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Table 5 Disadvantages of blood RDT codes

From: A mixed methods study assessing the adoption potential of a saliva-based malaria rapid test in the Democratic Republic of Congo

Disadvantages of blood RDT codes

Representative quote

Detection inaccuracies (false negatives/high detection threshold)

The test was good, but you will see that even if someone is sick the test can be negative or if the person has malaria you have to go deeper by doing a thick blood smear to see that malaria is present, so we the medical professionals we believe that even if the RDT is negative, we still administer the malaria medicine as far as we have some clinical evidence

Inefficient/slow results

I would like to add this: this examination, as (the director) has just said, if blood is taken, the test result is not given on the spot; you will see that if you are tested in the morning, you have to come back in the afternoon

Supply/availability concerns

We have experienced enormous difficulties with the renewal of stocks/supplies, absence at the market level despite the availability of money. The moment the need arises, the Central Office of the Health Zone or the partners will make you wait (for the RDT)

Uncomfortable/painful

(The RDT) requires the (finger) prick and that's what's painful, especially for children. This pain leads some people to avoid malaria RDT testing

Unsanitary/contamination risk

The needle or blood is also dangerous for the caregivers with the risk of self-contamination