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. 2023 Mar 23;23(1):550.
doi: 10.1186/s12889-023-15352-0.

Stakeholders' perception of a total market approach to HIV self-testing (HIVST) for the private sector in Nigeria

Dennis Aizobu  1 , Omokhudu Idogho  1 , Jennifer Anyanti  1 , Godpower Omoregie  1 , Boluwatife Adesina  1 , Morgan Kabeer  2 , Samuel Oyegunle  2 , Serah Malaba  3 , Akudo Ikpeazu  4 , Yusuf H Wada  5
Affiliations

Stakeholders' perception of a total market approach to HIV self-testing (HIVST) for the private sector in Nigeria

Dennis Aizobu et al. BMC Public Health. .

Abstract

Background: The continuous supply of affordable and quality HIV self-test (HIVST) is a key pillar toward achieving the global HIV 95-95-95 target in Nigeria. This was a descriptive qualitative study that explored private sector stakeholders' perceptions of the enablers and barriers of the HIVST market in Nigeria.

Methods: A total of 29 In-depth interviews (IDIs) were conducted with HIVST supply chain stakeholders and private sector providers (PPMVs and Community Pharmacies). Responses were analyzed using Nvivo software and we systematically developed a total market approach analysis for supply chain stakeholders and archetypes for community Pharmacies and PPMVs based on insights gathered from their journey map.

Results: Challenges to the supply side dynamics include forecasting, point of care service delivery, the availability of free and subsidized HIVST kits in the market, neglect of private sector providers (Community Pharmacists and PPMVs) in the healthcare delivery system, limited demand for HIVST, and regulatory bottlenecks influences the overall market dynamics. High cost of the HIVST kit, which triggers low availability, accessibility and affordability from the demand side, depicts the need to understand the market dynamics. Addressing the barriers and optimizing the enablers of the three-model pharmacist and PPMV's will change the market dynamic and service delivery to generate demand.

Conclusion: To address challenges which already exist, the government need to revise the process guidelines for introducing new HIVST products in the Nigerian market, developing contingency plans to ensure the supply of HIVST remains sufficient when experiencing economic shocks, and create a sustainable roadmap toward optimizing the market for HIVST kits.

Keywords: HIV; HIVST; Market research; Nigeria; Private sector; TMA.

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Conflict of interest statement

None.

Figures

Fig. 1
Fig. 1
Market accessibility archetype showing steps involved in importing, distributing, and selling HIVST kits in Nigeria (including the process for introducing new HIVST products in the market)
Fig. 2
Fig. 2
Stakeholders archetype of improved/sustainable HIVST market in Nigeria
Fig. 3
Fig. 3
Enablers and Barriers of Supply Chain of HIVST in Nigeria
Fig. 4
Fig. 4
Enablers and barriers for new model pharmacist for HIVST in Nigeria
Fig. 5
Fig. 5
Enablers and barriers among PPMVs to selling HIVST in Nigeria
See this image and copyright information in PMC

References

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