Evidence map›Paper›PMID 26850000›Full record

ArticleMalaria journal2016

The complexities of simple technologies: re-imagining the role of rapid diagnostic tests in malaria control efforts.

Uli Beisel, René Umlauf, Eleanor Hutchinson, Clare I R Chandler

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
7.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 74 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Uli BeiselDepartment of Anthropology, Bayreuth University, Universitätsstraße 30, 95440, Bayreuth, Germany. uli.beisel@uni-bayreuth.de.
René UmlaufDepartment of Sociology, Bayreuth University, Universitätsstraße 30, 95440, Bayreuth, Germany. reneumlauf@googlemail.com.
Eleanor HutchinsonDepartment of Global Health and Development, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK. Eleanor.Hutchinson@lshtm.ac.uk.
Clare I R ChandlerDepartment of Global Health and Development, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK. Clare.Chandler@lshtm.ac.uk.
London School of Hygiene & Tropical Medicine · GBUniversity of Bayreuth · DE

Funding

Wellcome TrustWellcome Trust WT 092699MF
6 · The paper itself

Abstract

backgroundMalaria rapid diagnostic tests (RDTs) are assumed to be simple-to-use and mobile technologies that have the capacity to standardize parasitological diagnosis for malaria across a variety of clinical settings. In order to evaluate these tests, it is important to consider how such assumptions play out in practice, in everyday settings of clinics, health centres, drug stores and for community health volunteers.

methodsThis paper draws on qualitative research on RDTs conducted over the last nine years. In particular the study reports on four qualitative case studies on the use of RDTs from Uganda, Tanzania and Sierra Leone, including qualitative interviews, focus group discussions and participant observation.

resultsResults suggest that while RDTs may be simple to use as stand-alone technological tools, it is not trivial to make them work effectively in a variety of economically pressured health care settings. The studies show that to perform RDTs effectively might very well need exactly the infrastructure they were designed to substitute: the medical expertise, organizational capacity and diagnostic and treatment options of well-funded and functioning health systems.

conclusionsThese results underline that successful malaria diagnosis and treatment requires as much investment in general health infrastructure as it does in new technologies.

Indexed as

Diagnostic Tests, RoutineHumansMalariaSierra LeoneTanzaniaUganda

Identifiers

PMID26850000
PMCPMC4743404
OpenAlexW2252874986

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.