Consolidating HIV testing in a public health laboratory for efficient and sustainable early infant diagnosis (EID) in Uganda

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dc.contributor.authorKiyaga, Charles
dc.contributor.authorSendagire, Hakim
dc.contributor.authorJoseph, Eleanor
dc.contributor.authorGrosz, Jeff
dc.contributor.authorMcConnell, Ian
dc.contributor.authorNarayan, Vijay
dc.contributor.authorEsiru, Godfrey
dc.contributor.authorElyanu, Peter
dc.contributor.authorAkola, Zainab
dc.contributor.authorKirungi, Wilford
dc.contributor.authorMusinguzi, Joshua
dc.contributor.authorOpio, Alex
dc.date.accessioned2022-12-27T16:59:06Z
dc.date.available2022-12-27T16:59:06Z
dc.date.issued2015
dc.description.abstractUganda introduced an HIV Early Infant Diagnosis (EID) program in 2006, and then worked to improve the laboratory, transportation, and clinical elements. Reported here are the activities involved in setting up a prospective analysis in which theMinistry of Health, with its NGO partners, determined it would be more effective and efficient to consolidate the initial eight-laboratory system for EID testing of HIV dried blood samples offered by two nongovernmental partners operating research facilities into a single well-equipped and staffed laboratory within the Ministry. A retrospective analysis confirmed that redesign reduced overhead cost per PCR test of HIV dried blood samples from US$22.20 to an average of $5. Along with the revamped system of sample collection, transportation, and result communication, Uganda has been able to vastly increase the HIV diagnosis of babies and engagement of them and their mothers in clinical care, including antiretroviral therapy. Uganda reduced turnaround times for results reporting to clinicians from more than amonth in 2006 to just 2 weeks by 2014, even as samples tested increased dramatically. The next challenge is overcoming loss of babies and mothers to follow up.en_US
dc.identifier.citationKiyaga, C., Sendagire, H., Joseph, E., Grosz, J., McConnell, I., Narayan, V., ... & Opio, A. (2015). Consolidating HIV testing in a public health laboratory for efficient and sustainable early infant diagnosis (EID) in Uganda. Journal of Public Health Policy, 36(2), 153-169. doi:10.1057/jphp.2015.7;en_US
dc.identifier.other10.1057/jphp.2015.7;
dc.identifier.urihttps://link.springer.com/article/10.1057/jphp.2015.7
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/6652
dc.language.isoenen_US
dc.publisherJournal of Public Health Policyen_US
dc.subjectHIVen_US
dc.subjectLaboratoriesen_US
dc.subjectEarly Infant Diagnosis (EID)en_US
dc.subjectUgandaen_US
dc.titleConsolidating HIV testing in a public health laboratory for efficient and sustainable early infant diagnosis (EID) in Ugandaen_US
dc.typeArticleen_US
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