Saving Lives Through Emergency Distribution of Anti-malarial Medicines
In Guinea, malaria is a common threat year-round, especially during the rainy season that lasts from May to October. It affects everyone, but for children under five years of age, appropriate and immediate treatment could mean the difference between life and death.
Malaria accounts for 31% of consultations, 25% of hospitalizations, and 14% of deaths in health facilities among children according to Guinea national statistics. Unfortunately, Guinea struggles with an inconsistent supply of anti-malarial medicines, test kits, and preventive products, relying heavily on donors for obtaining such products. Even when the products arrive in country, financial and operational challenges often lead to delays in distribution to the various regions’ public health centers and hospitals.
Every day that a health facility spends without malaria treatment drugs, lives are put at risk.
Following an initial request from the National Malaria Control Program (NMCP), the U.S. President’s Malaria Initiative (PMI) and USAID funded the first emergency distribution of artemisinin-based combination therapies (ACTs) in late 2011. ACTs such as AS-AQ (artesunate-amodiaquine) are the first-line treatment for uncomplicated cases of malaria.
In response to new stock-outs in 2012 of medicines at several public health facilities, NMCP requested once again support from PMI and USAID in re-supplying the country with ACTs as well as rapid diagnostic test (RDTs) kits which can be used to diagnose malaria not only in health centers but also at the community level.
USAID's Systems for Improved Access to Pharmaceuticals and Services Program (SIAPS), led by Management Sciences for Health, worked closely with the NMCP, the Central Pharmacy of Guinea (PCG), USAID partners MCHIP and Faisons Ensemble, Peace Corps volunteers and the regional health directors ensuring a country-wide distribution in November 2012, even to the most remote areas. They even arranged advanced shipment of products to PCG’s regional warehouses to guarantee medicines are delivered to various health facilities.
Over 400 health facilities and some military clinics benefitted directly from ACTs and RDTs. Estimates of medicines and products needed had been collected in advance of the emergency distribution through workshops and by phone.
In order to avoid future stock-outs of products, this distribution was used as an opportunity to introduce reporting forms and tools that would ensure a more consistent flow of information from the health facility to the district level and back to the central level.
Moving forward, health districts will be resupplied with malaria products after sending monthly reports detailing the number of medicines given to patients. The data will allow NMCP and the Ministry of Health to better plan for the proper quantity of products that should be sent to the local level, and how much to acquire for the country in general, reducing the risk of shortages.
Not only did the emergency distribution provide a short-term solution, but it started a longer-term procurement and supply solution. SIAPS is working with the Central Pharmacy to ensure the regular delivery of medicines and commodities to the regions, especially as a significant amount of additional products funded by PMI and USAID have arrived in Guinea or are expected shortly, helping advance PMI’s goal of halving the burden of malaria in 70 percent of at-risk populations in sub-Saharan Africa.