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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/36032
Title: Exploring health practitioners' acceptability of a prospective semi-quantitative pfHRP2 device to define severe malaria in the Democratic Republic of Congo
Authors: Freek De Haan
Marie A. Onyamboko
Caterina I. Fanello
Charles J. Woodrow
Yoel Lubell
Wouter P.C. Boon
Arjen M. Dondorp
Utrecht University
Kinshasa School of Public Health
Nuffield Department of Clinical Medicine
Mahidol University
Keywords: Immunology and Microbiology;Medicine
Issue Date: 15-Dec-2015
Citation: Malaria Journal. Vol.14, No.1 (2015)
Abstract: © 2015 de Haan et al. Background: A rapid diagnostic tool is being developed to discern severely ill children with severe malaria from children who are ill with alternative febrile diseases but have coincidental peripheral blood parasitaemia. The device semi-quantitatively measures plasma pfHRP2 and has the potential to reduce mortality in children with severe febrile illnesses by improving diagnosis. The aim of this study is to identify contributing and inhibiting factors that affect healthcare practitioners' acceptability of this prospective diagnostic device in a high malaria transmission setting in the Democratic Republic of Congo. Methods: Data were collected qualitatively by conducting semi-structured interviews with a purposeful sample of health professionals in Kinshasa, capital of Democratic Republic of Congo. In total, 11 interviews were held with professionals at four different institutes. Results: Four key findings emerged: (1) Congolese practitioners perceive the semi-quantitative pfHRP2 device as a welcome intervention as they recognize the limited reliability of their current diagnostic and therapeutic approaches to severe febrile illnesses; (2) compatibility of the semi-quantitative pfHRP2 device with clinical equipment and competences of Congolese health practitioners is considered to be limited, especially in rural settings; (3) a formal training programme is crucial for correct understanding and application of the semi-quantitative pfHRP2 device; and, (4) provision of evidence to practitioners, and support from health authorities would be important to establish confidence in the semi-quantitative pfHRP2 device. Conclusions: Congolese practitioners perceive the prospective semi-quantitative pfHRP2 device as a welcome addition to their clinical equipment. The device could improve current diagnostic work-up of severe febrile illness, which might consequently improve treatment choices. However, despite this recognized potential, several hurdles and drivers need to be taken into account when implementing this device in DR Congo.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84952871553&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/36032
ISSN: 14752875
Appears in Collections:Scopus 2011-2015

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