Evidence map›Paper›PMID 41884257›Full record

ArticleJournal of pharmaceutical policy and practice2026

An analysis of the registration of essential medicines in Namibia: a proxy measure of the availability of essential medicines.

Anastasia N Aluvilu, Justice E K Sheehama, Saren N Shifotoka, Juliet Nabyonga-Orem, Petra Brhlikova

Abstract read
In one paragraph

Article in Journal of pharmaceutical policy and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Anastasia N AluviluWorld Health Organization, UN House, Windhoek, Namibia.ORCID https://orcid.org/0000-0002-5996-4096
Justice E K SheehamaNamibia Medicines Regulatory Council (NMRC), Windhoek, Namibia.ORCID https://orcid.org/0000-0003-2040-0223
Saren N ShifotokaNamibia Medicines Regulatory Council (NMRC), Windhoek, Namibia.
Juliet Nabyonga-OremWorld Health Organization, UN House, Windhoek, Namibia.ORCID https://orcid.org/0000-0002-1061-8678
Petra BrhlikovaPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID https://orcid.org/0000-0003-2085-0304

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Many African countries, including Namibia, face challenges with the availability of essential medicines, impacting health outcomes. This study aimed to evaluate the availability of essential medicines in Namibia by examining the registration of medicines on the Namibia Essential Medicines List (NEMList) as a proxy. Methods: An in-depth analysis of the registration of essential medicines was carried out by comparing medicines in the NEMList against registered medicines on the Namibian Human Medicines Register as of February 2024. Microsoft Excel was used to capture details about the generic names of medicines, strengths, and dosage forms in which the medicines were available. A sub-analysis of antibiotics, which classified them using the Access, Watch and Reserve (AWaRe) classification, was also conducted. Results: A high proportion of essential medicines listed in the NEMList, 80.2% (386/481) are registered in the country. However, essential medicines only accounted for 23.7% (1,288/5,444) of all medicines on the Namibian Human Medicines Register. Among the essential medicines registered in Namibia, only 45.5% (176/386) had at least three registered products. Of the 55 antibiotics on the NEMList, 94.5% (52/55) had registered products, with 96.2% (25/26), 92.0% (23/25) and 100% (4/4) of Access, Watch and Reserve group antibiotics having registered products, respectively. Despite the high proportions of registered essential antibiotics, only 65.4% of Access group antibiotics, 68.0% of Watch group antibiotics and 25.0% of Reserve antibiotics had at least three registered products. Conclusion: Registration of essential medicines is crucial to ensure access and availability. Further studies are needed to understand the bottlenecks encountered by the Namibia Medicines Regulatory Council (NMRC) in registering essential medicines. Concerted programmes and policies to strengthen regional harmonisation of medicines registration should be developed, and essential medicines should be prioritised.

Indexed as

availabilityAWaRe classificationEssential medicinesregistration

Identifiers

PMID41884257
PMCPMC13011098

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.