From: The challenges of introducing routine G6PD testing into radical cure: a workshop report
Questions | Bangladesh | Cambodia | Malaysia | Philippines |
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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 |