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Partnerships for Malaria Control

Partnerships for Malaria Control PDF

Partnerships for Malaria Control PDF


The private sector plays a critical role in malaria control. In
many disease endemic countries, over 50% of febrile episodes
are treated by retailers in the private sector. These
include pharmacists, drug shop staff with minimal medical
qualifications, and shopkeepers and street vendors with
no medical training [Deming et al., 1989; Ejezie et al., 1990;
Yeneneh et al., 1993; McCombie, 1996; Ndyomugyenyi et
al., 1998; Molyneux et al., 1999; Hamel et al., 2001]. The
manufacture of anti-malarial drugs and mosquito nets, as
well as the marketing, distribution and sale of these commodities
is dominated by private sector providers (PSPs).
Poor people in particular use PSPs, because they are often
easier to reach than public sector providers, and their supply
chain systems usually work better. The type and duration
of treatment provided by PSPs is largely determined
by the client’s ability to pay, and tablets are commonly sold
by the unit rather than as a complete treatment course,
which affect compliance and cure rates. Access to affordable
and good quality malaria control services for the poor
is a particular concern. Poor people are highly vulnerable
to the drain on their resources resulting from ineffective
treatment, and to the potentially catastrophic costs of serious
illness. Both may lead to further impoverishment.
While some attempts have been made, to date, the private
sector has not been sufficiently engaged to utilize fully its
comparative advantage. Effective collaboration between
the public and private sectors is crucial to ensure a better
coverage with anti-malarial drugs, such as antimalarial
combination therapies, or preventive approaches like insecticide
treated nets (ITNs). With more and more countries
changing their malaria treatment policy to ACTs, the
problem of financing of antimalarials has become acute.
The recent report Saving Lives, Buying Time [Arrow et al.,
2004] suggests that without financing from the global
community, malaria mortality could double over the next
one or two decades and transmission will intensify.

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