The scale-up of malaria rapid diagnostic tests (RDTs) is intended to improve case management of fever and targeting of artemisinin-based combination therapy.  We aimed to assess the introduction of RDTs when packaged with basic or enhanced clinician training interventions in Cameroon.


 Facilities were randomly assigned by a computer program in a 9:19:19 ratio to current practice with microscopy (widely available, used as a control group); RDTs with a basic (1 day) clinician training intervention; or RDTs with an enhanced (3 days) clinician training intervention.  Basic training is unlikely to be sufficient to support the behaviour change required for the introduction of RDTs.
RDTs