Improving community health worker use of malaria rapid diagnostic tests in Zambia: package instructions, job aid and job aid-plus-training

Table 2 Mean scores by category and total for RDT performance by CHWs using manufacturer's instructions, job aid-only, and job aid-plus-training (N = 79)

	Manufacturer's instructions vs. Job aid-only			Job aid-only vs. Job aid plus training
	% of steps performed correctly		Difference β (95% CI)	% of steps performed correctly		Difference β (95% CI)
	Manufacturer's instructions (n = 32)	Job aid- only (n = 21)		Job aid- only (n = 21)	Job aid plus training (n = 26)
Unadjusted scores ^a
Mean correct skill steps (total)	57	80	+23 (13, 33)*	80	90	+10 (3, 17)^a*
Mean correct skill steps (by category)
Preparation and documentation	49	69	+20 (7, 34)*	69	83	+14 (1, 27)*
RDT use	61	89	+28 (16, 39)*	89	92	+3 (-4, 10)
Safe handling and disposal	58	80	+22 (7, 36)*	80	95	+15 (5, 25)*
Mean correct RDT readings (total)	54	82	+28 (20, 36)*	82	93	+11 (3, 18)*
Adjusted scoress ^a,b
Mean correct skill steps (total)	57	80	+23 (12, 34)*	80	92	+12 (3, 20)*
Mean correct skill steps (by category)
Preparation and documentation	52	72	+20 (6, 35) *	72	89	+17 (4, 30) *
RDT use	60	88	+28 (16, 40) *	88	92	+4 (-5, 13)
Safe handling and disposal	56	77	+21 (6, 37) *	77	92	+15 (4, 26) *
Mean correct RDT readings (total)	54	80	+26 (17, 34)*	80	93	+13 (4, 22)*

[a] Based on observations of the 3^rd febrile patient; [b] Adjusted for CHW educational status, age, gender, years working as a CHW, prior experience using an RDT, and prior experience in malaria treatment. * Significant at p < 0.05.

ISSN: 1475-2875