Table 4 Illustrative quotes for the determinants of the use of malaria rapid diagnostic test for malaria diagnosis by primary healthcare workers

“RDT [is] used frequently because of its availability and there is no microscope [for microscopy]. Since the RDT is present in my facility, I use it more. I think the presence of RDT facilitates my using it.” (Female)

“The RDT is easy to carry out, … and also easy to read [interpret]” (Female)

“Factor that influence us to use RDT is, to know [the] actual [cause of] sickness, not based on signs and symptoms. Since the technology has made it possible for us to have this kit, I think it is the best option than to treat [compared to treating] somebody based on signs and symptoms.” (Female)

“Why some people don’t use RDT routinely is that: some don’t understand the benefit.[Also, RDT is] not supplied in some facilities, so they cannot use it and they have to buy and sometimes no money to buy so they use signs and symptoms to treat their patients.” (Female)

“Many reasons [for not using RDT]: (1) Stock out (2) Because they have much workload in the facility, they may give (anti-malarial drugs) without testing …. (3) Even some health care workers find it hard to prick [their patients], fear of lancet prick.” (Female)

“I agree with what she said but some [patients] will say don’t puncture [prick] my hand” (Female)

“For me, knowledge, training and this influence me to use commodity [RDT] supplied to me, this influences me to use it….” (Female)