Evidence map›Paper›PMID 41511949›Full record

ArticlePloS one2026

"It doesn't require blood!": Perceptions around non-invasive malaria testing tools in Indonesia, Peru, and Rwanda.

Vanessa Fargnoli, Serafina Calarco, Catherine Thomas, Caroline Thomas, Claudius Novchovick Mone Iye, Valerie A Paz Soldan, Amy Celeste Morrison, Janvier Serumondo, Ladislas Nshimiyimana, Yvonne Delphine Nsaba Uwera and 3 more

Abstract read
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

13 authors.

Vanessa FargnoliFIND, Geneva, Switzerland.
Serafina CalarcoFIND, Geneva, Switzerland.ORCID 0000-0002-5330-5516
Catherine ThomasUniversity of Jakarta International, Jakarta, Indonesia.ORCID 0000-0002-5352-7688
Caroline ThomasYayasan Peduli Hati Bangsa, Jakarta, Indonesia.
Claudius Novchovick Mone IyeYayasan Peduli Hati Bangsa, Jakarta, Indonesia.
Valerie A Paz SoldanAsociación Benéfica Prisma, Lima, Peru.
Amy Celeste MorrisonAsociación Benéfica Prisma, Lima, Peru.
Janvier SerumondoRwanda Biomedical Center, Kigali, Rwanda.
Ladislas NshimiyimanaRwanda Biomedical Center, Kigali, Rwanda.ORCID 0000-0002-5551-6990
Yvonne Delphine Nsaba UweraUniversity of Rwanda, College of Medicine and Health Sciences, Kigali, Rwanda.
Elena Marbán-CastroFIND, Geneva, Switzerland.ORCID 0000-0002-9715-0595
Sonjelle ShiltonFIND, Geneva, Switzerland.
Kevin K A TettehFIND, Geneva, Switzerland.ORCID 0000-0003-2733-0037

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Malaria remains a major global health challenge. Prompt, accurate diagnosis is crucial for effective case management. Current diagnostic approaches rely on invasive or minimally invasive sampling via venous or fingerpick blood draw, posing a risk to healthcare workers via the handling of potentially infectious body fluids. They may also be a barrier to recipients, particularly in malaria-endemic areas where there is routine testing of non-symptomatic individuals. Non-invasive tests based on saliva, exhaled volatile organic compounds (VOCs), and transdermal detection have the potential to increase case detection and linkage to care while reducing biosafety risks. Knowledge gaps exist regarding the feasibility and acceptability of these tools. This qualitative study, conducted in Indonesia, Peru, and Rwanda, aimed to generate evidence from end-users around the potential adoption of non-invasive diagnostic technologies, to determine whether these technologies are fit for purpose. Between October and November 2023, 24 semi-structured interviews were conducted with stakeholders and professionals working at borders, and 16 focus group discussions were conducted with caregivers of children under 5 years, pregnant women, healthcare workers, teachers and other community members (139 participants in total). The comfort non-invasive approaches offer to recipients of care was widely noted, especially compared with blood draw, which is considered painful for children. Ease of use and rapid diagnostic capabilities enabling real-time disease diagnosis were perceived as particularly beneficial in remote areas with limited healthcare infrastructure. Device portability was seen as a game-changer. Major concerns were the lack of information regarding the accuracy of non-invasive tools compared with established methods, the lack of trust in tests targeting specimens other than blood products, and their inability to differentiate between malaria species. Early engagement with stakeholders in the development of novel interventions is essential to ensure that end products meet the needs of communities.

Indexed as

MalariaAdultChild, PreschoolFemaleFocus GroupsHealth PersonnelHumansIndonesiaMalePeruPregnancyRwandaSaliva

Identifiers

PMID41511949
PMCPMC12788683

What OpenQuestion holds

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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.