Table 2 Action plan for building sustainable market from group work and plenary discussions
Issues | Recommendations | Person responsible |
|---|---|---|
Operational issues | ||
 Relative low consumer demand for quality-assured malaria RDTs | Strategic behavioural change communication and marketing campaigns for RDTs Branding of participating service outlets | NMEP/SMEP Manufacturers Distributors Partners |
 Slow stock depletion | Provision of incentives for RDT use to service providers and clients Branding of competing products meant for public sector with ‘NOT FOR SALE’ | NMEP/SMEP Manufacturers Distributors Service providers |
 Delayed supply of mRDTs by distributors | Decentralization by providing storage/sales hubs at each local government area | Distributors |
 Non-adherence to SOP | Closer supervision of care providers including refresher trainings and provision of job aids | NMEP SMEP Partners Professional groups |
 Drying-up of buffer solution | RDT kits to be checked at point of use and faulty kits should be reported to the manufacturer Supply of visual aids with kits | Manufacturers Distributors Service providers |
 Insistence on ACT by clients with negative results | Proper counseling of clients | Service providers |
Supervision, reporting and quality assurance | ||
 Limitation of data collection and reporting systems | Strengthening of data collection system by training and provision of standard reporting tools | NMEP/SMEP Partners Professional groups |
| Â | Submission of data to relevant government institutions and systems | Service providers |
 Inadequate monitoring of service provision | Build capacity of LGA malaria focal persons to provide additional supportive supervision and monitoring | NMEP/SMEP Partners |
 Absence of periodic Performance Reviews (on pricing, sales, end user perception, quality, innovations and best practices) | Institute periodic performance review meetings | NMEP/SMEP Partners Professional groups Distributors |
Market sustainability | ||
 Provider and client confidence on test results | Ensure only quality assured products are available to trained users | Manufacturers Regulatory agencies e.g. NAFDAC |
 Marketer-client relations | Training of marketers on interpersonal communication | Marketers clients |
 Leakage of public sector RDTs into the private open market | Introduction of price control to make RDTs affordable for consumers and profitable for providers | Government agencies WHO |
Capacity building | ||
 Knowledge gaps among service providers | Ongoing training/retraining of providers (especially health workers) | SMEP Partners |
| Â | Trainings should be more detailed and tailored to audience (conveyed in simple language) | SMEP Partners |
| Â | Trainings should be delivered in local languages | SMEP Partners |
 Limited number of participating private providers | More PPMVs and private doctors should be trained | SMEP Partners Professional associations |
 Limited number of qualified RDT trainers | Training and accreditation of additional trainers | NMEP Professional regulatory agencies |