علیرضا روستا

INTRODUCTION: Since proper planning for the supply, production, and distribution of medicines, especially in emergencies and humanitarian crises, relies on efficient and responsive management. Therefore, the present study aimed to investigate the factors affecting the policy-making of the supply, production, and distribution of medicines in the RCS. METHODS: In this descriptive-analytical study, all decision-makers, planners, and specialists of the RCS in the field of supply, production, and distribution of medicines were studied, and 365 people were selected and examined using a simple random sampling method and the Cochran formula. Data were collected using a researcher-made questionnaire whose validity and reliability were confirmed by experts and Cronbach's alpha (α=0.92). Data analysis was performed using the structural equation modeling (SEM) method in SmartPLS software. FINDINGS: Based on the findings, issues such as security and stability in drug supply, creating responsive and flexible structures in distribution, strategic planning and raw material supply chain management, facilitating and improving distribution and logistics processes, ensuring quality and standardizing production, fair and equitable distribution of drugs, developing purchasing infrastructure and new technologies, developing domestic capacities and self-sufficiency in production, continuous monitoring of the distribution process, effective monitoring and evaluation system, extensive coordination and cooperation with stakeholders, strategic and international cooperation, flexibility and accountability in production policies, flexibility in the purchasing process, and continuing research, development, and innovation in production, all have a positive and significant relationship with drug supply, production, and distribution policymaking in the IRCS. Also, all research hypotheses were confirmed (p<0.05). CONCLUSION: The results show that to improve processes, policymakers should pay special attention to infrastructure development, strategic partnerships, flexibility in policymaking, and strengthening domestic capacities.