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Challenges in maintaining medicine quality while aiming for universal health coverage: a qualitative analysis from Indonesia.


ABSTRACT: Indonesia, the world's fourth most populous nation, is close to achieving universal health coverage (UHC). A widely-publicised falsified vaccine case in 2016, coupled with a significant financial deficit in the national insurance system, has contributed to concern that the rapid scale-up of UHC might undermine medicine quality. We investigated the political and economic factors that drive production and trade of poor-quality medicines in Indonesia. We reviewed academic publications, government regulations, technical agency documents and news reports to develop a semi-structured questionnaire. We interviewed healthcare providers, policy-makers, medicine regulators, pharmaceutical manufacturers, patients and academics (n=31). We included those with in-depth knowledge about the falsified vacc

SUBMITTER: Hasnida A 

PROVIDER: S-EPMC8166595 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature