Behavioral Change of Health Workers on the Introduction of Rapid Diagnostic Test of Malaria

虽然马达加斯加国家疟疾方案建议要求快速诊断检测结果应是抗疟处方的决定因素，但由于多种因素，在马达加斯加的初级保健环境中似乎很难实现完全遵守。在社会的最佳利益与个人的最佳利益之间的基本紧张关系下，有几个因素促使保健工作者不尊重检测结果，而在有些情况下，采购抗疟药物相对容易。因此，应努力修改这些因素，以落实和维持这项建议。

Although Madagascar National Malaria Program recommendation requires that rapid diagnostic test results should be the determinant of antimalarial prescription, it seems difficult to achieve the complete adherence in Madagascar’s primary care context because of the multitude of factors. Under the basic tension between the best benefit of society and that of an individual, several factors urged health workers not to respect test results, while there are situations where procurement of antimalarial medications is relatively easy. Thus efforts to modify those factors should be made in order to materialize and sustain the recommendation.