(1995; 156 pages)
Central African Republic
3 million in 1992.
2. Pharmaceutical import and consumption
Total pharmaceutical imports in 1992 were estimated at US$ 16.3 million and the major countries of origin and the respective shares from the total imports were: Denmark 5%, France 90% and Switzerland 5%.
Drug consumption in the public and private sector during the year amounted to US$ 1.246 and US$ 9.052 million respectively. The value of drug consumption of the NGOs in 1992 was US$ 0.016 million. The total public sector drug budget in 1992 was US$ 1.72 million and the contributions from national and external sources were 33% and 67% respectively.
3. Drug policy and essential drugs list
There is no written and approved national drug policy but elements of a national drug policy such as procurement and inspection are being implemented. There is an essential drugs list developed in 1992 but it is not yet official. The list contains 203 products and is being used for procurement of drugs for the public sector.
4. Infrastructure and functioning
4.1 Regulation and registration
There was no drug regulatory authority nor drug legislation at the time of the mission. Only draft regulations for registration existed.
4.2 Public and private procurement
The Central Medical Stores, under the Direction générale de la Santé publique (General Direction of Public Health) of the Ministry of Health, procures and distributes drugs for the public sector.
Drugs are procured in the public sector directly from manufacturers/agents and wholesalers abroad and in the country. There is also donors' supply in kind. In 1992, about 10 products were bought from manufacturers and their agents in France.
There are three wholesalers importing and distributing drugs to 25 pharmacies. They buy drugs directly from manufacturers/agents and wholesalers abroad. In 1992, about 3000 products were procured from manufacturers and wholesalers in France.
4.3 Quality control of drugs
There is no drug quality control laboratory in the country. Drugs imported are not tested to ensure their quality and there is no system for health personnel to report complaints regarding drug quality.
The Pharmaceutical Inspection Service of the MOH inspects drug establishments in the country.
5. Operation of the WHO Certification Scheme
The Central African Republic accepted the Scheme on 22 July 1980 and the responsible authority is the Pharmacy Inspection Service of the MOH in Bangui. The WHO list of competent authorities was available at the time of the mission.
• The Scheme is not being used.
• A drug regulatory authority does not exist.