Literature DB >> 10751075

Affordability of inhaled corticosteroids as a potential barrier to treatment of asthma in some developing countries.

N Aït-Khaled1, G Auregan, N Bencharif, L M Camara, E Dagli, K Djankine, B Keita, C Ky, S Mahi, K Ngoran, D L Pham, O Sow, M Yousser, N Zidouni, D A Enarson.   

Abstract

SETTING: The cost and availability of the medications required for the treatment of asthma may represent potential barriers to effective management.
METHOD: A survey of prices and policies for components of asthma treatment in 1998, in Algeria, Burkina Faso, Ivory Coast, Guinea, Mali, Syria, Turkey and Vietnam.
RESULTS: Medications were consistently available in only four of the eight countries studied. The cost of essential medications for standard case management varied by over five times for beclomethasone and by over three times for inhaled salbutamol. In all but two countries, the cost of one year of drugs for treatment of a moderate, persistent case exceeded the monthly salary of a nurse in that country. The essential drugs list included inhaled salbutamol in five of eight countries and beclomethasone in three of eight. The costs of medications were lower where generic preparations were available and, to a lesser extent, where the medications are on the essential drugs list.
CONCLUSIONS: The cost and availability of medications vary widely, and may represent an important barrier to effective management in some low and middle income countries.

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Year:  2000        PMID: 10751075

Source DB:  PubMed          Journal:  Int J Tuberc Lung Dis        ISSN: 1027-3719            Impact factor:   2.373


  25 in total

1.  Health transition in Africa: practical policy proposals for primary care.

Authors:  D Maher; L Smeeth; J Sekajugo
Journal:  Bull World Health Organ       Date:  2010-11-04       Impact factor: 9.408

2.  Management of asthma in Benin: the challenge of loss to follow-up.

Authors:  G Ade; M Gninafon; L Tawo; N Aït-Khaled; D A Enarson; C-Y Chiang
Journal:  Public Health Action       Date:  2013-02-28

3.  Asthma as a hidden disease in rural China: opportunities and challenges of standard case management.

Authors:  X H Kan; C-Y Chiang; D A Enarson; H L Rao; Q Chen; N Aït-Khaled; G W Chen
Journal:  Public Health Action       Date:  2012-09-21

4.  Regional Variation in the Prevalence of Asthma Symptoms among Omani School Children: Comparisons from Two Nationwide Cross-sectional Surveys Six Years Apart.

Authors:  Omar A Al-Rawas; Bazdawi M Al-Riyami; Hussein Al-Kindy; Abdullah A Al-Maniri; Asya A Al-Riyami
Journal:  Sultan Qaboos Univ Med J       Date:  2008-07

Review 5.  Management of NCD in low- and middle-income countries.

Authors:  William Checkley; Hassen Ghannem; Vilma Irazola; Sylvester Kimaiyo; Naomi S Levitt; J Jaime Miranda; Louis Niessen; Dorairaj Prabhakaran; Cristina Rabadán-Diehl; Manuel Ramirez-Zea; Adolfo Rubinstein; Alben Sigamani; Richard Smith; Nikhil Tandon; Yangfeng Wu; Denis Xavier; Lijing L Yan
Journal:  Glob Heart       Date:  2014-12

6.  Gaps in using bronchodilators, inhaled corticosteroids and influenza vaccine among 23 high- and low-income sites.

Authors:  L Gnatiuc; A S Buist; B Kato; C Janson; N Aït-Khaled; R Nielsen; P A Koul; E Nizankowska-Mogilnicka; D Obaseki; L F Idolor; I Harrabi; P G J Burney
Journal:  Int J Tuberc Lung Dis       Date:  2015-01       Impact factor: 2.373

Review 7.  Cost-utility analysis of daily versus intermittent inhaled corticosteroids in mild-persistent asthma.

Authors:  Carlos E Rodriguez-Martinez; Gustavo Nino; Jose A Castro-Rodriguez
Journal:  Pediatr Pulmonol       Date:  2014-06-25

8.  Asthma care in resource-poor settings.

Authors:  Mario Sánchez-Borges; Arnaldo Capriles-Hulett; Fernan Caballero-Fonseca
Journal:  World Allergy Organ J       Date:  2011-04       Impact factor: 4.084

Review 9.  Cardiovascular, respiratory, and related disorders: key messages from Disease Control Priorities, 3rd edition.

Authors:  Dorairaj Prabhakaran; Shuchi Anand; David Watkins; Thomas Gaziano; Yangfeng Wu; Jean Claude Mbanya; Rachel Nugent
Journal:  Lancet       Date:  2017-11-03       Impact factor: 79.321

10.  A global framework for action to improve the primary care response to chronic non-communicable diseases: a solution to a neglected problem.

Authors:  Dermot Maher; Anthony D Harries; Rony Zachariah; Don Enarson
Journal:  BMC Public Health       Date:  2009-09-22       Impact factor: 3.295

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