Factors Associated with Malaria Test Preference among Households in Rubavu District, Rwanda: A Cross-sectional Study

Misbah, Gashegu; Habtu, Michael; Monica, Mochama; Kansiime, Catherine; Asiimwe, Benon B.

doi:10.4172/2168-9784.1000261

Cited by 4 publications

(4 citation statements)

References 8 publications

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“…In 2008, the Rwanda Ministry of Health (MOH) piloted and scaled up the mRDTs (by community health workers) as recommended by WHO's Roll Back Malaria program (source) in most of the regions as a way to expand and strengthen malaria diagnostic capacity throughout the country (22). In Rwanda, community health workers (CHWs) are the rst point of contact with healthcare services for those with fever or a history of fever.…”

Section: Introductionmentioning

confidence: 99%

“…This was a cross-sectional prospective study. All patients self-reported to CHWs for malaria diagnosis from 22 April to 08 July 2021 in Ngoma district who were willing to participate in this study were included. Patients who had recovered from malaria within the past three weeks were not included in this study because it was revealed that malaria antigen can be found in blood for 3 weeks after completion of treatment, which could increase false positive results (17).…”

Section: Introductionmentioning

confidence: 99%

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Quality Assurance (QA) Assessment for Malaria Rapid Diagnostic Test in Ngoma District, Eastern Province of Rwanda: A cross-sectional prospective study.

Habimana¹

2022

Preprint

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Background Currently, malaria rapid diagnostic tests (mRDTs) are increasingly used for the diagnosis of malaria, particularly in communities where microscopy-based diagnosis is not practical. However, the diagnostic accuracy of mRDTs performed by community health workers (CHWs) remains unknown. This study was conducted to determine the accuracy of mRDT results performed by CHWs in Ngoma district, eastern province of Rwanda. Method This was a cross sectional prospective study. A total of 420 blood samples of patients self-reported to CHWs for malaria diagnosis were collected and analyzed by CHWs using mRDT, and quality control tests were performed by using microscopy as a reference test. The study was conducted from 22 April to 08 July 2021. Results Among the 420 patients, 234 (55.71%) were females, and 186 (44.29%) were males. Malaria test positivity was 2.62% by using mRDT and 1.67% by using microscopic tests. The sensitivity and specificity of mRDT were 85.71% and 98.78%, respectively. The negative predictive value, positive predictive value and accuracy of mRDTs were 99.75%, 54.54% and 98.57%, respectively. The sensitivity of mRDT was below the WHO recommended sensitivity (>95%), although the specificity (98.78%) was within the WHO recommended specificity (>=90). There was substantial agreement between the mRDT and malaria microscopic test results, k=0.642. Conclusion mRDTs continue to be an appropriate choice for malaria diagnosis in the absence of microscopy.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Quality Assurance (QA) Assessment for Malaria Rapid Diagnostic Test in Ngoma District, Eastern Province of Rwanda: A cross-sectional prospective study.

Habimana¹

2022

Preprint

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show abstract

“…In 2008, the Rwanda Ministry of Health (MOH) piloted and scaled up the mRDTs (by community health workers) as recommended by WHO's Roll Back Malaria program (source) in most of the regions as a way to expand and strengthen malaria diagnostic capacity throughout the country [22]. In Rwanda, community health workers (CHWs) are the first point of contact with healthcare services for those with fever or a history of fever.…”

Section: Introductionmentioning

confidence: 99%

Quality Assurance Assessment for Malaria Rapid Diagnostic Test in Ngoma District, Eastern Province of Rwanda: A Cross-sectional Prospective Study

Habimana¹,

Ndahindwa²,

Umuhoza³

et al. 2022

CAJPH

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Currently, malaria rapid diagnostic tests (mRDTs) are increasingly used for the diagnosis of malaria, particularly in communities where microscopy-based diagnosis is not practical. However, the diagnostic accuracy of mRDTs performed by community health workers (CHWs) remains unknown. This study was conducted to determine the accuracy of mRDT results performed by CHWs in Ngoma district, eastern province of Rwanda. This was a cross sectional prospective study. A total of 420 blood samples of patients self-reported to CHWs for malaria diagnosis were collected and analyzed by CHWs using mRDT, and quality control tests were performed by using microscopy as a reference test. The study was conducted from 22 April to 08 July 2021. Among the 420 patients, 234 (55.71%) were females, and 186 (44.29%) were males. Malaria test positivity was 2.62% by using mRDT and 1.67% by using microscopic tests. The sensitivity and specificity of mRDT were 85.71% and 98.78%, respectively. The negative predictive value, positive predictive value and accuracy of mRDTs were 99.75%, 54.54% and 98.57%, respectively. The sensitivity of mRDT was below the WHO recommended sensitivity (>95%), although the specificity (98.78%) was within the WHO recommended specificity (>=90). There was substantial agreement between the mRDT and malaria microscopic test results, k=0.642. mRDTs continue to be an appropriate choice for malaria diagnosis in the absence of microscopy.

show abstract

“…In 2008,the Rwanda Ministry of Health (MOH) piloted and scaled up the mRDTs (by community health workers) as recommended by WHO's Roll Back Malaria program (source) in the most of the regions as a way to expand and strengthen malaria diagnostic capacity throughout the country (22). In Rwanda, Community health workers (CHWs) are the rst point of contact with healthcare services for those with fever or a history of fever.…”

Section: Introductionmentioning

confidence: 99%

Quality Assurance (QA) Assessment for Malaria Rapid Diagnostic Test in Ngoma District, Eastern Province of Rwanda: A cross-sectional prospective study

Habimana

Ndahindwa

UMUHOZA

et al. 2021

Preprint

View full text Add to dashboard Cite

Background Currently, malaria rapid diagnostic tests (mRDTs) are increasingly used for diagnosis of malaria, particularly in community where microscopy-based diagnosis is not practical. However, the diagnostic accuracy of mRDTs performed by the community health workers (CHWs) remains unknown. This study was conducted to determine the accuracy of mRDT results performed by CHWs in Ngoma district, eastern province of Rwanda. Method This was a cross sectional prospective study. 420 blood samples of patients self-reported to CHWs for malaria diagnosis were collected and analyzed by CHWs using mRDT and quality control tests were performed by using microscopy as a reference test. The study was conducted from 22nd April to 08th July, 2021. Results Among the 420 patients, 234 (55.71%) were females and 186 (44.29%) were males. Malaria test positivity was 2.62% by using mRDT and 1.67% by using microscopic test. The sensitivity and specificity of mRDT were 85.71% and 98.78% respectively. Negative predictive value, positive predictive value and accuracy of mRDTs were 99.75%, 54.54% and 98.57% respectively. Sensitivity of mRDT was below the WHO recommended sensitivity (>95%) although the specificity (98.78%) was within the WHO recommended specificity (>=90). There was a substantial agreement between mRDT and malaria microscopic test results, k=0.642. Conclusion mRDTs continue to be an appropriate choice for malaria diagnosis in the absence of microscopy.

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Factors Associated with Malaria Test Preference among Households in Rubavu District, Rwanda: A Cross-sectional Study

Cited by 4 publications

References 8 publications

Quality Assurance (QA) Assessment for Malaria Rapid Diagnostic Test in Ngoma District, Eastern Province of Rwanda: A cross-sectional prospective study.

Quality Assurance (QA) Assessment for Malaria Rapid Diagnostic Test in Ngoma District, Eastern Province of Rwanda: A cross-sectional prospective study.

Quality Assurance Assessment for Malaria Rapid Diagnostic Test in Ngoma District, Eastern Province of Rwanda: A Cross-sectional Prospective Study

Quality Assurance (QA) Assessment for Malaria Rapid Diagnostic Test in Ngoma District, Eastern Province of Rwanda: A cross-sectional prospective study

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