The patient ‘must find his own way’: public policies concerning access to medicines in Angola

Background This study analyses public policies concerning access to medicines and pharmaceutical services in Angola from the right to health perspective. Angola, located in the Western Region of Southern Africa, gained independence in 1975, but the regulation of pharmaceutical activity was enacted o...

Full description

Saved in:
Bibliographic Details
Main Authors: Elisa Dulce João Fundanga Calipi, Fernanda Manzini, Leandro Ribeiro Molina, Silvana Nair Leite
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Journal of Pharmaceutical Policy and Practice
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/20523211.2025.2521429
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1839642169991757824
author Elisa Dulce João Fundanga Calipi
Fernanda Manzini
Leandro Ribeiro Molina
Silvana Nair Leite
author_facet Elisa Dulce João Fundanga Calipi
Fernanda Manzini
Leandro Ribeiro Molina
Silvana Nair Leite
author_sort Elisa Dulce João Fundanga Calipi
collection DOAJ
description Background This study analyses public policies concerning access to medicines and pharmaceutical services in Angola from the right to health perspective. Angola, located in the Western Region of Southern Africa, gained independence in 1975, but the regulation of pharmaceutical activity was enacted only in 2010. Despite these policies, health policies alone do not guarantee the right to health.Methods This qualitative research involves documentary analysis, participant observation, and interviews, utilising theoretical frameworks on access to medicines, health systems, and sociotechnical systems. The analysis framework is organised into three domains: legal rights and obligations, good governance, and service implementation. Data from documentary analysis and field research were categorised within these domains.Results The findings indicate that the regulatory framework acts as a ‘letter of intent’, as legal guarantees are vague and lack clarity regarding responsibilities and resource allocation. Additional weaknesses include indecipherable financing, centralised management, cultural barriers, lack of transparency, and limited recognition of the right to access medicines among health professionals. These issues are further exacerbated by Angola's political-economic structure, external dependence on medicines, and insufficiently trained human resources.Conclusion To enhance access to necessary medicines and services, investment in the education of health professionals and training for community leaders is essential. Public policies regarding access to medicines in Angola are still incipient; therefore, improving drug policy and pharmaceutical services is crucial to ensure access within the framework of the right to comprehensive health care.
format Article
id doaj-art-1193eb58d24e4b51af5e1a5c1aec2e6c
institution Matheson Library
issn 2052-3211
language English
publishDate 2025-12-01
publisher Taylor & Francis Group
record_format Article
series Journal of Pharmaceutical Policy and Practice
spelling doaj-art-1193eb58d24e4b51af5e1a5c1aec2e6c2025-07-02T13:56:28ZengTaylor & Francis GroupJournal of Pharmaceutical Policy and Practice2052-32112025-12-0118110.1080/20523211.2025.2521429The patient ‘must find his own way’: public policies concerning access to medicines in AngolaElisa Dulce João Fundanga Calipi0Fernanda Manzini1Leandro Ribeiro Molina2Silvana Nair Leite3Post-Graduated Program in Pharmaceutical Police and Services, Universidade Federal de Santa Catarina, Florianópolis, BrazilPost-Graduated Program in Pharmaceutical Police and Services, Universidade Federal de Santa Catarina, Florianópolis, BrazilFlorianopolis Municipal Health Department, Florianopolis, BrazilPost-Graduated Program in Pharmaceutical Police and Services, Universidade Federal de Santa Catarina, Florianópolis, BrazilBackground This study analyses public policies concerning access to medicines and pharmaceutical services in Angola from the right to health perspective. Angola, located in the Western Region of Southern Africa, gained independence in 1975, but the regulation of pharmaceutical activity was enacted only in 2010. Despite these policies, health policies alone do not guarantee the right to health.Methods This qualitative research involves documentary analysis, participant observation, and interviews, utilising theoretical frameworks on access to medicines, health systems, and sociotechnical systems. The analysis framework is organised into three domains: legal rights and obligations, good governance, and service implementation. Data from documentary analysis and field research were categorised within these domains.Results The findings indicate that the regulatory framework acts as a ‘letter of intent’, as legal guarantees are vague and lack clarity regarding responsibilities and resource allocation. Additional weaknesses include indecipherable financing, centralised management, cultural barriers, lack of transparency, and limited recognition of the right to access medicines among health professionals. These issues are further exacerbated by Angola's political-economic structure, external dependence on medicines, and insufficiently trained human resources.Conclusion To enhance access to necessary medicines and services, investment in the education of health professionals and training for community leaders is essential. Public policies regarding access to medicines in Angola are still incipient; therefore, improving drug policy and pharmaceutical services is crucial to ensure access within the framework of the right to comprehensive health care.https://www.tandfonline.com/doi/10.1080/20523211.2025.2521429Access to medicinespharmaceutical serviceshealth systemsnational medicines policyAngola
spellingShingle Elisa Dulce João Fundanga Calipi
Fernanda Manzini
Leandro Ribeiro Molina
Silvana Nair Leite
The patient ‘must find his own way’: public policies concerning access to medicines in Angola
Journal of Pharmaceutical Policy and Practice
Access to medicines
pharmaceutical services
health systems
national medicines policy
Angola
title The patient ‘must find his own way’: public policies concerning access to medicines in Angola
title_full The patient ‘must find his own way’: public policies concerning access to medicines in Angola
title_fullStr The patient ‘must find his own way’: public policies concerning access to medicines in Angola
title_full_unstemmed The patient ‘must find his own way’: public policies concerning access to medicines in Angola
title_short The patient ‘must find his own way’: public policies concerning access to medicines in Angola
title_sort patient must find his own way public policies concerning access to medicines in angola
topic Access to medicines
pharmaceutical services
health systems
national medicines policy
Angola
url https://www.tandfonline.com/doi/10.1080/20523211.2025.2521429
work_keys_str_mv AT elisadulcejoaofundangacalipi thepatientmustfindhisownwaypublicpoliciesconcerningaccesstomedicinesinangola
AT fernandamanzini thepatientmustfindhisownwaypublicpoliciesconcerningaccesstomedicinesinangola
AT leandroribeiromolina thepatientmustfindhisownwaypublicpoliciesconcerningaccesstomedicinesinangola
AT silvananairleite thepatientmustfindhisownwaypublicpoliciesconcerningaccesstomedicinesinangola
AT elisadulcejoaofundangacalipi patientmustfindhisownwaypublicpoliciesconcerningaccesstomedicinesinangola
AT fernandamanzini patientmustfindhisownwaypublicpoliciesconcerningaccesstomedicinesinangola
AT leandroribeiromolina patientmustfindhisownwaypublicpoliciesconcerningaccesstomedicinesinangola
AT silvananairleite patientmustfindhisownwaypublicpoliciesconcerningaccesstomedicinesinangola