Abstract
Background Nigeria and the Democratic Republic of Congo (DRC) together account for one-third of the estimated global total of malaria cases and 40% of malaria deaths. Improving health system performance in these countries is critical for reducing the global malaria burden. In both countries, fever treatment-seeking in the private sector is very common. Antimalarial medicine outlet surveys conducted in Nigeria and the DRC in 2009 documented antimalarial markets dominated by informal drug stores and high nonartemisinin monotherapy (non-AMT) availability and market share, as well as moderate availability of oral AMT. 2011 findings from Nigeria showed improved artemisinin combination therapy (ACT) availability and market share, but continued availability and distribution of oral AMT. 2013 data were collected to inform and monitor ongoing strategy and funding decisions to improve malaria case management.
Highlights
Antimalarial medicine outlet surveys conducted in Nigeria and the Democratic Republic of Congo (DRC) in 2009 documented antimalarial markets dominated by informal drug stores and high nonartemisinin monotherapy availability and market share, as well as moderate availability of oral AMT. 2011 findings from Nigeria showed improved artemisinin combination therapy (ACT) availability and market share, but continued availability and distribution of oral AMT. 2013 data were collected to inform and monitor ongoing strategy and funding decisions to improve malaria case management
Oral AMT was commonly available among drug stores in Nigeria, but very rarely available in the DRC
Informal drug stores continue to dominate the antimalarial markets in the DRC and Nigeria in terms of absolute number of service delivery points, and sale/distribution of treatments
Summary
Nigeria and the Democratic Republic of Congo (DRC) together account for one-third of the estimated global total of malaria cases and 40% of malaria deaths. Improving health system performance in these countries is critical for reducing the global malaria burden. In both countries, fever treatment-seeking in the private sector is very common. Antimalarial medicine outlet surveys conducted in Nigeria and the DRC in 2009 documented antimalarial markets dominated by informal drug stores and high nonartemisinin monotherapy (non-AMT) availability and market share, as well as moderate availability of oral AMT. 2011 findings from Nigeria showed improved artemisinin combination therapy (ACT) availability and market share, but continued availability and distribution of oral AMT. 2013 data were collected to inform and monitor ongoing strategy and funding decisions to improve malaria case management Antimalarial medicine outlet surveys conducted in Nigeria and the DRC in 2009 documented antimalarial markets dominated by informal drug stores and high nonartemisinin monotherapy (non-AMT) availability and market share, as well as moderate availability of oral AMT. 2011 findings from Nigeria showed improved artemisinin combination therapy (ACT) availability and market share, but continued availability and distribution of oral AMT. 2013 data were collected to inform and monitor ongoing strategy and funding decisions to improve malaria case management
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