Introducing rapid diagnostic tests for malaria into registered drug shops in Uganda: lessons learned and policy implications

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Introducing rapid diagnostic tests for malaria into registered drug shops in Uganda : lessons learned and policy implications. / Mbonye, Anthony K; Clarke, Sîan E; Lal, Sham; Chandler, Clare I; Hutchinson, Eleanor; Hansen, Kristian Schultz; Magnussen, Pascal.

I: Malaria Journal, Bind 14, 448, 2015.

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

Harvard

Mbonye, AK, Clarke, SE, Lal, S, Chandler, CI, Hutchinson, E, Hansen, KS & Magnussen, P 2015, 'Introducing rapid diagnostic tests for malaria into registered drug shops in Uganda: lessons learned and policy implications', Malaria Journal, bind 14, 448. https://doi.org/10.1186/s12936-015-0979-6

APA

Mbonye, A. K., Clarke, S. E., Lal, S., Chandler, C. I., Hutchinson, E., Hansen, K. S., & Magnussen, P. (2015). Introducing rapid diagnostic tests for malaria into registered drug shops in Uganda: lessons learned and policy implications. Malaria Journal, 14, [448]. https://doi.org/10.1186/s12936-015-0979-6

Vancouver

Mbonye AK, Clarke SE, Lal S, Chandler CI, Hutchinson E, Hansen KS o.a. Introducing rapid diagnostic tests for malaria into registered drug shops in Uganda: lessons learned and policy implications. Malaria Journal. 2015;14. 448. https://doi.org/10.1186/s12936-015-0979-6

Author

Mbonye, Anthony K ; Clarke, Sîan E ; Lal, Sham ; Chandler, Clare I ; Hutchinson, Eleanor ; Hansen, Kristian Schultz ; Magnussen, Pascal. / Introducing rapid diagnostic tests for malaria into registered drug shops in Uganda : lessons learned and policy implications. I: Malaria Journal. 2015 ; Bind 14.

Bibtex

@article{2b03c0b7a0264a33a3de5a6a8fe6b8cf,
title = "Introducing rapid diagnostic tests for malaria into registered drug shops in Uganda: lessons learned and policy implications",
abstract = "BACKGROUND: Malaria is a major public health problem in Uganda and the current policy recommends introduction of rapid diagnostic tests for malaria (RDTs) to facilitate effective case management. However, provision of RDTs in drug shops potentially raises a new set of issues, such as adherence to RDTs results, management of severe illnesses, referral of patients, and relationship with caretakers. The main objective of the study was to examine the impact of introducing RDTs in registered drug shops in Uganda and document lessons and policy implications for future scale-up of malaria control in the private health sector.METHODS: A cluster-randomized trial introducing RDTs into registered drug shops was implemented in central Uganda from October 2010 to July 2012. An evaluation was undertaken to assess the impact and the processes involved with the introduction of RDTs into drug shops, the lessons learned and policy implications.RESULTS: Introducing RDTs into drug shops was feasible. To scale-up this intervention however, drug shop practices need to be regulated since the registration process was not clear, supervision was inadequate and record keeping was poor. Although initially it was anticipated that introducing a new practice of record keeping would be cumbersome, but at evaluation this was not found to be a constraint. This presents an important lesson for introducing health management information system into drug shops. Involving stakeholders, especially the district health team, in the design was important for ownership and sustainability. The involvement of village health teams in community sensitization to the new malaria treatment and diagnosis policy was a success and this strategy is recommended for future interventions.CONCLUSION: Introducing RDTs into drug shops was feasible and it increased appropriate treatment of malaria with artemisinin-based combination therapy. It is anticipated that the lessons presented will help better implementation of similar interventions in the private sector.",
author = "Mbonye, {Anthony K} and Clarke, {S{\^i}an E} and Sham Lal and Chandler, {Clare I} and Eleanor Hutchinson and Hansen, {Kristian Schultz} and Pascal Magnussen",
year = "2015",
doi = "10.1186/s12936-015-0979-6",
language = "English",
volume = "14",
journal = "Malaria Journal",
issn = "1475-2875",
publisher = "BioMed Central",

}

RIS

TY - JOUR

T1 - Introducing rapid diagnostic tests for malaria into registered drug shops in Uganda

T2 - lessons learned and policy implications

AU - Mbonye, Anthony K

AU - Clarke, Sîan E

AU - Lal, Sham

AU - Chandler, Clare I

AU - Hutchinson, Eleanor

AU - Hansen, Kristian Schultz

AU - Magnussen, Pascal

PY - 2015

Y1 - 2015

N2 - BACKGROUND: Malaria is a major public health problem in Uganda and the current policy recommends introduction of rapid diagnostic tests for malaria (RDTs) to facilitate effective case management. However, provision of RDTs in drug shops potentially raises a new set of issues, such as adherence to RDTs results, management of severe illnesses, referral of patients, and relationship with caretakers. The main objective of the study was to examine the impact of introducing RDTs in registered drug shops in Uganda and document lessons and policy implications for future scale-up of malaria control in the private health sector.METHODS: A cluster-randomized trial introducing RDTs into registered drug shops was implemented in central Uganda from October 2010 to July 2012. An evaluation was undertaken to assess the impact and the processes involved with the introduction of RDTs into drug shops, the lessons learned and policy implications.RESULTS: Introducing RDTs into drug shops was feasible. To scale-up this intervention however, drug shop practices need to be regulated since the registration process was not clear, supervision was inadequate and record keeping was poor. Although initially it was anticipated that introducing a new practice of record keeping would be cumbersome, but at evaluation this was not found to be a constraint. This presents an important lesson for introducing health management information system into drug shops. Involving stakeholders, especially the district health team, in the design was important for ownership and sustainability. The involvement of village health teams in community sensitization to the new malaria treatment and diagnosis policy was a success and this strategy is recommended for future interventions.CONCLUSION: Introducing RDTs into drug shops was feasible and it increased appropriate treatment of malaria with artemisinin-based combination therapy. It is anticipated that the lessons presented will help better implementation of similar interventions in the private sector.

AB - BACKGROUND: Malaria is a major public health problem in Uganda and the current policy recommends introduction of rapid diagnostic tests for malaria (RDTs) to facilitate effective case management. However, provision of RDTs in drug shops potentially raises a new set of issues, such as adherence to RDTs results, management of severe illnesses, referral of patients, and relationship with caretakers. The main objective of the study was to examine the impact of introducing RDTs in registered drug shops in Uganda and document lessons and policy implications for future scale-up of malaria control in the private health sector.METHODS: A cluster-randomized trial introducing RDTs into registered drug shops was implemented in central Uganda from October 2010 to July 2012. An evaluation was undertaken to assess the impact and the processes involved with the introduction of RDTs into drug shops, the lessons learned and policy implications.RESULTS: Introducing RDTs into drug shops was feasible. To scale-up this intervention however, drug shop practices need to be regulated since the registration process was not clear, supervision was inadequate and record keeping was poor. Although initially it was anticipated that introducing a new practice of record keeping would be cumbersome, but at evaluation this was not found to be a constraint. This presents an important lesson for introducing health management information system into drug shops. Involving stakeholders, especially the district health team, in the design was important for ownership and sustainability. The involvement of village health teams in community sensitization to the new malaria treatment and diagnosis policy was a success and this strategy is recommended for future interventions.CONCLUSION: Introducing RDTs into drug shops was feasible and it increased appropriate treatment of malaria with artemisinin-based combination therapy. It is anticipated that the lessons presented will help better implementation of similar interventions in the private sector.

U2 - 10.1186/s12936-015-0979-6

DO - 10.1186/s12936-015-0979-6

M3 - Journal article

C2 - 26573910

VL - 14

JO - Malaria Journal

JF - Malaria Journal

SN - 1475-2875

M1 - 448

ER -

ID: 148982662