Implementation determinants of rapid diagnostic tests for fever management in sub-Saharan Africa: a mixed-studies systematic review
Mamadu Baldeh, Shola K. Molemodile Dele-Olowu, Dimbintsoa Rakotomalala Robinson, Flavia Kaduna Bawa, Effua Usuf, Luc P. de Witte, Julie Balen, Annette Erhart, Shunmay Yeung · 2026
Read Implementation determinants of rapid diagnostic tests for fever management in sub-Saharan Africa: a mixed-studies systematic review by Mamadu Baldeh, Shola K. Molemodile Dele-Olowu, Dimbintsoa Rakotomalala Robinson, Flavia Kaduna Bawa, Effua Usuf, Luc P. de Witte, Julie Balen, Annette Erhart, Shunmay Yeung (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13572443.txt.
Description
Mamadu Baldeh's team synthesised evidence on why rapid fever tests succeed or stall in sub-Saharan Africa, in a 2026 mixed-studies review. Rapid diagnostic tests promised better fever care, yet uptake faltered for reasons beyond accuracy. The team searched eight databases and mapped 48 publications from 33 countries onto the NASSS implementation framework.
Sustained use was squeezed by heavier health-worker workloads, poor fit with clinical routines, clashes when test results disagreed with clinical judgement, plus fragile supply chains. Most evidence covered adoption rather than long-term adaptation, and single-disease tests fit poorly where patients present with undifferentiated fever. The authors urge multi-disease tests designed around clinical need and woven into care pathways.
Catalog record
| CREATOR | Mamadu Baldeh, Shola K. Molemodile Dele-Olowu, Dimbintsoa Rakotomalala Robinson, Flavia Kaduna Bawa, Effua Usuf, Luc P. de Witte, Julie Balen, Annette Erhart, Shunmay Yeung |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 53 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |