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Table 3 The modes of engagement between domestic and exogenous actors and the effect on pharmacogovernance

From: Matching safety to access: global actors and pharmacogovernance in Kenya- a case study

Pharmacogovernance domains

Modes of Engagement

Advocacy

Autonomy

Collaborative

Consult

-ative

Cooper

-ative

Delegated

Empowerment

Fragmented

Policy, law, regulation

(Governing structures, norms, policy instruments, practices, institutional authority)

+/-

+/-

+

+

+

+

  

Accountability

& Transparency

+

  

+

    

Participation & Representation

   

+/-

    

Equity & Inclusiveness (Distribution of resources for pharmacovigilance)

+

 

+

     

Ethics (Policies to safeguard patient interests)

+/-

       

Effectiveness & Efficiency (System integration & communication)

       

-

Responsiveness (Risk communication)

   

+

  

+

 

Intelligence & Information

(e-reporting technology, risk communication)

+

 

+

  

-

 

-

Stakeholder Coordination

(Pooled resources, network mobilization, communication network)

+

 

+

 

+

  

_

  1. Enable pharmacovigilance (+), Hinder pharmacovigilance (-)