Collaborating on a 5 Year Antimalarial Market Survey:
ACTwatch
Kathryn A. O’Connell, PhD, MScOn Behalf of the ACTwatch Group
57th American Society of Tropical Medicine & Hygiene, New Orleans, LADecember 8th 2008
What is ACTwatch?
-5 year multi-country study
-Objective: provide evidence on availability, price, quality, & use of antimalarials
-Partnership
An End to the ‘Black Box’?Outlet Survey: What is the availability, price, and affordability of antimalarials in the public, private & informal sectors?
Antimalarial Drug Quality: What is the quality and purity of antimalarials in the market?
Household Survey: What are levels and trends in use of effective and ineffective antimalarials? What determines use?
Supply Chain Research: What determines the price and availability of antimalarials across the supply chain?
Making it Work:1. Necessary Infrastructure
Country Project Coordinators
Stakeholder ‘Country Tables’
Advisory Committee
Pre-existing relationships in countries
Making it Work:2. In-Country Facilitation
Standard Study Designs & Templates
Partner Coordination
Ethical Approval
Pilot Testing, Interviewer Training
Challenges
Languages
Variety of Contexts
Feasibility & Safety
Standardisation*
Determining the Price of Antimalarials*
Striving for Standardization: How to make cross-country comparisons
Urban PHF: DRC Urban PHF: Cambodia
“The Price is Right”Determining the Price of AMs
The Reality:
-Various dosage forms
-Cut blisters, loose tablets & cocktails
Up-Close & Personal
Overcoming the Challenges:
Multiple Pilot tests
Multiple revisions of questionnaires - outlet audit sheet
Detailed information on outlet types
Intensive Training & Field Testing
Moving Forward
Preliminary baseline outlet/household survey results: from March 2009
Market Supply Chain and Drug Quality Testing: commences January 2009, results from June 2009
Thank You
www.actwatch.info
