Benin 2011 Outlet Survey Full Report
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Evidence for Malaria Medicines Policy Outlet Survey Republic of Benin 2011 Survey Report Country Program Coordinator Principal Investigator Cyprien Zinsou Dr. Kathryn O’Connell Association Béninoise pour le Marketing Social ACTwatch, Malaria Control & Child Survival Department Lot 919 Immeuble Montcho Population Services International Sikècodji ‐ Cotonou Regional Technical Office Republic of Benin Whitefield Place, School Lane, Westlands Phone: + 229 21327713/14 P.O. Box 14355‐00800 Nairobi, Kenya Fax: + 229 21328200 Phone: + 254 20 4440125/6/7/8 Email: czinsou@abms‐bj.org Email: [email protected] www.ACTwatch.info Copyright © 2011 Population Services International (PSI). All rights reserved. www.ACTwatch.info Copyright © 2011 Population Services International (PSI). All rights reserved. Acknowledgements ACTwatch is funded by the Bill and Melinda Gates Foundation. This study was implemented by Population Services International (PSI). ACTwatch’s Advisory Committee: Mr. Suprotik Basu Advisor to the UN Secretary General's Special Envoy for Malaria Mr. Rik Bosman Supply Chain Expert, Former Senior Vice President, Unilever Ms. Renia Coghlan Global Access Associate Director, Medicines for Malaria Venture (MMV) Dr. Thom Eisele Assistant Professor, Tulane University Mr. Louis Da Gama Malaria Advocacy & Communications Director, Global Health Advocates Dr. Paul Lalvani Executive Director, RaPID Pharmacovigilance Program Dr. Ramanan Laxminarayan Senior Fellow, Resources for the Future Dr. Matthew Lynch Project Director, VOICES, Johns Hopkins University Centre for Communication Dr. Bernard Nahlen Deputy Coordinator, President's Malaria Initiative (PMI) Dr. Jayesh M. Pandit Head, Pharmacovigilance Department, Pharmacy and Poisons Board‐Kenya Dr. Melanie Renshaw Advisor to the UN Secretary General's Special Envoy for Malaria Mr. Oliver Sabot Vice‐President, Vaccines Clinton Foundation Ms. Rima Shretta Senior Program Associate, Strengthening Pharmaceutical Systems Program, Dr. Rick Steketee Science Director, Malaria Control and Evaluation Partnership in Africa (MACEPA) Dr. Warren Stevens Health Economist Dr. Gladys Tetteh CDC Resident Advisor, President’s Malaria Initiative‐Kenya Prof. Nick White, OBE Professor of Tropical Medicine, Mahidol and Oxford Universities Prof. Prashant Yadav Professor of Supply Chain Management, MIT‐Zaragoza International Logistics Dr. Shunmay Yeung Paediatrician & Senior Lecturer, LSHTM www.ACTwatch.info Copyright © 2011 Population Services International (PSI). All rights reserved. The following individuals contributed as follows to the research study in Benin: Chérifatou Bello National Malaria Control Programme, MOH/Benin, (ACTwatch focal point within Adjibabi the Ministry of Health) assisted with advocacy. Cyprien Zinsou Monitoring and Evaluation Director; ACTwatch Country Program Coordinator, ABMS/Benin, oversaw all aspects of implementation and management of the survey. Ghyslain Guedegbe Chef Service ACTwatch, ABMS/Benin, assisted the Country Program Coordinator with the coordination and facilitation of trainings, data collection, and data entry. Aristide Hontonou Chef Service Etudes Qualitatives, ABMS/Benin, assisted with the facilitation of trainings and data collection. Njara Rakotonirina Maternal and Child Health Director, ABMS/Benin, (PSI focal point for NMCP activity) assisted with advocacy and interpretation of results. Hellen Gatakaa Senior Research Associate, ACTwatch Central, provided overall guidance on the analysis and construction of indicators. Stephen Poyer Research Associate, ACTwatch Central, assisted with the facilitation of trainings, data collection, and provided guidance on data quality; conducted analysis on the data and compiled the report. Dr. Kathryn O’Connell Principal Investigator, ACTwatch Central, provided technical guidance on the study. Tanya Shewchuk Project Director, ACTwatch Central, provided project oversight. www.ACTwatch.info Copyright © 2011 Population Services International (PSI). All rights reserved. The ACTwatch Group is comprised of the following individuals: PSI ACTwatch Central Tanya Shewchuk, Project Director; Dr Kathryn O’Connell, Principal Investigator; Hellen Gatakaa, Senior Research Associate; Stephen Poyer, Illah Evance, Julius Ngigi, Mitsuru Toda, Research Associates; Meghan Bruce, Policy Advocate and Communications Specialist. PSI ACTwatch Country Cyprien Zinsou, ABMS/Benin; Sochea Phok, PSI/Cambodia; Dr. Louis Akulayi, Program Coordinators SFH/DRC; Jacky Raharinjatovo, PSI/Madagascar; Ekundayo Arogundade, SFH/Nigeria; Peter Buyungo, PACE/Uganda; Felton Mpasela, SFH/Zambia. LSHTM Dr. Kara Hanson, Principal Investigator; Dr. Catherine Goodman, Benjamin Palafox, Sarah Tougher, Edith Patouillard, Immo Kleinschmidt, co‐investigators. Suggested citation: ACTwatch Group and Association Béninoise pour le Marketing Social (ABMS)/Benin. (2011). Benin Outlet Survey Report 2011. Population Services International: DC. Available from: www.actwatch.info www.ACTwatch.info Copyright © 2011 Population Services International (PSI). All rights reserved. Table of Contents LIST OF ACTWATCH TABLES ............................................................................................................ II LIST OF FIGURES ............................................................................................................................. II GENERAL DEFINITIONS .................................................................................................................. III CLASSIFICATION OF ACTS ............................................................................................................... V LIST OF ABBREVIATIONS ............................................................................................................. VIII EXECUTIVE SUMMARY ................................................................................................................... 1 Overview ....................................................................................................................................... 1 Key findings ................................................................................................................................... 2 BACKGROUND ................................................................................................................................ 6 Overview of the ACTwatch Research Project ............................................................................... 6 Country background ..................................................................................................................... 7 METHODS ..................................................................................................................................... 12 RESULTS ‐ OUTLET SURVEY ............................................................................................................ 18 Characteristics of the sample ..................................................................................................... 18 ADDITIONAL TABLES ..................................................................................................................... 30 REFERENCES .................................................................................................................................. 31 APPENDICES .................................................................................................................................. 32 ACTs classified as quality assured ............................................................................................... 32 Nationally registered ACTs ......................................................................................................... 33 Final sample ................................................................................................................................ 35 Survey team ................................................................................................................................ 37 Description of outlet types visited for this survey ..................................................................... 38 Questionnaire ............................................................................................................................. 41 Page I www.ACTwatch.info List of ACTwatch Tables Table A.1: Availability of antimalarials, by outlet type ......................................................................... 19 Table A.2: Availability of antimalarials among outlets stocking at least one antimalarial, by outlet type ............................................................................................................................................... 20 Table A.3: Disruption in stock, expiry and storage conditions of antimalarials, by outlet type ........... 23 Table A.4: Price of antimalarials, by outlet type ................................................................................... 24 Table A.5: Affordability of antimalarials, by outlet type ....................................................................... 25 Table A.6: Availability of diagnostic tests and cost to patients, by outlet type .................................... 26 Table A.8: Provider knowledge, by outlet type .................................................................................... 27 Table A.9: Provider perceptions, by outlet type ................................................................................... 28 Table B.1: Market share by antimalarial category within each outlet type ........................................