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External quality assessment in the voluntary counseling and testing centers in the Brazilian Amazon using dried tube specimens: results of an effectiveness evaluation
- Source :
- Revista da Sociedade Brasileira de Medicina Tropical, Vol 48, Iss suppl 1, Pp 87-97 (2015), Revista da Sociedade Brasileira de Medicina Tropical, Volume: 48 Supplement 1, Pages: 87-97, Published: JUN 2015, Revista da Sociedade Brasileira de Medicina Tropical v.48 suppl.1 2015, Revista da Sociedade Brasileira de Medicina Tropical, Sociedade Brasileira de Medicina Tropical (SBMT), instacron:SBMT
- Publication Year :
- 2014
-
Abstract
- INTRODUCTION : In 2011, the Brazilian Ministry of Health rolled out a program for the external quality assessment of rapid human immunodeficiency virus (HIV) tests using the dried tube specimen (DTS) method (EQA-RT/DTS-HIV). Our objective was to evaluate the implementation of this program at 71 voluntary counseling and testing centers (VCTCs) in the Brazilian Legal Amazonian area one year after its introduction. METHODS : Quantitative and qualitative study that analyzed secondary data and interviews with healthcare workers (HCWs) (n=39) and VCTC coordinators (n=32) were performed. The assessment used 18 key indicators to evaluate the three dimensions of the program's logical framework: structure, process, and result. Each indicator was scored from 1-4, and the aggregate results corresponding to the dimensions were expressed as proportions. The results were compared to the perceptions of the HCWs and coordinators regarding the EQA-RT/DTS-HIV program. RESULTS: The aggregate scores for the three dimensions of structure, process, and result were 91.7%, 78.6%, and 95%, respectively. The lowest score in each dimension corresponded to a different indicator: access to Quali-TR online system 39% (structure), registration in Quali-TR online system 38.7% (process), and VCTC completed the full process in the program's first round 63.4% (result). Approximately 36% of the HCWs and 52% of the coordinators reported enhanced trust in the program for its rapid HIV testing performance. CONCLUSIONS: All three program dimensions exhibited satisfactory results (>75%). Nevertheless, the study findings highlight the need to improve certain program components. Additionally, long-term follow-ups is needed to provide a more thorough picture of the process for external quality assessment.
- Subjects :
- Microbiology (medical)
Program evaluation
Counseling
medicine.medical_specialty
lcsh:Arctic medicine. Tropical medicine
Quality Assurance, Health Care
lcsh:RC955-962
Voluntary counseling and testing
Human immunodeficiency virus (HIV)
Rapid tests
HIV Infections
Hiv testing
medicine.disease_cause
External quality assessment
Health care
Medicine
Humans
Dried tube specimens
Voluntary counseling and testing centers
Data collection
business.industry
HIV
Infectious Diseases
Family medicine
Parasitology
Dried Blood Spot Testing
business
Brazil
Qualitative research
Subjects
Details
- ISSN :
- 16789849
- Volume :
- 48
- Database :
- OpenAIRE
- Journal :
- Revista da Sociedade Brasileira de Medicina Tropical
- Accession number :
- edsair.doi.dedup.....670d0a71d0378949fe6f9629389dee49