Previous studies http://www.ncbi.nlm.nih.gov/pubmed/10403337 have shown that clinicians often prescribe antimalarials to individuals with negative malaria tests.
Supportive supervisions done in Benin by NMCP and IMaD, USAID flagship for malaria diagnosis, show a reduction in the proportion of health facilities treating most patients with a negative malaria tests with antimalarials:
Many clinicians still write a prescription at the same time as a laboratory request because turnaround time is several hours long, rural patients won’t wait or won’t return for follow-up visits. Clinicians feel withholding antimalarials will put patients coming from remote villages at risk of dying.
IMaD will continue working to increase quality and timeliness of tests and the utilization of tests results in making therapeutic decisions.
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