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Table 4 Background information malaria screening and treatment

From: The challenges of introducing routine G6PD testing into radical cure: a workshop report

Questions

Bangladesh

Cambodia

Malaysia

Philippines

What are the current screening procedures for Pv?

Microscopy and RDT at health facilities and community level

Microscopy and RDT at health facilities, RDT at community-level

Microscopy

Microscopy and RDTs. RDTs in rural health facilities by trained barangay health workers (BHWs). Microscopy in municipal health clinics and gov’t hospitals. Trained BHWs can also conduct microscopy

Active, passive, mass test or treat (MSAT), focused test and treat (FSAT)

Both active and passive case detection. Focused test and treat in pre-elimination areas

Passive case detection, some active detection with research. No MSAT or FSAT

Active and passive case detection

Passive case detection, some active detection

Is G6PD testing mandatory? Is it recommended prior to PQ administration?

Not mandatory

Mandatory testing and recommended prior to PQ

Mandatory testing prior to PQ. All newborns tested at birth

Testing is recommended

If G6PD testing is not mandatory, are their alternative procedures in place to assess and monitor risk of post-treatment haemolysis? Are patients monitored treatment adherence?

Patient is advised to report haemolysis. Follow ups are done by NGO-PR (BRAC supported consortium) at day 3, 7, and 14

No monitoring system in place

Patients are monitored

Patients are advised to report haemolysis. Treatment adherence is supposed to be monitored by BHW. No monitoring of haemolysis

Who performs the majority of screening activities?

Outreach Lab: Lab tech (NGO)

Community Clinic: community health care provider (CHCP)

Union sub-centers: medical officer, health assistant (GoB)

Field Level: Health Assistant (GoB) or Shastho Kormi/Shastho Shebika (NGO)

Medical officer at the District, Upazila and Tertiary facility level

Lab tech, nurse, or community health worker

Medical lab techs and nurses

MDs at clinics and hospitals

Licensed midwives or BHW at rural health facilities