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Training manuals: Use of artemisinin-based combination therapies and rapid diagnostic tests for home-based management of fever in Uganda

Resource to train community health workers on the use of malaria rapid diagnostic tests and fever management.

Category: Useful Resources

Sub Category: Intervention Manuals

Author: Dr Richard Ndyomugenyi, National Malaria Control Programme, Ministry of Health, Uganda & Dr Sin Clarke, Dr Clare Chandler, Dr Pascal Magnussen, Dr Kristian Hansen and Dr Caroline Lynch, ACT Consortium, London School of Hygiene & Tropical Medicine.

Published Date: 01 January 2010

Summary of manual

[Français / Português]

This manual was developed as a resource to train community health workers (CHW) on malaria diagnosis using rapid diagnostic tests (RDTs) and fever case management according to a set of algorithms and job aids which covered RDTs, ACT prescription, rectal artesunate pre-referral treatment, and when to refer.

The manual was used during the ACT Consortium RDT trial amongst village-based community medicine distributors in Rukungiri District, Uganda. CHWs were provided with a set of laminated job aids and forms to record treatment and refer patients.

The training is based on adult learning principles and uses small group interactive training, based around use of these materials and role play, to simulate communication with the patient/caregiver and reaching a treatment decision.

Development of the manual was also based on prior training materials on RDTs:

  • How to use a rapid diagnostic test (RDT): A guide for training at a village and clinic level (Modified for training in the use of the Generic Pf Test for falciparum malaria). 2008. The  USAID Quality Assurance Project (QAP), University Research Co., LLC, and the World Health Organization (WHO): Bethesda, MD, and Geneva
  • User’s Manual:  Use of rapid diagnostic tests (RDTs) for malaria in fever case management in Uganda. 2009. Ministry of Health, Uganda: Kampala

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