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Table 3 Analysis of RDT use and treatment scenario steps (i) following completion of pilot training and (ii) 2 weeks after pilot training, by individual step

From: Design, implementation and evaluation of a training programme for school teachers in the use of malaria rapid diagnostic tests as part of a basic first aid kit in southern Malawi

    (% completing step correctly) (n = 15)  
#   Description of step End of training 2 weeks post training Common error(s)
1   Work surface disinfected with alcohol 100 93  
2   Assembles all required equipment 47 87 Lack of preparation of items before conducting RDT
3 S Put on new pair of gloves 100 100  
4   Check expiry date of RDT packet 80 73 Skipped
5   Check desiccant sachet is dry 40 66 Skipped
6   Write client name on cassette 100 100  
7   Place cassette on level surface 100 100  
8 S Clean finger with alcohol swab 93 100  
9   Allow finger to dry before pricking 100 100  
10 S Use sterile lancet to prick finger 93 93 Set down sterile lancet onto work surface after removing cap
11   Puncture side of ball of the 3rd or 4th finger 93 100  
12 S Dispose of lancet immediately after pricking finger 87 100 Used lancet, then set down onto work surface
13   Wipes away initial blood from finger 93 93  
14 A Uses blood collection device correctly 73 100 Attempted to ‘scoop’ blood, inadequate volume of blood
15 A Correctly transfer blood to cassette using tool 93 100  
16 S Dispose of blood collection tool immediately 100 100  
17 A Dispenses correct volume of buffer 93 93  
18 A Start the timer immediately after adding buffer 60 66 Started timer before adding buffer or after clearing workspace
19   Dispose of non-sharps safely 100 100  
20 A State the correct time that the RDT can be read 80 87 Stated “15 to 20” or “20 minutes”
21 A Reads test results correctly (RDT test sheet) 53 87 Misidentified faint positive as negative or invalid.
22 T Completes correct sections of treatment register 87   Not completed
23 T Selects appropriate AL dose based on weight 60   Ticks “LA x 1 tab” on treatment register
24 T Selects appropriate paracetamol dose 60   Not completed; prescribes incorrect dose
25 T Selects correct Parent Information sheet for AL dose 13   Uses LA x 1 Parent Information Sheet
26 T States correct time for 2nd dose of AL to be taken 40   Not completed; instructed 2nd dose to be taken after 6 hours
  1. S steps relating to safety of conducting test, A steps relating to accuracy of conducting test, T steps relating to treatment of uncomplicated malaria