Challenges Lack of institutionalisation to promote RUM –Often there is no unit in MOH doing monitoring or coordination of interventions & policies to promote RUM Lack of investment & policy implementation Fragmentation of health systems, largely driven by donors Imbalance of drug information –Most prescribers get their information only from drug company representatives Lack of pharmaceutical public health experts –Medicine issues are not taught in most public health degrees –Public health has fragmented into sub-specialities with limited pharmaceutical public health & general public health expertise Research needs –How to develop national integrated health system approaches to promote RUM & how to monitor policy implementation –Impact of non-health (e.g.
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