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Table 2 Intervention techniques

From: Designing and implementing interventions to change clinicians’ practice in the management of uncomplicated malaria: lessons from Cameroon

Intervention arms
Basic training Enhanced training
Associated modules and sessions Activities Associated modules and sessions Activities
Module 1. Malaria diagnosis   Module 1. Malaria diagnosis  
 • Symptomatic diagnosis Pre- and post-quiz on diagnosis and treatment  • Symptomatic diagnosis Pre- and post-quiz on diagnosis and treatment
 • Parasitological diagnosis Case studies on diagnosis and treatment  • Parasitological diagnosis Case studies on diagnosis and treatment
Module 2. Rapid diagnostic testing   Module 2. Rapid diagnostic testing Practical exercise on the use of RDTs
 • What is an RDT? Practical exercise on the use of RDTs  • What is an RDT? Case studies on diagnosis and treatment
 • Advantages and disadvantages of RDTs compared to microscopy    • Advantages and disadvantages of RDTs compared to microscopy  
 • How to use an RDT    • How to use an RDT Case studies on why test for malaria
Module 3. Malaria Treatment   Module 3. Malaria Treatment Worksheets on RDTs vs microscopy
 • Treatment algorithm    • Treatment algorithm Testimonial on use of RDTs and discussion
 • Treatment when test is negative    • Treatment when test is negative Drama 1- RDT testing before treatment
 • Treatment in special cases    • Treatment in special cases Card game - Appropriate Treatment
   Module 4. Adapting to Change  
    • Feel comfortable about change in malaria guidelines Drama 2 - Consequences of not prescribing the recommended treatment for uncomplicated malaria
    • Encourage use of diagnostic testing using RDTs Picture scenario/card game- Clinician’s behaviour
    • Encourage the use of ACT for treating uncomplicated malaria Reflecting on quotes- patient perception of malaria and discussion
    • Encourage appropriate treatment based on test results
   Module 5: Professionalism  
    • Why is a clinician’s behaviour important?  
    • Encourage clinicians to work effectively with colleagues  
    • Encourage clinicians to provide quality care to patients  
   Module 6: Communicating effectively  
    • Understand patients’ perceptions of malaria and treatment in order to communicate more effectively with patients  
    • Develop and improve skills on how to communicate with patients  
  1. Legend: Techniques used to address issues identified during formative research in intervention to improve clinicians’ practice in the management of uncomplicated malaria. ACT = artemisinin-based combination therapy; RDT = rapid diagnostic test.