Effect of Supportive Supervision on Performance of Malaria Rapid Diagnostic Tests in Sub-Saharan Africa

The American Journal of Tropical Medicine and Hygiene
M James EliadesPaul Hamilton

Abstract

Rapid diagnostic tests (RDTs) are one of the primary tools used for parasitological confirmation of suspected cases of malaria. To ensure accurate results, health-care workers (HCWs) must conduct the RDT test correctly. Trained supervisors visited 3,603 facilities to assess RDT testing performance and conduct outreach training and supportive supervision activities in eight African countries between 2015 and 2017, using a 12-point checklist to determine if key steps were being performed. The proportion of HCWs performing each step correctly improved between 1.1 and 21.0 percentage points between the first and third visits. Health-care worker scores were averaged to calculate facility scores, which were found to be high: the average score across all facilities was 85% during the first visit and increased to 91% during the third visit. A regression analysis of these facility scores estimated that, holding key facility factors equal, facility performance improved by 5.3 percentage points from the first to the second visit (P < 0.001), but performance improved only by 0.6 percentage points (P = 0.10) between the second and third visits. Factors strongly associated with higher scores included the presence of a laboratory worker at th...Continue Reading

References

Feb 26, 2008·Bulletin of the World Health Organization·Samuel ShillcuttA Mills
Jun 1, 2010·BMJ : British Medical Journal·Hugh Reyburn
Apr 10, 2013·Asian Pacific Journal of Tropical Biomedicine·C C A AzikiweO E Nwakwunite
Apr 1, 2017·Malaria Journal·Bridget E BarberNicholas M Anstey
Feb 23, 2019·The American Journal of Tropical Medicine and Hygiene·M James EliadesPaul Hamilton
Feb 23, 2019·The American Journal of Tropical Medicine and Hygiene·Sarah M BurnettPaul Hamilton

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Citations

Feb 23, 2019·The American Journal of Tropical Medicine and Hygiene·M James EliadesPaul Hamilton
Feb 23, 2019·The American Journal of Tropical Medicine and Hygiene·Sarah M BurnettPaul Hamilton
Feb 23, 2019·The American Journal of Tropical Medicine and Hygiene·Fozo AlombahPaul Hamilton

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