{"id":"https://openalex.org/W7127050562","doi":"https://doi.org/10.1016/j.sciaf.2026.e03227","title":"Availability and affordability of essential medicines during armed conflict in public hospitals of east Gojjam zone, Amhara region, Ethiopia: A mixed-method institutional-based cross-sectional study","display_name":"Availability and affordability of essential medicines during armed conflict in public hospitals of east Gojjam zone, Amhara region, Ethiopia: A mixed-method institutional-based cross-sectional study","publication_year":2026,"publication_date":"2026-02-01","ids":{"openalex":"https://openalex.org/W7127050562","doi":"https://doi.org/10.1016/j.sciaf.2026.e03227"},"language":"en","primary_location":{"id":"doi:10.1016/j.sciaf.2026.e03227","doi":"https://doi.org/10.1016/j.sciaf.2026.e03227","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.sciaf.2026.e03227","pdf_url":null,"source":{"id":"https://openalex.org/S4210198261","display_name":"Scientific African","issn_l":"2468-2276","issn":["2468-2276"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","norway-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific African","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.sciaf.2026.e03227","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5084657503","display_name":"Anteneh Belayneh","orcid":"https://orcid.org/0000-0001-8277-6272","observed_orcids":["https://orcid.org/0000-0001-8277-6272","https://orcid.org/0000-0003-4523-5551"]},"institutions":[{"id":"https://openalex.org/I916065895","display_name":"Debre Markos University","ror":"https://ror.org/04sbsx707","country_code":"ET","type":"education","lineage":["https://openalex.org/I916065895"]}],"countries":["ET"],"is_corresponding":true,"raw_author_name":"Anteneh Belayneh","raw_affiliation_strings":["Department of Pharmacy, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia"],"raw_orcid":"https://orcid.org/0000-0001-8277-6272","affiliations":[{"raw_affiliation_string":"Department of Pharmacy, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia","institution_ids":["https://openalex.org/I916065895"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033292886","display_name":"Melese Getachew","orcid":"https://orcid.org/0000-0003-3397-0022","observed_orcids":["https://orcid.org/0000-0003-3397-0022"]},"institutions":[{"id":"https://openalex.org/I916065895","display_name":"Debre Markos University","ror":"https://ror.org/04sbsx707","country_code":"ET","type":"education","lineage":["https://openalex.org/I916065895"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Melese Getachew","raw_affiliation_strings":["Department of Pharmacy, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmacy, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia","institution_ids":["https://openalex.org/I916065895"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050013640","display_name":"Dehnnet Abebe","orcid":"https://orcid.org/0000-0002-7004-1735","observed_orcids":["https://orcid.org/0000-0002-7004-1735"]},"institutions":[{"id":"https://openalex.org/I916065895","display_name":"Debre Markos University","ror":"https://ror.org/04sbsx707","country_code":"ET","type":"education","lineage":["https://openalex.org/I916065895"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Dehnnet Abebe","raw_affiliation_strings":["Department of Pharmacy, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmacy, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia","institution_ids":["https://openalex.org/I916065895"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068519606","display_name":"Misganaw Gashaw","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I916065895","display_name":"Debre Markos University","ror":"https://ror.org/04sbsx707","country_code":"ET","type":"education","lineage":["https://openalex.org/I916065895"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Misganaw Gashaw","raw_affiliation_strings":["Department of Pharmacy, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmacy, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia","institution_ids":["https://openalex.org/I916065895"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5097250169","display_name":"Getinet Nibret","orcid":"https://orcid.org/0009-0000-5762-1308","observed_orcids":["https://orcid.org/0009-0000-5762-1308"]},"institutions":[{"id":"https://openalex.org/I916065895","display_name":"Debre Markos University","ror":"https://ror.org/04sbsx707","country_code":"ET","type":"education","lineage":["https://openalex.org/I916065895"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Getinet Nibret","raw_affiliation_strings":["Department of Pharmacy, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmacy, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia","institution_ids":["https://openalex.org/I916065895"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060476444","display_name":"Temesgen Ayenew","orcid":"https://orcid.org/0000-0001-5411-6947","observed_orcids":["https://orcid.org/0000-0001-5411-6947"]},"institutions":[{"id":"https://openalex.org/I916065895","display_name":"Debre Markos University","ror":"https://ror.org/04sbsx707","country_code":"ET","type":"education","lineage":["https://openalex.org/I916065895"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Temesgen Ayenew","raw_affiliation_strings":["Department of Nursing, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nursing, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia","institution_ids":["https://openalex.org/I916065895"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5089984474","display_name":"Bekalu Dessie","orcid":"https://orcid.org/0000-0002-0201-6829","observed_orcids":["https://orcid.org/0000-0002-0201-6829"]},"institutions":[{"id":"https://openalex.org/I916065895","display_name":"Debre Markos University","ror":"https://ror.org/04sbsx707","country_code":"ET","type":"education","lineage":["https://openalex.org/I916065895"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Bekalu Dessie","raw_affiliation_strings":["Department of Pharmacy, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia"],"raw_orcid":"https://orcid.org/0000-0002-0201-6829","affiliations":[{"raw_affiliation_string":"Department of Pharmacy, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia","institution_ids":["https://openalex.org/I916065895"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5084657503"],"corresponding_institution_ids":["https://openalex.org/I916065895"],"apc_list":{"value":590,"currency":"USD","value_usd":590},"apc_paid":{"value":590,"currency":"USD","value_usd":590},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"31","issue":null,"first_page":"e03227","last_page":"e03227"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11792","display_name":"Pharmaceutical Economics and Policy","score":0.7422000169754028,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11792","display_name":"Pharmaceutical Economics and Policy","score":0.7422000169754028,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14090","display_name":"Health and Conflict Studies","score":0.23190000653266907,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.011699999682605267,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/essential-medicines","display_name":"essential medicines","score":0.9869999885559082},{"id":"https://openalex.org/keywords/medicine-availability","display_name":"drug availability","score":0.921999990940094},{"id":"https://openalex.org/keywords/drug-affordability","display_name":"drug affordability","score":0.9430000185966492},{"id":"https://openalex.org/keywords/armed-conflict","display_name":"armed conflict","score":0.9959999918937683},{"id":"https://openalex.org/keywords/public-hospitals","display_name":"public hospitals","score":0.6779999732971191},{"id":"https://openalex.org/keywords/health-system-resilience","display_name":"health system resilience","score":0.6499999761581421},{"id":"https://openalex.org/keywords/supply-chain-disruption","display_name":"supply chain disruption","score":0.8709999918937683},{"id":"https://openalex.org/keywords/security-risks","display_name":"security risks","score":0.597000002861023},{"id":"https://openalex.org/keywords/health-care-financing","display_name":"health care financing","score":0.49000000953674316},{"id":"https://openalex.org/keywords/east-gojjam-zone","display_name":"East Gojjam Zone","score":0.7480000257492065},{"id":"https://openalex.org/keywords/amhara-region","display_name":"Amhara region","score":0.777999997138977},{"id":"https://openalex.org/keywords/access-to-medicines","display_name":"access to medicines","score":0.5820000171661377}],"concepts":[{"id":"https://openalex.org/C2777424817","wikidata":"https://www.wikidata.org/wiki/Q35456","display_name":"Essential medicines","level":3,"score":0.7552000284194946},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.6225000023841858},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.4925000071525574},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.44530001282691956},{"id":"https://openalex.org/C108713360","wikidata":"https://www.wikidata.org/wiki/Q1824206","display_name":"Supply chain","level":2,"score":0.4291999936103821},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.4011000096797943},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.3862000107765198},{"id":"https://openalex.org/C3019492093","wikidata":"https://www.wikidata.org/wiki/Q29468924","display_name":"Access to medicines","level":3,"score":0.38499999046325684},{"id":"https://openalex.org/C147859227","wikidata":"https://www.wikidata.org/wiki/Q294217","display_name":"Public sector","level":2,"score":0.3813999891281128},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.37040001153945923},{"id":"https://openalex.org/C3019338729","wikidata":"https://www.wikidata.org/wiki/Q198","display_name":"Armed conflict","level":2,"score":0.365200012922287},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.3456000089645386},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.33730000257492065},{"id":"https://openalex.org/C28719098","wikidata":"https://www.wikidata.org/wiki/Q44946","display_name":"Point (geometry)","level":2,"score":0.32010000944137573},{"id":"https://openalex.org/C83864248","wikidata":"https://www.wikidata.org/wiki/Q177323","display_name":"Developing country","level":2,"score":0.31940001249313354},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.3188999891281128},{"id":"https://openalex.org/C109986646","wikidata":"https://www.wikidata.org/wiki/Q546113","display_name":"Public policy","level":2,"score":0.31869998574256897},{"id":"https://openalex.org/C45355965","wikidata":"https://www.wikidata.org/wiki/Q1643441","display_name":"Socioeconomics","level":1,"score":0.3124000132083893},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.2989000082015991},{"id":"https://openalex.org/C3018587665","wikidata":"https://www.wikidata.org/wiki/Q7268696","display_name":"Qualitative analysis","level":3,"score":0.29820001125335693},{"id":"https://openalex.org/C3651065","wikidata":"https://www.wikidata.org/wiki/Q7204","display_name":"Middle East","level":2,"score":0.2865999937057495},{"id":"https://openalex.org/C2775860198","wikidata":"https://www.wikidata.org/wiki/Q7257872","display_name":"Public hospital","level":2,"score":0.28290000557899475},{"id":"https://openalex.org/C112758219","wikidata":"https://www.wikidata.org/wiki/Q16038819","display_name":"Duration (music)","level":2,"score":0.27219998836517334},{"id":"https://openalex.org/C2776007630","wikidata":"https://www.wikidata.org/wiki/Q2798912","display_name":"Accountability","level":2,"score":0.27160000801086426},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.2644999921321869},{"id":"https://openalex.org/C64089585","wikidata":"https://www.wikidata.org/wiki/Q944235","display_name":"Informal sector","level":2,"score":0.2596000134944916},{"id":"https://openalex.org/C3018122192","wikidata":"https://www.wikidata.org/wiki/Q569250","display_name":"Turning point","level":3,"score":0.2549999952316284},{"id":"https://openalex.org/C2983635472","wikidata":"https://www.wikidata.org/wiki/Q334911","display_name":"Health insurance","level":3,"score":0.2533000111579895}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1016/j.sciaf.2026.e03227","doi":"https://doi.org/10.1016/j.sciaf.2026.e03227","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.sciaf.2026.e03227","pdf_url":null,"source":{"id":"https://openalex.org/S4210198261","display_name":"Scientific African","issn_l":"2468-2276","issn":["2468-2276"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","norway-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific African","raw_type":"journal-article"},{"id":"doi:10.2139/ssrn.5717231","doi":"https://doi.org/10.2139/ssrn.5717231","is_oa":true,"landing_page_url":"https://doi.org/10.2139/ssrn.5717231","pdf_url":null,"source":{"id":"https://openalex.org/S4210172589","display_name":"SSRN Electronic Journal","issn_l":"1556-5068","issn":["1556-5068"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1318003438","host_organization_name":"RELX Group (Netherlands)","host_organization_lineage":["https://openalex.org/I1318003438"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.1016/j.sciaf.2026.e03227","doi":"https://doi.org/10.1016/j.sciaf.2026.e03227","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.sciaf.2026.e03227","pdf_url":null,"source":{"id":"https://openalex.org/S4210198261","display_name":"Scientific African","issn_l":"2468-2276","issn":["2468-2276"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","norway-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific African","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9391000270843506},{"id":"https://metadata.un.org/sdg/1","display_name":"No poverty","score":0.41670000553131104},{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.4000000059604645}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320331387","display_name":"Debre Markos University","ror":"https://ror.org/04sbsx707"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":16,"referenced_works":["https://openalex.org/W2011142098","https://openalex.org/W2913268203","https://openalex.org/W2943597722","https://openalex.org/W2999335473","https://openalex.org/W3114958198","https://openalex.org/W3178673937","https://openalex.org/W3182300553","https://openalex.org/W4229020138","https://openalex.org/W4312069042","https://openalex.org/W4380630724","https://openalex.org/W4389229197","https://openalex.org/W4390430889","https://openalex.org/W4390548673","https://openalex.org/W4391512425","https://openalex.org/W4392468962","https://openalex.org/W4405535654"],"related_works":["https://openalex.org/W4416079288","https://openalex.org/W7171870376","https://openalex.org/W3182300553","https://openalex.org/W4415996867","https://openalex.org/W4415191014","https://openalex.org/W4414861892","https://openalex.org/W4415978308","https://openalex.org/W7165358350","https://openalex.org/W3114958198","https://openalex.org/W2061370145"],"abstract_inverted_index":{"Access":[0],"to":[1,24,40,51,61,65,127,144,147,269,288],"essential":[2,46,58,168,207],"medicines":[3,59,114,149,169,208,219],"is":[4,286],"a":[5,82,129,235],"fundamental":[6],"human":[7],"right,":[8],"with":[9,112,141,172],"availability":[10,42,54,104,166,182,258],"and":[11,43,55,60,105,162,223,226,250,259,278,291],"affordability":[12,44,56,106,260],"as":[13,177,179,253],"crucial":[14],"preconditions.":[15],"However,":[16],"war":[17],"significantly":[18],"disrupts":[19],"healthcare":[20],"systems,":[21],"impacting":[22],"access":[23,268,290],"these":[25],"vital":[26],"resources.":[27],"The":[28,164],"Amhara":[29,79],"region":[30,80],"in":[31,68,72,92,95,273],"Ethiopia":[32],"has":[33],"been":[34],"experiencing":[35],"ongoing":[36],"war,":[37],"posing":[38],"challenges":[39],"the":[41,53,63,73,78,121,151,184,188,195,212,218,265],"of":[45,57,77,84,123,132,153,167,198,206,217,238],"medicines.":[47],"This":[48],"study":[49,189],"aimed":[50],"assess":[52],"identify":[62,145],"barriers":[64,146],"accessing":[66,148],"them":[67],"public":[69,93],"hospitals":[70,94,174],"located":[71],"East":[74,96],"Gojjam":[75,97],"Zone":[76],"during":[81,264],"period":[83],"war.":[85],"A":[86],"mixed-methods,":[87],"cross-sectional":[88],"survey":[89],"was":[90,117,190],"conducted":[91],"Zone,":[98],"Ethiopia.":[99],"Quantitative":[100],"data":[101,135],"on":[102],"medicine":[103,257],"were":[107,136,157,209,261,281],"collected":[108],"using":[109,159],"WHO/HAI":[110],"methodologies,":[111],"50":[113],"selected.":[115],"Affordability":[116,200],"assessed":[118],"by":[119],"calculating":[120],"number":[122],"daily":[124],"wages":[125,233],"required":[126,220,228],"purchase":[128],"full":[130,236],"course":[131,237],"treatment.":[133,239],"Qualitative":[134,240],"obtained":[137],"through":[138],"key-informant":[139],"interviews":[140],"store":[142],"managers":[143],"after":[150],"onset":[152],"armed":[154],"conflict.":[155],"Data":[156],"analyzed":[158],"SPSS":[160],"25":[161],"NVIVO.":[163],"point":[165],"averaged":[170],"64%,":[171],"some":[173],"reporting":[175],"levels":[176],"low":[178],"20%.":[180],"Period":[181],"over":[183],"six":[185],"months":[186],"preceding":[187],"only":[191,204],"59%,":[192],"far":[193],"below":[194],"WHO-recommended":[196],"minimum":[197],"80%.":[199],"analysis":[201],"showed":[202,242],"that":[203],"6%":[205],"affordable":[210],"for":[211,234],"poorest":[213],"people.":[214],"Furthermore,":[215],"34%":[216],"between":[221],"one-":[222],"five-days\u2019":[224],"wages,":[225],"60%":[227],"more":[229],"than":[230],"five":[231],"days\u2019":[232],"findings":[241],"supply":[243,274],"chain":[244],"disruptions,":[245],"security":[246,279],"risks,":[247],"budget":[248],"shortages,":[249],"transportation":[251],"costs":[252],"major":[254],"contributors.":[255],"Essential":[256],"critically":[262],"affected":[263],"conflict,":[266],"limiting":[267],"life-saving":[270],"treatments.":[271],"Disruptions":[272],"chains,":[275],"economic":[276],"hardship,":[277],"threats":[280],"key":[282],"barriers.":[283],"Urgent":[284],"action":[285],"needed":[287],"restore":[289],"strengthen":[292],"health":[293],"system":[294],"resilience.":[295]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-02-03T00:00:00"}
