Acceptability of Routine Point-of-Care Early Infant Diagnosis in Eight African Countries: Findings From a Qualitative Assessment of Clinical and Laboratory Personnel.

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Flavia BianchiEGPAF POC EID Study Team

Abstract

The Elizabeth Glaser Pediatric AIDS Foundation introduced point-of-care (POC) testing for early infant diagnosis (EID) of HIV in 8 African countries. Understanding experiences and opinions of users can help facilitate introduction and sustainability. Cameroon, Côte d'Ivoire, Eswatini, Kenya, Lesotho, Mozambique, Rwanda, and Zimbabwe. Structured interviews with health care workers (HCWs) providing EID services and semistructured interviews with national and regional laboratory managers or EID program managers were conducted before and after the implementation of POC EID. Survey responses were analyzed and compared; open-ended responses were analyzed by theme. In total, 234 and 175 interviews with HCWs and 28 and 14 interviews with laboratory or program managers were conducted before and after the introduction of POC EID, respectively. In preintervention interviews, challenges identified with laboratory-based EID testing included distance from patients' residence to the health facility, time-consuming sample transportation to central laboratories, stockout of testing kits, and long wait times for results. Postintervention data revealed that HCWs found POC EID easy to use and were very satisfied with the fast turnaround time and a...Continue Reading

References

Oct 7, 2004·Lancet·Marie-Louise NewellUNKNOWN Ghent International AIDS Society (IAS) Working Group on HIV Infection in Women and Children
May 29, 2007·The Pediatric Infectious Disease Journal·Edmore MarindaUNKNOWN ZVITAMBO Study Group
Nov 21, 2008·The New England Journal of Medicine·Avy ViolariUNKNOWN CHER Study Team
Jan 30, 2014·PloS One·Catherine G SutcliffeWilliam J Moss
Mar 1, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Reuben MwendaLara Vojnov
Dec 14, 2018·AIDS and Behavior·Catherine WexlerSarah Finocchario-Kessler

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