Next Article in Journal
Staphylococcus aureus Bacteremia from Diffuse Muscular Infection Following Acupuncture Visualized by 18F-FDG PET/CT and MRI
Previous Article in Journal
A Score-Based Approach to 18F-FDG PET Images as a Tool to Describe Metabolic Predictors of Myocardial Doxorubicin Susceptibility
Previous Article in Special Issue
Development of Multiplexed Infectious Disease Lateral Flow Assays: Challenges and Opportunities
Article Menu
Issue 4 (December) cover image

Export Article

Open AccessReview
Diagnostics 2017, 7(4), 58; https://doi.org/10.3390/diagnostics7040058

Improving the Accessibility and Efficiency of Point-of-Care Diagnostics Services in Low- and Middle-Income Countries: Lean and Agile Supply Chain Management

1
Department of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, 4001 Durban, South Africa
2
Faculty of Health and Allied Sciences, Catholic University College of Ghana, Fiapre, Sunyani, Ghana
*
Author to whom correspondence should be addressed.
Received: 20 October 2017 / Revised: 11 November 2017 / Accepted: 14 November 2017 / Published: 29 November 2017
(This article belongs to the Special Issue Novel Point-of-Care Technologies in Diagnostics)
Full-Text   |   PDF [3967 KB, uploaded 29 November 2017]   |  

Abstract

Access to point-of-care (POC) diagnostics services is essential for ensuring rapid disease diagnosis, management, control, and surveillance. POC testing services can improve access to healthcare especially where healthcare infrastructure is weak and access to quality and timely medical care is a challenge. Improving the accessibility and efficiency of POC diagnostics services, particularly in resource-limited settings, may be a promising route to improving healthcare outcomes. In this review, the accessibility of POC testing is defined as the distance/proximity to the nearest healthcare facility for POC diagnostics service. This review provides an overview of the impact of POC diagnostics on healthcare outcomes in low- and middle-income countries (LMICs) and factors contributing to the accessibility of POC testing services in LMICs, focusing on characteristics of the supply chain management and quality systems management, characteristics of the geographical location, health infrastructure, and an enabling policy framework for POC diagnostics services. Barriers and challenges related to the accessibility of POC diagnostics in LMICs were also discussed. Bearing in mind the reported barriers and challenges as well as the disease epidemiology in LMICs, we propose a lean and agile supply chain management framework for improving the accessibility and efficiency of POC diagnostics services in these settings. View Full-Text
Keywords: accessibility; point-of-care diagnostics; low- and middle-income countries accessibility; point-of-care diagnostics; low- and middle-income countries
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Kuupiel, D.; Bawontuo, V.; Mashamba-Thompson, T.P. Improving the Accessibility and Efficiency of Point-of-Care Diagnostics Services in Low- and Middle-Income Countries: Lean and Agile Supply Chain Management. Diagnostics 2017, 7, 58.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Diagnostics EISSN 2075-4418 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top