Evidence map›Paper›PMID 27053188›Full record

ArticleMalaria journal2016

A qualitative study of health professionals' uptake and perceptions of malaria rapid diagnostic tests in Burkina Faso.

Sylvie Zongo, Valérie Farquet, Valéry Ridde

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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.9field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 20 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

3 authors at 2 institutions in 2 countries.

Sylvie ZongoDépartement Socio-Économie et Anthropologie du Développement, Institut des Sciences des Sociétés (INSS-CNRST), 03 BP 7047, Ouagadougou, Burkina Faso. zongosyl@yahoo.fr.
Valérie FarquetUniversity of Montreal Public Health Research Institute (IRSPUM), 7101 Avenue du Parc, Montreal, QC, H3N 1X9, Canada.
Valéry RiddeUniversity of Montreal Public Health Research Institute (IRSPUM), 7101 Avenue du Parc, Montreal, QC, H3N 1X9, Canada.
Université de Montréal · CACentre National de la Recherche Scientifique et Technologique · BF

Funding

Canadian Institutes of Health Research 40165Canadian Institutes of Health Research ROH 115213
6 · The paper itself

Abstract

backgroundSince 2012, rapid diagnostic tests (RDT) for malaria have been in use nationwide in Burkina Faso. The objective is to strengthen health professionals' diagnostic capabilities and promote good therapeutic practices. A qualitative study was conducted to learn about the adoption of this tool in the natural context of a national scale-up policy.

methodsThis study involved five health centres in two health districts. Twenty-eight individual interviews were conducted in 2013 with health professionals and members of the health district management teams. Health professionals' RDT use and drug prescription practices were observed during 278 curative care consultations over 5 weeks.

resultsHealth professionals assessed the use of RDT positively as it allowed them to reach clear and accurate diagnoses and above all to deliver appropriate, rational care. However, the introduction of RDTs did not really change their diagnostic practices or prescribing practices for artemisinin-based combination therapy (ACT). They continued to rely predominantly on symptoms in establishing their diagnoses because of doubts regarding the reliability of the tests and the occasional stockouts of RDTs experienced by the health centres. Patients with negative RDT results continued to receive anti-malarial treatments. However, the situation remains quite heterogeneous.

conclusionThe use of RDTs points to the co-existence of official standards and different standards applied in practice. Setting up regular supervision activities provided an opportunity to observe and understand the various obstacles encountered by health professionals and to monitor how official directives are put into practice. For efficient use of RDTs and their results, health professionals need information and directives that are up-to-date and standardized.

Indexed as

Attitude of Health PersonnelHealth PersonnelAdultBurkina FasoChromatography, AffinityDiagnostic Tests, RoutineFemaleHumansInterviews as TopicMalariaMaleMiddle AgedYoung AdultArtemisinin-based combination therapyBurkina FasoHealth professionals’ perceptionsMalariaRapid diagnostic tests

Identifiers

PMID27053188
PMCPMC4823903
OpenAlexW2323730777

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.