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Table 2 Observed health worker competence in performing RDTs at their health facilities six weeks post-training

From: Programme level implementation of malaria rapid diagnostic tests (RDTs) use: outcomes and cost of training health workers at lower level health care facilities in Uganda

 

Competences assessed

Nursing Assistant s = 26(%)

Professional Health workers*n = 32(%)

Preparation

Places cassette on flat surface

22(88)

32(100)

 

Identifies patient with clinic file number

22(88)

30(94)

Performs test

Cleans finger with alcohol cotton swab

23(89)

32(100)

 

Uses sterile lancet to puncture (uses lancet only once.

22(88)

32(100)

 

Collects appropriate amount of blood with device

18(69)

28(88)

 

Places blood in appropriate well

22(88)

29(91)

 

Holds bottle vertically to dispense buffer

21(84)

28(88)

 

Dispenses correct amount of buffer (5 drops)

19(79)

31(97)

Results Interpretation

Reads result within correct period of time

21(84)

32(100)

 

Reads results correctly

19(82)

31(97)

 

Interprets and records results correctly

20(83)

31(97)

Safe waste disposal

Disposes of used materials correctly

20(83)

32(100)

  1. Nursing assistants are trained on the job through apprenticeship
  2. *Professional health workers include: 22 enrolled nurses/midwives, 4 laboratory technicians and 4 clinical officers
  3. *Ten health workers were not centrally trained, but learnt on-the-job from trained colleagues and their performance was comparable