Training in fever case management and use of malaria rapid diagnostic testing kits improved fever case management in Uganda

摘要

Background: In Africa, there is poor access to diagnostic tests; malaria is typically diagnosed clinically, though presumptive treatment results in significant overuse of antimalarials and delayed treatment of actual causes of fever. The WHO currently recommends antimaralial treatment for only laboratory confirmed malaria. Malaria rapid diagnostic tests (RDTs) may offer a reliable alternative, but effective training for health workers is a key challenge in RDT implementation. We tested the effectiveness of the training on use of RDTS in fever case management.