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 |
| 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 |
