Malaria Laboratory Diagnostic Performance: Case studies of two health centers in Zomba, Malawi
2014
The objective of the study was to establish the performance of malaria laboratory diagnostics in routine clinical setting of
health facilitiesin Zomba, Malawi. 246 suspected malaria cases in Matawale and Domasi Health Centers in October-November 2009 and 2010 were tested using two diagnostics methods(
rapid diagnostic test( RDT )and
Microscopy144 patients who reported fever in 2009, 52% were referred to the laboratory for malaria test. The positive predictive value for
microscopyin this study was 0.86. The study revealed that
microscopymissed (30%) and (28%) in 2009 and 2010 respectively and this attributed to challenges with
microscopy. RDT missed only 2 of malaria cases results between the two tests performed in the study among the
microscopypositives.
Microscopyhad a lower sensitivity of 70% while Paracheck PfHRP-2 rapid test 91.3%. In conclusion,
microscopyproduced a low sensitivity when compared to
rapid diagnostic tests
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