Lessons learned from integrating simultaneous triple point-of-care screening for syphilis hepatitis B and HIV in prenatal services through rural outreach teams in Guatemala.
作者： Adriana Smith , Meritxell Sabidó , Elsy Camey , Anabelle Batres , Jordi Casabona
DOI: 10.1016/J.IJGO.2015.04.009
关键词: Rural area 、 Family medicine 、 Outreach 、 Partner notification 、 Health care 、 Nursing 、 Syphilis 、 Medicine 、 Hepatitis B 、 Population 、 Hepatitis
摘要: Mother-to-child-transmission of HIV syphilis and hepatitis B virus (HBV) remains a challenge in Guatemala especially rural regions. A triple antenatal screening program for these infections using point-of-care (POC) testing offered through outreach teams was implemented the municipality Puerto de San Jose. One year following implementation care coverage increased to 99.6% (32.5% increase P < 0.001) uptake 50.3% (143.9% (P 1.3% = 0.89) respectively) HBV from 0 42.2%. Lessons learned showed that despite expansion POC shortage healthcare workers poor supply chain management limited uptake. Moreover training is essential help health overcome their fear communicating positive results improve partner notification. Engagement community build local capacity facilitate acceptance. Copyright © 2015 International Federation Gynecology Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
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