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countries have not updated                                            countries have not
           15 national medicine policies in                                      18 updated the essential
                    last 10 years                                                         medicines list for the
                                                                                          past two years


                       Not functioning










           Around                                                                 Out of


                      of medical equipment in developing                                  countries assessed, NONE have a written
           50 %       countries is NOT functioning, NOT used                     15 conflict of interest with regard to
                      correctly and optimally, and invariably NOT                         regulation of medicines
                      maintained








           More than                                                               More than

                      of expenditure on medicines,                                            of medicines are
           50 %       vaccines, and medical                                        50 %       prescribed or used
                      devices is wasted                                                       irrationally










                                      Only                       HTA
                                                   22


                                       2  out of
                                      countries have health
                                      technology assessment (HTA)
                                      units or agencies
   20   21   22   23   24   25   26   27   28   29   30