Availability, Price, and Affordability of Selected Essential Medicines for Chronic Diseases in 11 Countries of the Asia Pacific Region: A Secondary Analysis

Asia Pac J Public Health. 2017 May;29(4):268-277. doi: 10.1177/1010539517700472. Epub 2017 Apr 11.

Abstract

Access to affordable essential medicines for noncommunicable, chronic diseases is critical in management of the diseases. This study aims to assess the availability, prices, and affordability of medicines for common chronic diseases in the Asia Pacific Region (APR). A secondary analysis of medicines price and availability data from the Health Action International's (HAI) database was undertaken using the standardized WHO/HAI methodology. The median availability of any medicine in the public sector was 35.5% compared with 56.7% in the private sector. Countries paid 1.4 times the International Reference Price to procure lowest-priced generics (LPGs) and 9.1 times for innovator brands (IBs). Patients would have to spend 2.3 and 0.4 day's wages to purchase one month's treatment of a chronic disease for IBs and LPGs, respectively in the private sector. These findings highlight the need to increase availability, reduce prices, and improve affordability of the medicines.

Keywords: Asia Pacific region; affordability; availability; chronic diseases; essential medicines.

MeSH terms

  • Asia
  • Chronic Disease / drug therapy*
  • Commerce / statistics & numerical data*
  • Databases, Factual
  • Drugs, Essential / economics*
  • Drugs, Essential / supply & distribution*
  • Humans
  • Pacific Islands
  • Private Sector / statistics & numerical data
  • Public Sector / statistics & numerical data

Substances

  • Drugs, Essential