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Eds.: Management Sciences for Health (MSH), (2016)

This guide provides national stakeholders and advocates with information and guidance to update the national essential medicines list to include a new commodity, a new indication, or a new formulation based on the available evidence and based on country need and disease burden. While the actors, timeline, and process may vary from country to country, this guide presents the broad steps involved in revising an EML for any health commodity. Additional resources and a glossary are included to provide supplemental information and to clarify key terms.

Selection and Use of Essential Medicines

World Health Organization WHO, (2017)

The Expert Committee considered 92 applications, including proposals to add 41 new medicines and extend the indications for six existing listed medicines, five applications to delete medicines from the lists, and a comprehensive review of the antibacterials listed in sections 6.2.1 and 6.2.2 and their use in the treatment of 21 common, priority infectious syndromes, five paediatric infectious diseases and three sexually transmitted infections. In accordance with approved procedures, the Expert Committee evaluated the scientific evidence for the comparative effectiveness, safety and cost–effectiveness of the medicines.

WHO Model List of Essential Medicines 20th List (March 2017)

World Health Organization WHO, (2017)

The 20th Essential Medicines List, published on 6 June 2017, marks the 40th anniversary of this flagship WHO tool to expand access to medicines. The updated list adds 30 medicines for adults and 25 for children, and specifies new uses for 9 already-listed products, bringing the total to 433 drugs deemed essential for addressing the most important public health needs globally. The 20th List also provides new advice on which antibiotics to use for common infections and which to preserve for the most serious syndromes, based on a thorough review of all essential antibiotics. The aim is to optimise antibiotic use and reduce antibiotic resistance without restricting access. Other important additions include medicines for HIV, hepatitis C, tuberculosis and cancer

National List of Essential Medicines for Adults Rwanda 6th edition

Republic of Rwanda, Ministry of Health, (2015)

The essential medicines are those that meet the priority needs of the healthcare of the population. While reviewing the 5th edition of the essential Medicines, special attention focused on the health sector policy. Indeed, medicines play an important role in protecting, maintaining and restoring the peoples’ health and credibility of health facilities. Their availability is a fundamental aspect of primary health care as defined in different declarations including Alma-Ata of 1978.

Bhutan: National Essential Medicine List

World Health Organization WHO, (2016)

In this edition, medicines used in ICU, haemodialysis and chemotherapy unit has also been added under NEML. The medicines under disinfectants and antiseptics, intrauterine devices and barrier methods under contraceptives has been deleted and moved to medical supplies and equipment list. A section on traditional essential medicines list is also included at the end of the NEML

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