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Acceptability and feasibility of point-of-care CD4 testing on HIV continuum of care in low and middle income countries: a systematic review

Overview of attention for article published in BMC Health Services Research, August 2016
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Title
Acceptability and feasibility of point-of-care CD4 testing on HIV continuum of care in low and middle income countries: a systematic review
Published in
BMC Health Services Research, August 2016
DOI 10.1186/s12913-016-1588-y
Pubmed ID
Authors

Minh D. Pham, Paul A. Agius, Lorena Romero, Peter McGlynn, David Anderson, Suzanne M. Crowe, Stanley Luchters

Abstract

CD4 testing is, and will remain an important part of HIV treatment and care in low and middle income countries (LMICs). We report the findings of a systematic review assessing acceptability and feasibility of POC CD4 testing in field settings. Electronic databases were searched for studies published in English between 2005 and 2015 that describe POC CD4 platforms. Studies conducted in LMICs and under field conditions outside a laboratory environment were eligible. Qualitative and descriptive data analysis was used to present the findings. Twelve studies were included, 11 of which were conducted in sub-Saharan countries and used one POC CD4 test (The Alere Pima CD4). Patients reported positively regarding the implementation of POC CD4 testing at primary health care and community level with ≥90 % of patients accepting the test across various study settings. Health service providers expressed preference toward POC CD4 testing as it is easy-to-use, efficient and satisfied patients' needs to a greater extent as compared to conventional methods. However, operational challenges including preference toward venous blood rather than finger-prick sampling, frequent device failures and operator errors, quality of training for test operators and supervisors, and increased staff workload were also identified. POC CD4 testing seems acceptable and feasible in LIMCs under field conditions. Further studies using different POC CD4 tests available on the market are required to provide critical data to support countries in selection and implementation of appropriate POC CD4 technologies.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 87 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 1 1%
Unknown 86 99%

Demographic breakdown

Readers by professional status Count As %
Researcher 12 14%
Student > Master 10 11%
Student > Bachelor 9 10%
Student > Ph. D. Student 8 9%
Other 7 8%
Other 15 17%
Unknown 26 30%
Readers by discipline Count As %
Medicine and Dentistry 20 23%
Nursing and Health Professions 10 11%
Social Sciences 6 7%
Immunology and Microbiology 4 5%
Agricultural and Biological Sciences 4 5%
Other 18 21%
Unknown 25 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 September 2016.
All research outputs
#12,844,367
of 22,881,964 outputs
Outputs from BMC Health Services Research
#4,224
of 7,651 outputs
Outputs of similar age
#189,184
of 366,909 outputs
Outputs of similar age from BMC Health Services Research
#129
of 224 outputs
Altmetric has tracked 22,881,964 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% of other outputs scored the same or lower than it.
So far Altmetric has tracked 7,651 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one is in the 44th percentile – i.e., 44% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 366,909 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 224 others from the same source and published within six weeks on either side of this one. This one is in the 41st percentile – i.e., 41% of its contemporaries scored the same or lower than it.