Evaluation of malaria rapid diagnostic test (RDT) use by community health workers: a longitudinal study in western Kenya

Malaria Journal
Matthew R BoyceWendy Prudhomme-O'Meara

Abstract

Malaria rapid diagnostic tests (RDTs) are a simple, point-of-care technology that can improve the diagnosis and subsequent treatment of malaria. They are an increasingly common diagnostic tool, but concerns remain about their use by community health workers (CHWs). These concerns regard the long-term trends relating to infection prevention measures, the interpretation of test results and adherence to treatment protocols. This study assessed whether CHWs maintained their competency at conducting RDTs over a 12-month timeframe, and if this competency varied with specific CHW characteristics. From June to September, 2015, CHWs (n = 271) were trained to conduct RDTs using a 3-day validated curriculum and a baseline assessment was completed. Between June and August, 2016, CHWs (n = 105) were randomly selected and recruited for follow-up assessments using a 20-step checklist that classified steps as relating to safety, accuracy, and treatment; 103 CHWs participated in follow-up assessments. Poisson regressions were used to test for associations between error count data at follow-up and Poisson regression models fit using generalized estimating equations were used to compare data across time-points. At both baseline and follow-up obse...Continue Reading

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Citations

Mar 25, 2021·The Cochrane Database of Systematic Reviews·Jacqueline DinnesUNKNOWN Cochrane COVID-19 Diagnostic Test Accuracy Group
Nov 6, 2021·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·Andreas PuyskensAndreas Nitsche

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