The burden of diabetes is increasing worldwide.There is about 500 million People in the world who live with this disease.In sub-Saharan Africa, 23 million people had diabetes 2021.. By 2030, this number will be 33 million, 2045..
Currently, there is no cure for diabetes. However, it can be controlled using medications, diets and lifestyle changes.
As part of 2013-2020 Global action plan The World Health Organization has set goals for the prevention and management of non-communicable diseases.said Essential medicines Also, basic technology should be available at least 80% in public or private healthcare facilities. For diabetes, these medications include insulin and oral medications that lower blood sugar levels. There should also be drugs like aspirin and statins that reduce the risk of associated heart disease. This technique includes a glucose meter (to test blood glucose) and a test strip of proteinuria and ketones.
Out of reach
Sub-Saharan Africa faces the double burden of infectious and non-infectious diseases. health Resources and vulnerable medical systems. Access to essential medicines and diagnostic tests remains a challenge in the region. Public health facilities often face drug out-of-stocks, and patients often pay for their own drugs.
Insulin and oral medications for diabetes are almost always not available where recommended level regional.recently study 13 low and Middle income country (Including sub-Saharan African countries) found 55-80% insulin availability in medical facilities that needed insulin.previous Research It showed that insulin availability was 0% at medical facilities in Benin and Eritrea. The tendency is Blood sugar, urinary protein, ketones..
Monthly doses of the cheapest generics, metformin and glibenclamide, are about Two-day wages in sub-Saharan Africa.. It is based on the minimum wage of civil servants.
For the new generation of agents, the cost is even higher. For example, glimepiride is equivalent to three days’ wages. Uganda.. Short-acting and intermediate-acting insulin costs about 5 days. Uganda And 4 days wages Cameroon.. In Uganda and Cameroon, various tests also cost several days.
How can I improve access?
There are several ways to improve access to affordable drugs. This includes increased lending to pharmaceuticals by governments and international organizations. The law may encourage entry into the generic drug market. Generic drugs need to be reasonably priced and subsidized so that patients do not have to pay the full amount. Care should be taken when choosing and using the drug. In addition, a robust electronic monitoring system minimizes out-of-stock.
Responsibility for making changes rests with government, local and international non-governmental organizations. Pharmaceutical company And medical staff.
Some global biopharmacy companies have established initiatives for low- and middle-income countries.An example is Novartis Access Program, Currently operating in Kenya, Uganda, Tanzania, Rwanda, Malawi, Ethiopia and Cameroon. The program subsidizes customers of governments, non-governmental organizations, and other institutions for a portfolio of medicines to treat non-communicable diseases. It also builds the capacity of the medical system for the prevention and management of non-communicable diseases, including diabetes.
Another company, Novo Nordisk, started in 2009 to supply insulin to selected low-income countries in sub-Saharan Africa at subsidized costs. With a partner, it is “Changes in diabetes in children“Programs in 10 sub-Saharan African countries. With a free glucose meter Insulin For children and adolescents with type 1 diabetes.
But we need to do more. Government health ministry and other implementing agencies should encourage healthcare professionals to follow evidence-based, community-related treatment guidelines. They should undergo continuous professional development in the treatment of diabetes. The national list of essential medicines should be updated regularly to include cost-effective medicines.
Finally, sub-Saharan African government and the private sector need to invest in the local production of high-quality generics. Diabetes mellitus..
Quote: Diabetes can be controlled, but some people in need of it (November 22, 2021) do not have the drug. Obtained from https: //medicalxpress.com/news/2021-11-diabetes-medicine-people.html on November 22, 2021.
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