Availability, cost and affordability of essential medicines for chronic respiratory diseases in low-income and middle-income countries: a cross-sectional study

Thorax. 2024 Jun 14;79(7):676-679. doi: 10.1136/thorax-2023-221349.

Abstract

Contemporary data on the availability, cost and affordability of essential medicines for chronic respiratory diseases (CRDs) across low-income and middle-income countries (LMICs) are missing, despite most people with CRDs living in LMICs. Cross-sectional data for seven CRD medicines in pharmacies, healthcare facilities and central medicine stores were collected from 60 LMICs in 2022-2023. Medicines for symptomatic relief were widely available and affordable, while preventative treatments varied widely in cost, were less available and largely unaffordable. There is an urgent need to address these issues if the Sustainable Development Goal 3 is to be achieved for people with asthma by 2030.

Keywords: Asthma; Asthma Pharmacology; COPD Pharmacology; Health Economist.

MeSH terms

  • Chronic Disease
  • Cross-Sectional Studies
  • Developing Countries*
  • Drug Costs
  • Drugs, Essential* / economics
  • Drugs, Essential* / supply & distribution
  • Drugs, Essential* / therapeutic use
  • Health Services Accessibility* / economics
  • Humans
  • Respiratory Tract Diseases / drug therapy
  • Respiratory Tract Diseases / economics

Substances

  • Drugs, Essential