3. Summary of trials comparing community‐based interventions using rapid diagnostic tests with health facility‐based care.
Study ID | Design | Country (setting) | People trained | Duration of training | Summary of intervention | Summary of control | Outcomes assessed | Drugs/mRDTs free to participants | Supervision |
Ohnmar 2012 | cRCT | Myanmar (rural) | Unpaid volunteers | 2 days | Trained to treat P falciparum malaria after positive mRDT with AL or presumptive P vivax with CQ in those testing negative | Health facility care | Mortality, hospitalizations | Drugs: unclear mRDTs: no | Midwives in nearest health facility routinely monitored/supervised volunteers during their monthly immunization visits. Malaria supervisors also occasionally visited volunteers. |
Swana 2016 | CBA | Democratic Republic of the Congo (rural) | CHWs | 3 days | Trained to treat P falciparum malaria after positive mRDT with AQAS or rectal AS, and to refer if negative mRDT as appropriate | Health facility care | Parasitaemia | Drugs: yes mRDTs: not reported | Initial observation of mRDTs by supervisors with corrective actions over 2–4 days, weekly visits thereafter, 3 monthly meetings with investigators |
Thiam 2012 | CBA | Senegal (rural) | Home care providers | 3 days theory, 2 weeks practical | Trained to treat P falciparum malaria after positive mRDT with AQAS, and to refer if negative mRDT | Health facility care | Mortality, hospitalizations, referrals | Drugs: no (USD 0.6 adults, USD 0.3 children until May 2010) mRDTs: yes | Post‐training follow‐up, monthly supervision by health post head nurse, co‐ordinating meetings by district health teams and nurses in peripheral health facilities |
AL: artemether‐lumefantrine; AQ: amodiaquine; AS: artesunate; CBA: controlled before‐after study; CHW: community health worker; CQ: chloroquine; cRCT: cluster‐randomized controlled trial; mRDT: malaria rapid diagnostic test; P falciparum: Plasmodium falciparum; P vivax: Plasmodium vivax.