scholarly journals THE EMINENT THREATS OF COUNTERFEIT DRUGS TO QUALITY HEALTH CARE DELIVERY IN AFRICA: UPDATES ON CONSEQUENCES AND WAY FORWARD

Author(s):  
Nafiu Aminu ◽  
Mahmud Sani Gwarzo

Counterfeit drugs (CDs) continue to cause serious public health problems in many countries around the globe, particularly in the African countries which are their major consumers. Soft penalties for the drug counterfeiters; recent increase in internet commerce; ignorance and lack of effective partnership between drug companies, drug regulatory agencies, law enforcement bodies, customs, among others, have contributed to the rise in counterfeiting menace. However, governments at various levels in some of the affected countries do not accede to the menace of CDs, as they are implementing many strategies through the recent innovations and advancement in technology to curtail it. Nevertheless, there is still needs for taking more rigorous steps to achieve complete eradication of the crime. This review article presented the impact of CDs in the Africa’s quality health-care delivery, with particular attention to the causes, magnitude, and consequences. The review also identifies areas where concerted drug policies and actions are required to eradicate the drug counterfeiting crimes and also provides suggestions to drug’s policymakers and relevant stakeholders that may be useful in making decisions that can safeguard the public from the danger of CDs.

2020 ◽  
Vol 44 ◽  
pp. 1
Author(s):  
Josselyn Mothe ◽  
Luis E. Vacaflor ◽  
Diana M. Castro-Arroyave ◽  
Luis Gabriel Cuervo ◽  
Nancy Gore Saravia

Universal health coverage is a public health priority in the Americas. Social innovation in health offers novel solutions to unmet needs, by enabling health care delivery to be more inclusive, affordable, and effective. In 2017, an international collaborative consortium launched an open call for solutions that sought to identify social innovations in health in Central America and the Caribbean. The focus was set on how these solutions can strengthen health care delivery, with emphasis on reducing the impact of neglected transmissible diseases. A crowdsourcing strategy was implemented to identify social innovations in health. These were evaluated by an external panel of experts and practitioners and civil society representing the health and social innovation sectors, based on the appropriateness, innovativeness, and affordability of the solution. The three top-scoring solutions were analyzed through case studies including site visits by a team of investigators. Two key findings emerged from the response to the call: 1) innovative solutions were based on the knowledge and experience of individuals and communities facing adverse situations; 2) this knowledge was shared through health promotion and education, leading to empowerment of the communities. The principal challenges addressed by the solutions were the limited access to quality health care services and failed traditional strategies for vector control. The solutions identified demonstrated how social innovation can strengthen health systems by delivering novel solutions to health needs and articulating communities to enable them to work hand-in-hand with the health system toward universal health.


Author(s):  
Benson Chukwunweike Ephraim-Emmanuel ◽  
Adetutu Adigwe ◽  
Roland Oyeghe ◽  
Daprim S. T. Ogaji

The delivery of high quality health care is crucial to achieving enhanced health benefits, patient safety and a positive patient experience of health care. This article provides insight on the quality of the health care delivery in Nigeria and aim to uncover if quality health care in Nigeria is a reality or a myth. Relevant information was abstracted from included articles and used to provide both descriptive and analytical discourse on the subject. Discussions and reflections were carried out along an established quality framework of treatment effectiveness, acceptability, efficiency, the appropriateness of the means of delivery as well as equity. The slow pace of development of quality systems in health service delivery in Nigeria is evidenced by the poor quality of health services as well as the poor health status of the population. The pace of developing quality systems in health care delivery in Nigeria is unsatisfactory. There is a need to galvanise the efforts of relevant stakeholders including the patient in charting a new agenda for health care quality improvement in Nigeria.


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