Variations in geographic and seasonal malaria commodity needs should be considered in CHW kit distribution planning in Mozambique.
rapid diagnostic tests (RDTs)
Ensuring adequate and timely supplies of RDTs and ACT to PPM sites is critical.
Falciparum malaria persists in hard-to-reach areas or demographic groups that are missed by conventional healthcare systems but could be reached by trained community members in a malaria post (MP).
Most outlets never stocked RDTs; therefore, testing prior to treatment was unlikely for customers seeking treatment in the private retail sector.
The study suggests that HRP2-based RDTs are the most appropriate point-of-care test currently available for use during pregnancy especially for symptomatic women, but will still miss some PCR-positive women.
These findings highlight the importance of increased community sensitization as part of mass treatment campaigns for improving campaign coverage and acceptance
HRP-based RDT gives a satisfactory proxy to estimate and monitor malaria endemicity, but the low specificity, far below the selection criteria of the NMCP, DRC is problematic for use in a clinical setting.
Formative research was an important first step, and it was valuable to engage stakeholders early in the process.
Health care providers and residents generally reported consistent use of malaria preventive measures.
This study showed an increase of malaria prevalence despite the implementation of the use of ACT and CHW strategies.