Evidence map›Paper›PMID 42907829›Full record

ArticleMalaria journal2026

Malaria diagnosis practices in formal private drug retail shops in the Ho Municipality, Ghana: a cross-sectional survey.

Shaibu Saaka, Victor Loglo, Vincent Uwumboriyhie Gmayinaam, Derrick Atandaa Aboyinga, Chrysantus Kubio, Mawuli Komla Kushitor, Evelyn Korkor Ansah

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Article in Malaria journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Shaibu SaakaDisease Control Unit, Bole District Health Directorate, Ghana Health Service, Bole, Savanna Region, Ghana.
Victor LogloDepartment of Epidemiology and Biostatistics, Fred Newton Binka School of Public Health, University of Health and Allied Sciences, Hohoe, Volta Region, Ghana.
Vincent Uwumboriyhie GmayinaamInstitute of Health Research, University of Health and Allied Sciences, Ho, Volta Region, Ghana. vugmayinaam@uhas.edu.gh.
Derrick Atandaa AboyingaDepartment of Epidemiology and Biostatistics, Fred Newton Binka School of Public Health, University of Health and Allied Sciences, Hohoe, Volta Region, Ghana.
Chrysantus KubioOffice of the Regional Director, Northern Regional Health Directorate, Ghana Health Service, Tamale, Northern Region, Ghana.
Mawuli Komla KushitorDepartment of Health Policy, Planning and Management, Fred Newton Binka School of Public Health, University of Health and Allied Sciences, Hohoe, Volta Region, Ghana.
Evelyn Korkor AnsahInstitute of Health Research, University of Health and Allied Sciences, Ho, Volta Region, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrivate drug retail outlets, including community pharmacies and over the counter medicine sellers (OTCMS), play a major role in malaria case management in Ghana. Appropriate diagnosis before treatment is essential for effective malaria control. Evidence on the availability and use of malaria diagnostic services in these outlets remains limited in many municipalities. This study assessed the current diagnostic practices and challenges of malaria diagnosis in formal private drug retail shops in the Ho Municipality, Ghana.

methodsA cross-sectional descriptive survey was conducted in selected formal private drug retail shops in the Ho Municipality, Volta Region, Ghana. Data were collected through phone interviews using structured questionnaires with the attendants and frontline staff of private drug retail shops. The study sample comprised 86 formal private drug retail shops, including both OTMS and Community Pharmacies. Information covered socio-demographic characteristics, availability and type of malaria diagnostic tests, training in malaria diagnosis, cost of testing, and respondents' views on malaria diagnosis. Data were summarized using frequencies and percentages.

resultsOf the 86 facilities surveyed, 70 (81.4%) were OTCMS and 16 (18.6%) were pharmacies. Most respondents were aged 46 to 60 years (38.4%) and slightly more were male (51.2%). Malaria testing capacity was limited. Only 33 (38.4%) facilities had the diagnostic capacity for malaria, while 53 (61.6%) had no testing capability. All community pharmacies had malaria testing capacity compared with 24.2% of OTCMS. Testing before treatment was routinely practiced in only 11.6% of facilities, while 61.6% never tested before treatment. Rapid diagnostic tests (RDTs) were the only diagnostic method available, and microscopy was not used in any shop. Among facilities that stocked RDTs, common types included HRP2 antigen tests and HRP2/pLDH combination kits. Most respondents (76.7%) had received training in malaria diagnosis, mainly organized by the Pharmacy Council. Malaria testing typically cost between USD 0.98 and USD 1.63 in most facilities offering the service. Concerns raised by respondents included perceived inconsistency between test results and clinical judgement, the relatively high cost of test kits, and the need for stronger public education on malaria diagnostic guidelines.

conclusionsMalaria diagnostic services remain limited in formal private drug retail shops in the Ho Municipality, particularly among OTCMS. Although most staff have received training, routine testing before treatment is uncommon and many facilities lack diagnostic capacity. Strengthening access to rapid diagnostic tests, improving adherence to test before treat guidelines, and subsidizing test kits could improve malaria case management in these shops.

Indexed as

Diagnostic Tests, RoutineMalariaPharmaciesAdultCross-Sectional StudiesDrug DispensariesFemaleGhanaHumansMaleMiddle AgedSurveys and QuestionnairesYoung AdultAntimalarialsAvailability of testsCost of malaria diagnosisDiagnostic testFormal private drug retail shopsMalaria diagnosis

Identifiers

PMID42907829
PMCPMC13688822

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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.