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Potential use of community-based rapid diagnostic tests for febrile illnesses: Formative research in Peru and Cambodia

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dc.contributor.author Paz-Soldan Parlette, Valerie Andrea
dc.contributor.author Morrison, Amy C.
dc.contributor.author Sopheab, Heng
dc.contributor.author Schwarz, Julia
dc.contributor.author Bauer, Karin M.
dc.contributor.author Mckenney, Jennie L.
dc.contributor.author Chhea, Chhorvann
dc.contributor.author Saphonn, Vonthanak
dc.contributor.author Khuon, Dyna
dc.contributor.author Hontz, Robert D.
dc.contributor.author Gorbach, Pamina M.
dc.date.accessioned 2019-12-06T21:02:53Z
dc.date.available 2019-12-06T21:02:53Z
dc.date.issued 2019
dc.identifier.uri https://hdl.handle.net/20.500.12866/7467
dc.description.abstract In 2012, the U.S. Defense Threat Reduction Agency Joint Science and Technology Office initiated a program to develop novel point-of-need diagnostic devices for surveillance of emerging infectious diseases including dengue, malaria, plague, and melioidosis. Prior to distribution of devices to observe their correct use among community members in Iquitos, Peru, and Phnom Penh, Cambodia, research was conducted to: 1) assess acceptability of use, including the motivation to use a rapid diagnostic test (RDT) before or instead of seeking care at a health facility, 2) explore comprehension of RDT use instructions, and 3) examine possible strategies for large scale RDT distribution and use at each site. In February 2014, 9 focus group discussions (FGD) with community members and 5 FGD with health professionals were conducted in Iquitos, and 9 FGD with community members and 9 in-depth interviews with health professionals in Phnom Penh. In both places, participants agreed to use the device themselves (involving finger prick) or could identify someone who could do so in their home or neighborhood. The main incentive to RDT use in both sites was the ability for device results to be used for care facilitation (post confirmatory tests), specifically reduced wait times to be seen or obtain a diagnosis. Comprehension of RDT use instructions was assessed in Iquitos by asking some participants to apply the device to research team members; after watching a short video, most steps were done correctly. In Phnom Penh, participants were asked to describe each step after reading the instructions; they struggled with comprehension. Health professionals' main concerns in both sites were their community's ability to accurately use the test, handle complicated instructions, and safety (i.e., disposal of lancets). Health system structure and ability to use home diagnostic devices varied in the two disease endemic sites, with substantial challenges in each, suggesting the need for different strategies for RDT large scale community use, and illustrating the value of formative research before deployment of novel technologies. en_US
dc.language.iso eng
dc.publisher Public Library of Science
dc.relation.ispartofseries PLoS Neglected Tropical Diseases
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject adult en_US
dc.subject Article en_US
dc.subject Cambodia en_US
dc.subject communicable disease en_US
dc.subject community care en_US
dc.subject dengue en_US
dc.subject epidemiologist en_US
dc.subject facilitation en_US
dc.subject female en_US
dc.subject fever en_US
dc.subject finger prick en_US
dc.subject health behavior en_US
dc.subject health care en_US
dc.subject health care facility en_US
dc.subject health practitioner en_US
dc.subject hospital cost en_US
dc.subject human en_US
dc.subject malaria en_US
dc.subject male en_US
dc.subject medical student en_US
dc.subject melioidosis en_US
dc.subject motivation en_US
dc.subject neighborhood en_US
dc.subject patient attitude en_US
dc.subject Peru en_US
dc.subject plague en_US
dc.subject qualitative research en_US
dc.subject rural population en_US
dc.subject sex difference en_US
dc.subject videorecording en_US
dc.title Potential use of community-based rapid diagnostic tests for febrile illnesses: Formative research in Peru and Cambodia en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1371/journal.pntd.0007773
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.06
dc.relation.issn 1935-2735


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