Abstract
Rapid HIV test has been widely used in most healthcare facilities as HIV test screening tool. Quality reassurance is needed in enhancing the standards of point-of-care testing relating to HIV: Retaining sustainably consistent and precise test outcomes. To procure sufficiently competent infrastructures in training and support systems for HIV evaluation providers, with pre-requisitional certification. The objectives of this study are to determine the accuracy of point-of-care testing for HIV test by the performing staffs and identify the numbers of staffs who did not achieve the desired accuracy of 100% and to train them for improvement. This is a cross sectional study involving 43 staffs selected from judgement sampling from each primary healthcare facility under the Health Department of Federal Territories of Kuala Lumpur and Putrajaya (JKWPKL&P) offering rapid HIV Tests from 13 to 26 May 2019. Every selected staff had to perform rapid HIV tests for Anti HIV 1 and 2 for five commercial control sera which shall yield positive andnegative results. As the result from the study were sensitivity of 97.7%, specificity of 96.5%, false positive rate of 2.3%, false negative rate of 3.6%. 88% of 43 staffs achieved 100% accuracy, whereas five staffs failed to achieve the desired accuracy in point-of-care testing. Through the results of the study, we were able to detect the staffs who needed training and analyse the root cause of the failure. As this continuous improvement via quality assurance, the accuracy of the performance of HIV Rapid Test can be improved and more reliable.
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@proceedings{APCPH-2019-256, title = {Quality Assurance of HIV Rapid Testing: A Cross-Sectional Interlaboratory Comparison}, author = {Yoong Lee Yeen and Lili Treasa Arulanandam and Monica Mimi Lai and Norazlin Jalalluddin and Prem Kumar A. Balakrishnan and Rozita Arifin and Zaleha Abdul Hamid and Amin Sah Ahmad}, year = {2019}, date = {2019-07-22}, urldate = {2019-07-22}, journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings}, issue = {6}, abstract = {Rapid HIV test has been widely used in most healthcare facilities as HIV test screening tool. Quality reassurance is needed in enhancing the standards of point-of-care testing relating to HIV: Retaining sustainably consistent and precise test outcomes. To procure sufficiently competent infrastructures in training and support systems for HIV evaluation providers, with pre-requisitional certification. The objectives of this study are to determine the accuracy of point-of-care testing for HIV test by the performing staffs and identify the numbers of staffs who did not achieve the desired accuracy of 100% and to train them for improvement. This is a cross sectional study involving 43 staffs selected from judgement sampling from each primary healthcare facility under the Health Department of Federal Territories of Kuala Lumpur and Putrajaya (JKWPKL\&P) offering rapid HIV Tests from 13 to 26 May 2019. Every selected staff had to perform rapid HIV tests for Anti HIV 1 and 2 for five commercial control sera which shall yield positive andnegative results. As the result from the study were sensitivity of 97.7%, specificity of 96.5%, false positive rate of 2.3%, false negative rate of 3.6%. 88% of 43 staffs achieved 100% accuracy, whereas five staffs failed to achieve the desired accuracy in point-of-care testing. Through the results of the study, we were able to detect the staffs who needed training and analyse the root cause of the failure. As this continuous improvement via quality assurance, the accuracy of the performance of HIV Rapid Test can be improved and more reliable.}, note = {Type: POSTER PRESENTATION; Organisation: Public Health Division, Health Department of Federal Territories of Kuala Lumpur and Putrajaya}, keywords = {HIV, Point-of-care testing, Quality Assurance, Rapid Test}, pubstate = {published}, tppubtype = {proceedings} }