Civil Society-Driven Drug Policy Reform for Health and Human Welfare—India  Nandini Vallath, MD, Tripti Tandon, LLB, Tania Pastrana, MD, Diederik Lohman,

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Civil Society-Driven Drug Policy Reform for Health and Human Welfare—India  Nandini Vallath, MD, Tripti Tandon, LLB, Tania Pastrana, MD, Diederik Lohman, MA, S. Asra Husain, JD, James Cleary, MD, Ganpati Ramanath, PhD, M.R. Rajagopal, MD  Journal of Pain and Symptom Management  Volume 53, Issue 3, Pages 518-532 (March 2017) DOI: 10.1016/j.jpainsymman.2016.10.362 Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 1 The language of the declaration in this figure depicts the prohibitory orientation of the NDPS Act. Journal of Pain and Symptom Management 2017 53, 518-532DOI: (10.1016/j.jpainsymman.2016.10.362) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 2 The negative impact on the recorded opioid consumption in India over 10 years, after the enactment of NDPS Act in 1985. Journal of Pain and Symptom Management 2017 53, 518-532DOI: (10.1016/j.jpainsymman.2016.10.362) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 3 Opioid consumption from different countries in 2010: Morphine Equivalence mg/person (Source: Pain and Policy Study Group). Journal of Pain and Symptom Management 2017 53, 518-532DOI: (10.1016/j.jpainsymman.2016.10.362) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 4 Graphical representation of the impact of regulatory barriers on other areas determining access and availability of opioids for the needy patients in India. Journal of Pain and Symptom Management 2017 53, 518-532DOI: (10.1016/j.jpainsymman.2016.10.362) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 5 An example of the advocacy efforts. A poster that was disseminated across the country through websites and other social media. Journal of Pain and Symptom Management 2017 53, 518-532DOI: (10.1016/j.jpainsymman.2016.10.362) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 6 India as a country with severe shortages of medicines for moderate to severe pain. Journal of Pain and Symptom Management 2017 53, 518-532DOI: (10.1016/j.jpainsymman.2016.10.362) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions