1. The sourcing and supply of high quality, yet afforadable rapid tests especially for Malaria, syphillis and HIV…
Needless to say Malaria is a very common disease throughout PNG. Because of unavailabilty and/or unreliabilty of malaria diagnosis almost all patients with a fever are given a coarse antimalarials. This approach is not only uneconomical but accelerates the process of development of drug resistance strains of malaria.
Rapid Tests for malaria need to be easy to use, highly sensitive and specific so that health care workers can have the outmost confidence in their diagnostic power when deciding the best clinical management of their febril patients.
2. There is a need to establish the extent of other common causes of fever that may present with similar symptoms. One such disease is dengue fever. The diagnosis of dengue is routinely established by the detection of antibodies to dengue virus in the blood…….more on this
3. Another technological need highlighted in the plan was in the area of hospital oxygen systems for the treatment of hypoxia (low blood oxygen levels). And the oxygen concentrater and pulse oxymeter were identified as essential for this. These technologies need to be robust and able to withstand the “rough environments” of PNG and importantly, there needs to be appropriate technical support for these technologies which need to be routinely maintained and serviced.
3. TB Diagnostics- Rapid TB DNA test are now available. They DO NOT require a PCR machine and can be performed at the district health centre level. They do need some minimal storage facilities and some low tech equipment that can be supplied. Their feasability in the PNG setting needs to be look at.