Abstract
In Kenya, noncommunicable diseases (NCDs) account for 27% of all deaths. Adult Kenyans have an 18% chance of dying prematurely from cancers, diabetes, cardiovascular diseases or chronic respiratory diseases. A Novartis Access Initiative is making medicines available to treat cardiovascular diseases, diabetes, chronic respiratory diseases, and breast cancer in 30 countries, including Kenya. Little is known about patients' perceptions of access to medicines for NCDs in Kenya. The study objective was to understand patients' perceptions of access to medicines; as well as barriers and facilitators at the household, community, and healthcare system level. A baseline qualitative study was conducted in eight of 47 counties as part of an evaluation of the Novartis Access Initiative in Kenya. The 84 patients interviewed through a household survey had been diagnosed and treated for an NCD. Although medicines at government facilities were free or cheaper than those sold in private pharmacies, the availability of medicines presented a constant challenge. Patients often resorted to private pharmacies, where NCD medicines cost more than at public facilities. Participants with an NCD took their health seriously and strove to get the medicines,...Continue Reading
References
Jun 15, 2011·Lancet·Robert BeagleholeUNKNOWN Lancet NCD Action Group
Jun 16, 2011·Bulletin of the World Health Organization·Alexandra CameronRichard O Laing
Jan 1, 2011·BMJ Case Reports·Elisabeth De SmitPhilip Bloom
Feb 16, 2013·Lancet·Hans V HogerzeilUNKNOWN Lancet NCD Action Group
Mar 15, 2013·Patient Preference and Adherence·David F BlackburnMark Lemstra
Sep 6, 2013·The New England Journal of Medicine·Hans V Hogerzeil
Sep 27, 2014·Health Policy and Planning·Catherine E Vialle-ValentinDennis Ross-Degnan
Apr 18, 2015·Globalization and Health·Hayley Droppert, Sara Bennett
May 8, 2015·Globalization and Health·Jane RobertsonDavid Beran
Jun 13, 2015·Lancet·UNKNOWN Global Burden of Disease Study 2013 Collaborators
Sep 12, 2015·Health Affairs·Trishul SiddharthanJeremy I Schwartz
Oct 21, 2015·British Journal of Health Psychology·Marie Johnston
Dec 26, 2015·Global Heart·Rajesh VedanthanSylvester N Kimaiyo
Oct 14, 2016·Lancet·UNKNOWN GBD 2015 Mortality and Causes of Death Collaborators
Nov 27, 2016·BMJ Open·Peter C RockersRichard Laing
Apr 5, 2017·Health Affairs·Peter C RockersRichard O Laing
Jan 6, 2018·PloS One·Sujha SubramanianUNKNOWN East African Economics and Implementation Group (EAEIG)
Citations
Jun 21, 2020·Journal of the International AIDS Society·Brianna OsetinskyOmar Galárraga
May 5, 2021·BMC Health Services Research·Gloria NgMonica A Onyango
Jul 7, 2021·Journal of Community Genetics·Adrina ZhongHelen Dimaras
Nov 9, 2021·Health Systems and Reform·Zana Wangari KiraguVeronika J Wirtz