The availability, cost, and affordability of essential medicines for asthma and COPD in low-income and middle-income countries: a systematic review

Stolbrink, Marie; Thomson, Helen; Hadfield, Ruth M.; Ozoh, Obianuju B; Nantanda, Rebecca; Jayasooriya, Shamanthi; Allwood, Brian; Halpin, David; Salvi, Sundeep; de, María Montes; Mortimer, Kevin; Rylance, Sarah

doi:10.1016/s2214-109x(22)00330-8

Cited by 82 publications

(60 citation statements)

References 50 publications

(117 reference statements)

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“…In LMICs, there is limited availability and affordability of essential inhaled therapies for people with COPD, and this global inequity must be addressed urgently as part of efforts to achieve Universal Health Coverage and Sustainable Development Goal 3 [ 107 ]. On the other hand, even in developed countries, most inhaled medicines are still branded.…”

Section: Pharmacological Treatmentmentioning

confidence: 99%

Global Initiative for Chronic Obstructive Lung Disease 2023 Report: GOLD Executive Summary

et al. 2023

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Section: Pharmacological Treatmentmentioning

confidence: 99%

Global Initiative for Chronic Obstructive Lung Disease 2023 Report: GOLD Executive Summary

et al. 2023

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“…Nevertheless, access to essential medicines should be secured, particularly in low-resource settings where they are frequently unavailable and unaffordable. 30 …”

Section: Discussionmentioning

confidence: 99%

Asthma management and control in children, adolescents, and adults in 25 countries: a Global Asthma Network Phase I cross-sectional study

García‐Marcos

Chiang

Asher

et al. 2023

The Lancet Global Health

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“…5,6 In addition, many learners with asthma remain largely undiagnosed, and in those diagnosed, the proportion of poorly controlled asthma remains high and linked with poor access to appropriate asthma treatments. [3][4][5][6] The Global Asthma Network (GAN) report has shown that 36% of learners with asthma suffer from severe symptoms, with 36% experiencing symptoms with exercise and sleep disturbance due to wheezing and 41% having nocturnal cough. 3,7 Poor asthma control has been associated with poor school attendance and academic performance.…”

Section: Introductionmentioning

confidence: 99%

Teachers' perceptions of asthma care in Sub-Saharan Africa: A cross-country qualitative analysis

Naidoo

Dladla

Mphahlele

et al. 2023

Preprint

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Background Asthma is the most common chronic respiratory disease among children and adolescents worldwide. However, the burden of severe asthma is highest in Sub-Saharan Africa. This study aimed to explore teachers' perceptions of asthma care across six African countries. Methods We conducted focus group discussions (FGDs) using a semi-structured interview guide. Interviews were audio-recorded, transcribed verbatim and analysed thematically. FGDs were conducted in Accra (Ghana), Blantyre (Malawi), Lagos (Nigeria), Durban (South Africa), Kampala (Uganda), and Harare (Zimbabwe) between 01 November 2020 and 30 June 2021. Results We identified two key themes related to asthma care: (1) barriers to asthma care and (2) suggestions to improve the care of asthma learners. Teachers reported a lack of knowledge and skills among themselves, learners, and caregivers. Some teachers believed that myths about asthma and restrictions on themselves administering care exacerbated challenges faced by learners with asthma. Most teachers identified a need for all-inclusive asthma training programmes for teachers, learners and caregivers, focusing on acute episodes and mitigating triggers. Utilising teachers with personal experiences with asthma to advocate and support these initiatives was suggested. Recommendations were made for annual screening to enable early identification of learners with asthma and clarity on restricting teachers administering asthma medications. Conclusions Teachers across African schools identify multiple barriers to asthma care. Structured school education programs and annual asthma screening are key to addressing some barriers to care.

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The availability, cost, and affordability of essential medicines for asthma and COPD in low-income and middle-income countries: a systematic review

Cited by 82 publications

References 50 publications

Global Initiative for Chronic Obstructive Lung Disease 2023 Report: GOLD Executive Summary

Global Initiative for Chronic Obstructive Lung Disease 2023 Report: GOLD Executive Summary

Asthma management and control in children, adolescents, and adults in 25 countries: a Global Asthma Network Phase I cross-sectional study

Teachers' perceptions of asthma care in Sub-Saharan Africa: A cross-country qualitative analysis

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