Evaluation of rapid diagnostic tests for malaria in Colombia as an integral part of the disease control strategy
Keywords:
Malaria/diagnosis, communicable disease control, health plan implementation, Colombia
Abstract
Introduction. The Andean Health Organization has been responsible for the coordination and evaluation of the malaria rapid diagnostic test strategy. This undertaking was organized to strengthen the malaria diagnostic capacity in ten provinces of Colombia.Objective. The implementation cycle of malaria rapid diagnostic tests was evaluated, along with its impact, performance, usage and coverage under the project "Malaria control in bordering areas of the Andean Region: a community cpproach (PAMAFRO), as an integral part of the malaria control strategy.
Materials and methods. A descriptive retrospective study was organized in two stages. The first stage was an evaluation of the implementation of the rapid diagnostic test cycle. The second stage evaluated indicators of impact, performance, usage and coverage of this strategy. These evaluations were conducted from October 2007 to July 2008 in 10 Andean provinces of Colombia. A multi-criteria scoring method was applied to determine the critical variables.
Results. The compliance in the implementation cycle for rapid diagnostic tests was 71%. Planning was the weakest component of the cycle with 50% of the goals accomplished. The critical variables with low compliance were as follows: study of rapid diagnostic test needs in the country (50%), study of rapid diagnostic test needs in each province (50%), rapid diagnostic test distribution according to needs (50%), assessment of health workers performance (50%), compliance with temperature and humidity requirements for storage of the rapid diagnostic tests at the provincial level (50%), logistics (67%) and supervision (25%).
Conclusion. Implementation strategies are important to strengthen the critical variables found asociated with low compliance.
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References
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10. Roche H, Vejo C. Análisis multicriterio en la toma de decisiones. Fecha de consulta: 12 de agosto de 2009. Disponible en: http://www.ccee.edu.uy/ensenian/catmetad/material/MdA-Scoring-AHP.pdf
11. Ministerio de la Protección Social, Instituto Nacional de Salud. Malaria en La Guajira, balance 2007-2008 (hasta semana epidemiológica 34). Inf Quinc Epidemiol Nac. 2008;13:271-86.
12. World Health Organization. Malaria rapid diagnosis. Making it work. RS/2003/GE/05(PHL). Geneva: WHO; 2003. Fecha de consulta: 3 junio de 2009. Disponible en: http://apps.who.int/malaria/cmc_upload/0/000/016/750/rdt2.pdf.
13. Ashley EA, Touabi M, Ahrer M, Hutagalung R, Htun K, Luchavez J, et al. Evaluation of three parasite lactate dehydrogenase-based rapid diagnostic tests for the diagnosis of falciparum and vivax malaria. Malar J. 2009;8:241.
14. Moonasar D, Goga AE, Frean J, Krugger P, Chandramohan D. An exploratory study of factors that affect the performance and usage of rapid diagnostic tests of malaria in the Limpopo Province, South Africa. Malar J. 2007;6:74.
15. McMorrow ML, Masania MI, Kahigwa E, Abdulla SM, Kachur SP. Quality assurance of rapid diagnostic tests for malaria in routine patient care in rural Tanzania. Am J Trop Med Hyg. 2010; 82:151-5.
16. Organización Mundial de la Salud. Towards quality testing of malaria rapid diagnostic test: evidence and methods. Geneva: WHO; 2006. Fecha de consulta: 18 de junio de 2009. Disponible en: http://www.wpro.who.int/NR/rdonlyres/89F9DB09-9BE2-4659-AE08-FE84195FEDBA/0/web3_QARDTreport.pdf.
17. World Health Organization. Methods manual for laboratory quality control testing of malaria rapid diagnostic tests. Geneva: WHO; 2008. Fecha de consulta: 5 de junio de 2009. Disponible en: http://www.wpro.who.int/NR/rdonlyres/A31142C7-CA46-465F-83D7-776C691C79BA/0/RDTLaboratoryQCtestingMethManuV5_a_WEBVERSIONAug2008.pdf.
18. Chandler CI, Whitty CJ, Ansah EK. How can malaria rapid diagnostic tests achieve their potential? A qualitative study of a trial at health facilities in Ghana. Malar J. 2010;9:95.
19. World Health Organization. Achievements problems & strategies. Malaria control. WHO/MAL/99.1087. Geneva: WHO; 1999.
2. Warrell DA. Clinical features of malaria. En: Warrell DA, Gilles HM, editores. Essential malariology. 4 ed. London: Arnold; 2002. p.191-235.
3. Instituto Nacional de Salud. Protocolo de vigilancia de malaria. 2007. Fecha de consulta: 2 de diciembre de 2008. Disponible en: http://www.ins.gov.co/?idcategoria=5620#.
4. López FJ, Schmunis G. Diagnóstico de malaria. Publicación científica 512. Washington, D.C.: OPS; 1988.
5. Moody A. Rapid diagnostic test for malaria parasites. Clin Microbiol Rev. 2002;15:66-78.
6. Organización Panamericana de la Salud. Investigación operacional sobre la implementación del uso de pruebas rápidas de diagnóstico de malaria. Guayaquil, 23-25 mayo 2005. OPS/DPC/CD/M/394/06. Geneva: WHO; 2005. Fecha de consulta: 2 de diciembre de 2008. Disponible en: http://www.paho.org/spanish/AD/DPC/CD/ravreda7-rdts-guayaquil.pdf.
7. Organización Mundial de la Salud. Uso de las pruebas rápidas en el diagnóstico rápido la malaria. Organización Mundial de la Salud. Oficina Regional para el Pacífico Occidental. Geneva: WHO; 2006. [Consultado: 7 de junio de 2009].Disponible en: http://www.wpro.who.int/NR/rdonlyres/69975F00-AB92-4D21-8C1A-261F97938DF3/0/Malaria_RDT_2ndEd_Spanish.pdf.
8. Organización Panamericana de la Salud. Investigación operacional sobre la implementación del uso de pruebas rápidas de diagnóstico de malaria: 2005 May. Report No.OPS/DPC/CD/M/394/06. Geneva: WHO; 2005.
9. García LA. Aplicación del análisis multicriterio en la evaluación de impactos ambientales (tesis). Barcelona: Universidad Politécnica de Catalunya; 2004. Fecha de consulta: 20 de junio de 2009. Disponible en: http://www.tdx.cat/TDX-0803104-125133.
10. Roche H, Vejo C. Análisis multicriterio en la toma de decisiones. Fecha de consulta: 12 de agosto de 2009. Disponible en: http://www.ccee.edu.uy/ensenian/catmetad/material/MdA-Scoring-AHP.pdf
11. Ministerio de la Protección Social, Instituto Nacional de Salud. Malaria en La Guajira, balance 2007-2008 (hasta semana epidemiológica 34). Inf Quinc Epidemiol Nac. 2008;13:271-86.
12. World Health Organization. Malaria rapid diagnosis. Making it work. RS/2003/GE/05(PHL). Geneva: WHO; 2003. Fecha de consulta: 3 junio de 2009. Disponible en: http://apps.who.int/malaria/cmc_upload/0/000/016/750/rdt2.pdf.
13. Ashley EA, Touabi M, Ahrer M, Hutagalung R, Htun K, Luchavez J, et al. Evaluation of three parasite lactate dehydrogenase-based rapid diagnostic tests for the diagnosis of falciparum and vivax malaria. Malar J. 2009;8:241.
14. Moonasar D, Goga AE, Frean J, Krugger P, Chandramohan D. An exploratory study of factors that affect the performance and usage of rapid diagnostic tests of malaria in the Limpopo Province, South Africa. Malar J. 2007;6:74.
15. McMorrow ML, Masania MI, Kahigwa E, Abdulla SM, Kachur SP. Quality assurance of rapid diagnostic tests for malaria in routine patient care in rural Tanzania. Am J Trop Med Hyg. 2010; 82:151-5.
16. Organización Mundial de la Salud. Towards quality testing of malaria rapid diagnostic test: evidence and methods. Geneva: WHO; 2006. Fecha de consulta: 18 de junio de 2009. Disponible en: http://www.wpro.who.int/NR/rdonlyres/89F9DB09-9BE2-4659-AE08-FE84195FEDBA/0/web3_QARDTreport.pdf.
17. World Health Organization. Methods manual for laboratory quality control testing of malaria rapid diagnostic tests. Geneva: WHO; 2008. Fecha de consulta: 5 de junio de 2009. Disponible en: http://www.wpro.who.int/NR/rdonlyres/A31142C7-CA46-465F-83D7-776C691C79BA/0/RDTLaboratoryQCtestingMethManuV5_a_WEBVERSIONAug2008.pdf.
18. Chandler CI, Whitty CJ, Ansah EK. How can malaria rapid diagnostic tests achieve their potential? A qualitative study of a trial at health facilities in Ghana. Malar J. 2010;9:95.
19. World Health Organization. Achievements problems & strategies. Malaria control. WHO/MAL/99.1087. Geneva: WHO; 1999.
How to Cite
1.
Mendoza NM, Rosas Ángel M, Burgos JD. Evaluation of rapid diagnostic tests for malaria in Colombia as an integral part of the disease control strategy. Biomed. [Internet]. 2011 Apr. 16 [cited 2025 Apr. 5];31(1):55-69. Available from: https://revistabiomedicaorg.biteca.online/index.php/biomedica/article/view/336
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