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Diagnostics 2017, 7(1), 3; doi:10.3390/diagnostics7010003

Implementation of Point-of-Care Diagnostics in Rural Primary Healthcare Clinics in South Africa: Perspectives of Key Stakeholders

1
Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban 4001, South Africa
2
Discipline of Rural Health, School of Nursing and Public Health, University of KwaZulu-Natal, Durban 4001, South Africa
3
International Clinical Research Center, Department of Global Health, University of Washington, Seattle, WA 98105, USA
4
Division of Infectious Diseases, Department of Medicine, University of Washington, Seattle, WA 98105, USA
5
Department of Epidemiology, University of Washington, Seattle, WA 98105, USA
6
Department of Surgery, Massachusetts General Hospital, Boston, MA 02114, USA
7
Department of Maths, Science and Technology, Embury Institute, Durban, 4001, South Africa
*
Author to whom correspondence should be addressed.
Academic Editor: Sandeep Kumar Vashist
Received: 29 October 2016 / Revised: 9 December 2016 / Accepted: 27 December 2016 / Published: 8 January 2017
(This article belongs to the Special Issue Novel Point-of-Care Technologies in Diagnostics)
View Full-Text   |   Download PDF [1824 KB, uploaded 8 January 2017]   |  

Abstract

Introduction: Key stakeholders’ involvement is crucial to the sustainability of quality point-of-care (POC) diagnostics services in low-and-middle income countries. The aim of this study was to explore key stakeholder perceptions on the implementation of POC diagnostics in rural primary healthcare (PHC) clinics in South Africa. Method: We conducted a qualitative study encompassing in-depth interviews with multiple key stakeholders of POC diagnostic services for rural and resource-limited PHC clinics. Interviews were digitally recorded and transcribed verbatim prior to thematic content analysis. Thematic content analysis was conducted using themes guided by the World Health Organisation (WHO) quality-ASSURED (Affordable, Sensitive, Specific, User friendly, Rapid and to enable treatment at first visit and Robust, Equipment free and Delivered to those who need it) criteria for POC diagnostic services in resource-limited settings. Results: 11 key stakeholders participated in the study. All stakeholders perceived the main advantage of POC diagnostics as enabling access to healthcare for rural patients. Stakeholders perceived the current POC diagnostic services to have an ability to meet patients’ needs, but recommended further improvement of the following areas: research on cost-effectiveness; improved quality management systems; development of affordable POC diagnostic and clinic-based monitoring and evaluation. Conclusions: Key stakeholders of POC diagnostics in rural PHC clinics in South Africa highlighted the need to assess affordability and ensure quality assurance of current services before adopting new POC diagnostics and scaling up current POC diagnostics. View Full-Text
Keywords: point-of-care diagnostics; performance; primary healthcare clinic; key stakeholders point-of-care diagnostics; performance; primary healthcare clinic; key stakeholders
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MDPI and ACS Style

Mashamba-Thompson, T.P.; Jama, N.A.; Sartorius, B.; Drain, P.K.; Thompson, R.M. Implementation of Point-of-Care Diagnostics in Rural Primary Healthcare Clinics in South Africa: Perspectives of Key Stakeholders. Diagnostics 2017, 7, 3.

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