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Bedside paediatric HIV testing in Malawi : impact on testing rates
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dc.contributor.author | Macken, Marita | |
dc.contributor.author | Chan, James | |
dc.contributor.author | O'Hare, Bernadette | |
dc.contributor.author | Thornton, Hannah V. | |
dc.contributor.author | Dube, Queen | |
dc.contributor.author | Kennedy, Neil | |
dc.date.accessioned | 2017-11-13T11:30:08Z | |
dc.date.available | 2017-11-13T11:30:08Z | |
dc.date.issued | 2017 | |
dc.identifier | 251518325 | |
dc.identifier | 9daef4eb-0ce9-4cea-882c-c54e709c9f7c | |
dc.identifier | 85033602804 | |
dc.identifier | 000418766200002 | |
dc.identifier.citation | Macken , M , Chan , J , O'Hare , B , Thornton , H V , Dube , Q & Kennedy , N 2017 , ' Bedside paediatric HIV testing in Malawi : impact on testing rates ' , Malawi Medical Journal , vol. 29 , no. 3 , pp. 237-239 . https://doi.org/10.4314/mmj.v29i3.2 | en |
dc.identifier.issn | 1995-7262 | |
dc.identifier.other | ORCID: /0000-0003-1730-7941/work/54819251 | |
dc.identifier.uri | https://hdl.handle.net/10023/12065 | |
dc.description.abstract | Background : Provider initiated testing and counselling (PITC) is recommended for all inpatients in Malawi if they have not been tested in the previous 3 months. However testing rates remain low among children. We audited the effect of implementing a bedside diagnostic HIV testing service to determine if it would improve testing rates amongst paediatric inpatients. Methods : We audited the existing HIV testing service to determine the numbers of children being tested for HIV. This was followed by the introduction of a bedside diagnostic service followed by re-audit. Bedside testing was facilitated by health systems strengthening measures including identification of suitable counsellors, appropriate supervision and remuneration. Results : In the initial audit in March-April 2014, 85 (63%) of 135 children had documented HIV tests.. Following implementation of the bedside HIV testing service, there was a significant increase in the proportion of children whose HIV status was known. On re-audit in July 2015, 110 (94.8%) of 116 children had documented HIV tests (p<0.001). Of those with documented tests, 94.5% had been tested within the last 3-months compared to 61% in 2014. Following the introduction of the service, the proportion of children tested for HIV during admission increased from 31.9% to 68.1% (p<0.001). Conclusions : Implementation of a bedside testing service at Queen Elizabeth Central Hospital significantly increased HIV testing among paediatric inpatients. This has important implications in establishing earlier treatment, reducing HIV-associated morbidity and mortality. | |
dc.format.extent | 3 | |
dc.format.extent | 293622 | |
dc.language.iso | eng | |
dc.relation.ispartof | Malawi Medical Journal | en |
dc.subject | RJ101 Child Health. Child health services | en |
dc.subject | RA0421 Public health. Hygiene. Preventive Medicine | en |
dc.subject | NDAS | en |
dc.subject | SDG 3 - Good Health and Well-being | en |
dc.subject.lcc | RJ101 | en |
dc.subject.lcc | RA0421 | en |
dc.title | Bedside paediatric HIV testing in Malawi : impact on testing rates | en |
dc.type | Journal article | en |
dc.contributor.institution | University of St Andrews. School of Medicine | en |
dc.contributor.institution | University of St Andrews. Global Health Implementation Group | en |
dc.contributor.institution | University of St Andrews. Infection and Global Health Division | en |
dc.identifier.doi | 10.4314/mmj.v29i3.2 | |
dc.description.status | Peer reviewed | en |
dc.identifier.url | http://www.mmj.mw/?p=6271 | en |
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