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Petra Stankard Technical Advisor 22 July 2014

Getting from Point A to Point B: What it means to bring HIVST to market. Petra Stankard Technical Advisor 22 July 2014. Presentation Outline. Current HIVST Market Inefficiencies in the HIVST Market Catalyzing the HIVST Market. What is a market?. Supply. Interaction . Demand .

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Petra Stankard Technical Advisor 22 July 2014

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  1. Getting from Point A to Point B: What it means to bring HIVST to market Petra Stankard Technical Advisor 22 July 2014

  2. Presentation Outline • Current HIVST Market • Inefficiencies in the HIVST Market • Catalyzing the HIVST Market

  3. What is a market? Supply Interaction Demand

  4. Current HIVST Market

  5. A Framework for Market Analysis

  6. Appropriate product design Secure Supply Quality Products Affordable Prices Availability to the End User Demand among End User • Lack of incentives to enter the market • Volume/revenues do not cover costs • Alternate markets are more lucrative • Risk of investment perceived as too high • Lack of incentives to meet strict regulatory authority (SRA)/pre-qualification(PQ) requirements • Information and data gaps • Distribution and delivery issues • Limited demand predictability • Lack of insight into user needs and awareness Adapted from Dalberg & Reproductive Health Supplies Coaltion, “Market Shaping for Family Planning” , 2014.

  7. Inefficiencies in the HIVST Market

  8. Potentially Large Market for HIVST • Over 100 million HIV testing episodes annually • Increasing demand for HIV testing expected • WHO 2013 ART Guidelines • RegularHIV re-testing • Prior to VMMC • Sexual partners of those on ART Median reporting tested in last 12 months: Women = 20% Men = 20% Median reporting ever tested: Women = 51% Men = 37% Staveteig et al, Measure DHS, 2013

  9. In the current market, first mover risk outweighs first mover opportunity.

  10. A Framework to Catalyze the Market Case for intervention Pathway from market to public health impact 50% PLHIV unaware of status; limited access to confidential HTC Establish policy framework; demonstrate demand & supply; quantify market size Lower market barriers achieve intended market effects Greater coverage of HTC & more people tested in vulnerable and remote communities High price of HIVST kits; limited demand; lack of competition; unsupportive policies Intended market effects Increased product availability Product quality improvement Price reduction Improved product delivery Barnighausen et al. Health policy and Planning 2011

  11. Catalyzing the HIVST Market Research to Inform Policy Policy Development Demonstration of Potential Market New Market Entrants Articulate Market Size and Quantify Demand (consumers, govt., donors) Volume Price Agreements

  12. Appropriate product design Secure Supply Quality Products Affordable Prices Availability to the End User Demand among End User

  13. Acknowledgments • Dr. Liz Corbett • London School of Hygiene and Tropical Medicine • Dr. HendramoorthyMaheswaran • University of Warwick Medical School • Dr. Krishna Jafa, Olivier LeTouze and Anabel Gomez • PSI

  14. Thank you! Questions? pstankard@psi.org

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