Table 4.

Implications for public health policy and practice

• Take context into account when deciding on the use of rapid diagnostics, as performance, impact, and implementation outcomes are highly variable. • Consider the beliefs of communities and providers before implementing rapid diagnostics. • Confirm that rapid diagnostics are feasible to implement in representative contexts before rolling out. • Burden of work to providers, sustainability of supplies, training, and routine quality assessment are key factors to be considered before implementation. • Invest in pragmatic evaluation before, during, and after implementation.