see the WHO document (Measuring

medicine prices, availability, affordability and price components) available at

 www.who.int/medicines/areas/access/OMS_Medicine_prices.pdf

Also see the following paper:

Anson A. et al. Availability, prices and affordability of the World Health Organization’s essential medicines for children in Guatemala. Global Health. 2012; 8: 22. doi: 10.1186/1744-8603-8-22PMCID: PMC3503802

Please refer to the following

ASSESSMENT AND MONITORING OF ANTIMALARIAL DRUG EFFICACY FOR THE TREATMENT OF UNCOMPLICATED FALCIPARUM MALARIA

World Health Organization

Contributors:

Peter Bloland, Centers for Disease Control and Prevention, Atlanta, GA, United States of America

Pascal Ringwald, Roll Back Malaria/Partnership Secretariat, World Health Organization, Geneva, Switzerland

Robert W. Snow, University of Oxford, United Kingdom; Kenya Medical Research Institute, Nairobi, Kenya

Review committee:

Ahmed Adeel, Kevin Baird, Andrea Bosman, Umberto D’Alessandro, Piero Olliaro, Allan Schapira,

William Watkins

For more information, please contact:

Dr Pascal Ringwald

World Health Organization

20, avenue Appia – CH-1211 Geneva 27, Switzerland

Tel: +(41) 22 791 3469

Fax: +(41) 22 791 4824

E-mail: [email protected]

Endemicit8n

In a recent study my undergraduate student and I reviewed the path followed by DONATED MALARIA DRUGS IN RIVERS STATE between 2014/2015. Results show that the distribution points (the PHC centers inclusive) had little role to play in the accessibility of drugs. 

1- the immediate past Governor of the Rivers State bought drugs that were being exorbitantly sold at duly registered pharmacies and drugstores in the state rather than donated to patients at PHC and in communities. 

2. Governor Rotimi Amaechi CUSTOMIZED the drugs by printing his photograph on them and they were left to expire in storage, wasted effort, resources and lives. Some reasons given to justify this tragedy were that there was no demand from the beneficiaries,  no fueled vehicle to take the drugs to destination before expiry date

3- The contribution of Primary Health Care Service providers to non accessibility was the indiscriminate donation of drugs to both patients who could afford and those who could not afford their cost. In the event of an industrial strike, the distribution officers dispensing  these malaria drugs did not relinquish the store keys for donation to continue while they are on a strike

You are in Nigeria like me so our study may guide you. 

That question is not specific to Malaria treatment. It concern in general the Evaluation of drug accessibility in health centers. It based on the master of the disease epidemiology, the master of drug prescription and his cost (financial access) and the drug chain distribtion (geographic access) in each country. 

please read my article published in GERMS on a hypothesis for a malaria vaccine !

May be the following paper can help you.

Alba et al. Malaria Journal 2010, 9:163

http://www.malariajournal.com/content/9/1/163

 Best regards

The malaria parasite has to be observed ; the gold standard is still microscopy on slides.

I f you can see the malaria paracyte or gametocyte or Schuffner's dots ; ring forms ; then the patient has malaria !!!

One good indicator to evaluate the accesability to malaria treatment in PHC is the proportion of cases treated in the first 48 h from the beginning of symptoms.

one still has to identify the parasite; and microscopy remains the gold standard