Increased utilisation of PEPFAR-supported laboratory services by non-HIV patients in Tanzania
Afr. j. lab. med. (Online)
;
5(1): 1-7, 2016. ilus
Article
in English
| AIM
| ID: biblio-1257314
ABSTRACT
Background:
It is unknown to what extent the non-HIV population utilises laboratories supported by the President's Emergency Plan for AIDS Relief (PEPFAR).Objectives:
We aimed to describe the number and proportion of laboratory tests performed in 2009 and 2011 for patients referred from HIV and non-HIV services (NHSs )in a convenience sample collected from 127 laboratories supported by PEPFAR in Tanzania. We then compared changes in the proportions of tests performed for patients referred from NHSs in 2009 vs 2011.Methods:
Haematology; chemistry; tuberculosis and syphilis test data were collected from available laboratory registers. Referral sources; including HIV services; NHSs; or lack of a documented referral source; were recorded. A generalised linear mixed model reported the odds that a test was from a NHS.Results:
A total of 94 132 tests from 94 laboratories in 2009 and 157 343 tests from 101 laboratories in 2011 were recorded. Half of all tests lacked a documented referral source. Tests from NHSs constituted 42% (66 084) of all tests in 2011; compared with 31% (29 181) in 2009. A test in 2011 was twice as likely to have been referred from a NHS as in 2009 (adjusted odds ratio 2.0 [95% confidence interval 2.0-2.1]).Conclusion:
Between 2009 and 2011; the number and proportion of tests from NHSs increased across all types of test. This finding may reflect increased documentation of NHS referrals or that the laboratory scale-up originally intended to service the HIV-positive population in Tanzania may be associated with a 'spillover effect' amongst the general population
Full text:
Available
Index:
AIM (Africa)
Main subject:
Tanzania
/
Patient Acceptance of Health Care
/
HIV Seronegativity
/
Laboratories
/
National Health Programs
Type of study:
Prognostic study
Country/Region as subject:
Africa
Language:
English
Journal:
Afr. j. lab. med. (Online)
Year:
2016
Type:
Article
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