Open AccessComparative evaluation of a low‐cost solar powered otoscope with a traditional device among health care workers in Malawi
Author(s) -
Balfour Katharine,
McCarthy Amy,
Hey Shi Ying,
Kousha Obaid,
Singano Emmanuel,
Mulwafu Wakisa,
Walker David F. D. L.,
Blaikie Andrew
Publication year - 2021
Publication title -
laryngoscope investigative otolaryngology
Language(s) - English
Resource type - Journals
ISSN - 2378-8038
DOI - 10.1002/lio2.601
Subject(s) - likert scale , medicine , health care , family medicine , nursing , optometry , medical education , psychology , developmental psychology , economics , economic growth
Objectives To comparatively evaluate a low‐cost otoscope with a traditional device among health care workers in Malawi. Methods The study is a prospective, comparative, qualitative observational survey of health care worker's opinions using 5‐point Likert rating scales and tick box categories in a 10‐item survey questionnaire. Twenty‐five mixed cadre health care workers from the Ear, Nose, and Throat Department of the Queen Elizabeth Hospital, Blantyre in Malawi were recruited. Outcomes measures used were ease of speculum attachment, handling, insertion, stability, the quality of view, color, build, brightness, overall ease of use, and their suitability for local work. Results The low‐cost otoscope scored statistically higher in overall combined performance, as well as in the remaining four out of the nine attributes. Notably, 54.2% of users rated the low‐cost device more suitable than the traditional device for use in low‐middle income countries, 25% were equivocal, and 20.8% preferred the traditional device. Conclusion This study found the Arclight otoscope to be an appropriate and practical substitute for more expensive traditional otoscopes for the delivery of ENT services in low resource settings. Level of Evidence N/A