{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T14:20:41Z","timestamp":1782138041322,"version":"3.54.5"},"reference-count":59,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T00:00:00Z","timestamp":1745539200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Health policy involves decisions at national, state, and local levels to achieve healthcare goals, with medicine policy being a critical component that requires integration and potential reform. The World Health Organization (WHO) recommends periodic monitoring and evaluation of the National Medicine Policy (NMP) under the National Health Policy (NHP), ideally every 2 to 3\u202fyears or comprehensively every 4 to 5\u202fyears.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This perspective aims to urge the Ministry of Health (MOH) of Ethiopia to update its national health and medicine policies to address emerging health issues, advancements in medical treatment, and global health agendas. It also aims to initiate a name change for Ethiopia\u2019s \u201cNDP\u201d to \u201cNMP\u201d to focus on medicines for therapeutic purposes while avoiding confusion with the term \u201cdrug.\u201d<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A descriptive critical evidence synthesis was used to identify indicators and situations for monitoring, evaluating, and updating national health and medicine policies. The author presented published evidence to support the perspective that Ethiopia\u2019s national health and medicine policies need to be updated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ethiopia\u2019s national health and medicine policies have remained unchanged for over three decades, despite their critical role in guiding healthcare decision-making and reflecting political commitment to advancing healthcare goals through regular monitoring and evaluation. This underscores an urgent need to update these policies and periodically monitor and evaluate them at prescribed intervals: every 2 to 3\u202fyears for minor changes or every 4 to 5\u202fyears comprehensively. Additionally, the title \u201cNational Drug Policy (NDP)\u201d should be changed to \u201cNMP\u201d to better reflect its focus on safe, effective, and approved medicines for healthcare, while avoiding negative associations with the general term \u201cdrugs\u201d.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Given the dynamic nature of the health and pharmaceutical sectors, it is crucial for Ethiopia to urgently update the NHP and NMP and change the NDP title to \u201cNMP\u201d to eliminate ambiguity, emphasize approved medicines, and align with global best practices.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2025.1533710","type":"journal-article","created":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T15:34:44Z","timestamp":1745595284000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["The need to update Ethiopia\u2019s national health and medicine policies: essential tools for informed decision-making in healthcare and the pharmaceutical sectors"],"prefix":"10.3389","volume":"13","author":[{"given":"Ewunetie Mekashaw","family":"Bayked","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,4,25]]},"reference":[{"key":"ref1","volume-title":"Strengthening primary health care systems to increase effective coverage and improve health outcomes in Ethiopia","author":"Annis","year":"2022"},{"key":"ref2","first-page":"279","article-title":"Reviewing Ethiopia\u2019s health system development","volume":"52","author":"Wamai","year":"2009","journal-title":"Japan Med Assoc J"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"100016","DOI":"10.1016\/j.hpopen.2020.100016","article-title":"Health policy triangle framework: narrative review of the recent literature","volume":"1","author":"O'Brien","year":"2020","journal-title":"Health Policy Open"},{"key":"ref4","first-page":"3","volume-title":"Introduction, How to develop and implement a national drug policy","year":"2001"},{"key":"ref5","first-page":"4.1","volume-title":"National medicine policy, MDS-3: Managing access to medicines and health technologies","year":"2012"},{"key":"ref6","first-page":"77","volume-title":"Monitoring and evaluation, How to develop and implement a national drug policy","year":"2001"},{"key":"ref7","first-page":"1","volume-title":"Capacity development resource guide: Policy monitoring","year":"2014"},{"key":"ref8","first-page":"11","volume-title":"The national drug policy process, how to develop and implement a national drug policy","year":"2001"},{"key":"ref9","first-page":"1","volume-title":"Introduction, indicators for monitoring national drug policies: a practical manual","year":"1999"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1186\/1472-698X-5-5","article-title":"Monitoring of National Drug Policy (NDP) and its standardized indicators; conformity to decisions of the national drug selecting committee in Iran","volume":"5","author":"Nikfar","year":"2005","journal-title":"BMC Int Health Hum Rights"},{"key":"ref11","volume-title":"Basic documents: Forty-ninth edition (including amendments adopted up to 31 may 2019)","year":"2020"},{"key":"ref12","volume-title":"What is health policy?","author":"Wait","year":"2024"},{"key":"ref13","volume-title":"Health and medicine division, board on Global Health, and committee on mutual recognition agreements and reliance in the regulation of medicines, regulating medicines in a globalized world: The need for increased reliance among regulators","year":"2019"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"19","DOI":"10.3233\/ppl-160429","article-title":"The globalization of medicines as a challenge for governments","volume":"18","author":"Valverde","year":"2016","journal-title":"Pharm Policy Law"},{"key":"ref15","volume-title":"Ethics and governance of artificial intelligence for health: WHO guidance","year":"2021"},{"key":"ref16","volume-title":"WHO releases AI ethics and governance guidance for large multi-modal models","year":"2024"},{"key":"ref17","volume-title":"WHO outlines considerations for regulation of artificial intelligence for health","year":"2023"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"24","DOI":"10.18773\/austprescr.2020.007","article-title":"National Medicines Policy 2.0: a vision for the future","volume":"43","author":"McLachlan","year":"2020","journal-title":"Aust Prescr"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"212","DOI":"10.1038\/s41746-024-01209-2","article-title":"Core elements of national policy for digital health technology evidence and access","volume":"7","author":"Coder","year":"2024","journal-title":"NPJ Digit Med"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1080\/14737167.2023.2140139","article-title":"The impact of changing the funding model for genetic diagnostics and improved access to personalized medicine in oncology","volume":"23","author":"Mela","year":"2023","journal-title":"Expert Rev Pharmacoecon Outcomes Res"},{"key":"ref21","first-page":"1","volume-title":"WHO considerations on regulatory convergence of cell and gene therapy products","year":"2021"},{"key":"ref22","first-page":"1","volume-title":"Considerations in developing a regulatory framework for human cells and tissues and for advanced therapy medicinal products","year":"2023"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"625296","DOI":"10.3389\/fphar.2021.625296","article-title":"Policies to encourage the use of Biosimilars in European countries and their potential impact on pharmaceutical expenditure","volume":"12","author":"Vogler","year":"2021","journal-title":"Front Pharmacol"},{"key":"ref24","first-page":"3","volume-title":"International policies on the appropriate use of biosimilar drugs, environmental scan","year":"2018"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"659","DOI":"10.1111\/bcp.13496","article-title":"Nutraceuticals: opening the debate for a regulatory framework","volume":"84","author":"Santini","year":"2018","journal-title":"Br J Clin Pharmacol"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1186\/s40249-016-0181-2","article-title":"Integrating one health in national health policies of developing countries: India\u2019s lost opportunities","volume":"5","author":"Chatterjee","year":"2016","journal-title":"Infect Dis Poverty"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"S265","DOI":"10.1097\/phh.0000000000001358","article-title":"Law and policy as tools in healthy people 2030","volume":"27","author":"Teitelbaum","year":"2021","journal-title":"J Public Health Manag Pract"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"811","DOI":"10.1016\/S0140-6736(15)60002-2","article-title":"Moving towards universal health coverage: lessons from 11 country studies","volume":"387","author":"Reich","year":"2016","journal-title":"Lancet"},{"key":"ref29","first-page":"240","article-title":"The role of Pharmacoeconomics in health policy decision-making","volume":"9","author":"Sienko","year":"2024","journal-title":"PharmacoEconomics"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"425","DOI":"10.2165\/00019053-199916050-00001","article-title":"Pharmacoeconomics and health policy. Current applications and prospects for the future","volume":"16","author":"Greenberg","year":"1999","journal-title":"PharmacoEconomics"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"1189671","DOI":"10.3389\/fpubh.2023.1189671","article-title":"Editorial: challenges of pharmacoeconomics in global health arena\u2014contemporary momentum in the early 2020s","volume":"11","author":"Jakovljevic","year":"2023","journal-title":"Front Public Health"},{"key":"ref32","volume-title":"Health economics and health care financing","year":"2025"},{"key":"ref33","first-page":"186","article-title":"Health in all policies in the partnership for sustainable development","volume":"40","author":"Buss","year":"2016","journal-title":"Rev Panam Salud Publica"},{"key":"ref34","first-page":"7","volume-title":"Policy guidelines for inclusive sustainable development goals: Good health and well-being","year":"2020"},{"key":"ref35","first-page":"6.1","volume-title":"MDS-3: Managing access to medicines 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Econ"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1080\/14737167.2019.1533817","article-title":"The direct and indirect costs of epilepsy in Poland estimates for 2014\u20132016 years","volume":"19","author":"Mela","year":"2019","journal-title":"Expert Rev Pharmacoecon Outcomes Res"},{"key":"ref40","first-page":"1","volume-title":"Road map for neglected tropical diseases 2021\u20132030","year":"2023"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"390","DOI":"10.2471\/blt.11.088435","article-title":"The WHO policy package to combat antimicrobial resistance","volume":"89","author":"Leung","year":"2011","journal-title":"Bull World Health Organ"},{"key":"ref42","volume-title":"Antimicrobial resistance","year":"2023"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"109","DOI":"10.18196\/iclr.v6i2.21454","article-title":"Integrating traditional medicine into the healthcare system in Ethiopia: promoting research and avoiding misappropriation","volume":"6","author":"Degu","year":"2024","journal-title":"Indones Comp Law Rev"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"2106650","DOI":"10.1080\/23311886.2022.2106650","article-title":"Beliefs, perceptions, and tendencies of patients with diabetes towards folk-healing alternatives: a qualitative analysis","volume":"8","author":"Bayked","year":"2022","journal-title":"Cogent Soc Sci"},{"key":"ref45","volume-title":"Mental health policy, plans and programmes","year":"2005"},{"key":"ref46","volume-title":"International standards for the treatment of drug use disorders","year":"2020"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"100432","DOI":"10.1016\/j.puhip.2023.100432","article-title":"Ethiopian aging policy: a review of existing frameworks in relation to the Madrid international plan of action on aging","volume":"6","author":"Seid","year":"2023","journal-title":"Public Health Pract"},{"key":"ref48","volume-title":"Ethiopia legalizes physician-assisted death","year":"2025"},{"key":"ref49","volume-title":"The right to die: The legal aspect of euthanasia in Ethiopia","author":"Paulos","year":"2024"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1002\/ijgo.15709","article-title":"Opening the first and only public in vitro fertilization (IVF) center in sub-Saharan Africa: the experience of Ethiopia","author":"Sium","year":"2024","journal-title":"Int J Gynaecol Obstet"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"e22218","DOI":"10.1016\/j.heliyon.2023.e22218","article-title":"A desktop review of evaluation of implementation of national medicines policies in SADC countries","volume":"9","author":"Modiba","year":"2023","journal-title":"Heliyon"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1186\/2052-3211-6-5","article-title":"National medicines policies \u2013 a review of the evolution and development processes","volume":"6","author":"Hoebert","year":"2013","journal-title":"J Pharm Policy Pract"},{"key":"ref53","first-page":"14","volume-title":"National Drug Policy of the transitional government of Ethiopia","year":"1993"},{"key":"ref54","first-page":"1","volume-title":"Health policy of the transitional government of Ethiopia","year":"1993"},{"key":"ref55","first-page":"1","volume-title":"Ethiopia service provision assessment 2021\u201322: final report","year":"2023"},{"key":"ref56","unstructured":"Underlying causes of conflict in Ethiopia: historical, political, and institutional\n          \n          13\n          26\n          \n            \n              Siyum\n              B.A.\n            \n          \n          Budapest, Hungary\n          Diamond Scientific Publishing\n          \n          2021"},{"key":"ref57","first-page":"1","volume-title":"Review of 40 years of primary healthcare implementation at country level","year":"2019"},{"key":"ref58","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1186\/s12961-024-01129-3","article-title":"Politics-evidence conflict in national health policy making in Africa: a scoping review","volume":"22","author":"Ansah","year":"2024","journal-title":"Health Res Policy Syst"},{"key":"ref59","volume-title":"Drug vs medicine: what's the difference?","year":"2024"}],"container-title":["Frontiers in Public 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