Universidad Peruana Cayetano Heredia

Point-of-Care Testing for Anemia, Diabetes, and Hypertension: A Pharmacy-Based Model in Lima, Peru

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dc.contributor.author Saldarriaga, Enrique M.
dc.contributor.author Vodicka, Elisabeth
dc.contributor.author La Rosa, Sayda
dc.contributor.author Valderrama, Maria
dc.contributor.author Garcia Funegra, Patricia Jannet
dc.date.accessioned 2019-01-25T15:28:07Z
dc.date.available 2019-01-25T15:28:07Z
dc.date.issued 2017
dc.identifier.uri https://hdl.handle.net/20.500.12866/4724
dc.description.abstract BACKGROUND: Prevention and control of chronic diseases is a high priority for many low- and middle-income countries. This study evaluated the feasibility and acceptability of training pharmacy workers to provide point-of-care testing for 3 chronic diseases-hypertension, diabetes, and anemia-to improve disease detection and awareness through private pharmacies. METHODS: We developed a multiphase training curriculum for pharmacists and pharmacy technicians to build capacity for identification of risk factors, patient education, point-of-care testing, and referral for abnormal results. We conducted a pre-post evaluation with participants and evaluated results using Student t test for proportions. We conducted point-of-care testing with pharmacy clients and evaluated acceptability by patient characteristics (age, gender, and type of patient) using multiple logistic regression. RESULTS: In total, 72 pharmacy workers (66%) completed the full training curriculum. Pretest scores indicated that pharmacists had more knowledge and skills in chronic disease risk factors, patient education, and testing than pharmacy technicians. All participants improved their knowledge and skills after the training, and post-test scores indicated that pharmacy technicians achieved the same level of competency as pharmacists (P < .01). Additionally, 698 clients received at least 1 test during the study; 53% completed the acceptability survey. Nearly 100% thought the pharmacy could provide faster results, faster and better attention, and better access to basic screening for hypertension, diabetes, and anemia than a traditional health center. Fast service was very important: 41% ranked faster results and 30% ranked faster attention as the most important factor for receiving diagnostic testing in the pharmacy. DISCUSSION: We found that it is both feasible for pharmacies and acceptable to clients to train pharmacy workers to provide point-of-care testing for anemia, diabetes, and hypertension. This innovative approach holds potential to increase early detection of risk factors and bolster disease prevention and management efforts in Peru and other low- and middle-income settings. en_US
dc.language.iso eng
dc.publisher Levy Library Press
dc.relation.ispartofseries Annals of Global Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru en_US
dc.subject Humans en_US
dc.subject diabetes en_US
dc.subject hypertension en_US
dc.subject Patient Acceptance of Health Care en_US
dc.subject Point-of-Care Testing en_US
dc.subject anemia en_US
dc.subject Anemia/diagnosis en_US
dc.subject Diabetes Mellitus/diagnosis en_US
dc.subject Hypertension/diagnosis en_US
dc.subject Patient Education as Topic en_US
dc.subject Pharmaceutical Services/organization & administration en_US
dc.subject pharmacies en_US
dc.subject POC test en_US
dc.subject point-of-care testing en_US
dc.subject rapid test en_US
dc.title Point-of-Care Testing for Anemia, Diabetes, and Hypertension: A Pharmacy-Based Model in Lima, Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.aogh.2017.03.514
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00
dc.relation.issn 2214-9996


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