Table 7 Disadvantages of saliva RDT codes

Concerns that devices may be recycled/unsanitary

There is a risk that people will believe that the devices used are recycled. To circumvent this belief or thought, we suggest that the device be covered in a package that is only uncovered when used in front of the care recipient, like with syringes. Otherwise, people will avoid using these

Difficult to use with sick/inhibited/convulsing patients

There will be a small difficulty for people who have a seizure especially if they have convulsions or if the sample has already been taken for analysis as is generally required

Similarity to COVID-19 protocols (testing hesitancy)

(A) strong difficulty is related to COVID-19—a lot of things were said. People have developed a lot of resistance, so a lot of awareness is needed, because many things are said (about COVID-19)

Supply/availability concerns

Disadvantage will be that the test will not be available because many people will come to the Center, if there is a break (in supply) it is not good. So, avoid breakage (stockout) when this work will start

Difficult to stimulate/use saliva

It's a bit tricky for people who come in and don't have saliva, maybe they're given water beforehand?

Difficult to administer to elders (positioning, posture, etc.)^a

RDT a little difficult for the older ones; difficulty in taking the ideal position (elbow on the knees)

Difficult to interpret results^a

Difficulty in distinguishing the invalid (results) from the negative (results)