Importance of quality assurance testing of malaria rapid diagnostic test in the case management of malaria
Authors:
OKANGBA Chika
Publication Type: Journal article
Journal: Scientific Journal Of Pure And Applied Sciences
ISSN Number:
0
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Abstract
Prompt and rapid diagnosis of malaria has gained
importance in health programmes in endemic countries, and
recognition of the importance of early, correct treatment to the
reduction in malaria morbidity and mortality. Blood-based
diagnosis using lateral-flow immunochromatographic tests,
commonly called rapid diagnostics tests (RDTs), offer great
promise in extending rapid diagnosis to areas where traditional
microscopy is not accessible. Large-scale operational use has
raised questions about the accuracy of current RDT technology in
tropical conditions. As utilization of RDTs has increased rapidly in
the last few years, there is a clear and urgent need to address
issues on quality performance and appropriateness of use,
particularly in remote endemic areas. The need for Quality
Assurance (QA) systems to maintain the quality of microscopy
diagnosis of malaria is well established but the extent of
implementation varies widely. Quality assurance process must
become an integral part of RDT budgets, procurement and
implementation plans. Responsibility for overseeing QA
processes, extending from post purchase testing of RDTs to
training and supervision of users and control of storage and
transport, should be clearly defined and coordinated from a
central level. A system of regional and referral laboratories, based
on standard operating procedures would test RDTs after purchase