A framework for stakeholder engagement in the adoption of new anti-malarial treatments in Africa: a case study of Nigeria
Abstract Background Recent reports of artemisinin partial resistance from Rwanda and Uganda are worrisome and suggest a future policy change to adopt new anti-malarials. This is a case study on the evolution, adoption, and implementation of new anti-malarial treatment policies in Nigeria. The main o...
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ftdoajarticles:oai:doaj.org/article:29e39db799f94f25b9418b998918a5a1 2023-07-16T03:57:12+02:00 A framework for stakeholder engagement in the adoption of new anti-malarial treatments in Africa: a case study of Nigeria Olugbenga Ayodeji Mokuolu Oladimeji Akeem Bolarinwa Oluwatumobi Racheal Opadiran Hafsat Abolore Ameen Mehul Dhorda Phaik Yeong Cheah Chanaki Amaratunga Freek de Haan Paulina Tindana Arjen M. Dondorp 2023-06-01T00:00:00Z https://doi.org/10.1186/s12936-023-04622-2 https://doaj.org/article/29e39db799f94f25b9418b998918a5a1 EN eng BMC https://doi.org/10.1186/s12936-023-04622-2 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-023-04622-2 1475-2875 https://doaj.org/article/29e39db799f94f25b9418b998918a5a1 Malaria Journal, Vol 22, Iss 1, Pp 1-13 (2023) Artemisinin resistance Stakeholder engagement Artemisinin-based combination therapy Framework Antimalarial treatment policy Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2023 ftdoajarticles https://doi.org/10.1186/s12936-023-04622-2 2023-06-25T00:37:32Z Abstract Background Recent reports of artemisinin partial resistance from Rwanda and Uganda are worrisome and suggest a future policy change to adopt new anti-malarials. This is a case study on the evolution, adoption, and implementation of new anti-malarial treatment policies in Nigeria. The main objective is to provide perspectives to enhance the future uptake of new anti-malarials, with an emphasis on stakeholder engagement strategies. Methods This case study is based on an analysis of policy documents and stakeholders’ perspectives drawn from an empirical study conducted in Nigeria, 2019–2020. A mixed methods approach was adopted, including historical accounts, review of programme and policy documents, and 33 qualitative in-depth interviews and 6 focus group discussions. Results Based on policy documents reviewed, the adoption of artemisinin-based combination therapy (ACT) in Nigeria was swift due to political will, funding and support from global developmental partners. However, the implementation of ACT was met with resistance from suppliers, distributors, prescribers, and end-users, attributed to market dynamics, costs and inadequate stakeholder engagement. Deployment of ACT in Nigeria witnessed increased developmental partner support, robust data generation, ACT case-management strengthening and evidence on anti-malarial use in severe malaria and antenatal care management. A framework for effective stakeholder engagement for the future adoption of new anti-malarial treatment strategies was proposed. The framework covers the pathway from generating evidence on drug efficacy, safety and uptake; to making treatment accessible and affordable to end-users. It addresses which stakeholders to engage with and the content of engagement strategies with key stakeholders at different levels of the transition process. Conclusion Early and staged engagement of stakeholders from global bodies to community level end-users is critical to the successful adoption and uptake of new anti-malarial treatment policies. A ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 22 1 |
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Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Artemisinin resistance Stakeholder engagement Artemisinin-based combination therapy Framework Antimalarial treatment policy Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Artemisinin resistance Stakeholder engagement Artemisinin-based combination therapy Framework Antimalarial treatment policy Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Olugbenga Ayodeji Mokuolu Oladimeji Akeem Bolarinwa Oluwatumobi Racheal Opadiran Hafsat Abolore Ameen Mehul Dhorda Phaik Yeong Cheah Chanaki Amaratunga Freek de Haan Paulina Tindana Arjen M. Dondorp A framework for stakeholder engagement in the adoption of new anti-malarial treatments in Africa: a case study of Nigeria |
topic_facet |
Artemisinin resistance Stakeholder engagement Artemisinin-based combination therapy Framework Antimalarial treatment policy Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Recent reports of artemisinin partial resistance from Rwanda and Uganda are worrisome and suggest a future policy change to adopt new anti-malarials. This is a case study on the evolution, adoption, and implementation of new anti-malarial treatment policies in Nigeria. The main objective is to provide perspectives to enhance the future uptake of new anti-malarials, with an emphasis on stakeholder engagement strategies. Methods This case study is based on an analysis of policy documents and stakeholders’ perspectives drawn from an empirical study conducted in Nigeria, 2019–2020. A mixed methods approach was adopted, including historical accounts, review of programme and policy documents, and 33 qualitative in-depth interviews and 6 focus group discussions. Results Based on policy documents reviewed, the adoption of artemisinin-based combination therapy (ACT) in Nigeria was swift due to political will, funding and support from global developmental partners. However, the implementation of ACT was met with resistance from suppliers, distributors, prescribers, and end-users, attributed to market dynamics, costs and inadequate stakeholder engagement. Deployment of ACT in Nigeria witnessed increased developmental partner support, robust data generation, ACT case-management strengthening and evidence on anti-malarial use in severe malaria and antenatal care management. A framework for effective stakeholder engagement for the future adoption of new anti-malarial treatment strategies was proposed. The framework covers the pathway from generating evidence on drug efficacy, safety and uptake; to making treatment accessible and affordable to end-users. It addresses which stakeholders to engage with and the content of engagement strategies with key stakeholders at different levels of the transition process. Conclusion Early and staged engagement of stakeholders from global bodies to community level end-users is critical to the successful adoption and uptake of new anti-malarial treatment policies. A ... |
format |
Article in Journal/Newspaper |
author |
Olugbenga Ayodeji Mokuolu Oladimeji Akeem Bolarinwa Oluwatumobi Racheal Opadiran Hafsat Abolore Ameen Mehul Dhorda Phaik Yeong Cheah Chanaki Amaratunga Freek de Haan Paulina Tindana Arjen M. Dondorp |
author_facet |
Olugbenga Ayodeji Mokuolu Oladimeji Akeem Bolarinwa Oluwatumobi Racheal Opadiran Hafsat Abolore Ameen Mehul Dhorda Phaik Yeong Cheah Chanaki Amaratunga Freek de Haan Paulina Tindana Arjen M. Dondorp |
author_sort |
Olugbenga Ayodeji Mokuolu |
title |
A framework for stakeholder engagement in the adoption of new anti-malarial treatments in Africa: a case study of Nigeria |
title_short |
A framework for stakeholder engagement in the adoption of new anti-malarial treatments in Africa: a case study of Nigeria |
title_full |
A framework for stakeholder engagement in the adoption of new anti-malarial treatments in Africa: a case study of Nigeria |
title_fullStr |
A framework for stakeholder engagement in the adoption of new anti-malarial treatments in Africa: a case study of Nigeria |
title_full_unstemmed |
A framework for stakeholder engagement in the adoption of new anti-malarial treatments in Africa: a case study of Nigeria |
title_sort |
framework for stakeholder engagement in the adoption of new anti-malarial treatments in africa: a case study of nigeria |
publisher |
BMC |
publishDate |
2023 |
url |
https://doi.org/10.1186/s12936-023-04622-2 https://doaj.org/article/29e39db799f94f25b9418b998918a5a1 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 22, Iss 1, Pp 1-13 (2023) |
op_relation |
https://doi.org/10.1186/s12936-023-04622-2 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-023-04622-2 1475-2875 https://doaj.org/article/29e39db799f94f25b9418b998918a5a1 |
op_doi |
https://doi.org/10.1186/s12936-023-04622-2 |
container_title |
Malaria Journal |
container_volume |
22 |
container_issue |
1 |
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1771543713033486336 |