers have addressed the topic in Egypt. This qualitative study aims at filling the gap and providing a better understanding of the problem in the Egyptian context. To achieve the study objective, the root causes of the problem and the actions taken by the government to mitigate the problem are explored. In-depth, semi-structured interviews are carried out with different stakeholders including from government, industry, distributors, and pharmacies. The findings of this research revealed that the drug shortage is attributed to a myriad of interlinked causes. The most critical causes of drug shortages are as follows: the drug pricing constraints, the devaluation, economic changes, overdependence on the importation of production inputs, illegal distribution practices, excessive bureaucracy and complicated procedures, manufacturing problems, poor supply chain management, and scarcity of raw materials. The findings also show that although the government has exerted many efforts to tackle drug shortages, there is still a gap to be addressed. Based on experiences of other countries and according to the Egyptian context, solutions are proposed to help in mitigating drug shortages in Egypt which include enhancing the sustainability of the production of medicines by improving companies’ profitability, improving collaboration between various stakeholders, developing a system for reporting and communication of drug shortage information, and modifying workflow within MoHP to avoid unnecessary delays. 2019-09-08T07:00:00Z thesis application/pdf https://fount.aucegypt.edu/etds/1711 https://fount.aucegypt.edu/context/etds/article/2751/viewcontent/Final_20version.pdf The author retains all rights with regard to copyright. The author certifies that written permission from the owner(s) of third-party copyrighted matter included in the thesis, dissertation, paper, or record of study has been obtained. The author further certifies that IRB approval has been obtained for this thesis, or that IRB approval is not necessary for this thesis. Insofar as this thesis, dissertation, paper, or record of study is an educational record as defined in the Family Educational Rights and Privacy Act (FERPA) (20 USC 1232g), the author has granted consent to disclosure of it to anyone who requests a copy. The author has granted the American University in Cairo or its agents a non-exclusive license to archive this thesis, dissertation, paper, or record of study, and to make it accessible, in whole or in part, in all forms of media, now or hereafter known. Theses and Dissertations AUC Knowledge Fountain drug shortages pharmaceuticals supply interruptions Egypt qualitative mitigation causes of drug shortages NA
spellingShingle drug shortages
pharmaceuticals
supply interruptions
Egypt
qualitative
mitigation
causes of drug shortages
NA
Saad, Abeer Alanwar
Drug shortage in Egypt: causes and mitigation measures
title Drug shortage in Egypt: causes and mitigation measures
title_full Drug shortage in Egypt: causes and mitigation measures
title_fullStr Drug shortage in Egypt: causes and mitigation measures
title_full_unstemmed Drug shortage in Egypt: causes and mitigation measures
title_short Drug shortage in Egypt: causes and mitigation measures
title_sort drug shortage in egypt causes and mitigation measures
topic drug shortages
pharmaceuticals
supply interruptions
Egypt
qualitative
mitigation
causes of drug shortages
NA
url https://fount.aucegypt.edu/etds/1711
https://fount.aucegypt.edu/context/etds/article/2751/viewcontent/Final_20version.pdf
work_keys_str_mv AT saadabeeralanwar drugshortageinegyptcausesandmitigationmeasures