Exploring the feasibility of introducing triple artemisinin-based combination therapy in the malaria treatment policy in Vietnam
Issued Date
2023-12-01
Resource Type
eISSN
14752875
Scopus ID
2-s2.0-85175143251
Journal Title
Malaria Journal
Volume
22
Issue
1
Rights Holder(s)
SCOPUS
Bibliographic Citation
Malaria Journal Vol.22 No.1 (2023)
Suggested Citation
Cao V.A.T., Nguyen T.Q., Le Quyen D., Boon W.P.C., Moors E.H.M., Dondorp A.M., de Haan F., Amaratunga C. Exploring the feasibility of introducing triple artemisinin-based combination therapy in the malaria treatment policy in Vietnam. Malaria Journal Vol.22 No.1 (2023). doi:10.1186/s12936-023-04763-4 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/90933
Title
Exploring the feasibility of introducing triple artemisinin-based combination therapy in the malaria treatment policy in Vietnam
Other Contributor(s)
Abstract
Background: This study investigates the processes regarding changing malaria treatment policies in Vietnam. Moreover, it explores the feasibility of introducing triple artemisinin-based combination therapy (TACT) in Vietnam to support the national malaria control and elimination plan. Methods: Data were collected via 12 in-depth interviews with key stakeholders, combined with a review of policy documents. Results: TACT is considered as a useful backup strategy in case future treatment failures with current artemisinin-based combination therapy (ACT) would occur. Moreover, TACT is also considered as a promising strategy to prevent the re-establishment of malaria. However, regulatory procedures and implementation timelines for TACT were expected to be lengthy. Therefore, strategies to engage national decision-makers, regulators, and suppliers should be initiated soon, stipulating the benefits of TACT deployment. In Vietnam, a procedure to apply for an import permit without registration that has previously been applied to the introduction of artesunate-pyronaridine was proposed to accelerate the introduction of TACT. Global-level support through the World Health Organization recommendations and prequalification were considered critical for supporting the introduction of TACT in Vietnam. Conclusions: Appropriate approach strategies and early stakeholder engagement will be needed to accelerate the introduction of TACT in Vietnam.