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This document summarizes a study that evaluated the accuracy of malaria microscopic examination at primary health centers and district health offices in Belu District, East Nusa Tenggara, Indonesia. The study assessed quality assurance based on cross-checking results and Kappa coefficient agreements between different levels of microscopists. The results showed "good" agreement (Kappa 0.61-0.80) between primary health center and district health office microscopists, but "poor" agreement (Kappa 0.20-0.40) bet
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