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Strategic site selection for placement of HIV early infant diagnosis point-of-care technology within a national diagnostic network in Lesotho
BACKGROUND: New technologies for rapid point-of-care (POC) diagnostic tests hold great potential for improving the health outcomes of HIV-exposed infants. POC testing for HIV early infant diagnosis (EID) was introduced in Lesotho in late 2016. Here we highlight critical requirements for selecting ro...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AOSIS
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8424766/ https://www.ncbi.nlm.nih.gov/pubmed/34522629 http://dx.doi.org/10.4102/ajlm.v10i1.1156 |
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author | Mataka, Anafi Tumbare, Esther A.J. Motsoane, Tsietso Holtzman, David Leqheka, Monkoe Phatsoane, Kolisang Sacks, Emma Isavwa, Anthony Tiam, Appolinaire |
author_facet | Mataka, Anafi Tumbare, Esther A.J. Motsoane, Tsietso Holtzman, David Leqheka, Monkoe Phatsoane, Kolisang Sacks, Emma Isavwa, Anthony Tiam, Appolinaire |
author_sort | Mataka, Anafi |
collection | PubMed |
description | BACKGROUND: New technologies for rapid point-of-care (POC) diagnostic tests hold great potential for improving the health outcomes of HIV-exposed infants. POC testing for HIV early infant diagnosis (EID) was introduced in Lesotho in late 2016. Here we highlight critical requirements for selecting routine POC EID sites to ensure a sustainable and optimised EID diagnostic network. INTERVENTION: Lesotho introduced POC EID in a phased approach that included assessments of national databases to identify sites with high test volumes, the creation of local networks of sites to potentially increase access to POC EID, and a standardised capacity assessment to determine site readiness. Potential site networks comprising ‘hub’ testing sites and ‘spoke’ specimen referring sites were created. LESSONS LEARNT: After determining optimal placement, a total of 29 testing facilities were selected for placement of POC EID to potentially increase access to 189 facilities through the use of a hub-and-spoke model. Site capacity assessments identified vital human resources and infrastructure capacity gaps that needed to be addressed before introducing POC EID and informed appropriate POC platform selection. RECOMMENDATIONS: POC placement involves more than just purchasing the testing platforms. Considering the relatively small proportion of sites that can be eligible for placement of a POC platform, utilising a hub-and-spoke model can maximise the number of health facilities served by a POC platform while reducing the necessary capacity building and infrastructure investments to fewer sites. |
format | Online Article Text |
id | pubmed-8424766 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | AOSIS |
record_format | MEDLINE/PubMed |
spelling | pubmed-84247662021-09-13 Strategic site selection for placement of HIV early infant diagnosis point-of-care technology within a national diagnostic network in Lesotho Mataka, Anafi Tumbare, Esther A.J. Motsoane, Tsietso Holtzman, David Leqheka, Monkoe Phatsoane, Kolisang Sacks, Emma Isavwa, Anthony Tiam, Appolinaire Afr J Lab Med Lessons from the Field BACKGROUND: New technologies for rapid point-of-care (POC) diagnostic tests hold great potential for improving the health outcomes of HIV-exposed infants. POC testing for HIV early infant diagnosis (EID) was introduced in Lesotho in late 2016. Here we highlight critical requirements for selecting routine POC EID sites to ensure a sustainable and optimised EID diagnostic network. INTERVENTION: Lesotho introduced POC EID in a phased approach that included assessments of national databases to identify sites with high test volumes, the creation of local networks of sites to potentially increase access to POC EID, and a standardised capacity assessment to determine site readiness. Potential site networks comprising ‘hub’ testing sites and ‘spoke’ specimen referring sites were created. LESSONS LEARNT: After determining optimal placement, a total of 29 testing facilities were selected for placement of POC EID to potentially increase access to 189 facilities through the use of a hub-and-spoke model. Site capacity assessments identified vital human resources and infrastructure capacity gaps that needed to be addressed before introducing POC EID and informed appropriate POC platform selection. RECOMMENDATIONS: POC placement involves more than just purchasing the testing platforms. Considering the relatively small proportion of sites that can be eligible for placement of a POC platform, utilising a hub-and-spoke model can maximise the number of health facilities served by a POC platform while reducing the necessary capacity building and infrastructure investments to fewer sites. AOSIS 2021-08-24 /pmc/articles/PMC8424766/ /pubmed/34522629 http://dx.doi.org/10.4102/ajlm.v10i1.1156 Text en © 2021. The Authors https://creativecommons.org/licenses/by/4.0/Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License. |
spellingShingle | Lessons from the Field Mataka, Anafi Tumbare, Esther A.J. Motsoane, Tsietso Holtzman, David Leqheka, Monkoe Phatsoane, Kolisang Sacks, Emma Isavwa, Anthony Tiam, Appolinaire Strategic site selection for placement of HIV early infant diagnosis point-of-care technology within a national diagnostic network in Lesotho |
title | Strategic site selection for placement of HIV early infant diagnosis point-of-care technology within a national diagnostic network in Lesotho |
title_full | Strategic site selection for placement of HIV early infant diagnosis point-of-care technology within a national diagnostic network in Lesotho |
title_fullStr | Strategic site selection for placement of HIV early infant diagnosis point-of-care technology within a national diagnostic network in Lesotho |
title_full_unstemmed | Strategic site selection for placement of HIV early infant diagnosis point-of-care technology within a national diagnostic network in Lesotho |
title_short | Strategic site selection for placement of HIV early infant diagnosis point-of-care technology within a national diagnostic network in Lesotho |
title_sort | strategic site selection for placement of hiv early infant diagnosis point-of-care technology within a national diagnostic network in lesotho |
topic | Lessons from the Field |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8424766/ https://www.ncbi.nlm.nih.gov/pubmed/34522629 http://dx.doi.org/10.4102/ajlm.v10i1.1156 |
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