Skip to main content

Table 4 Analysis of RDT use and learner treatment scenario steps (i) following completion of final training and (ii) 7 months after final 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 traininga 7 months post trainingb Most common error(s)
1   Work surface disinfected with alcohol - - Not applicable due to change in training protocol.
2   Assembles all required equipment 87 100  
3 S Put on new pair of gloves 93 93  
4   Check expiry date of RDT packet 67 80 Did not check.
5   Check desiccant sachet is dry 100 67 Did not check.
6   Write client name on cassette 80 93  
7   Place cassette on level surface 100 100  
8 S Clean finger with alcohol swab 93 93  
9   Allow finger to dry before pricking 100 93  
10 S Use sterile lancet to prick finger 93 93 Set down sterile lancet onto surface after removing cap
11   Puncture side of ball of the 3rd or 4th finger 100 73 Punctured vertically (i.e. perpendicular to the tip)
12 S Dispose of lancet immediately after pricking finger 100 87 Used lancet, then set down onto work surface
13   Wipes away initial blood from finger 100 93  
14 A Uses blood collection device correctly 100 100  
15 A Correctly transfer blood to cassette using tool 100 100  
16 S Dispose of blood collection tool immediately 100 87 Left blood collection device inserted into sample well.
17 A Dispenses correct volume of buffer 87 60 Too much buffer added.
18 A Start the timer immediately after adding buffer 87 60 Did not record time.
19   Dispose of non-sharps safely 93 100  
20a A States the correct time to read RDT (RDT test sheet) 100 -  
20b A Waits correct time before reading RDT result - 27 Waited <5 minutes before reading result.
21 A Reads test results correctly c 80 100  
22 T Completes correct sections of treatment register 87 93  
23 T Selects appropriate AL dose based on weight 87 100 Did not record time.
24 T Selects appropriate paracetamol dose 60 93  
25 T Selects correct Parent Information sheet for AL dose 67 40  
26 T States correct time for 2nd dose of AL to be taken 47 40 Did not complete information sheet, provided counselling verbally only
  1. aobserved at training venue, bobserved at school, S steps relating to safety of conducting test, A steps relating to accuracy of test, T steps relating to treatment of uncomplicated malaria cThe RDT conducted was also read for the evaluation of this step at the 7 month follow-up in addition to the printed sheet of photographed RDT results used for the evaluation of this step at the end of training