Table 3 How can the medicine registration processes in Africa be improved?
From: Combating poor-quality anti-malarial medicines: a call to action
Today’s current environment | A harmonized future environment |
|---|---|
~50 different NMRAs (working
 independently) to register medicines across Africa
 | ~5 or 6 regional groups (each with
 harmonized technical requirements) coordinating registration across the entire
 African continent |
Different administrative and technical
 requirements, processes, and procedures for
 medicines registration across NMRAs | Common (harmonized) registration documentation (format and technical
 requirements),
 procedures, and decision-making processes across African regional groups |
No clear indication of the time taken, or the
 maximum
 times allowed, for regulators to
 assess and register medicines | Streamlined processes that are faster, more
 predictable, and better aligned to public health needs (in terms of prioritization, conditional approvals, etc.) |
Limited transparency before or during the registration process | Transparent and clear procedures and a good understanding of registration
 requirements and processes by all stakeholders |