They don’t want to close Roxy: a qualitative account on the perceived efforts by Ivory Coast to end the informal market for medicines

The informal market for medicines poses great danger to public health as they expose populations to counterfeit and expired medicines, among many vices. Ivory Coast is one of the countries where this market is growing. The country has been trying to end this market unsuccessfully. This study aims to...

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Main Authors: Victor Chimhutu, Armel Dagrou, Archlove Takunda Tanyanyiwa
Format: Article
Language:English
Published: Elsevier 2025-11-01
Series:Health Policy Open
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Online Access:http://www.sciencedirect.com/science/article/pii/S2590229625000103
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author Victor Chimhutu
Armel Dagrou
Archlove Takunda Tanyanyiwa
author_facet Victor Chimhutu
Armel Dagrou
Archlove Takunda Tanyanyiwa
author_sort Victor Chimhutu
collection DOAJ
description The informal market for medicines poses great danger to public health as they expose populations to counterfeit and expired medicines, among many vices. Ivory Coast is one of the countries where this market is growing. The country has been trying to end this market unsuccessfully. This study aims to investigate the perceived role of the state in the regulation and efforts to end this market. A qualitative case study design was used, with in-depth interviews (IDIs) and focus group discussions (FGDs) being the methods for data collection. 20 IDIs and 3 FGDs with 13 participants in total were conducted with sellers, buyers, and pharmaceutical experts. We found that: the informal market plays an integral role in the health system and that it provides employment to many. Additionally, this informal market is complex and requires a lot of cooperation and coordination at many levels to successfully end it, which is resource demanding. Based on some of these reasons, there is an ambivalence in the regulation and the quest to end this market. The study concludes that the government of Ivory Coast needs to be decisive in its roles of regulation and that of ensuring that medicines are available and accessible.
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spelling doaj-art-11a1ceb5f4aa47f88a3f4c5980a2e3b12025-07-26T05:24:00ZengElsevierHealth Policy Open2590-22962025-11-019100145They don’t want to close Roxy: a qualitative account on the perceived efforts by Ivory Coast to end the informal market for medicinesVictor Chimhutu0Armel Dagrou1Archlove Takunda Tanyanyiwa2Department of Public Health and Sports Sciences, Inland Norway University of Applied Sciences, Postbox 400, 2418 Elverum, Norway; Corresponding author.Department of Health Promotion and Development, University of Bergen, Postboks 7807, 5020 Bergen, NorwayDepartment of Social Work and Guidance, Inland Norway University of Applied Sciences, Vormstuguvegen 2, 2624 Lillehammer, NorwayThe informal market for medicines poses great danger to public health as they expose populations to counterfeit and expired medicines, among many vices. Ivory Coast is one of the countries where this market is growing. The country has been trying to end this market unsuccessfully. This study aims to investigate the perceived role of the state in the regulation and efforts to end this market. A qualitative case study design was used, with in-depth interviews (IDIs) and focus group discussions (FGDs) being the methods for data collection. 20 IDIs and 3 FGDs with 13 participants in total were conducted with sellers, buyers, and pharmaceutical experts. We found that: the informal market plays an integral role in the health system and that it provides employment to many. Additionally, this informal market is complex and requires a lot of cooperation and coordination at many levels to successfully end it, which is resource demanding. Based on some of these reasons, there is an ambivalence in the regulation and the quest to end this market. The study concludes that the government of Ivory Coast needs to be decisive in its roles of regulation and that of ensuring that medicines are available and accessible.http://www.sciencedirect.com/science/article/pii/S2590229625000103Pharmaceutical drugsSub-saharan africaInformal marketsInformal medicinesInformal providers
spellingShingle Victor Chimhutu
Armel Dagrou
Archlove Takunda Tanyanyiwa
They don’t want to close Roxy: a qualitative account on the perceived efforts by Ivory Coast to end the informal market for medicines
Health Policy Open
Pharmaceutical drugs
Sub-saharan africa
Informal markets
Informal medicines
Informal providers
title They don’t want to close Roxy: a qualitative account on the perceived efforts by Ivory Coast to end the informal market for medicines
title_full They don’t want to close Roxy: a qualitative account on the perceived efforts by Ivory Coast to end the informal market for medicines
title_fullStr They don’t want to close Roxy: a qualitative account on the perceived efforts by Ivory Coast to end the informal market for medicines
title_full_unstemmed They don’t want to close Roxy: a qualitative account on the perceived efforts by Ivory Coast to end the informal market for medicines
title_short They don’t want to close Roxy: a qualitative account on the perceived efforts by Ivory Coast to end the informal market for medicines
title_sort they don t want to close roxy a qualitative account on the perceived efforts by ivory coast to end the informal market for medicines
topic Pharmaceutical drugs
Sub-saharan africa
Informal markets
Informal medicines
Informal providers
url http://www.sciencedirect.com/science/article/pii/S2590229625000103
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AT armeldagrou theydontwanttocloseroxyaqualitativeaccountontheperceivedeffortsbyivorycoasttoendtheinformalmarketformedicines
AT archlovetakundatanyanyiwa theydontwanttocloseroxyaqualitativeaccountontheperceivedeffortsbyivorycoasttoendtheinformalmarketformedicines