Creating a private-sector market for quality-assured rapid diagnostic tests

Demonstration of malaria RDT lot testing using recombinant panels. Ethiopian Public Health Institute, Addis Ababa, Ethiopia. October 2016 (Image: John Rae)

Catalyzing access to Rapid diagnostic tests (RDTs) for malaria in the private sector.

Challenges

RDTs have a great potential to provide reliable malaria diagnosis particularly in settings with limited access to quality microscopy. Since the World Health Organization (WHO) recommended diagnostic testing of all suspected cases of malaria in 2010, access to quality RDTs in the public sector has been improving. But it is limited in the private sector where approximately 40 percent of patients seek care.

Solutions

The grant aimed to create a private-sector market for malaria RDTs in Kenya, Madagascar, Nigeria, Tanzania and Uganda by accelerating introduction of quality RDTs and gathering lessons for wider adoption in other countries. The project aimed to transform the RDT market from a low-volume, high-margin market for poor quality RDTs to one where customers have easy access to affordable, quality-assured RDTs.

Progress so far

Areas of impact through this grant include policy change. Regulatory permission to use malaria RDTs in private sector outlets, non-existent in the project countries at project outset, was granted nation-wide in Madagascar. Demand and adoption of RDTs stabilized in Tanzania.

The WHO roadmap for public-private partnership in malaria case management has been completed as part of this project. This document provides policy guidance and recommendations to malaria-endemic countries on best approaches to deploy malaria RDTs through private-sector outlets.



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