Potential point of care tests (POCTs) for maternal health in Peru, perspectives of pregnant women and their partners

Reproductive Health

Patricia J García¹  Mercedes Zevallos¹  Lizzete Najarro¹  Angela M Bayer¹ 

[1] Facultad de Salud Pública y Administración, Universidad Peruana Cayetano Heredia, Lima, Peru

关键词: Qualitative;    Peru;    Community members;    Antenatal care;    Maternal health;    Point-of-care diagnostic tests;   

Others  :  805084
DOI  :  10.1186/1742-4755-11-5

 received in 2013-07-15, accepted in 2014-01-07,  发布年份 2014

【 摘 要 】

Background

Globally, no qualitative studies have explored the perspectives of women and their partners about the integration of technology – and specifically diagnostic testing technologies – into antenatal care. The study objective was to describe the demand side for pregnancy-related diagnostic tests from the perspective of Peruvian consumers, including female and male community members, by engaging participants about their awareness of and care-seeking for pregnancy-related diagnostic tests and their preferred characteristics and testing conditions for pregnancy-related point-of-care diagnostic tests (POCTs).

Methods

Sixty-seven mothers and fathers of children under one from the peri-urban coast and the peri-urban and rural highlands and jungle of Peru participated in ten focus groups.

Results

Participants think that pregnancy-related diagnostic tests are important and they and their fellow community members are committed to ensuring that pregnant women receive the tests they need. Participants expressed clear demands for pregnancy-related POCTs, including important characteristics for the tests themselves (certification, rapid, reliable results) and for test implementation (well-trained, personable good communicators as test administrators at well-equipped, convenient testing sites). Participants emphasized the importance of short waiting times and explained that many people have some ability to pay for POCTs, particularly if they are innovative, rapid or multiplex.

Conclusions

Engaging future POCT users as consumers who are able to make key decisions about the development and implementation of pregnancy-related POCTs is valuable and informative.

【 授权许可】

   
2014 Bayer et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]World Health Organization (WHO): Integrated management of pregnancy and childbirth. WHO recommended interventions for improving maternal and child health. Geneva: WHO; 2009.
• [2]World Health Organization (WHO): World health statistics 2012 [internet]. Geneva: WHO; 2012. Available from: http://www.who.int/gho/publications/world_health_statistics/2012/en/ webcite
• [3]World Health Organization (WHO): Pregnancy, childbirth, postpartum and newborn care: a guide for essential practice. Geneva: WHO; 2006.
• [4]Ministerio de Salud (MINSA): Guías Nacionales de Atención Integral de Salud Sexual y Reproductiva. Lima, Perú: MINSA; 2004.
• [5]Instituto Nacional de Estadística e Informática (INEI): Perú. Encuesta Demográfica y de Salud Familiar 2012. Lima, Perú: INEI; 2012.
• [6]Ministerio de Salud (MINSA): Resolución ministerial 084–2005. Lima, Perú: MINSA; 2005.
• [7]García PJ, Cárcamo CP, Chiappe M, Valderrama M, La Rosa S, Holmes KK, et al.: Rapid syphilis tests as catalysts for health systems strengthening: a case study from Peru. PLoS ONE 2013, 8(6):e66905.
• [8]Finlayson K, Downe S: Why do women not use antenatal services in low- and middle-income countries? A meta-synthesis of qualitative studies. PLoS Med 2013, 10(1):e1001373.
• [9]Villar J, Ba’aqeel H, Piaggio G, Lumbiganon P, Miguel Belizán J, Farnot U, et al.: WHO antenatal care randomised trial for the evaluation of a new model of routine antenatal care. Lancet 2001, 357(9268):1551-1564.
• [10]Nigenda G, Langer A, Kuchaisit C, Romero M, Rojas G, Al-Osimy M, et al.: Womens’ opinions on antenatal care in developing countries: results of a study in Cuba, Thailand, Saudi Arabia and Argentina. BMC Public Health 2003, 3:17. BioMed Central Full Text
• [11]Grand Challenges Canada/Grand Défis Canada: Integrated innovation. Canada: Grand Challenges Canada; 2010.
• [12]Alcalde-Rabanal JE, Lazo-González O, Nigenda G: The health system of Peru. Salud Publica Mex 2011, 53(Suppl 2):s243-s254.
• [13]Peeling RW, Mabey D: Point-of-care tests for diagnosing infections in the developing world. Clin Microbiol Infect 2010, 16(8):1062-1069.
• [14]Campbell OMR, Graham WJ: Strategies for reducing maternal mortality: getting on with what works. Lancet 2006, 368(9543):1284-1299.
• [15]Mabey DC, Sollis KA, Kelly HA, Benzaken AS, Bitarakwate E, Changalucha J, et al.: Point-of-care tests to strengthen health systems and save newborn lives: the case of syphilis. PLoS Med 2012, 9(6):e1001233.
• [16]Pai NP, Vadnais C, Denkinger C, Engel N, Pai M: Point-of-care testing for infectious diseases: diversity, complexity, and barriers in low- and middle-income countries. PLoS Med 2012, 9(9):e1001306.