Operations research study to implement HIV and syphilis point-of-care tests and assess client perceptions in a marginalised area of Lima, Peru.

Operations research study to implement HIV and syphilis point-of-care tests and assess client perceptions in a marginalised area of Lima, Peru.
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DOI:
10.1177/0956462414552696
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发表时间:
2015-09
影响因子:
1.4
通讯作者:
Bayer AM
Bayer AM
中科院分区:
医学4区
文献类型:
--
作者:
Flores EC;Lluque ME;Chiappe M;Lino R;Bayer AM

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In Peru, a significant proportion of people tested for HIV and syphilis do not receive timely results. Our objective was to assess the institutional feasibility of implementing simultaneous HIV/syphilis point-of-care tests (POCTs) and client perceptions regarding these POCTs. POCTs were implemented in a hospital consultation room in a marginalized zone of Lima. A time-series design was used to compare the proportion of tested clients who received timely results, with and without the POCT intervention. Experience and satisfaction with POCTs was evaluated with 149 people. In the 6 months without intervention, 69% and 61% of clients tested for HIV and syphilis, respectively, received their results within the required 45-minute window. During the 2-month POCT intervention, all clients tested for HIV (n=387) and syphilis (n=398) received their results within 45 minutes. All clients surveyed were completely satisfied (52%) or satisfied (48%) with the simultaneous HIV/syphilis POCT screening process. Additionally, 73% strongly agreed with the statement “I feel satisfied with the rapid testing process.” Screening using POCTs represents an important opportunity to reduce the time, resource and cost burden for users and institutions and increase the proportion of users receiving their test results in a timely manner.
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