HIV Clinical Trial
Official title:
Evaluating the Accessibility and Utility of HIV-related Point of Care Diagnostic for Maternal Health in Rural South Africa
Diagnostic point-of-care (POC) tests are being rapidly developed and implemented in resource-limited settings. There has been a rapid rise of HIV and TB POC tests in South Africa during the last 10-15 years. The investigators sought to determine the existing availability, current usage and future need of POC tests among rural primary healthcare (PHC) clinics in South Africa's KwaZulu-Natal Province.
Several new diagnostics generation devices are specifically designed to assist clinical
staff replacing the equivalent laboratory tests and allowing a wide range of disease
diagnoses to be performed immediately at the POC. The clinical impact of POC diagnostics has
been shown in a variety of diseases conditions, particularly HIV/AIDS and TB. The World
Health Organisation (WHO) called for new clinical diagnostics methods that are designed to
function in setting with limited access to laboratory services. Thus, leading to an increase
in marketing, manufacturing and development of POC diagnostics instruments and reagents for
use in clinical POC. The advent of POC tests in South Africa has led to an improved control
of infectious diseases such as HIV and mycobacterium tuberculosis (TB), in this era of
drug-resistance. Increased availability of POC test in rural and resource-limited settings
is encouraged.
To maximize the impact of novel diagnostics on patient outcomes in resource-limited
settings, the implementation of new diagnostics must be performed within a given context and
culture. However, the population-level of diagnostic utility in South Africa is not known.
The investigators aim to estimate the level of POC diagnostic availability, usage and need
in rural South Africa, using a cross sectional survey of rural primary healthcare (PHC)
clinics in KwaZulu Natal (KZN). The survey focused on the conditions for which the
respondent considered a POC test might help improve their clinical decision making during
patient care. Determining the current accessibility, availability, usage and need for POC
diagnostics in rural and resource limited settings can help inform developers and
implementers of POC diagnostic services on context-specific deployment and implementation of
POC diagnostics to address the unmet needs of patients in these settings.
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