Research

Syed Shahzad Hasan · Chia Siang Kow · Dalia Dawoud · Omneya Mohamed · Darrin Baines · Zaheer-Ud-Din Babar ·Value in Health Regional Issues ·2018

Medicine price directly affects affordability and access to medicines particularly in countries where a major portion of pharmaceutical spending is through out-of-pocket payment, such as in the Asia Pacific region. We have undertaken a detailed appraisal of the pharmaceutical policy reforms to regulate drug prices in 3 developed (Australia, New Zealand, and South Korea) and 3 emerging (China, India, and Malaysia) economies of the Asia Pacific region. Despite continuous efforts by the authorities in adopting a wide range of reformatory pharmaceutical pricing policies to ensure affordability of medicines, these policies may not be optimal where drug prices were not lowered as expected (eg, in Korea). On the contrary, considerable price reductions of various pharmaceuticals have been observed in New Zealand and India because of the reform in pharmaceutical pricing policy. This review of pharmaceutical pricing reforms reinforces the need for constant monitoring by policy makers in Asia Pacific countries to regulate drug prices and to undertake reform in pharmaceutical pricing policies when necessary to ensure affordability and access to medicines.

Saeed Solaymani ·Environment, Development and Sustainability ·2018

This study attempts to analyze the short- and long-run impacts of the probable change in rainfall and temperature simultaneously on food availability and access to food issues, as the two dimensions of food security, in Malaysia. It uses an integrated method comprising of a stochastic method and a computable general equilibrium model using the latest (2010) input–output table published in 2015. The stochastic method, which relates to the Monte Carlo simulation, provides the probable changes in rainfall and temperature patterns and their probability of occurrence based on historical data of rainfall and temperature and crop productivity. It was found that, simultaneous variation of rainfall and temperature, in both the short- and long-run, contracts the economic performance of Malaysia. Findings also show the negative impact of rainfall–temperature variability, in both time periods, on food availability and access to food due to a reduction in the supply of agricultural products, a commodity inflation pressure and a reduction in household income. Moreover, results suggest that the climate variability shocks lead to a reduction in the consumption and welfare of all household groups, particularly in rural areas.