Private health care sector
Introducing rapid diagnostic tests in drug shops to improve the targeting of malaria from ACT Consortium on Vimeo.
Meetings and other information
Malaria rapid diagnostic tests (RDTs) and fever case management in the private health care sector in Africa: a consultative working meeting
Dates: Tue 20 and Wed 21 Oct 2015
Venue: Imperial Botanical Beach Hotel, Entebbe, Uganda
The meeting brought together nearly 60 invited participants, representing national malaria control authorities, device and drug regulatory agencies, international public health authorities (WHO/GMP), commercial and private diagnostic- and health-related interests in malaria-endemic countries, programme implementers, researchers, and funders. Participants systematically reviewed experience to date with malaria RDT implementation in private health care contexts in Africa, in order to generate preliminary guidance for countries implementing RDTs and fever case management in their private health care sectors.
AGENDA:
Day 1 – Tuesday, 20 October, 2015
|
Time |
Topic |
Presenter/s |
Facilitator / Moderator |
|
9:00 |
Session 1: Setting the scene: Welcome, statement of meeting goals & objectives, and introductions |
Anthony Mbonye |
|
|
9:10 |
Jane Cunningham |
Anthony Mbonye |
|
|
9:20 |
Theodoor Visser |
|
|
|
9:30 |
Malaria testing and treatment market data from ACTwatch outlet surveys |
Cristina Lussiana |
|
|
9:40 |
Vivian Aubyn |
|
|
|
9:50 |
Reactions, questions, comments |
All |
|
|
10:00 |
Heidi Hopkins |
|
|
|
10:10 |
Discussion – What role does the private sector play in broader health care systems? |
All |
Nikki Charman |
|
10:30 |
Theme 1: National policies relevant to use of RDTs (Who is allowed to test, and where? Is private sector RDT use covered in existing policies? What adjustments may be needed?) |
Dickson Majige; Thomas Ilupeju |
Peter Okui |
|
11:15 |
Coffee/tea break |
|
|
|
11:30 |
Session 3: Theme 2: IVD (in vitro diagnostics) regulatory & licensing issues |
Anderson Chinorumba Patience Dabula Denis William Mwesigwa |
Simon Peter Rugera |
|
|
Theme 3: Engagement of private/commercial actors with government agencies (How can private and public health system components work together? What mechanisms promote effective interactions?) |
Vivian Aubyn Olua Uwandu |
MC (Streat/Nakanwagi) |
|
13:00 |
LUNCH |
|
|
|
14:00 |
Session 4: Theme 4: Quality control & assurance of diagnostics |
Daniel Kyabayinze Fidelis Mgohamwende |
Denis Mwesigwa |
|
|
Theme 5: Procurement, pricing & distribution logistics |
Nancy Njoki Grace Nakanwagi |
Stephanie Dolan |
|
15:30 |
Coffee/tea break |
|
|
|
15:45 |
Session 5: Theme 6: Market creation & stimulation |
Patricia Njiri Elizabeth Streat |
Nikki Charman |
|
16:30 |
Theme 7: Monitoring & evaluation, and use of data (links with HMIS, national malaria surveillance) |
Olufemi Ajumobi Brenda Mshiu Catherine Goodman |
Angus Spiers |
|
17:15 |
Summary of Day 1, and plans for Day 2 |
|
John Cutler |
|
17:30 |
Close of Day 1 |
|
|
Day 2 – Wednesday, 21 October, 2015
|
Time |
Topic |
Presenter/s |
Facilitator / Moderator |
|
9:00 |
Session 6: Welcome and review of Day 2 program |
|
Bosco Agaba |
|
9:10 |
Theme 8: Treatment & case management challenges (approach to negative test results, adherence to test result & treatment, use of injections, use of antibiotics, integration with national iCCM/IMCI guidelines, waste management, other) |
Sigsbert Mkude Phyllis Awor Elizabeth Streat |
Siân Clarke |
|
10:00 |
Theme 9: Training & supervision mechanisms Presentation 1 / Presentation 2 |
Cristina Lussiana Robert Mugerwa |
Theodoor Visser |
|
10:45 |
Coffee/tea break |
|
|
|
11:00 |
Richard Silumbe |
Catherine Goodman |
|
|
11:45 |
Theme 11: Communication to vendors, care providers and community members (information, education, and behavior change) |
Harriet Affran-Bonful Robert Mugerwa |
Siân Clarke |
|
12:30 |
Theme 12: Linkages and referrals to public health systems (avoiding parallel or redundant systems) |
Anthony Mbonye Godwin Ntadom |
Angus Spiers |
|
13:15 |
LUNCH |
|
|
|
14:15 |
Session 8: Discussion and consensus (where possible) on recommendations in key areas – What can be recommended to countries in the near term? Where is research or additional information needed? |
All |
|
|
15:45 |
Coffee/tea break |
|
|
|
16:00 |
Continued group discussion of recommendations |
All |
|
|
17:00 |
Conclusions and next steps |
All |
Jane Cunningham; John Cutler |
|
17:30 |
Close of Day 2 |
|
|
LIST OF PARTICIPANTS:
First row, left to right:
| Name | Affiliation | Professional Role | |
| 1 | Mushabe Annet Brenda | The Allied Health Professionals Council, Uganda | Quality Assurance Officer / mRDT Focal Person |
| 2 | Vivian NA Aubyn | Ghana National Malaria Control Program | Partnerships, Planning & Resource Mobilization Focal Point (former AMFm Focal Point) |
| 3 | Cristine Betters | Malaria Consortium (Uganda) | Africa Programmes Director |
| 4 | Florence Camus-Bablon | A2Meds (Access to Medicines) | Consultant for RDT implementation |
| 5 | Elizabeth Shekalaghe | Pharmacy Council, Tanzania | Registrar |
| 6 | Anthony Mbonye | Uganda Ministry of Health | Director Health Services (Clinical & Community; and investigator, ACT Consortium of LSHTM) |
| 7 | Simon Peter Rugera | Mbarara University of Science and Technology, Uganda | Senior Lecturer; and Regional Consultant on Regulation of Medical Devices and in vitro diagnostics in the East Africa Community Partner States |
| 8 | Brenda Mshiu | Population Services International (Tanzania) | Program Manager – Malaria & Child Survival |
| 9 | Mary Muthigani | Medilink Lab & Surgicals Ltd (importer of SD Bioline in Uganda) | Director |
| 10 | Phyllis Awor | Makerere University School of Public Health | Research Fellow |
| 11 | Serufusa Ronald | Wakiso District Drugshop Owners Association, Uganda | Patron, and District Drug Inspector |
| 12 | Sigsbert Mkude | National Malaria Control Program, Tanzania | Team Leader, Malaria Diagnosis & Treatment |
Second row, left to right:
| 1 | Godwin Ntadom | National Malaria Programme, Nigeria | Head, Case Management Branch |
| 2 | Harriet Affran-Bonful (delegate of Dr Evelyn Ansah) | National Malaria Control Program, Ghana | Pharmacist, member of evaluation team |
| 3 | Cristina Lussiana (delegate of Paul Hamilton) | MalariaCare/Population Services International | Malaria and Child Survival Monitoring Advisor (previously QA Advisor, UNITAID) |
| 4 | Wendy Prudhomme O'Meara | Duke University; Moi University School of Public Health (Eldoret, Kenya) | Associate Professor; Visiting Lecturer |
| 5 | Enywaku Alfred | Uganda National Drug Authorigy (NDA) | Liaison, UNITAID project |
| 6 | Young Hong | Access Bio (RDT manufacturer) | Lead, Biz Development |
| 7 | Alex Ogwal | Clinton Health Access Initiative | Malaria Program Manager, Uganda |
| 8 | Robert Mugerwa | Malaria Consortium (Uganda) | UNITAID Private Sector RDTs Uganda Project Manager |
| 9 | Daniel Kyabayinze | FIND Uganda | Study coordinator (and coordinator for diagnostics QA/QC, UNITAID) |
| 10 | Nancy Njoki | Population Services International (Kenya) | Child Survival Manager |
| 11 | Chidi Dozie | Dozie & Dozie‘s Pharm Nigeria Ltd | Pharmacist, first-line buyer of RDTs |
| 12 | Dickson Majige | Private Health Facility Board, Tanzania | Registrar |
| 13 | Elizabeth Streat | Malaria Consortium (Uganda) | Senior Public Health Specialist –Diagnostics; Technical Lead, UNITAID Private Sector RDTs project |
| 14 | Allison Enjetti | ACT Consortium, London School of Hygiene & Tropical Medicine | Logistics coordinator and rapporteur |
| 15 | Fidelis Mgohamwende | National Malaria Control Program, Tanzania | Head of Diagnostics |
| 16 | Agaba Bosco | National Malaria Control Programme, Uganda | National Coordinator, Case Management (Diagnostics) |
| 17 | Patience Dabula | National Health Laboratory Service, South Africa | National Manager, Quality Assurance |
| 18 | Comrade Olua Uwandu | Lagos State Medicines Dealers Association (LSMDA) | Secretary |
| 19 | Jane Cunningham | Global Malaria Program, WHO | Technical Officer, Diagnosis, Treatment & Vaccines Unit |
| 20 | Stephanie Dolan | PSI / UNITAID (Kenya) | PSI Deputy Director, UNITAID RDTs in the Private Sector Project |
| 21 | Luti Ojo | DfID Funded Support to National Malaria Programme (SuNMaP), Nigeria | Acting Commercial Sector Manager |
| 22 | Grace Nakanwagi | Malaria Consortium (Uganda) | UNITAID Private Sector RDTs Coordinator |
Back row, left to right:
| 1 | Ruth Aisabokhae | Clinton Health Access Initiative | Country team representative, Nigeria |
| 2 | Sammy Ogunjimi | Codix Pharma Limited (RDT importer and distributor in Nigeria) | Managing Director |
| 3 | Ifeanyi Obidike | Bakan Gizo Nigeria Ltd | Pharmacist, first-line buyer of RDTs |
| 4 | Olufemi Ajumobi | National Malaria Programme, Nigeria | Head, Surveillance & Data Management Unit |
| 5 | Jacob Lusekelo (delegate of Dr Fausta Mosha) | National Health Laboratory, Ministry of Health and Social Welfare, Tanzania | Diagnostic services |
| 6 | Francois Mwema | Programme National de Lutte contre le Paludisme (national malaria control program), DR Congo | Chef de Division Prise en Charge des Cas (Head, Case Management Division) |
| 7 | Anderson Chinorumba | WHO Intercountry support (Harare, Zimbabwe) | Malaria diagnostics quality assurance and training |
| 8 | Gareth Jones | Clinton Health Access Initiative | Country team representative, Uganda |
| 9 | Theodoor Visser | Clinton Health Access Initiative | Program Manager, Malaria Diagnosis |
| 10 | Robert Luyeye | Population Services International / Association de Santé Familiale | Country team representative, DR Congo |
| 11 | Heidi Hopkins | ACT Consortium, London School of Hygiene & Tropical Medicine | Senior Lecturer, physician, meeting coordinator |
| 12 | Richard Silumbe | Clinton Health Access Initiative | Country team representative, Tanzania |
| 13 | Angus Spiers | USAID/President’s Malaria Initiative | Senior Malaria Technical Advisor |
| 14 | Feroz Nawab | Chemoquip Limited (RDT importer; Kenya) | Owner |
| 15 | John Cutler | WHO; UNITAID | Malaria Portfolio Manager |
| 16 | Bright Ekweremadu | Society for Family Health, Nigeria | Managing Director |
| 17 | Catherine Goodman | London School of Hygiene & Tropical Medicine | Reader in Health Economics and Policy; and investigator, ACT Consortium of LSHTM |
| 18 | Ilupeju Thomas | Pharmacists Council of Nigeria | Deputy Director / Head of Public Relations & Programme Coordination Unit |
| 19 | Patricia Njiri | Clinton Health Access Initiative | Program Manager, Kenya |
| 20 | Nikki Charman | Population Services International (Kenya) | Senior Technical Advisor, and Director, RDTs in the Private Sector Project |
| 21 | Siân Clarke | ACT Consortium, London School of Hygiene & Tropical Medicine | Senior Lecturer in Malaria Research & Control; and investigator, ACT Consortium of LSHTM |
Present but not in photo:
| 1 | Albert Peter Okui | National Malaria Control Programme, Uganda | Programme Manager |
| 2 | Charles Katureebe | WHO (Uganda) | WHO Country Advisor – Malaria |
| 3 | J David Katabaire | Uganda Health Management Group (distributor of SD Bioline RDTs) | Distribution of RDT kits, support to retailers |
| 4 | Denis Mwesigwa | Uganda National Drug Authority (NDA) | Senior Inspector |
| 5 | Maurine Murtagh | International Diagnostics Centre, LSHTM | CEO |
Diagnostic Testing in the Retail Private Sector: Lessons Learned
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