Document Type : Original Article

Authors

1 Department of Pharmacoeconomics and Pharmaceutical Management, Tehran University of Medical Sciences, Tehran, Iran

2 Department of Health Management and Economics, Tehran University of Medical Sciences, Tehran, Iran Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran

3 Alliance for Health Policy and Systems Research, World Health Organization, Geneva, Switzerland

Abstract

Objective: In the past decades economic sanctions have been used by different countries 
or international organizations in order to deprive target countries of some transactions. 
While the sanctions do not target health care systems or public health structures, they 
may, in fact, affect the availability of health care in target countries. In this study, we used 
media analysis to assess the impacts of recent sanctions imposed by the Central Bank of 
Iran in 2012 on access to medicines in Iran.
Methods: We searched different sources of written news media including a database of 
nonspecialized weeklies and magazines, online news sources, web pages of daily newspapers 
and healthcare oriented weeklies from 2011 to 2013. We searched the sources using the 
general term “medicine” to reduce the chances of missing relevant items. The identified news 
media were read, and categorized under three groups of items announcing “shortage of 
medicines,” “medicines related issues” and “no shortage.” We conducted trend analyzes to 
see whether the news media related to access to medicines were affected by the economic 
sanctions.
Findings: A total number of 371 relevant news media were collected. The number of news 
media related to medicines substantially increased in the study period: 30 (8%), 161 (43%) 
and 180 (49%) were published in 2011, 2012 and 2013, respectively. While 145 (39%) of 
media items referred to the shortage of medicines, 97 (26%) reported no shortage or 
alleviating of concerns.
Conclusion: Media analysis suggests a clear increase in the number of news media reporting 
a shortage in Iran after the sanctions. In 2013, there were accompanying increases in the 
number of news media reporting alleviation of the shortages of medicines. Our analysis 
provides evidence of negative effects of the sanctions on access to medicines in Iran.

Keywords

  1. World Health Organization. MDG – Health and the 
    Millennium Development Goals. Geneva: World Health 
    Organization; 2005.
    2. Methodology Report 2012 Stakeholder Review. Access to 
    Medicine Foundation; 2012.
    3. AbdollahiasA, Nikfar S, Abdollahi M. Pharmaceutical market 
    and health system in the Middle Eastern and Central Asian 
    countries: Time for innovations and changes in policies and 
    actions. Arch Med Sci 2011;7:365‑7.
    4. Lewis M, Verhoeven M. Financial Crises and Social Spending, 
    The Impact of the 2008‑2009 Crisis. Washington: World Bank; 
    2010.
    5. CheraghaliAM. Impacts of international sanctions on Iranian 
    pharmaceutical market. Daru 2013;21:64.
    6. RechelB, SuhrckeM, Tsolova S, Suk JE, DesaiM, McKeeM, et al.
    Economic crisis and communicable disease control in Europe: 
    A scoping study among national experts. Health Policy 
    2011;103:168‑75.
    7. Vandoros S, Stargardt T. Reforms in the Greek pharmaceutical 
    market during the financial crisis. Health Policy 2013;109:1‑6.
    8. Kebriaeezadeh A, Koopaei NN, Abdollahiasl A, Nikfar S, 
    Mohamadi N. Trend analysis of the pharmaceutical market in 
    Iran; 1997‑2010; policy implications for developing countries. 
    Daru 2013;21:52.
    9. Mohammadi D. US‑led economic sanctions strangle Iran’s 
    drug supply. Lancet 2013;381:279.
    10. Namazi S. Sanctions and Medical Supply Shortages in Iran. 
    Viewpoints No. 20. Dubai: Woodrow Wilson Center; 2013.
  2. 11. Golzari S, Ghabili K, Mohammad Khanli H, Tizro P, 
    Rikhtegar R. Access to cancer medicine in Iran. Lancet 
    2013;381:279.
    12. Wolfensohn J. The Right to Tell: The Role of Mass Media 
    in Economic Development. World Bank Institute Report. 
    Washington: World Bank; 2002.
    13. Chakravartty P, Dowing J. Media, technology, and the global 
    financial crisis. Int J Commun 2010;4:693‑5.
    14. Butler D. Iran hit by drug shortage. Nature 2013;504:15‑6.
    15. Kamali Dehghan S. Iran Sanctions ‘Putting Millions of Lives 
    at Risk. The Guardian Daily; 17 October, 2012.
    16. Jönsson AM. Framing environmental risks in the Baltic Sea: 
    A news media analysis. Ambio 2011;40:121‑32.
    17. The Impact of Sanctions on the Iranian People’s Healthcare 
    System. Ver. 1.1. Geneva: International Institute for Peace, 
    Justice and Human Rights; 2013.
    18. Bossuyt M. The Adverse Consequences of Economic Sanctions. 
    Economic and Social Council 21 June 2000; E/CN.4/Sub. 2//33. 
    Geneva: Commission on Human Rights; 2000.
    19. Karanikolos M, Mladovsky P, Cylus J, Thomson S, Basu S, 
    Stuckler D, et al. Financial crisis, austerity, and health in Europe. 
    Lancet 2013;381:1323‑31.
    20. Kastanioti C, Kontodimopoulos N, Stasinopoulos D, 
    Kapetaneas N, Polyzos N. Public procurement of health 
    technologies in Greece in an era of economic crisis. Health 
    Policy 2013;109:7‑13.
    21. Buysse IM, Laing RO, Mantel AK. Impact of the economic 
    recession on the pharmaceutical sector. Utrecht: Utrecht 
    University; 2010.
    22. Kheirandish M, Rashidian A, Kebriaeezade A, Cheraghali AM, 
    Soleymani F, A review of pharmaceutical policies in response 
    to economic crises and sanctions. J Res Pharm Pract 
    2015;4:115-22.
    23. Hosseini SA. Impact of sanctions on procurement of medicine 
    and medical devices in Iran; a technical response. Arch Iran 
    Med 2013;16:736‑8.
    24. Behmane D, Innus J. Pharmaceutical policy and the effects of 
    the economic crisis: Latvia. Eurohealth 2011;4:69‑79.