TY - JOUR ID - 47851 TI - Challenge of Politico-Economic Sanctions on Pharmaceutical Procurement in Iran: A Qualitative Study JO - Iranian Journal of Medical Sciences JA - IJMS LA - en SN - 0253-0716 AU - Bastani, Peivand AU - Dehghan, Zahra AU - Kashfi, Seyyed Mansoor AU - Dorosti, Hesam AU - Mohammadpour, Mohammadtagi AU - Mehralian, Gholamhossein AD - Health Human Resources Research Center, School of Health Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran AD - Vice-Chancellery for Food and Drug, Shiraz University of Medical Sciences, Shiraz, Iran AD - Department of Public Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran AD - Department of Pharmaceutical Biotechnology, School of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran AD - Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran AD - Department of Pharmacoeconomics and Pharmaceutical Administration, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran Y1 - 2022 PY - 2022 VL - 47 IS - 2 SP - 152 EP - 161 KW - Pharmaceutical preparations KW - Pharmaceutical Services KW - Public Health DO - 10.30476/ijms.2021.89901.2078 N2 - Background: Politico-economic sanctions over the recent years have led to significant challenges in the pharmaceutical supply chain (PSC) in Iran. Given the importance of the chain’s resilience for the health system and its impact on accessibility, equity, and public health, this study was conducted to determine the major challenges facing pharmaceutical procurement in Iran after the imposition of these sanctions. Methods: This study was a qualitative research with a content analysis approach conducted in 2019. Eighteen policymakers and administrative managers in food and drug administration of two Iranian Medical Universities and Iran’s Ministry of Health were included in the present study via snowball sampling and semi-structured interview. The data were analyzed using the framework analysis of MAX QDA10.Results: Five main themes and 15 sub-themes were identified, which addressed pharmaceutical supply chain challenges under politico-economic sanctions. These included the challenges in financing, purchasing, importing, and manufacturing domestic products in addition to storing and distributing medicines, along with challenges facing the general public, particularly patients. Conclusion: The results revealed that pharmaceuticals are not immune to politico-economic sanctions, although they are not directly subjected to them. Sanctions, similar to any economic crisis, can affect public health and limit their access to healthcare. Identifying supply chain challenges and planning to address them could help policymakers find solutions to enhance PSC resilience in the future. UR - https://ijms.sums.ac.ir/article_47851.html L1 - https://ijms.sums.ac.ir/article_47851_5e805b4ec1c3da9cfb4704bc4f987dcc.pdf ER -