Table 1 RDT test performance by CHWs

Ratsimbasoa[29]

>2 months (history of) fever

CareStart

PCR

56.7%

61.8%

95%

Ratsimbasoa[29]

>2 months (history of) fever

CareStart

Microscopy of thin and thick BS

37.2%

95.9%

87%

Chinkhumba[30]

>5 years (history of) fever

Bioline SD, First Response malaria, Paracheck PF

Microscopy of thick BS (expert)

38.5%

95%

43%

Chinkhumba[30]**

>5 years (history of) fever

Bioline SD

Microscopy of thick BS (expert).

41%

97%

39%

Chinkhumba[30]**

>5 years (history of) fever

First response malaria

Microscopy of thick BS (expert).

40%

92%

42%

Ishengoma[28]

All ages, care seeking

Paracheck Pf, ParaHIT

Microscopy of thick and thin BS.

20.8%

88.6%

88.2%

Ishengoma[28]

< 5 years

Paracheck Pf, ParaHIT

Microscopy of thick and thin BS

19.7%

90.1%

93.6%

Ishengoma[28]

≥5 years

Paracheck Pf, ParaHIT

Microscopy of thick and thin BS

21%

88.3%

86.5%

Ishengoma[28]

No fever patients

Paracheck Pf, ParaHIT

Microscopy of thick and thin BS

14.5%

84.7%

90.1%

Ishengoma[28]

Fever patients

Paracheck Pf, ParaHIT

Microscopy of thick and thin BS

33.9%

92.2%

82.9%

Lemma[22]**

>3 months suspected of malaria

Paracheck Pf

Microscopy of thick BS.

18.7%

88.7%

94.2%

Lemma[22]**

>3 months suspected of malaria

Parascreen

Microscopy of thick BS.

18.7%

83.2%

95.1%

Mubi[24]

>3 months (history of) fever.

Paracheck Pf

Microscopy of thick BS.

22.6%

85.3%

59.8%

Premji[31]

Children <42 months

Parasight TM-F test

Microscopy of thin and thick BS.

66.6%

84%

81%

Tiono[14]

Children 6–59 months with (history of) fever.

FirstSign Malaria Pf

Microscopy of thin and thick BS.

54.8%

97.9%

53.4%

Tiono[14]

Children 6–59 months with (history of) fever. (High transmission)

FirstSign Malaria Pf

Microscopy of thin and thick BS.

76.1%

98%

25.4%

Tiono[14]

Children 6–59 months with (history of) fever. (Low transmission)

FirstSign Malaria Pf

Microscopy of thin and thick BS.

31.8%

97.6%

63.7%