Operational assessment of point-of-care diagnostics in rural primary healthcare clinics of KwaZulu-Natal, South Africa: a cross-sectional survey
| العنوان: | Operational assessment of point-of-care diagnostics in rural primary healthcare clinics of KwaZulu-Natal, South Africa: a cross-sectional survey |
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| المؤلفون: | Tivani P. Mashamba-Thompson, Benn Sartorius, Paul K. Drain |
| المصدر: | BMC Health Services Research BMC Health Services Research, Vol 18, Iss 1, Pp 1-8 (2018) |
| بيانات النشر: | BioMed Central, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Cross-sectional study, Attitude of Health Personnel, Point-of-care testing, Health Personnel, HIV Infections, Health informatics, Ambulatory Care Facilities, Health administration, Interviews as Topic, 03 medical and health sciences, South Africa, 0302 clinical medicine, Pregnancy, Environmental health, Health care, medicine, Glucose test, Humans, Mass Screening, 030212 general & internal medicine, Point-of-care test, KwaZulu-Natal, medicine.diagnostic_test, Primary Health Care, business.industry, 030503 health policy & services, Health Policy, Rural health, Public health, lcsh:Public aspects of medicine, lcsh:RA1-1270, Health services, 3. Good health, Diagnostic testing, Cross-Sectional Studies, Point-of-Care Testing, Female, Rural Health Services, 0305 other medical science, business, Primary healthcare clinics, Research Article |
| الوصف: | Background The World Health Organization (WHO) called for new clinical diagnostic for settings with limited access to laboratory services. Access to diagnostic testing may not be uniform in rural settings, which may result in poor access to essential healthcare services. The aim of this study is to determine the availability, current usage, and need for point-of-care (POC) diagnostic tests among rural primary healthcare (PHC) clinics in South Africa’s KwaZulu-Natal (KZN) province. Methods We used the KZN’s Department of Health (DoH) clinic classification to identify the 232 rural PHC clinics in KZN, South Africa. We then randomly sampled 100 of 232 rural PHC clinics. Selected health clinics were surveyed between April to August 2015 to obtain clinic-level data for health-worker volume and to determine the accessibility, availability, usage and need for POC tests. Professional healthcare workers responsible for POC testing at each clinic were interviewed to assess the awareness of POC testing. Data were survey weighted and analysed using Stata 13. Results Among 100 rural clinics, the average number of patients seen per week was 2865 ± 2231 (range 374–11,731). The average number of POC tests available and in use was 6.3 (CI: 6.2–6.5) out of a potential of 51 tests. The following POC tests were universally available in all rural clinics: urine total protein, urine leukocytes, urine nitrate, urine pregnancy, HIV antibody and blood glucose test. The average number of desired POC diagnostic tests reported by the clinical staff was estimated at 15 (CI: 13–17) per clinic. The most requested POC tests reported were serum creatinine (37%), CD4 count (37%), cholesterol (32%), tuberculosis (31%), and HIV viral load (23%). Conclusion Several POC tests are widely available and in use at rural PHC clinics in South Africa’s KZN province. However, healthcare workers have requested additional POC tests to improve detection and management of priority disease conditions. Trial registration Clinical Trials.gov Identifier: NCT02692274 Electronic supplementary material The online version of this article (10.1186/s12913-018-3207-6) contains supplementary material, which is available to authorized users. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1472-6963 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c7040c80ae83a7458ec14034a4eb856c https://ora.ox.ac.uk/objects/uuid:cc8c76de-f340-4031-ab64-b95d78b2dfd8 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....c7040c80ae83a7458ec14034a4eb856c |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14726963 |
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