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Towards strengthening the pharmaceutical system in conflict-affected areas in Mali
The project will assess the availability, affordability and rational use of medicines in conflict-affected areas of Mali to identify the weaknesses and propose ways to improve the pharmaceutical sector.
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Principal Investigators: Mohamed Ali Ag Ahmed, MD, MPH, PhD (PI), Issa Coulibaly, PharmD, PhD (Co-PI)
Purpose
The aim of this study is to contribute to the strengthening of the health system in conflict-affected areas of Mali. The research will examine the functionality and performance of the pharmaceutical sub-system to identify systems-based interventions that can address current gaps and bottlenecks.
Specific objectives, each corresponding to a work package (WP) are to:
Synthesise evidence on pharmaceutical systems in conflict-affected areas.
Assess the availability and affordability of a basket of essential medicines in the public and private sectors of 6 districts in Timbuktu & Mopti.
Assess the rational use of a basket of essential medicines, in the same districts.
Assess the medicines supply system and trace origins and itineraries of a basket of essential medicines.
Mohamed Ali Ag Ahmed
FMOS Bamako
Generating and making available knowledge on the functioning and performance of the pharmaceutical sector in conflict areas is an essential prerequisite for stakeholders to be able to identify plausible interventions for making quality and affordable medicines available to health care users.
Expected Outcomes
The research will identify gaps and weaknesses in the pharmaceutical system and work with relevant stakeholders on improvement strategies. The study aims to identify contextual and systems challenges that lead to medicine shortages and good practices that contribute to the resilience of the pharmaceutical sector. The project will contribute to optimising the supply chain to make quality medicines available at affordable prices. Study findings will be used to strengthen the capacity of pharmaceutical staff to improve their practices by respecting clinical guidelines for rational use of medicines. The research will also provide insights to guide decision-making by stakeholders to adapt and revise the pharmaceutical policy, the regulatory framework, or to realign responsibilities between the public and private sectors to fill certain gaps and ensure a supply of quality medicines in conflict areas.
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