Regionalization as an approach to regulatory systems strengthening: a case study in CARICOM member states.
نویسندگان
چکیده
Improving basic capacities for regulation of medicines and health technologies through regulatory systems strengthening is particularly challenging in resource-constrained settings. "Regionalization"-an approach in which countries with common histories, cultural values, languages, and economic conditions work together to establish more efficient systems-may be one answer. This report describes the Caribbean Regulatory System (CRS), a regionalization initiative being implemented in the mostly small countries of the Caribbean Community and Common Market (CARICOM). This initiative is an innovative effort to strengthen regulatory systems in the Caribbean, where capacity is limited compared to other subregions of the Americas. The initiative's concept and design includes a number of features and steps intended to enhance sustainability in resource-constrained contexts. The latter include 1) leveraging existing platforms for centralized cooperation, governance, and infrastructure; 2) strengthening regulatory capacities with the largest potential public health impact; 3) incorporating policies that promote reliance on reference authorities; 4) changing the system to encourage industry to market their products in CARICOM (e.g., using a centralized portal of entry to reduce regulatory burdens); and 5) building human resource capacity. If implemented properly, the CRS will be self-sustaining through user fees. The experience and lessons learned thus far in implementing this initiative, described in this report, can serve as a case study for the development of similar regulatory strengthening initiatives in resource-constrained environments.
منابع مشابه
STRENGTHENING HEALTH AND FAMILY LIFE EDUCATION IN THE REGION The Implementation, Monitoring, and Evaluation of HFLE in Four CARICOM Countries Strengthening Health and Family Life Education in the Region: The Implementation, Monitoring, and Evaluation of HFLE in Four CARICOM Countries
متن کامل
The Role of Self-Regulatory Approach in Iranian Learners' Lexical Segmentation: The case of authentic materials
The present research investigated the effect of self-regulatory approach (with two components of self-checking and self-efficacy) on pre-intermediate Iranian learners' lexical segmentation in listening comprehension via authentic listening comprehension texts. To achieve this purpose, the investigators administered an Oxford Placement Test (2007) to ninety-eight students of two girls’ private j...
متن کاملThe Role of Self-Regulatory Approach in Iranian Learners' Lexical Segmentation: The case of authentic materials
The present research investigated the effect of self-regulatory approach (with two components of self-checking and self-efficacy) on pre-intermediate Iranian learners' lexical segmentation in listening comprehension via authentic listening comprehension texts. To achieve this purpose, the investigators administered an Oxford Placement Test (2007) to ninety-eight students of two girls’ private j...
متن کاملIntelligent multi-agent modeling of the interbank network and evaluation of the impact of regulatory policies
agent-based modeling is an emerging computational technique that makes it possible to simulate complex economic systems, including the banking network, with a bottom-up approach. In this paper, the country's banking network is simulated with an intelligent multi-agent modeling model and indicates that these agents behave based on the adaptive learning. This modeling has been done with the aim o...
متن کاملAn efficient approach for availability analysis through fuzzy differential equations and particle swarm optimization
This article formulates a new technique for behavior analysis of systems through fuzzy Kolmogorov's differential equations and Particle Swarm Optimization. For handling the uncertainty in data, differential equations have been formulated by Markov modeling of system in fuzzy environment. First solution of these derived fuzzy Kolmogorov's differential equations has been found by Runge-Kutta four...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Revista panamericana de salud publica = Pan American journal of public health
دوره 39 5 شماره
صفحات -
تاریخ انتشار 2016