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. 2022 Sep 8;2022(9):CD009527. doi: 10.1002/14651858.CD009527.pub3

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.