Point-of-Care Early Infant Diagnosis Data Dashboard

To explore country specific POC EID data, click on a country tab or within the interactive map in the large blue tile on the right. The rest of the tile will highlight data for that specific country.

 

 

POC EID Data Dashboard: The Point-of Care Early Infant Diagnosis (POC EID) Data Dashboard is an interactive data visualization tool summarizing key findings from nine project countries that have introduced innovative point-of-care testing technologies. The large blue tile on the left compares data for key service delivery indicators using conventional EID, prior to implementing POC EID with prospective POC EID data, routinely collected post-intervention, in all project sites. Data for Conventional EID was extracted from the literature while the Project completes its own baseline data collection across intervention countries. Routine prospective data is refreshed daily to have the most up-to-date information.

 

POC EID Project Background: In 2015, EGPAF was awarded funding by UNITAID to implement the “Optimization of early infant diagnosis (EID) networks through introduction of point-of-care (POC) EID to increase the number of infants tested and initiated on antiretroviral treatment (ART): Creating a market for affordable, effective and equitable HIV testing of exposed infants” project (2015 – 2019). The overarching goal of this project is to increase the number of HIV-positive infants whose HIV status is known in order to facilitate early ART initiation by providing HIV-exposed infants (HEI) with timely access to EID of HIV through the incorporation of POC EID into national EID testing networks in nine countries: Cameroon, Côte d’Ivoire, Kenya, Lesotho, Mozambique, Rwanda, Swaziland, Zambia, and Zimbabwe. In all project countries, POC testing for EID will be incorporated into the existing lab network in order to develop a strategic mix of both conventional and point-of-care testing and, thereby, optimize the functioning of the national EID network.


Foot notes:

  1. Turnaround time for results to caregiver for conventional EID consists of a range of median number of days between blood sample drawn to receipt of results to caregiver, extracted from the literature.
  2. As of July 21, 2017, prospective data is available for Cameroon, Cote D’Ivoire, Lesotho, Mozambique, Rwanda, Swaziland and Zimbabwe.
  3. Hub and Spoke model vs. Stand-alone testing sites: A “stand alone” testing site processes EID collected at their own facilities. A “hub and spoke” model places POC platforms in a high-volume, centrally located facility “hub” with smaller health outposts “spokes” delivering samples for faster diagnoses to these hubs (thereby supporting/alleviating national laboratories of EID samples to process). In both stand-alone and hub testing sites, the project will increase the number of HIV-positive infants identified by making EID testing available not only in PMTCT delivery sites, but also in pediatric inpatient wards, nutrition centers and immunization clinics.

References:

*On the Fast-Track to an AIDS-Free Generation, UNAIDS, 2016.

**Jani I, Meggi B, Vubil A, Sitoe NE, Bhatt N, Tobaiwa O, Quevedo JI, Loquiha O, Lehe JD, Vojnov L, Peter TF. (2016). Evaluation of the whole-blood Alere Q NAT point-of-care RNA assay for HIV-1 viral load monitoring in a primary health care setting in Mozambique. J Clin Microbiol 54:2104–2108

**Manumbu S, Smart LR, Mwale A, Mate KS, Downs JA. (2015). Shortening Turnaround Times for Newborn HIV Testing in Rural Tanzania: A Report from the Field. PLoS Med. Nov; 12(11).

** Mugambi ML, Deo S, Kekitiinwa A, Kiwaga C, Singer ME. (2013). Do diagnosis delays impact receipt of test results? Evidence from the HIV early infant diagnosis program in Uganda. PLoS ONE; 8.

**Phiri NA, Lee H-Y, Chilenga L, Mtika C, Sinyiza F, Musopole O, Nyirenda R, Yu J K-L, Harris AD. (2017). Early infant diagnosis and outcomes in HIV-exposed infants at a central and a district hospital, Northern Malawi. Public Health Action. Jun 21; 7(2): 83–89

**Sutcliffe CG, van Dijk JH, Hamangaba F, Mayani F, Moss WJ. (2014). Turnaround time for early infant diagnosis in rural Zambia: A chart review. PLoS ONE. 9(1)

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