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  1. Fulltext How well does Malaysia achieve value for money in public sector purchasing of medicines? Evidence from medicines procurement prices from 2010 to 2014
    Hamzah NM, Perera PN, Rannan-Eliya RP
    BMC Health Serv Res, 2020 Jun 05;20(1):509.
    PMID: 32503539 DOI: 10.1186/s12913-020-05362-8
    BACKGROUND: Malaysia's public healthcare sector provides a greater volume of medicines at lower overall cost compared to the private sector, indicating its importance in providing access to medicines for Malaysians. However, the Ministry of Health (MOH) has concerns about the continuous increase in the public sector medicines budget, and achieving efficiencies in medicines procurement is an important goal. The objectives of this study were to assess the overall trend in public sector pharmaceutical procurement efficiency from 2010 to 2014, and determine if the three different ways in which MOH procures medicines influence efficiency.

    METHODS: We matched medicines from the public sector procurement report by medicine formulation to medicines with a Management Sciences for Health (MSH) International Reference Price (IRP) for each year. Price ratios were calculated, and utilizing the information on quantity and expenditure for each product, summary measures of procurement efficiency were reported as quantity- and expenditure-weighted average price ratios (WAPRs) for each year. Utilizing MOH procurement data to obtain information on procurement type, a multiple regression analysis, controlling for factors that can influence prices, assessed whether procured efficiency (relative to IRPs) differed by MOH procurement type.

    RESULTS: Malaysia's public sector purchased medicines at two to three times the IRP throughout the study period. However, procurement prices were relatively stable in terms of WAPRs each year (2.2 and 3.2 in 2010 to 1.9 and 2.9 in 2014 for quantity and expenditure WAPRs, respectively). Procurement efficiency did not vary between the three different methods of MOH procurement. Procurement efficiency of both imported originators and imported generics were significantly lower (P P 

  2. Fulltext Scoping Recreational Disturbance of Shorebirds to Inform the Agenda for Research and Management in Tropical Asia
    Marasinghe S, Simpson GD, Newsome D, Perera P
    Trop Life Sci Res, 2020 Jul;31(2):51-78.
    PMID: 32922669 DOI: 10.21315/tlsr2020.31.2.4
    In addition to scoping the impacts of the four most reported sources of recreational disturbance on shorebirds, this study also advances the concept of Tropical Asia (TA) to collectively describe tourist destinations in the ecologically and geopolitically diverse part of the planet that incorporates the tourism megaregion of South and Southeast Asia. At a time of growing global concern about the rapid decline of shorebird populations, many governments in TA are embracing and capitalising on the exponential growth in demand for coastal recreation and tourism across the region. This political response is partly driven by efforts to deliver economic development, aligned to the United Nations Sustainable Development Goals, in order to secure the livelihoods of people living in less developed coastal areas. However, the rapid increase in visitor numbers and the development of infrastructure to support the booming demand for coastal tourism destinations in TA are further exacerbating the pressures on shorebird populations across the region. Despite these growing pressures and the wealth of research reporting on shorebird populations across the Asian flyways, this scoping study identified surprisingly little research that reports on the recreational disturbance (RD) of shorebirds in TA. While undertaken to inform future research, this study also provides a synthesis of management strategies reported in the global literature into a set of management recommendations for coastal destinations in TA.
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