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


Beisel, U; Umlauf, R; Hutchinson, E; Chandler, CI; (2016) The complexities of simple technologies: re-imagining the role of rapid diagnostic tests in malaria control efforts. Malar J, 15 (1). p. 64. ISSN 1475-2875 DOI: 10.1186/s12936-016-1083-2

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Abstract

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

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Global Health and Development
Research Centre: Anthropology, Politics and Policy Group (APPG)
Malaria Centre
PubMed ID: 26850000
Web of Science ID: 369358300003
URI: http://researchonline.lshtm.ac.uk/id/eprint/2531029

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