Assessing Essential Medicine Quality in Enugu and Anambra, Nigeria

This study examined 260 samples of 13 essential medicines in Enugu and Anambra, Nigeria, revealing that 25.4% did not meet USP 42 standards. Dexamethasone tablets had a 95% failure rate, and noncommunicable disease drugs showed higher non-compliance (21.2%) than anti-infectives (17.6%). OOS rates were similar between licensed vendors (25.2%) and market vendors (25.5%), with only 1.5% being falsified, indicating fewer counterfeit drugs than media reports suggest. These findings emphasize the need for stringent prequalification of medicines and manufacturers to ensure quality.

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