Integrated point-of-care testing (POCT) of HIV, syphilis, malaria and anaemia in antenatal clinics in western Kenya: A longitudinal implementation study.

PloS One
Nicole YoungMeghna Desai

Abstract

In sub-Saharan Africa, HIV, syphilis, malaria and anaemia are leading preventable causes of adverse pregnancy outcomes. In Kenya, policy states women should be tested for all four conditions (malaria only if febrile) at first antenatal care (ANC) visit. In practice, while HIV screening is conducted, coverage of screening for the others is suboptimal and early pregnancy management of illnesses is compromised. This is particularly evident at rural dispensaries that lack laboratories and have parallel programmes for HIV, reproductive health and malaria, resulting in fractured and inadequate care for women. A longitudinal eight-month implementation study integrating point-of-care diagnostic tests for the four conditions into routine ANC was conducted in seven purposively selected dispensaries in western Kenya. Testing proficiency of healthcare workers was observed at initial training and at three monthly intervals thereafter. Adoption of testing was compared using ANC register data 8.5 months before and eight months during the intervention. Fidelity to clinical management guidelines was determined by client exit interviews with success defined as ≥90% adherence. For first ANC visits at baseline (n = 529), testing rates were unavail...Continue Reading

References

Mar 1, 1975·Clinical Obstetrics and Gynecology·N J Fiumara
Dec 16, 1998·Annals of Internal Medicine·D M Berwick
May 9, 2000·The American Journal of Clinical Nutrition·L H Allen
Nov 7, 2000·Parasitology Today·C MenendezP L Alonso
Mar 10, 2001·Health Policy and Planning·S GloydM A Mercer
Jun 27, 2001·The American Journal of Tropical Medicine and Hygiene·R W SteketeeC Menendez
Jun 27, 2001·The American Journal of Tropical Medicine and Hygiene·H L Guyatt, R W Snow
Jun 28, 2002·Lancet·François Dabis, Ehounou René Ekpini
Jun 29, 2004·The Lancet Infectious Diseases·W A Lynn, S Lightman
Nov 3, 2004·Lancet·Rosanna W PeelingDeborah Watson-Jones
Dec 30, 2004·Journal of Clinical Pathology·A Medina LaraI Bates
Aug 15, 2006·JAMA : the Journal of the American Medical Association·Elizabeth MarumKenneth Chebet
Jan 26, 2007·The Lancet Infectious Diseases·Meghna DesaiRobert D Newman
Jul 31, 2010·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·R W Peeling, D Mabey
Oct 20, 2010·Administration and Policy in Mental Health·Enola ProctorMelissa Hensley
Jan 13, 2011·International Journal of Epidemiology·Diego F CuadrosPhilip H Crowley
Mar 4, 2011·The Journal of Nutrition·Rebecca J Stoltzfus
Apr 12, 2011·Tropical Medicine & International Health : TM & IH·R Matthew Chico, Daniel Chandramohan
Sep 16, 2011·Sexually Transmitted Infections·Boaz Otieno-NyunyaUNKNOWN Kenya AIDS Indicator Survey Study Team
Feb 22, 2012·Expert Review of Anti-infective Therapy·Raquel GonzálezAlfredo Mayor
Jun 6, 2012·JAMA : the Journal of the American Medical Association·R Matthew ChicoDaniel Chandramohan
Jul 7, 2012·Paediatric and Perinatal Epidemiology·Usha RamakrishnanReynaldo Martorell
Sep 14, 2012·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Elizabeth MarumAlison S Cheng
Aug 31, 2012·International Journal of Epidemiology·Frank O OdhiamboJohn M Vulule
Dec 12, 2012·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Verner N OrishNnaemeka C Iriemenam
Mar 12, 2013·Bulletin of the World Health Organization·Gabriela B GomezSarah J Hawkes
Feb 1, 2014·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·James Heiby
Nov 2, 2014·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Bich-Tram HuynhValérie Briand
May 13, 2015·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Morkor Newman OwireduIsseu Diop Toure
Jun 10, 2015·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Ulrika BakerUNKNOWN EQUIP study group

❮ Previous
Next ❯

Citations

Apr 22, 2021·Lab on a Chip·Ran AnUmut A Gurkan

❮ Previous
Next ❯

Methods Mentioned

BETA
blood draw

Software Mentioned

Excel
IPTp
Stata
SP

Related Concepts

Related Feeds

Antimalarial Agents (ASM)

Antimalarial agents, also known as antimalarials, are designed to prevent or cure malaria. Discover the latest research on antimalarial agents here.

Antimalarial Agents

Antimalarial agents, also known as antimalarials, are designed to prevent or cure malaria. Discover the latest research on antimalarial agents here.

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.

Related Papers

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Rebecca BaliraDeborah Watson-Jones
International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Edward Tieru DassahPhilippe Mayaud
© 2022 Meta ULC. All rights reserved