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This meeting was the final consultation aimed at sensitizing RECs, NMRAs and the pharmaceutical industry in North/North-East Africa region on the value of harmonization and collaboration in the area of medicine regulation with a particular focus on registration. Specifically, the meeting aimed at discussing the results of the medicines regulation and harmonization situation analysis in the region, identify the bottlenecks and find solutions for regulatory harmonization and collaboration as an important aspect for improving medicines access to patients.