leadership and health diplomacy in malaria supply chains: assessing the impact of nigeria’s lending and borrowing Framework on Commodity Distribution
1
Independent Researcher, ABUJA, Nigeria
Popul. Med. 2026;8(Supplement Supplement 1):
ABSTRACT
ABSTRACT:
leadership and health diplomacy in malaria supply chains: assessing the impact of nigeria’s lending and borrowing framework on commodity distribution
INTRODUCTION:
in nigeria, delays in malaria commodity shipments and fragmented coordination among implementing partners have often disrupted program continuity. to address these systemic gaps, the national malaria elimination programme (nmep) introduced the lending and borrowing framework (lbf), a leadership and health diplomacy mechanism that allows partners to temporarily redistribute malaria commodities across states to prevent stockouts and sustain treatment access. this study assesses the framework’s effect on commodity distribution efficiency and system stability.
METHODS:
a quasi-experimental before-and-after analysis was conducted using district health information system (dhis2) logistics data from january 2022 to december 2024 across six states: akwa-ibom, cross river, ebonyi, kebbi, sokoto, and zamfara. two quantitative indicators were analyzed: the case management efficiency ratio (cmer), defined as the ratio of antimalarial treatments to confirmed malaria cases, and the temporal volatility index (tvi), which measures the stability of commodity distribution between peak (october–december) and low (january–march) transmission seasons.
RESULTS:
the lbf maintained a high level of efficiency with an aggregate cmer of approximately 1.0, demonstrating that confirmed malaria cases were consistently treated with available stock. volatility decreased by an average of 8.5 percent across high-burden northern states, confirming the framework’s role as an operational shock absorber. southern states showed improved treatment coverage, while northern states achieved stable, demand-driven distribution performance.
CONCLUSIONS:
the lending and borrowing framework demonstrates that adaptive leadership and inter-organizational diplomacy can enhance the resilience of malaria supply chains. institutionalizing this framework within nigeria’s national supply chain integration platform will strengthen sustainability, promote shared accountability among partners, and accelerate progress toward malaria elimination and sustainable development goal 3 on good health and well-being.
leadership and health diplomacy in malaria supply chains: assessing the impact of nigeria’s lending and borrowing framework on commodity distribution
INTRODUCTION:
in nigeria, delays in malaria commodity shipments and fragmented coordination among implementing partners have often disrupted program continuity. to address these systemic gaps, the national malaria elimination programme (nmep) introduced the lending and borrowing framework (lbf), a leadership and health diplomacy mechanism that allows partners to temporarily redistribute malaria commodities across states to prevent stockouts and sustain treatment access. this study assesses the framework’s effect on commodity distribution efficiency and system stability.
METHODS:
a quasi-experimental before-and-after analysis was conducted using district health information system (dhis2) logistics data from january 2022 to december 2024 across six states: akwa-ibom, cross river, ebonyi, kebbi, sokoto, and zamfara. two quantitative indicators were analyzed: the case management efficiency ratio (cmer), defined as the ratio of antimalarial treatments to confirmed malaria cases, and the temporal volatility index (tvi), which measures the stability of commodity distribution between peak (october–december) and low (january–march) transmission seasons.
RESULTS:
the lbf maintained a high level of efficiency with an aggregate cmer of approximately 1.0, demonstrating that confirmed malaria cases were consistently treated with available stock. volatility decreased by an average of 8.5 percent across high-burden northern states, confirming the framework’s role as an operational shock absorber. southern states showed improved treatment coverage, while northern states achieved stable, demand-driven distribution performance.
CONCLUSIONS:
the lending and borrowing framework demonstrates that adaptive leadership and inter-organizational diplomacy can enhance the resilience of malaria supply chains. institutionalizing this framework within nigeria’s national supply chain integration platform will strengthen sustainability, promote shared accountability among partners, and accelerate progress toward malaria elimination and sustainable development goal 3 on good health and well-being.
| eISSN: | 2654-1459 |
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