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Global Health Economics and
            Sustainability
                                                                                        Pharmaceutical system in Iraq


            (vi) Pharmacy curricula and training must be updated to   Author contributions
               reflect modern market needs in both academia and
               practice. This will better equip graduates with a holistic   Conceptualization: Ahmed W. Al-Humadi
                                                               Writing – original draft: Ahmed W. Al-Humadi
               understanding of healthcare. Educational initiatives   Writing – review & editing: All authors
               should not only focus on improving the quality of
               graduates but also on expanding access to training   Ethics approval and consent to participate
               and certification opportunities. These would support
               a more competent workforce in pharmaceutical    Ethics approval was not required for this narrative review.
               settings, ultimately leading to better health outcomes   Consent for publication
               and  increased  trust  in  the  healthcare  system.  In
               addition, leadership at educational institutions should   Not applicable.
               be  appointed  based  on  merit  to  ensure  consistent   Availability of data
               quality and credibility in training and accreditation
               (Al-Mosawi, 2020).                              The data that support the findings of this study are available
                                                               from the corresponding author upon reasonable request.
            7. Limitations of the study
            This review lacks reliable quantitative and qualitative   Further disclosure
            data, making it more exploratory in nature and thereby   An  earlier  version  of  this  manuscript  was
            limiting its generalizability. Furthermore, the synthesis   published  through  a  preprint  server,  doi:  10.20944/
            does not include a specific analysis of the pharmaceutical   preprints202411.1159.v1  https://www.preprints.org/
            sector  in  Kurdistan  province,  which  has  held  autonomy   manuscript/202411.1159/v1
            over healthcare since 1993. However, the region generally   References
            shares similar structures, regulations, supply chains, and
            distribution models with the rest of Iraq.         Ahmed, K.K., Al-Jumaili, A.A., Mutlak, S.H., & Hadi, M.K.
                                                                  (2020). Determinants of national drug products acceptance
            8. Conclusion                                         across patients, pharmacists, and manufacturers: A mixed
                                                                  method study.  Journal of Generic Medicines: The Business
            Despite some advances, the reformation of the         Journal for the Generic Medicines Sector, 17(3):139-53.
            pharmaceutical sector in Iraq is essential to improve      https://doi.org/10.1177/1741134320926625
            healthcare system functionality and keep up with the
            current challenges and global advances. Enhancement   Al Hasnawi, S.M., Al khuzaie, A., & Al Mosawi, A.J. (2009). Iraq
            of the pharmaceutical sector will improve health indices   health care system: An overview. The New Iraqi Journal of
                                                                  Medicine, 5(3):5-13.
            and equity, facilitate better medicinal procurement and
            management, and enable the health system to adapt and   Al Hilfi, T.K., Lafta, R., & Burnham, G. (2013). Health services in
            evolve in line with Iraq’s status as a young, upper-middle-  Iraq. The Lancet, 381(9870):939-948.
            income country. Therefore, the recommendations outlined      https://doi.org/10.1016/s0140-6736(13)60320-7
            should be urgently considered by policymakers (Figure 5).   Al  Lami,  A.H.M.,  Zartab,  S.,  Jaberidoost,  M.,
            While the need for healthcare reform in Iraq remains   Yektadoost, A., Nikfar, S.H., & Kebriaeezadeh, A. (2017).
            an urgent priority, the value of quality qualitative and   Iranian pharmaceutical industry opportunities in Iraq.
            quantitative research to inform specific determinants and   Journal  of  Pharmacoeconomics and  Pharmaceutical
            solutions in the Iraqi pharmaceutical sector must not be   Management, 3(3-4):35-40.
            overlooked.                                        Al-Ghazal, S.K. (2003). The valuable contributions of Al-Razi
                                                                  (Rhazes) in the history of pharmacy during the middle ages.
            Acknowledgments                                       International Society for the History of Islamic Medicine,
                                                                  2(4):9-11.
            None.
                                                               Al-Hiti, M. (2019). Iraqi Pharmaceutical Industry Obstacles
            Funding                                               and Solutions. Athens, Greece: 4   Iraqi-European
                                                                                               th
                                                                  Business and Investment Forum. Available from:
            None.                                                 https://www.arabhellenicchamber.gr/  wp-content/
                                                                  uploads/2019/07/6.-dr.mustafa-al-hiti.pdf [Last accessed on
            Conflict of interest                                  2024 Sep 01].
            The authors declare that they have no competing interests.  Al-Humadi, A., & Liapi, C. (2019). Challenges of Iraq


            Volume 3 Issue 3 (2025)                         70                  https://doi.org/10.36922/GHES025110025
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