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Antifungal availability
GAFFI set an ambitious target of ensuring that 95% of the world’s population have access to antifungal agents by 2025. The following agents are on the WHO’s Essential Medicines List: fluconazole, itraconazole, voriconazole, amphotericin B, flucytosine, echinocandins (micafungin, caspofungin, anidulafungin) and natamycin eyedrops. Information about the drugs is available here: https://en.fungaleducation.org/treatments/
Other agencies recognise the important of access to generic antifungals, including GARDP https://revive.gardp.org/lack-of-access-to-generic-antibiotics-and-antifungals-is-an-overlooked-issue-in-amr/
Here GAFFI presents maps showing availability of key antifungal medicines in each country, how many generic varieties there are, as well as minimum and maximum price.
Data sources and timing
The data provided are current from at least 2016, and usually later (this is indicated for each country and drug as you hover over each map). Data sources are primarily from GAFFI ambassadors and others in country, but also from numerous sources including Martindale, Monthly Index of Medical Specialities (MIMS), the WHO EML, Diflucan® Partnership Program (DPP), Health Action International and published literature. See commentary and maps in the published paper: Journal of Antimicrobial Chemotherapy.
Prices
Prices of medicines are expressed in USD$ after conversion from the original currency. This conversion was done when the information on price was received at the prevailing exchange rate. Inevitably this changes over time. The price also does not include dispensing charges, which can be substantial.
Instructions on using and downloading the maps
Maps are available under this website address: https://drugsmaps.azurewebsites.net/maps/map/
Left hand sidebar helps to navigate between different anti fungal agents whilst the top page tabs presented on the below screenshot help to switch between map type for specific anti fungal.
Each anti fungal agent can be also displayed as a table list by expanding its name on the left hand sidebar as presented below:
Different zoom levels can be adjusted by using “zoom in” and “zoom out” buttons located in the top left map corner. Because all maps are vector based (SVG) zooming in/out does not lower their quality.
Maps can be also downloaded and annotated in various common file formats (png, jpg, pdf, svg) by clicking the download button in the top right map corner near the navigational mini map. There is also a possibility to annotate these maps. Each download button click will download a map in selected file format and the current zoom level and – if annotated – with the current annotation.
Additionally, under the “Price” and “Generic formulations” tab, just above the mini navigational map there is a button to present the data on a chart, which same as map – can be downloaded and annotated.
