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Expanding Access to Malaria Diagnosis through Retail Shops in Western Kenya: What Do Shop Workers Think?
Malaria Research and Treatment
  • Andria Rusk, Duke Global Health Institute
  • Catherine Goodman, London School of Hygiene and Tropical Medicine
  • Violet Naanyu, Moi University School of Medicine, College of Health Sciences
  • Beatrice Koech, Moi University School of Medicine, College of Health Sciences
  • Andrew Obala, Moi University School of Medicine, College of Health Sciences
  • Wendy Prudhomme O'Meara, Duke Global Health Institute
Document Type
Article
Publication Date
5-21-2013
Department
Public Health
Abstract

Background. The common symptoms of malaria reduce the specificity of clinical diagnosis. Presumptive treatment is conventional but can lead to overdiagnosis of malaria, delay of appropriate treatment, overprescription of antimalarials, and drug resistance. Routine use of diagnostic tests can address many of these concerns. Though treatment is often procured from retailers, there is low availability of rapid diagnostic tests for malaria (MRDTs), a simple, inexpensive, and accurate diagnostic solution. We know little about the challenges to expanding access to diagnostics through these outlets. Methods. To understand the perceptions of the benefits and challenges to selling rapid diagnostic tests for malaria, we conducted focus group discussions with antimalarial retailers who serve the residents of the Webuye Health and Demographic Surveillance Site in western Kenya. Results. Medicine retailers perceived MRDTs to be beneficial to their customers and businesses but also included cost, fear of the tests, risks of selftreatment, and regulatory concerns among the challenges to using and selling MRDTs. Conclusion. MRDTs represent a viable approach to increase access to malaria diagnostic testing. Medicine retailers are eager for MRDTs to be made available to them. However, certain challenges remain to implementation in retail outlets and should be addressed in advance.

Publisher Statement
Originally published as Andria Rusk, Catherine Goodman, Violet Naanyu, Beatrice Koech, Andrew Obala, and Wendy Prudhomme O'Meara, “Expanding Access to Malaria Diagnosis through Retail Shops in Western Kenya: What Do Shop Workers Think?,” Malaria Research and Treatment, vol. 2013, Article ID 398143, 9 pages, 2013. doi:10.1155/2013/398143
Creative Commons License
Creative Commons Attribution 4.0
Citation Information
Andria Rusk, Catherine Goodman, Violet Naanyu, Beatrice Koech, et al.. "Expanding Access to Malaria Diagnosis through Retail Shops in Western Kenya: What Do Shop Workers Think?" Malaria Research and Treatment Vol. 2013 (2013) p. 1 - 10 ISSN: 2090-8075
Available at: http://works.bepress.com/andria-rusk/1/