A goal of this toolkit is to stimulate conversations between government, partners, and communities on new product introduction. Please feel free to share any thoughts, questions, or additional resources for consideration by contacting us via email at any time: HIVToolkit@clintonhealthaccess.org.

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Product Adoption and Decision-Making

Supporting a Ministry of Health's decision to incorporate products into national guidelines

To guide the adoption of and decisions around new products, programs should work collaboratively with the Ministry of Health (MoH), implementing partners, and community groups. 

Product Adoption and Decision-Making Checklist

Evaluate the benefits and considerations of new products using the five lenses approach (outlined in the Product Adoption and Decision-Making Chapter)

 

Gather key information on the new product to build a case for its adoption and introduction (examples and samples included in resources section below) 


Build consensus on product adoption by engaging key stakeholders and decision makers utilizing existing forums such as technical working groups (TWG) 


Conduct a guidelines analysis and costing evaluation (e.g. using the WHO Guidelines Costing Tool)


Update national treatment guidelines based on new product decisions

Use the links below to download the entire HIV New Product Introduction Guide or the Product Adoption and Decision-Making chapter only

Product Adoption and Decision-Making Tools and Resources

In preparing for national discussions on product adoption, sufficient information on the new product should be compiled. This section outlines critical resources and tools that should be assembled and developed for sharing with key stakeholders during the technical engagement processes.

 

Featured Tool: WHO Guidelines Costing Tool

A Microsoft Excel-based tool, the CHAI WHO Guidelines Costing Tool helps programs make decisions about how and when to adopt WHO guidelines, including product phase-in strategies. Additionally, the tool provides countries with a better understanding of the costs of implementation, in addition to patient scale-up. The use of the tool is facilitated by trained CHAI staff and allows program managers to assess and compare different scenarios to answer policy questions for adults, adolescent, and pediatric guidelines. Outputs of this tool include: Costs of ARV drugs, lab commodities, and facility-level human resources. To learn more about the WHO Costing Tool, please reach out to HIVToolkit@clintonhealthaccess.org.

Detailed analyses of the comparative advantages, including clinical efficacy, patient convenience, cost, availability, and simplicity for program, of the new product against those already available in country.

 

Product Profiles and Clinical Memos

International Guidance

Consolidated international recommendations and guidance regarding new ARVs should be presented during key stakeholder forums (e.g TWGs, task force meetings, etc.). Countries should consider WHO recommendations for first- and second-line ARV treatment as they make decisions for treatment options.

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Information on the latest developments and global outlook for the ARV marketplace and product pipeline, such as the CHAI ARV Market Report, an annual report developed by CHAI's HIV Market Intelligence Team.

Market Intelligence: ARV Market Reports

Clinical Studies

Collect detailed information on any clinical trials or studies that were conducted on new ARVs, including full details of the studies, findings, and recommendations.  Specific information from the studies could include clinical efficacy, pharmacokinetic (PK) studies, toxicity profiles, and adverse events. Identify studies conducted in similar settings (e.g. Sub-Saharan Africa for Zimbabwe or South East Asia for Cambodia, for example).

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