External quality assessment in the voluntary counseling and testing centers in the Brazilian Amazon using dried tube specimens: results of an effectiveness evaluation
| Autor: | Andréa Mônica Brandão Beber, Meritxell Sabidó, Janete Maria Rebelo Vieira, Adele Schwartz Benzaken, Maria Luiza Bazzo |
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| Rok vydání: | 2014 |
| Předmět: |
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 |
| Zdroj: | 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 |
| ISSN: | 1678-9849 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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