Price, quality, and market dynamics of malaria rapid diagnostic tests: analysis of Global Fund 2009–2018 data
Abstract Background Rapid diagnostic tests (RDTs) for malaria are a vital part of global malaria control. Over the past decade, RDT prices have declined, and quality has improved. However, the relationship between price and product quality and their larger implications on the market have yet to be c...
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ftdoajarticles:oai:doaj.org/article:bcf3c33bcae04f8598f151c6bbcef957 2023-05-15T15:18:01+02:00 Price, quality, and market dynamics of malaria rapid diagnostic tests: analysis of Global Fund 2009–2018 data Rachel Wittenauer Spike Nowak Nick Luter 2022-01-01T00:00:00Z https://doi.org/10.1186/s12936-021-04008-2 https://doaj.org/article/bcf3c33bcae04f8598f151c6bbcef957 EN eng BMC https://doi.org/10.1186/s12936-021-04008-2 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-021-04008-2 1475-2875 https://doaj.org/article/bcf3c33bcae04f8598f151c6bbcef957 Malaria Journal, Vol 21, Iss 1, Pp 1-15 (2022) Malaria rapid diagnostic test (RDT) Quality Unit price RDT market Panel detection score WHO product testing program Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2022 ftdoajarticles https://doi.org/10.1186/s12936-021-04008-2 2022-12-30T20:28:09Z Abstract Background Rapid diagnostic tests (RDTs) for malaria are a vital part of global malaria control. Over the past decade, RDT prices have declined, and quality has improved. However, the relationship between price and product quality and their larger implications on the market have yet to be characterized. This analysis used purchase data from the Global Fund together with product quality data from the World Health Organization (WHO) and Foundation for Innovative New Diagnostics (FIND) Malaria RDT Product Testing Programme to understand three unanswered questions: (1) Has the market share by quality of RDTs in the Global Fund’s procurement orders changed over time? (2) What is the relationship between unit price and RDT quality? (3) Has the market for RDTs financed by the Global Fund become more concentrated over time? Methods Data from 10,075 procurement transactions in the Global Fund’s database, which includes year, product, volume, and price, was merged with product quality data from all eight rounds of the WHO-FIND programme, which evaluated 227 unique RDT products. To describe trends in market share by quality level of RDT, descriptive statistics were used to analyse trends in market share from 2009 to 2018. A generalized linear regression model was then applied to characterize the relationship between price and panel detection score (PDS), adjusting for order volume, year purchased, product type, and manufacturer. Third, a Herfindahl–Hirschman Index (HHI) score was calculated to characterize the degree of market concentration. Results Lower-quality RDTs have lost market share between 2009 and 2018, as have the highest-quality RDTs. No statistically significant relationship between price per test and PDS was found when adjusting for order volume, product type, and year of purchase. The HHI was 3,570, indicating a highly concentrated market. Conclusions Advancements in RDT affordability, quality, and access over the past decade risk stagnation if health of the RDT market as a whole is neglected. These ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 21 1 |
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ftdoajarticles |
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Malaria rapid diagnostic test (RDT) Quality Unit price RDT market Panel detection score WHO product testing program Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Malaria rapid diagnostic test (RDT) Quality Unit price RDT market Panel detection score WHO product testing program Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Rachel Wittenauer Spike Nowak Nick Luter Price, quality, and market dynamics of malaria rapid diagnostic tests: analysis of Global Fund 2009–2018 data |
topic_facet |
Malaria rapid diagnostic test (RDT) Quality Unit price RDT market Panel detection score WHO product testing program Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Rapid diagnostic tests (RDTs) for malaria are a vital part of global malaria control. Over the past decade, RDT prices have declined, and quality has improved. However, the relationship between price and product quality and their larger implications on the market have yet to be characterized. This analysis used purchase data from the Global Fund together with product quality data from the World Health Organization (WHO) and Foundation for Innovative New Diagnostics (FIND) Malaria RDT Product Testing Programme to understand three unanswered questions: (1) Has the market share by quality of RDTs in the Global Fund’s procurement orders changed over time? (2) What is the relationship between unit price and RDT quality? (3) Has the market for RDTs financed by the Global Fund become more concentrated over time? Methods Data from 10,075 procurement transactions in the Global Fund’s database, which includes year, product, volume, and price, was merged with product quality data from all eight rounds of the WHO-FIND programme, which evaluated 227 unique RDT products. To describe trends in market share by quality level of RDT, descriptive statistics were used to analyse trends in market share from 2009 to 2018. A generalized linear regression model was then applied to characterize the relationship between price and panel detection score (PDS), adjusting for order volume, year purchased, product type, and manufacturer. Third, a Herfindahl–Hirschman Index (HHI) score was calculated to characterize the degree of market concentration. Results Lower-quality RDTs have lost market share between 2009 and 2018, as have the highest-quality RDTs. No statistically significant relationship between price per test and PDS was found when adjusting for order volume, product type, and year of purchase. The HHI was 3,570, indicating a highly concentrated market. Conclusions Advancements in RDT affordability, quality, and access over the past decade risk stagnation if health of the RDT market as a whole is neglected. These ... |
format |
Article in Journal/Newspaper |
author |
Rachel Wittenauer Spike Nowak Nick Luter |
author_facet |
Rachel Wittenauer Spike Nowak Nick Luter |
author_sort |
Rachel Wittenauer |
title |
Price, quality, and market dynamics of malaria rapid diagnostic tests: analysis of Global Fund 2009–2018 data |
title_short |
Price, quality, and market dynamics of malaria rapid diagnostic tests: analysis of Global Fund 2009–2018 data |
title_full |
Price, quality, and market dynamics of malaria rapid diagnostic tests: analysis of Global Fund 2009–2018 data |
title_fullStr |
Price, quality, and market dynamics of malaria rapid diagnostic tests: analysis of Global Fund 2009–2018 data |
title_full_unstemmed |
Price, quality, and market dynamics of malaria rapid diagnostic tests: analysis of Global Fund 2009–2018 data |
title_sort |
price, quality, and market dynamics of malaria rapid diagnostic tests: analysis of global fund 2009–2018 data |
publisher |
BMC |
publishDate |
2022 |
url |
https://doi.org/10.1186/s12936-021-04008-2 https://doaj.org/article/bcf3c33bcae04f8598f151c6bbcef957 |
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Arctic |
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Arctic |
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Arctic |
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Arctic |
op_source |
Malaria Journal, Vol 21, Iss 1, Pp 1-15 (2022) |
op_relation |
https://doi.org/10.1186/s12936-021-04008-2 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-021-04008-2 1475-2875 https://doaj.org/article/bcf3c33bcae04f8598f151c6bbcef957 |
op_doi |
https://doi.org/10.1186/s12936-021-04008-2 |
container_title |
Malaria Journal |
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21 |
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1 |
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1766348257789739008 |