Faith-based pharmaceutical supply chains and their role in African pharmaceutical systems: A qualitative systematic review

For the health system to function well, the population must have equitable access to quality, affordable pharmaceutical supplies; however, pharmaceutical systems in Africa are challenged by inadequate funding, drug stock outs and irregular supplies, a shortage of trained pharmacy personnel, and a la...

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Main Authors: Isatu Jalloh, Jill Olivier, Eleanor Beth Whyle
Format: Article
Language:English
Published: Health for All Nations 2024-02-01
Series:Christian Journal for Global Health
Subjects:
Online Access:https://journal.cjgh.org/index.php/cjgh/article/view/793/1221
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author Isatu Jalloh
Jill Olivier
Eleanor Beth Whyle
author_facet Isatu Jalloh
Jill Olivier
Eleanor Beth Whyle
author_sort Isatu Jalloh
collection DOAJ
description For the health system to function well, the population must have equitable access to quality, affordable pharmaceutical supplies; however, pharmaceutical systems in Africa are challenged by inadequate funding, drug stock outs and irregular supplies, a shortage of trained pharmacy personnel, and a lack of systems for drug regulation and quality. Faith-based health providers, as private, not-for-profit actors, have long complemented public sector efforts in the supply of pharmaceuticals in Africa. However, the contribution of faith-based health providers in pharmaceutical systems has not been formally studied. This study examines the nature and function of faith-based healthcare providers in improving access to pharmaceutical supplies in Africa. To do so, we conducted an exploratory qualitative systematic review to identify documents that contain information on faith-based involvement in pharmaceutical supply in Africa. The review identified 20 articles for inclusion. These articles were analyzed using thematic, narrative analysis. The analysis revealed a significant evidence gap relating to the contribution of private-not-for-profit, faith-based providers to African pharmaceutical systems. The review suggests that while faith-based drug supply organizations have existed for a long time and contribute significantly to national pharmaceutical systems, there is very little known about the nature of faith-based pharmaceutical providers and how they complement public sector pharmaceutical systems. In many contexts, faith-based involvement in pharmaceutical systems improved access for the general population and increased the supply of pharmaceuticals in national systems. Faith-based drug supply organizations also often provide pharmaceutical supplies to both rural and urban areas, often targeting rural and remote areas particularly. The review also indicates that faith-based drug supply organizations improved access to medicines and related commodities and, despite a lack of regulation in many contexts, have the potential to make a positive contribution to quality assurance of pharmaceuticals. In summary, the analysis confirmed that faith-based involvement in pharmaceutical supply chains contributes to strengthening the national health system by complementing the public pharmaceutical system through improved access to medicines and related commodities in Africa. These conclusions corroborate the need to continually document and acknowledge faith-based healthcare providers’ efforts which could guide the formulation of stringent, evidence-based strategies.
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spelling doaj.art-49e390c805824a68ae2c412482adaae12024-02-28T12:17:27ZengHealth for All NationsChristian Journal for Global Health2167-24152024-02-0111112114710.15566/cjgh.v11i1.793CJGH-11-793Faith-based pharmaceutical supply chains and their role in African pharmaceutical systems: A qualitative systematic reviewIsatu Jalloh0Jill Olivier1Eleanor Beth Whyle2MPH, PhD(c), School of Public Health and Family Medicine, University of Cape Town, Cape Town, South AfricaPhD, University of Cape Town, Cape Town, South AfricaPhD, School of Public Health, University of Cape Town, Cape Town, South AfricaFor the health system to function well, the population must have equitable access to quality, affordable pharmaceutical supplies; however, pharmaceutical systems in Africa are challenged by inadequate funding, drug stock outs and irregular supplies, a shortage of trained pharmacy personnel, and a lack of systems for drug regulation and quality. Faith-based health providers, as private, not-for-profit actors, have long complemented public sector efforts in the supply of pharmaceuticals in Africa. However, the contribution of faith-based health providers in pharmaceutical systems has not been formally studied. This study examines the nature and function of faith-based healthcare providers in improving access to pharmaceutical supplies in Africa. To do so, we conducted an exploratory qualitative systematic review to identify documents that contain information on faith-based involvement in pharmaceutical supply in Africa. The review identified 20 articles for inclusion. These articles were analyzed using thematic, narrative analysis. The analysis revealed a significant evidence gap relating to the contribution of private-not-for-profit, faith-based providers to African pharmaceutical systems. The review suggests that while faith-based drug supply organizations have existed for a long time and contribute significantly to national pharmaceutical systems, there is very little known about the nature of faith-based pharmaceutical providers and how they complement public sector pharmaceutical systems. In many contexts, faith-based involvement in pharmaceutical systems improved access for the general population and increased the supply of pharmaceuticals in national systems. Faith-based drug supply organizations also often provide pharmaceutical supplies to both rural and urban areas, often targeting rural and remote areas particularly. The review also indicates that faith-based drug supply organizations improved access to medicines and related commodities and, despite a lack of regulation in many contexts, have the potential to make a positive contribution to quality assurance of pharmaceuticals. In summary, the analysis confirmed that faith-based involvement in pharmaceutical supply chains contributes to strengthening the national health system by complementing the public pharmaceutical system through improved access to medicines and related commodities in Africa. These conclusions corroborate the need to continually document and acknowledge faith-based healthcare providers’ efforts which could guide the formulation of stringent, evidence-based strategies.https://journal.cjgh.org/index.php/cjgh/article/view/793/1221health systemspharmaceutical systemspharmaceutical supplydrug supplymedicine supplysupply chainafricafaith-based
spellingShingle Isatu Jalloh
Jill Olivier
Eleanor Beth Whyle
Faith-based pharmaceutical supply chains and their role in African pharmaceutical systems: A qualitative systematic review
Christian Journal for Global Health
health systems
pharmaceutical systems
pharmaceutical supply
drug supply
medicine supply
supply chain
africa
faith-based
title Faith-based pharmaceutical supply chains and their role in African pharmaceutical systems: A qualitative systematic review
title_full Faith-based pharmaceutical supply chains and their role in African pharmaceutical systems: A qualitative systematic review
title_fullStr Faith-based pharmaceutical supply chains and their role in African pharmaceutical systems: A qualitative systematic review
title_full_unstemmed Faith-based pharmaceutical supply chains and their role in African pharmaceutical systems: A qualitative systematic review
title_short Faith-based pharmaceutical supply chains and their role in African pharmaceutical systems: A qualitative systematic review
title_sort faith based pharmaceutical supply chains and their role in african pharmaceutical systems a qualitative systematic review
topic health systems
pharmaceutical systems
pharmaceutical supply
drug supply
medicine supply
supply chain
africa
faith-based
url https://journal.cjgh.org/index.php/cjgh/article/view/793/1221
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