Medical Products: Nigeria, Egypt attain WHO’s maturity level

Several other African regulators are currently under assessment


The World Health Organisation (WHO) has announced that Egypt and Nigeria’s medical products regulatory agencies have reached maturity level 3.

This means that these national bodies have been found to function well and could be eligible for inclusion into the transitional WHO Listed Authorities, a list that will comprise the world’s regulators of reference that is, regulatory authorities that should be globally recognised as meeting WHO and other international standards.


A report by the global health body said Egypt had reached maturity level 3 for vaccines regulation (locally produced and imported) and Nigeria for medicines and imported vaccines.

The two countries join Ghana and Tanzania as effective regulatory systems on the African continent.


Several other African regulators are currently under assessment.
WHO’s assessment of regulatory authorities is based on the ‘ Global Benchmarking Tool’ – an evaluation tool that checks regulatory functions against a set of over 260 indicators – covering core regulatory functions such as product authorisation, testing of products, market surveillance and the ability to detect adverse events – to establish their level of maturity and functionality.

Regulatory authorities that reach maturity levels 3 and 4 will be eligible for inclusion among WHO-listed authorities, after additional evaluation of their performance.

The benchmarking of Egypt and Nigeria’s regulators was carried out by a WHO-led team of international experts.

In February and March 2022, WHO conducted a formal evaluation of the authorities and found them to perform well against most of the indicators in the Global Benchmarking Tool.

Egypt and Nigeria were also chosen in February 2022 as re cipients of mRNA technology from the WHO mRNA Technology Transfer Hub.

Effective and efficient regulatory oversight is critical to efforts to boost manufacturing capacity as they ensure that medical products entering the market are safe, effective and produced according to international quality standards.

“Egypt and Nigeria have come a long way to improve their regulatory work and performance,” said Mariangela Simao, WHO Assistant Director General for Access to Health Products.

“Given that medical products regulatory oversight and manufacturing must work in tandem, this is very good news for access to quality health  products on the African continent,” she added.

Regulation of medical products is extremely important for all health systems and for access to quality vaccines, medicines and other health products.

Apart from ensuring the quality, safety and efficacy of medical products, regulatory authorities that function well also perform critical functions such as faster authorisation of products and safety monitoring after authorisation.

Fewer than 30 per cent of the world’s regulatory authorities are considered fully functioning and operational.

For that reason, WHO has intensified efforts to bolster the capacity to regulate medical products in all regions. WHO also announced a transitional WHO-Listed Authorities (WLAs) list.

The introduction of a framework for designating and publicly listing a regulatory authority as a WLA aims to provide a transparent and evidence-based pathway for regulatory authorities to be globally recognised as meeting and applying WHO and other internationally recognized standards and guidelines, as well as good regulatory practices




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