Evaluation of Malaria Rapid Diagnostic Test Supply Chain Management in Secondary Health Facilities in Sokoto State

A functional supply chain for malaria rapid diagnostic tests is a prerequisite for quality diagnostic services in secondary health facilities in Northwest Nigeria, where laboratory capacity is limited. This study evaluated rapid diagnostic test supply chain management including procurement, storage, distribution, and stock management in secondary health facilities in Sokoto State. Facility assessment surveys were conducted in 30 secondary health facilities using structured checklists adapted from the WHO supply chain management framework. Storage condition compliance, stock record accuracy, stockout frequency, and expiry rates were the primary outcome indicators assessed. Only 43.3 percent of facilities maintained adequate temperature control for rapid diagnostic test storage. Stockouts were documented in 56.7 percent of facilities during the preceding six months, with a mean stockout duration of 18.4 days. Stock records were inaccurate or incomplete in 63.3 percent of facilities. Expiry-related wastage accounted for 11.2 percent of total rapid diagnostic test units received in the study period. Facilities with dedicated malaria commodity focal persons had significantly better supply chain performance. The study recommends adoption of electronic stock management systems, improved forecasting methodologies, and appointment of trained commodity managers at all secondary health facility levels in Sokoto State. Keywords: supply chain management, malaria rapid diagnostic test, stockout, secondary health facilities, Sokoto State.