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Pharmacovigilance requirements in Yemen

In Yemen, the Pharmacovigilance system is severely limited and largely non-functional due to prolonged conflict and fragmented governance. Regulation is split between the Supreme National Authority for Medicines and Medical Supplies (SNA-MMS) in Sana’a and the Ministry of Health in Aden/Marib. There is no centralized enforcement or active national PV center.

1. Clinical Safety (Clinical Trials)

Clinical trials are extremely rare and typically humanitarian or research-driven.

  • Framework: No codified national guideline; sponsors follow international standards (ICH E2A).

  • Expedited Reporting: Sponsors generally follow 7 days (fatal/life-threatening) and 15 days (other serious unexpected) for SUSARs.

  • Submission: Reports go directly to the relevant MoH faction or ethics committees; no central unit exists.

2. Post-Marketing Pharmacovigilance

There are no practical local obligations for Marketing Authorization Holders. The system relies entirely on ad-hoc reporting from international NGOs (MSF, ICRC) and WHO emergency programs.

  • Personnel & Infrastructure:

    • No Local QPPV: Not required.

    • No PSMF Mandate: Not required.

  • Incident Reporting (ICSRs):

    • Enforcement: None. No mandatory timelines exist.

    • Practice: Serious events are expected to be reported "promptly" (ad-hoc) via paper or email.

  • Risk & Periodic Reporting:

    • PSURs/RMPs: Not required or enforced.

    • Signal Detection: Non-existent at the national level.

Summary of Requirements

Component Requirement in Yemen
Regulatory Authority Fragmented (SNA-MMS Sana’a / MoH Aden)
Framework Non-functional / WHO Emergency Support
Local QPPV / PSMF Not required
Safety Reporting Ad-hoc / None enforced
Clinical Reporting SUSARs (7/15 days - International practice)
Regional Alignment WHO (Emergency context)