Elizabeth Pisani
Biographic Data
| ID | 3893401 |
|---|---|
| NAME | Elizabeth Pisani |
| GIVEN NAMES | Elizabeth |
| FAMILY NAME | Pisani |
| SIGNATURE | PISANI E |
| AFFILIATIONS | King's College London |
| ORCID | 0000-0002-3674-631X |
| VERIFIED | Yes |
| TOTAL WORKS | 13 |
| TOTAL CITATIONS | 11 |
| WORKS AS AUTHOR | 13 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2000 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 2 |
Are quality medicines affordable? Evidence from a large survey of medicine price and quality in Indonesia
BACKGROUND: Since Indonesia implemented one of the world's largest single-payer health insurance schemes in 2014, the price of many common medicines has fallen dramatically. Industry groups warn unsustainably low prices threaten quality, while the government says medicines remain overpriced. We investigate the relationship between the price and quality of essential medicines and the affordability of medicines paid for out of pocket. METHODS: We b…
Value for money of medicine sampling and quality testing
BACKGROUND: Substandard and falsified medicines (SFMs) are a public health concern of global importance. Postmarket surveillance in the form of medicine sampling and quality testing can prevent and detect SFM, however, there is remarkably scarce evidence about the cost and value for money of these activities: how much do they cost and how effective are they in detecting SFM? METHODS: Between February and October 2022, Systematic Tracking of At Ri…
A randomised survey of the quality of antibiotics and other essential medicines in Indonesia, with volume-adjusted estimates of the prevalence of substandard medicines
The World Health Organization warns that substandard and falsified medicines threaten public health in low- and middle-income countries. However, medicine quality surveys are often small and unrepresentative of the market, and the true scale of the problem remains unknown. We conducted a large field survey of essential medicines in Indonesia, and investigated how weighting survey results by market volume altered estimates of medicine quality. We …
Why falsified medicines reach patients
INTRODUCTION: To protect patients against falsified medicines, countries around the world implement stringent regulations. Despite efforts to protect supply chains in the European Union (EU), authorities continue to find falsified medicine. We studied how in Romania, one of the poorest EU countries, political and economic factors influence the risk of patients being exposed to falsified medicines. METHODS: For this case study, we reviewed 131 doc…
A study of the quality of cardiovascular and diabetes medicines in Malang District, Indonesia, using exposure-based sampling
BACKGROUND: The WHO has warned that substandard and falsified medicines threaten health, especially in low and middle-income countries (LMICs). However, the magnitude of that threat for many medicines in different regions is not well described, and high-quality studies remain rare. Recent reviews of studies of cardiovascular and diabetes medicine quality recorded that 15.4% of cardiovascular and 6.8% of diabetes samples failed at least one qualit…
A systematic review of pooled procurement of medicines and vaccines
Challenges in maintaining medicine quality while aiming for universal health coverage
INTRODUCTION: Indonesia, the world's fourth most populous nation, is close to achieving universal health coverage (UHC). A widely-publicised falsified vaccine case in 2016, coupled with a significant financial deficit in the national insurance system, has contributed to concern that the rapid scale-up of UHC might undermine medicine quality. We investigated the political and economic factors that drive production and trade of poor-quality medicin…
In the eye of the beholder
A plethora of new development goals and funding institutions have greatly increased the demand for internationally comparable health estimates in recent years, and have brought important new players into the field of health estimate production. These changes have rekindled debates about the validity and legitimacy of global health estimates. This paper draws on country case studies and personal experience to support our opinion that the productio…
Why do Indonesian politicians promote shari’a laws? An analytic framework for Muslim-majority democracies
Taking the discussion in the existing literature on the adoption of shari’a laws in democratising Muslim-majority countries as a starting point, we posit that there are two broad motivations for democratically-elected politicians to adopt shari’a laws and regulations: ideological conviction on the one hand and response to the expressed or perceived preference of constituents on the other hand. The ‘demand side’ can be further divided into the pre…
Indonesia's road to universal health coverage
In 2013 Indonesia, the world's fourth most populous country, declared that it would provide affordable health care for all its citizens within seven years. This crystallised an ambition first enshrined in law over five decades earlier, but never previously realised. This paper explores Indonesia's journey towards universal health coverage (UHC) from independence to the launch of a comprehensive health insurance scheme in January 2014. We find tha…
Dirt
Dirt' reveals the fascinating world of filth that remains one of the very last taboos. Our major new exhibition takes a closer look at something that surrounds us but that we are often reluctant to confront. 'Dirt' travels across centuries and continents to explore our ambivalent relationship with dirt. Bringing together around 200 artefacts spanning visual art, documentary photography, cultural ephemera, scientific artefacts, film and literature…
Estimating the number of drug injectors in Indonesia
Aids into the 21st century
The story of AIDS in the 21st century is likely to be dominated by heterosexuals in Africa and injecting drug users around the world. HIV infection has persisted and grown because people do not like to recognise, much less talk about, the behaviours that spread the virus. Drug injection remains the leading cause of HIV infection in in the countries of the former Soviet Union, the northeastern states of India, the USA, Western Europe, China and pa…
Indonesia's road to universal health coverage
In 2013 Indonesia, the world's fourth most populous country, declared that it would provide affordable health care for all its citizens within seven years. This crystallised an ambition first enshrined in law over five decades earlier, but never previously realised. This paper explores Indonesia's journey towards universal health coverage (UHC) from independence to the launch of a comprehensive health insurance scheme in January 2014. We find tha…
Why do Indonesian politicians promote shari’a laws? An analytic framework for Muslim-majority democracies
Taking the discussion in the existing literature on the adoption of shari’a laws in democratising Muslim-majority countries as a starting point, we posit that there are two broad motivations for democratically-elected politicians to adopt shari’a laws and regulations: ideological conviction on the one hand and response to the expressed or perceived preference of constituents on the other hand. The ‘demand side’ can be further divided into the pre…
Aids into the 21st century
The story of AIDS in the 21st century is likely to be dominated by heterosexuals in Africa and injecting drug users around the world. HIV infection has persisted and grown because people do not like to recognise, much less talk about, the behaviours that spread the virus. Drug injection remains the leading cause of HIV infection in in the countries of the former Soviet Union, the northeastern states of India, the USA, Western Europe, China and pa…
Aids into the 21st century
The story of AIDS in the 21st century is likely to be dominated by heterosexuals in Africa and injecting drug users around the world. HIV infection has persisted and grown because people do not like to recognise, much less talk about, the behaviours that spread the virus. Drug injection remains the leading cause of HIV infection in in the countries of the former Soviet Union, the northeastern states of India, the USA, Western Europe, China and pa…
Estimating the number of drug injectors in Indonesia
Dirt
Dirt' reveals the fascinating world of filth that remains one of the very last taboos. Our major new exhibition takes a closer look at something that surrounds us but that we are often reluctant to confront. 'Dirt' travels across centuries and continents to explore our ambivalent relationship with dirt. Bringing together around 200 artefacts spanning visual art, documentary photography, cultural ephemera, scientific artefacts, film and literature…
Indonesia's road to universal health coverage
In 2013 Indonesia, the world's fourth most populous country, declared that it would provide affordable health care for all its citizens within seven years. This crystallised an ambition first enshrined in law over five decades earlier, but never previously realised. This paper explores Indonesia's journey towards universal health coverage (UHC) from independence to the launch of a comprehensive health insurance scheme in January 2014. We find tha…
In the eye of the beholder
A plethora of new development goals and funding institutions have greatly increased the demand for internationally comparable health estimates in recent years, and have brought important new players into the field of health estimate production. These changes have rekindled debates about the validity and legitimacy of global health estimates. This paper draws on country case studies and personal experience to support our opinion that the productio…
Why do Indonesian politicians promote shari’a laws? An analytic framework for Muslim-majority democracies
Taking the discussion in the existing literature on the adoption of shari’a laws in democratising Muslim-majority countries as a starting point, we posit that there are two broad motivations for democratically-elected politicians to adopt shari’a laws and regulations: ideological conviction on the one hand and response to the expressed or perceived preference of constituents on the other hand. The ‘demand side’ can be further divided into the pre…
Challenges in maintaining medicine quality while aiming for universal health coverage
INTRODUCTION: Indonesia, the world's fourth most populous nation, is close to achieving universal health coverage (UHC). A widely-publicised falsified vaccine case in 2016, coupled with a significant financial deficit in the national insurance system, has contributed to concern that the rapid scale-up of UHC might undermine medicine quality. We investigated the political and economic factors that drive production and trade of poor-quality medicin…
A study of the quality of cardiovascular and diabetes medicines in Malang District, Indonesia, using exposure-based sampling
BACKGROUND: The WHO has warned that substandard and falsified medicines threaten health, especially in low and middle-income countries (LMICs). However, the magnitude of that threat for many medicines in different regions is not well described, and high-quality studies remain rare. Recent reviews of studies of cardiovascular and diabetes medicine quality recorded that 15.4% of cardiovascular and 6.8% of diabetes samples failed at least one qualit…
A systematic review of pooled procurement of medicines and vaccines
Why falsified medicines reach patients
INTRODUCTION: To protect patients against falsified medicines, countries around the world implement stringent regulations. Despite efforts to protect supply chains in the European Union (EU), authorities continue to find falsified medicine. We studied how in Romania, one of the poorest EU countries, political and economic factors influence the risk of patients being exposed to falsified medicines. METHODS: For this case study, we reviewed 131 doc…
Value for money of medicine sampling and quality testing
BACKGROUND: Substandard and falsified medicines (SFMs) are a public health concern of global importance. Postmarket surveillance in the form of medicine sampling and quality testing can prevent and detect SFM, however, there is remarkably scarce evidence about the cost and value for money of these activities: how much do they cost and how effective are they in detecting SFM? METHODS: Between February and October 2022, Systematic Tracking of At Ri…
A randomised survey of the quality of antibiotics and other essential medicines in Indonesia, with volume-adjusted estimates of the prevalence of substandard medicines
The World Health Organization warns that substandard and falsified medicines threaten public health in low- and middle-income countries. However, medicine quality surveys are often small and unrepresentative of the market, and the true scale of the problem remains unknown. We conducted a large field survey of essential medicines in Indonesia, and investigated how weighting survey results by market volume altered estimates of medicine quality. We …
Are quality medicines affordable? Evidence from a large survey of medicine price and quality in Indonesia
BACKGROUND: Since Indonesia implemented one of the world's largest single-payer health insurance schemes in 2014, the price of many common medicines has fallen dramatically. Industry groups warn unsustainably low prices threaten quality, while the government says medicines remain overpriced. We investigate the relationship between the price and quality of essential medicines and the affordability of medicines paid for out of pocket. METHODS: We b…
Medicine (8 works) · Pharmaceutical Economics and Policy (6 works) · Pharmaceutical Quality and Counterfeiting (6 works) · Political science (6 works) · Economics (5 works) · Politics (5 works) · Economic growth (4 works) · Environmental health (4 works) · Law (4 works) · Business (3 works)