Reasons

n

%

Malaria RDT has a high falls positive rate

9

3.6%

Malaria is endemic in Nigeria

8

3.2%

Delay in release of test result from the laboratory

5

2.0%

Need to commence treatment before patient deteriorate or progress to severe malaria

10

4.0%

Neonates are treated without RDT result

22

8.9%

Patient’s pressure and demand for prescription without RDT result

11

4.5%

Stock-out of RDT kit

10

4.0%

I trust my clinical judgment and past experience

26

10.5%

If symptom and signs are very clear

11

4.5%

RDT is done in the laboratory (not point-of-care) and results are not released on time

9

3.6%

Clinical diagnosis saves time and money

13

5.3%

If the cardinal symptoms and signs of malaria is present

9

3.6%

If patient is severely ill, chemotherapy is started before RDT result is out

8

3.2%

If the patient has no money for RDT

9

3.6%

To prevent disease progression

11

4.5%

If patient so demand

26

10.5%

For prophylaxis

13

5.2%

RDT is almost always negative

22

8.9%

If patients presents at odd times (e.g. late at night) when the laboratory has closed

1

0.4%

In under fives to prevent disease progression

7

2.8%

I am yet to be trained on RDT

8

3.2%

RDT is difficult to use

9

3.6%