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Objectives This study was conducted to assess the National Health Insurance Fund ( NHIF) program in Sudan in terms of the expenditure trends over the period of 5 years (2006 and 2010), their value of usage and the pattern of medicines expenditure. Methods The standard tools for analysing aggregate medicine data ( ABC and VEN) analysis were used. The total value of consumption was calculated by multiplying quantities by unit cost, and the total values sorted in descending order. The percentage of total value for each item was calculated. Similarly, for Vital, Essential and Non-essential (VEN) analysis, the NHIF medicine lists (2006 and 2007) were classified as vital, essential or non-essential medicines (based on explanatory statement for physician, medical doctors and pharmacists). Key findings ABC analysis showed that small number of items ( n = 80, 16.98%) in Class A account for large proportion of the fund (70.19%), whereas large number of items ( n = 288, 61.15%) of Class C account only for 9.92% of the total fund. Similarly, the VEN analysis showed that small number of items ( n = 11, 2.34%) of Class V account for 5.46%, whereas Class N consists of 212 (45.01%) items that account for 26.43% of the total fund. The medicine class that accounted for the highest expenditure were medicines related to general anti-infectives for systemic use (40.37%) and it made the largest contribution to increases in the total medicine expenditure (48.59%). Conclusions The findings reveal that relatively small number of items accounts for most of the value of the supply fund and non-essential items represent around half of number of NHIF items and account for around quarter of the total fund. [ABSTRACT FROM AUTHOR]

Objectives: The objective of this study is to analyze the annual medicines imported by private sector for the period between 2012 and 2015 with the help of priority system based on ABC-VEN matrix analysis and therapeutic category analysis., Methods: A retrospective cross-sectional study was conducted. The Always, Better, and Control (ABC) analysis based on drug expenditure and Vital, Essential, and Nonessential (VEN) analysis based on the criticality of the drugs was performed for annual importation in 2015., Results: Using ABC analysis, we found that 47 items (9.2%) accounted for 70% of the budget (class A), whereas a larger numbers of items (344; 67.2%) accounted for only 10% of the importation costs (class C). A moderate number of items (120; 23.5%) comprised 20% of the annual medicine importation value (class B). VEN analysis revealed that 89 items (17.4%) in the vital category constituted 41.6% of the importation value, whereas 349 (68.3%) grouped as essential constituted 45.1% of the value, and 73 (14.2%) of the items considered as nonessential medicines consumed only 13.3% of the total medicines imported in 2015. From the resultant ABC-VEN coupled matrix, three categories were created I, II and III., Conclusion: In view of limited resources, it is important that the existing resources should be utilized appropriately. This study identified a range of suggestions for better medication importation. The ABC and VEN analyses along with the therapeutic category analysis technique are convenient, systematic, and replicable methods and should be adopted for optimization and prioritization of resources., (Copyright © 2020 ISPOR--The professional society for health economics and outcomes research. Published by Elsevier Inc. All rights reserved.)