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Operations research study to implement HIV and syphilis point-of-care tests and assess client perceptions in a marginalised area of Lima, Peru.

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      Abstract

      In Peru, a significant proportion of people tested for HIV and syphilis do not receive timely results. Our objective was to assess the institutional feasibility of implementing simultaneous HIV/syphilis point-of-care tests and client perceptions regarding these point-of-care tests. Point-of-care tests were implemented in a hospital consultation room in a marginalised zone of Lima. A time-series design was used to compare the proportion of tested clients who received timely results, with and without the point-of-care test intervention. Experience and satisfaction with point-of-care tests was evaluated with 149 people. In the 6 months without intervention, 69% and 61% of clients tested for HIV and syphilis, respectively, received their results within the required 45-minute window. During the 2-month point-of-care test intervention, all clients tested for HIV (n = 387) and syphilis (n = 398) received their results within 45 minutes. All clients surveyed were completely satisfied (52%) or satisfied (48%) with the simultaneous HIV/syphilis point-of-care test screening process. Additionally, 73% strongly agreed with the statement 'I feel satisfied with the rapid testing process.' Screening using point-of-care tests represents an important opportunity to reduce the time, resource and cost burden for users and institutions and increase the proportion of users receiving their test results in a timely manner.

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      Affiliations
      [1 ] Postgraduate School, Universidad Peruana Cayetano Heredia, Peru School of Medicine, Universidad de San Martin de Porres, Peru elaineflores22@hotmail.com.
      [2 ] Hospital Carlos Lanfranco La Hoz, Peru.
      [3 ] School of Public Health and Administration, Universidad Peruana Cayetano Heredia, Peru.
      [4 ] Dirección Regional de Salud Pasco, Peru.
      [5 ] School of Public Health and Administration, Universidad Peruana Cayetano Heredia, Peru Division of Infectious Diseases, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
      Journal
      Int J STD AIDS
      International journal of STD & AIDS
      SAGE Publications
      1758-1052
      0956-4624
      Sep 2015
      : 26
      : 10
      25258394 0956462414552696 10.1177/0956462414552696 4406805 NIHMS661488

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