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Table 2 Action plan for building sustainable market from group work and plenary discussions

From: Private sector malaria RDT initiative in Nigeria: lessons from an end-of-project stakeholder engagement meeting

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
  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
  Trainings should be more detailed and tailored to audience (conveyed in simple language) SMEP
Partners
  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