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Title: Accelerating access to new malaria vector control tools : a national and global health policy analysis
Author: Tesfazghi, Oluwakemi
ISNI:       0000 0004 6422 3588
Awarding Body: University of Liverpool
Current Institution: University of Liverpool
Date of Award: 2016
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Background: New malaria vector control tools hold the promise of sustaining gains in malaria control achieved to date and achieving the goal of elimination set for 2030. However, insecticide resistance has the potential to derail these malaria control achievements. Access to innovative vector control tools is key to surmounting the threat of insecticide resistance and will play a major role if malaria elimination is to be achieved. The aim of this thesis is to gather new evidence and provide insight into strategies for accelerating access to new malaria vector control tools. This is done by examining access to new malaria vector control tools in two national settings (Nigeria and Burkina Faso) as well as at the global level. Methods: Three retrospective policy analyses were carried out using an analytical framework to guide the selection of key informants (KI), data collection and analysis. Semi-structured interviews were carried out with KIs in Nigeria (2013), Burkina Faso (2014) and at the global level (2014). Interviews were conducted in English (French in Burkina Faso) audio recorded, transcribed and entered into NVivo10 for data management and analysis. Data were coded according to the framework themes and then analysed to provide a description of the key points and explain patterns in the data. Results: A total of 40 interviews were conducted with policymakers, researchers, donors, multilaterals, Non-governmental organizations and private sector. The synthesized findings of the three case studies show that, in the context of insecticide resistance, the evidence required to facilitate policy change is nuanced and context specific; national policymaking may be well defined and appear to be evidence based, but can be open to being circumvented and hindered by inefficiencies in global policymaking and lack of donor funding; price rather than cost-effectiveness is the key financial variable at the national level; and no readily identifiable policy champions exist to facilitate global and national adoption of new vector control tools. Conclusions: This thesis has identified five areas that need to be strengthened in order to facilitate access to new malaria vector control tools by fostering their global and national adoption. The thesis demonstrates that, without a well-coordinated architecture to: facilitate the development of robust and appropriate evidence; support a transparent and timely global policymaking process; diversify the available funding base, and facilitate price reductions without stifling innovation, accelerating access to new vector control tools and achieving malaria elimination goals is unlikely.
Supervisor: Worrall, E. ; Ranson, H. ; Hill, J. Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral