Engagement of Implementers to Improve Access to Quality Malaria Case Management and Reporting among PPMVS and Community Pharmacists

• Country: Nigeria
• Summary: Engagement of Implementers to Improve Access to Quality Malaria Case Management and Reporting among PPMVS and Community Pharmacists
• NGT Ref No: 52444659
• Deadline: 11 May 2021
• Financier: Self Financed
• Purchaser Ownership: Government
• Tender Value: Refer Document
• Notice Type: Tender
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• Description:
• Expression of Interest are invited for Engagement of Implementers to Improve Access to Quality Malaria Case Management and Reporting among PPMVS and Community Pharmacists. In 2020, twenty-nine countries accounted for 95% of malaria cases globally. Nigeria alone accounts for 27% of all cases globally. Similarly, Nigeria is responsible for 23% of malaria deaths globally. While acknowledging the progress that Nigeria has made over the years with a reduction in parasite prevalence from 42% in 2010 to current values, achieving further reductions will require the effective engagement of all the service delivery sectors in the health system. As part of efforts to address this challenge the WHO/RBM Partnership to End Malaria, launched the High Burden, High Impact (HBHI) Initiatives to galvanize country led mechanisms, towards accelerating the reduction of malaria in high burden countries like Nigeria. A key supporting element is having an “Effective Health System-. An effective health system must harmonize access and quality of care across the health care delivery channels. For Nigeria, the channels for health care service delivery, as classified by the provider, are categorized into Public, Private and Community systems. The Private Health Sector in Nigeria is multiplex. The health care services consist of formal tertiary, secondary, primary health facilities, pharmacies, as well as informal patent medicine vendors and drug sellers. The private health facilities constitute 49.5% of the listed facilities, and so form a significant part of the healthcare system. The informal private sector is estimated to comprise over 200,000 Proprietary Patent Medicine vendors (PPMVs). The PPMVs are primarily located in rural and semi- urban areas and so end up being the first point of call for the poor and the vulnerable in hard-to-reach areas. They are, therefore, indispensable to the health care service delivery in the country. However, the practices of the PPMVs can be supported to improve the quantity and quality of their services and the reporting of data. This will further bring the informal private sector under more effective Government regulation. The Community Pharmacies (CPs) are among the most accessible health care professionals. They provide a unique opportunity for mentoring the PPMVs and so including them in the pilot will allow for sustainability of the planned investment in the informal private health sector. It is against this backdrop that the NMEP with the support of the Global Fund In the NFM3 Grant is commissioning a Pilot program, engaging with the PPMVs and CPs to expanding access to quality case management (and reporting) of malaria, with the view to building towards a larger scale, standardized engagement of the private health sector. This is expected to impact the proportion of malaria cases managed in compliance with the National Guidelines on Diagnosis and Treatment of Malaria and contribute to improved quality of data and the reporting rate from this sector. The CPs/PPMVs will receive basic clinical training towards Identification of malaria symptoms, SOP for testing followed by appropriate treatment and accurate reporting. The iCCM model will be adapted for this training. This pilot aims to trial and develop a sustainable Intervention package that improves the quantity and quality of care for malaria by PPMVs and CPs in hard-to-reach areas, in-order to inform a national scale-up effort. The project will require the engagement of: (i) Implementer or Facilitator; (ii) Evaluator.
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