“…According to SAMES, delays in the disbursement of the pharmaceutical budget, from the Ministry of Finance, contribute to the frequent use of emergency orders (Holloway 2012). Similarly, the customs and clearance procedures at the port are cumbersome and sometimes lead to the extended detention of medicines in environments without appropriate quality control (Norris et al 2007). Furthermore, there are no effective structures for quantification, stock control and warehousing, and inspection (Ministry of Health 2011).…”