The objective of this study was to determine the positivity rates of malaria screening tests for suspected patients and their impact on the supply of management inputs. It was a cross-sectional descriptive study on the structures of care supported by the Global Fund in the city-province of Kinshasa based on a sample which was constituted of 520 patients. The results showed that out of 520 presumed patients, 36.3% were male and 63.7% female. Regarding age group, 179 children aged 0 to 5 years or 34.4% divided into 3 layers according to the prevalence of the disease in the city of Kinshasa. Five hundred and twenty thick drops (TD) were performed in-cluding 139 positive (26.7%) and 381 negative ones (73.3%). In children, 54 thick drops (TD) out of 179 (30.1%) were positive. The highest positivity rate was observed in stratum 3 (30.2%). From these results, it should be said that excessively high positivity rates lead to an oversupply of input structures resulting in excess stocks and peremptions. The exact positivity rate should be known throughout the Democratic Republic of Congo (DRC) to better plan and monitor malaria control activities.
Cite this paper
Kwete, G. K. W. , Diambalula, P. B. , Nkiama, J. N. , Bope, M. B. and Mankadi, P. M. (2019). Malaria Test Positivity Rates in Health Facilities Supported by the Global Fund in Kinshasa City. Open Access Library Journal, 6, e5662. doi: http://dx.doi.org/10.4236/oalib.1105662.
DRC Ministry of Planning and Follow-Up of the Implementation of the Revolution of Modernity: “Second Demographic and Health Survey”(DHS II 2013-2014), Kinshasa, 2014, 189-210.
Khovidhunkit, W., Kim, M.S., Memon, R.A., Shigenaga, J.K., Moser, A.H., et al. (2004) Effects of Infection and Inflammation on Lipid and Lipoprotein Metabolism: Mechanisms and Consequences to the Host. The Journal of Lipid Research, 45, 1169-1196. https://doi.org/10.1194/jlr.R300019-JLR200
Ferrari, G., Ntuku, H.M., Schmidlin, S., Diboulou, E., Tshefu, A.K. and Lenger, C. (2016) A Malaria Risk Map of Kinshasa/Democratic Republic of Congo. Malaria Journal, 15, 27. https://doi.org/10.1186/s12936-015-1074-8
Mabunda, S., Aponte, J.J., Tiago, A., et al. (2009) A Country-Wide Malaria Survey in Mozambique. II. Malaria Attributable Proportion of Fever and Establishment of Malaria Case Definition in Children Across Different Epidemiological Settings. Malar J, 8,74.
Haidaro, S.A., Doumbo, O., Traore, H.A., Koita, O., Dembélé, M., Dolo, A., et al. (1991) La place du paludisme dans les syndromes fébriles en Médecine Interne à l'Hopial du point G à Bamako: Résultats d'une année d'étude systématique. Médecine d’Afrique Noire, 38, 110-117.
Munier, A., Diallo, A., Sokhna, C., Senghor, P. and Chippaux, J.P. (2009) Evaluation of the Reliability of the Clinical Diagnosis of Malaria among Children Consulting in Three Peripheral Health Posts, in the Rural Area of Niakhar in Senegal. Bulletin de la Société de Pathologie Exotique, 120, 113-118.
Tietche, F., Teguia, S., Tetanye, E., Louis, F.J., Mbonda, E. and Epee, M.F. (1996) Presumptive Diagnosis of Malaria Access and Positivity of the Thick Blood Drop in Children Aged 0-5 Years in Yaundé (Cameroon). Medicine of Black Africa, 43, 318-321.