Evidence map›Paper›PMID 34103068›Full record

ArticleMalaria journal2021

Impact of malaria diagnostic refresher training programme on competencies and skills in malaria diagnosis among medical laboratory professionals: evidence from Ghana 2015-2019.

Mary Tetteh, Duah Dwomoh, Alexander Asamoah, Edward King Kupeh, Keziah Malm, Justice Nonvignon

Open access · goldAbstract read
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Article in Malaria journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 26 citations in OpenAlex.

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  11. Plasmodium vivax in Sub-Saharan Africa: An Advancing Threat to Malaria Elimination?The American journal of tropical medicine and hygiene · 2023
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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

6 authors at 2 institutions in 1 country.

Mary TettehDepartment of Health Policy, Planning and Management, School of Public Health, University of Ghana, Legon, Accra, Ghana.
Duah DwomohDepartment of Biostatistics, School of Public Health, University of Ghana, Legon, Accra, Ghana.
Alexander AsamoahGhana National Malaria Control Programme, Ghana Health Service, Accra, Ghana.
Edward King KupehGhana Health Service, Tema Polyclinic, Tema, Ghana.
Keziah MalmGhana National Malaria Control Programme, Ghana Health Service, Accra, Ghana.
Justice NonvignonDepartment of Health Policy, Planning and Management, School of Public Health, University of Ghana, Legon, Accra, Ghana. jnonvignon@ug.edu.gh.
Ghana Health Service · GHUniversity of Ghana · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe quality of malaria test results is crucial for optimal patient treatment and care. The Ghana Health Service is successfully shifting from presumptive clinical diagnosis and treatment of malaria to the Test, Treat and Track (T3) initiative. In line with the initiative, the National Malaria Control Programme (NMCP) set out to improve the capacity of medical laboratory professionals in Ghana through a five-day Malaria Diagnostic Refresher Training (MDRT) to build competencies and skills in malaria diagnosis, especially in the three components of microscopy: parasite detection, species identification and parasite quantification. This study evaluates the impact of the training on malaria microscopy.

methodsThe training which was based on the World Health Organization basic malaria microscopy training guide employed presentations and practical approaches to malaria diagnosis. A total number of 765 medical laboratory professionals from various health facilities across the country were trained every other year from 2015 to 2019 and were included in this evaluation. Evaluation of this training was done using pre-test and post-test microscopy scores. The Negative Binomial fixed effect model was used in determining the overall effect of the training in improving the competencies of the participants on malaria microscopy.

resultsThe ability of the medical laboratory professionals to correctly detect malaria parasites increased significantly from a median score of 64% prior to the training to 87% after the training (p < 0.001). The competencies of the medical laboratory scientists to correctly identify malaria parasite species and quantify the number of malaria parasites increased significantly from a median score of 17% and 20% pre-test to 78% and 50% post-test, respectively (p < 0.001). The results showed that participants' competency level and skill to perform malaria microscopy (species identification, parasite quantification and detection of malaria parasites) increased by approximately two folds after the training compared to the no-training scenario (adjusted rate ratio = 2.07, 95% CI 2.01-2.13, p < 0.001).

conclusionThe MDRT programme significantly improved participants' performance of malaria microscopy over a short period of time.

Indexed as

Clinical CompetenceDiagnostic Tests, RoutineGhanaHealth FacilitiesHumansMalariaMedical Laboratory PersonnelGhanaMalariaMalaria Diagnostic Refresher TrainingMedical Laboratory ProfessionalsMicroscopy

Identifiers

PMID34103068
PMCPMC8186098
OpenAlexW3170165270

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.