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Accessibility and use of essential medicines in health care: Current progress and challenges in India.

Bansal D, Purohit VK - J Pharmacol Pharmacother (2013)

Bottom Line: Appropriate use of essential medicines is one of the most cost-effective components of modern health care.Health expenditure is less in India as compared to developed countries.There is a need to develop strategies to improve affordable access to essential medicines under the current health care reform.

View Article: PubMed Central - PubMed

Affiliation: Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research, Sector-67, Mohali, Punjab, India.

ABSTRACT
Essential Medicine Concept, a major breakthrough in health care, started in 1977 when World Health Organization (WHO) published its first list. Appropriate use of essential medicines is one of the most cost-effective components of modern health care. The selection process has evolved from expert evaluation to evidence-based selection. The first Indian list was published in 1996 and the recent revision with 348 medicines was published in 2011 after 8 years. Health expenditure is less in India as compared to developed countries. India faces a major challenge in providing access to medicines for its 1.2 billion people by focusing on providing essential medicines. In the future, countries will face challenges in selecting high-cost medicines for oncology, orphan diseases and other conditions. There is a need to develop strategies to improve affordable access to essential medicines under the current health care reform.

No MeSH data available.


Related in: MedlinePlus

State-wise health expenditure in India (2004-2005) (Source: National health accounts of India 2004-2005)[49]
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Figure 3: State-wise health expenditure in India (2004-2005) (Source: National health accounts of India 2004-2005)[49]

Mentions: In U.S. the total health expenditure has been increasing from 13.6% in 1995 to 16.2% in 2009.[47] For India health expenditure remains more or less the same, it was 4.11% in 1995 and 4.2% in 2009.[48] The share of public expenditure in GDP has increased consistently during 2005-06 (0.96%) to 2008-09 (1.10%).[49] The trend of spending on pharmaceuticals is decreasing as the total expenditure on pharmaceuticals was 40.9% of the total expenditure on health in India in 2009 while it was 44.2% and 45.3% in 2008 and 2007, respectively.[48] In India the drug expenditure also varies state-wise [Figure 3]. Among the major states the total health expenditure per capita was as high as Rs. 2,950 in Kerala and as low as Rs. 513 in Bihar.[46] The availability of medicines in India is still a big issue. The availability of medicine is influenced by several factors like poor medicine supply, insufficient health facilities and staff, low investment in health and affordability.[9]


Accessibility and use of essential medicines in health care: Current progress and challenges in India.

Bansal D, Purohit VK - J Pharmacol Pharmacother (2013)

State-wise health expenditure in India (2004-2005) (Source: National health accounts of India 2004-2005)[49]
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3643337&req=5

Figure 3: State-wise health expenditure in India (2004-2005) (Source: National health accounts of India 2004-2005)[49]
Mentions: In U.S. the total health expenditure has been increasing from 13.6% in 1995 to 16.2% in 2009.[47] For India health expenditure remains more or less the same, it was 4.11% in 1995 and 4.2% in 2009.[48] The share of public expenditure in GDP has increased consistently during 2005-06 (0.96%) to 2008-09 (1.10%).[49] The trend of spending on pharmaceuticals is decreasing as the total expenditure on pharmaceuticals was 40.9% of the total expenditure on health in India in 2009 while it was 44.2% and 45.3% in 2008 and 2007, respectively.[48] In India the drug expenditure also varies state-wise [Figure 3]. Among the major states the total health expenditure per capita was as high as Rs. 2,950 in Kerala and as low as Rs. 513 in Bihar.[46] The availability of medicines in India is still a big issue. The availability of medicine is influenced by several factors like poor medicine supply, insufficient health facilities and staff, low investment in health and affordability.[9]

Bottom Line: Appropriate use of essential medicines is one of the most cost-effective components of modern health care.Health expenditure is less in India as compared to developed countries.There is a need to develop strategies to improve affordable access to essential medicines under the current health care reform.

View Article: PubMed Central - PubMed

Affiliation: Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research, Sector-67, Mohali, Punjab, India.

ABSTRACT
Essential Medicine Concept, a major breakthrough in health care, started in 1977 when World Health Organization (WHO) published its first list. Appropriate use of essential medicines is one of the most cost-effective components of modern health care. The selection process has evolved from expert evaluation to evidence-based selection. The first Indian list was published in 1996 and the recent revision with 348 medicines was published in 2011 after 8 years. Health expenditure is less in India as compared to developed countries. India faces a major challenge in providing access to medicines for its 1.2 billion people by focusing on providing essential medicines. In the future, countries will face challenges in selecting high-cost medicines for oncology, orphan diseases and other conditions. There is a need to develop strategies to improve affordable access to essential medicines under the current health care reform.

No MeSH data available.


Related in: MedlinePlus