Johanna Catharina Meyer|Natalie Schellack|Jacobus Stokes|Ruth Lancaster|Helecine Zeeman|Douglas Defty|Brian Godman|Gavin Steel
Ongoing Initiatives to Improve the Quality and Efficiency of Medicine Use within the Public Healthcare System in South Africa; A Preliminary Study
Sefako Makgatho Health Sciences University|Sefako Makgatho Health Sciences University|Department of Health|Department of Health|Health Systems Trust|Karolinska University Hospital|Karolinska Institutet|University of Strathclyde|University of Liverpool|Department of Health
introduction south africa appreciable burden communicable noncommunicable diseases well high maternal neonatal child morbidity significant strides improving public health system addressing current inequalities recent years right health constitutional provision south africa initiatives include introduction national health insurance nhi programmes enhance access medicines patients chronic diseases well activities improve care hospitals including improving pharmacovigilance consequently objective paper review ongoing initiatives within public healthcare sector south africa influence provide future direction method principally structured review current planned activities results number major activities initiatives surrounding availability access medicines public system recent years south africa includes national surveillance centre innovative early warning system supply medicines well development national health care pricing authority initiatives improve contracting also developments improve supply chain including instigating medicine procurement units provinces enhancing forecasting capabilities access medicines improving though instigation stable chronic disease management initiatives increase number external pickup points medicines also ongoing programmes enhance adherence medicines well enhance adherence standard treatment guidelines essential medicines lists increasing availability addition movement enhance role health technology assessment future decision making hospital initiatives include increased focus reducing antimicrobial resistance instigating stewardship programmes well improving adverse drug reaction reporting associated activities conclusion overall appreciable number ongoing activities within public health system south africa try ensure sustain universal healthcare early assess impact subject future research