Expanding access to parasite-based malaria diagnosis through retail drug shops in Tanzania: evidence from a randomized trial and implications for treatment

by Kathleen Maloney, Abigail Ward, Bonnie Krenz et al.
Malaria Journal, 2017 16:6 – Published: 3 January 2017

10 pp. 1.3 MB

This pilot study investigated whether the introduction of rapid diagnostic test (RDTs) into Accredited Drug Dispensing Outlets (ADDOs) under realistic market conditions would improve case management practices. The authors conclude that trained and supervised ADDO dispensers in rural Tanzania performed and sold RDTs under real market conditions to two-thirds of suspected malaria patients during this one-year pilot. These results support the hypothesis that introducing RDTs into regulated private retail sector settings can improve malaria testing and treatment practices without an RDT subsidy.

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