Integrated point-of-care testing (POCT) for HIV, syphilis, malaria and anaemia at antenatal facilities in western Kenya: a qualitative study exploring ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-12

AUTHORS

Nicole Young, Florence Achieng, Meghna Desai, Penelope Phillips-Howard, Jenny Hill, George Aol, Godfrey Bigogo, Kayla Laserson, Feiko Ter Kuile, Miriam Taegtmeyer

ABSTRACT

BACKGROUND: HIV, syphilis, malaria and anaemia are leading preventable causes of adverse pregnancy outcomes in sub-Saharan Africa yet testing coverage for conditions other than HIV is low. Availing point-of-care tests (POCTs) at rural antenatal health facilities (dispensaries) has the potential to improve access and timely treatment. Fundamental to the adoption of and adherence to new diagnostic approaches are healthcare workers' and pregnant women's (end-users) buy-in. A qualitative approach was used to capture end-users' experiences of using POCTs for HIV, syphilis, malaria and anaemia to assess the appropriateness, acceptability and feasibility of integrated testing for ANC. METHODS: Seven dispensaries were purposively selected to implement integrated point-of-care testing for eight months in western Kenya. Semi-structured interviews were conducted with 18 healthcare workers (14 nurses, one clinical officer, two HIV testing counsellors, and one laboratory technician) who were trained, had experience doing integrated point-of-care testing, and were still working at the facilities 8-12 months after the intervention began. The interviews explored acceptability and relevance of POCTs to ANC, challenges with testing, training and supervision, and healthcare workers' perspectives of client experiences. Twelve focus group discussions with 118 pregnant women who had attended a first ANC visit at the study facilities during the intervention were conducted to explore their knowledge of HIV, syphilis, malaria, and anaemia, experience of ANC point-of-care testing services, treatments received, relationships with healthcare workers, and experience of talking to partners about HIV and syphilis results. RESULTS: Healthcare workers reported that they enjoyed gaining new skills, were enthusiastic about using POCTs, and found them easy to use and appropriate to their practice. Initial concerns that performing additional testing would increase their workload in an already strained environment were resolved with experience and proficiency with the testing procedures. However, despite having the diagnostic tools, general health system challenges such as high client to healthcare worker volume ratio, stock-outs and poor working conditions challenged the delivery of adequate counselling and management of the four conditions. Pregnant women appreciated POCTs, but reported poor healthcare worker attitudes, drug stock-outs, and fear of HIV disclosure to their partners as shortcomings to their ANC experience in general. CONCLUSION: This study provides insights on the acceptability, appropriateness, and feasibility of integrating POCTs into ANC services among end-users. While the innovation was desired and perceived as beneficial, future scale-up efforts would need to address health system weaknesses if integrated testing and subsequent effective management of the four conditions are to be achieved. More... »

PAGES

74

References to SciGraph publications

  • 2016-12. Challenges with implementing malaria rapid diagnostic tests at primary care facilities in a Ghanaian district: a qualitative study in MALARIA JOURNAL
  • 2012-12. Early experiences on the feasibility, acceptability, and use of malaria rapid diagnostic tests at peripheral health centres in Uganda-insights into some barriers and facilitators in IMPLEMENTATION SCIENCE
  • 2014-05. A quasi-experimental assessment of the effectiveness of the Community Health Strategy on health outcomes in Kenya in BMC HEALTH SERVICES RESEARCH
  • 2013-12. Timing and reasons for coming late for the first antenatal care visit by pregnant women at Mulago hospital, Kampala Uganda in BMC PREGNANCY AND CHILDBIRTH
  • 2016-12. Achieving development goals for HIV, tuberculosis and malaria in sub-Saharan Africa through integrated antenatal care: barriers and challenges in BMC MEDICINE
  • 2017-12. “We are toothless and hanging, but optimistic”: sub county managers’ experiences of rapid devolution in coastal Kenya in INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
  • 2010-12. How can malaria rapid diagnostic tests achieve their potential? A qualitative study of a trial at health facilities in Ghana in MALARIA JOURNAL
  • 2006-12. Use of antenatal services and delivery care among women in rural western Kenya: a community based survey in REPRODUCTIVE HEALTH
  • 2008-12. Investment in HIV/AIDS programs: Does it help strengthen health systems in developing countries? in GLOBALIZATION AND HEALTH
  • 2013-12. Perspectives of men on antenatal and delivery care service utilisation in rural western Kenya: a qualitative study in BMC PREGNANCY AND CHILDBIRTH
  • 2011-03. Outcomes for Implementation Research: Conceptual Distinctions, Measurement Challenges, and Research Agenda in ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/s12913-018-3844-9

    DOI

    http://dx.doi.org/10.1186/s12913-018-3844-9

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1111755129

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/30691447


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