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Integrating HIV, syphilis, malaria and anaemia point-of-care testing (Poct) for antenatal care at dispensaries in western Kenya

Discrete-event simulation modelling of operational impact

Bibliographic Data

ID15367503
AuthorsNicole Young (0000-0002-0938-1802, Liverpool School of Tropical Medicine, corresponding author), M Taetgmeyer (University of Liverpool), Garazi Zulaika (0000-0003-1452-6225, Liverpool School of Tropical Medicine), George Aol (0000-0002-1138-8149, Kenya Medical Research Institute), Mahesh M Desai (0000-0001-6616-0945, Division of Parasitic Diseases and Malaria), M Desai, Feiko Ter Kuile (Liverpool School of Tropical Medicine), Ivor Langley (0000-0002-9275-6731, Liverpool School of Tropical Medicine)
Year2019
Volume19
Issue1
Pages1629-1629
Publication date2019-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMC Public Health (JOURNAL)
Journal identifiersISSN: 1471-2458 • E-ISSN: 1471-2458
PublisherBioMed Central (PUBLISHER • GB)
DOI10.1186/s12889-019-7739-4
PMID31795999
OpenAlexW2994546167
LanguageEN
Citations received1
References cited39

The intervention had a modest overall impact on wait times and length-of-stay for women seeking MCH services while ensuring pregnant women received essential diagnostic testing. Nurse utilization rates fluctuated among days: nurses experienced spikes in workload on some days but were under-utilized on the majority of days. Overall, our model suggests there was sufficient time to deliver all WHO's required ANC activities and offer integrated testing for ANC first and re-visits with the current number of healthcare staff. Further investigations on improving healthcare worker, availability, performance and quality of care are needed. Delivering four point-of-care tests together for ANC at dispensary level would be a low burden strategy to improve ANC

Dispensary · Family medicine · Human immunodeficiency virus (HIV · Medical emergency · Point of care · Point-of-care testing · Syphilis · Workload · Census and Population Estimation · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Medicine · Nursing · Emergency Medicine · Immunology · Pediatrics

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Unique citing works1
Citations per year0,5
Citation span2024 - 2024 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1
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