About: Uncertainties, work conditions and testing biases: Potential pathways to misdiagnosis in point-of-care rapid HIV testing in Zimbabwe

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Uncertainties, work conditions and testing biases: Potential pathways to misdiagnosis in point-of-care rapid HIV testing in Zimbabwe
Creator	Beckmann Id, Nadine Gregson, Simon Maswera, Rufurwokuda Nyamukapa, Constance Skovdal Id, Morten
Source	Medline; PMC
abstract	Disconcerting levels of misdiagnosis are common in point-of-care rapid HIV testing programmes in sub-Saharan Africa. To investigate potential pathways to misdiagnosis, we interviewed 28 HIV testers in Zimbabwe and conducted weeklong observations at four testing facilities. Approaching adherence to national HIV testing algorithms as a social and scripted practice, dependent on the integration of certain competences, materials and meanings, our thematic analysis revealed three underlying causes of misdiagnosis: One, a lack of confidence in using certain test-kits, coupled with changes in testing algorithms and inadequate training, fed uncertainties with some testing practices. Two, difficult work conditions, including high workloads and resource-depleted facilities, compounded these uncertainties, and meant testers got distracted or resorted to testing short-cuts. Three, power struggles between HIV testers, and specific client-tester encounters created social interactions that challenged the testing process. We conclude that these contexts contribute to deviances from official and recommended testing procedures, as well as testing and interpretation biases, which may explain cases of misdiagnoses. We caution against user-error explanations to misdiagnosis in the absence of a broader recognition of how broader structural determinants affect HIV testing practices.
has issue date	2020-08-13(xsd:dateTime)
bibo:doi	10.1371/journal.pone.0237239
bibo:pmid	32790692
has license	cc-by
sha1sum (hex)	d3f7426afd4d2c34eff63a73b2f16b067524f184
schema:url	https://doi.org/10.1371/journal.pone.0237239
resource representing a document's title	Uncertainties, work conditions and testing biases: Potential pathways to misdiagnosis in point-of-care rapid HIV testing in Zimbabwe
has PubMed Central identifier	PMC7425930
has PubMed identifier	32790692
schema:publication	PLoS One
resource representing a document's body	covid:d3f7426afd4d2c34eff63a73b2f16b067524f184#body_text
is schema:about of	named entity 'testing' named entity 'HIV' named entity 'confidence' named entity 'testing' named entity 'testing' named entity 'CASES' named entity 'POINT-OF-CARE' named entity 'PRACTICE' named entity 'INTERPRETATION' named entity 'PROCEDURES' named entity 'USING' named entity 'SCRIPTED' named entity 'One' named entity 'revealed' named entity 'testing' named entity 'meanings' named entity 'process' named entity 'integration' named entity 'created' named entity 'materials' named entity 'high' named entity 'Two' named entity 'Zimbabwe' named entity 'misdiagnosis' named entity 'work conditions' named entity 'HIV' named entity 'sub-Saharan' named entity 'Zimbabwe' named entity 'negative result' named entity 'algorithm' named entity 'HIV testing' named entity 'anti-bodies' named entity 'HIV testing' named entity 'Africa' named entity 'HIV testing' named entity 'HIV' named entity 'misdiagnosis' named entity 'suicidal thoughts' named entity 'HIV' named entity 'HIV tests' named entity 'written consent' named entity 'SOPs' named entity 'HIV' named entity 'misdiagnosis' named entity 'false negative' named entity 'misdiagnoses' named entity 'CD4' named entity 'HIV' named entity 'Zimbabwe' named entity 'HIV testing' named entity 'positive test' named entity 'algorithm' named entity 'infection' named entity 'quality control' named entity 'HIV' named entity 'infectious diseases' named entity 'HIV testing' named entity 'HIV' named entity 'misdiagnosis' named entity 'algorithm' named entity 'HIV testing' named entity 'Health in Zimbabwe' named entity 'HIV' named entity 'positive test' named entity 'HIV' named entity 'algorithm' named entity 'France' named entity 'algorithm' named entity 'algorithm' named entity 'isolated incident' named entity 'HIV' named entity 'HIV testing' named entity 'HIV' named entity 'healthcare providers' named entity 'sub-Saharan' named entity '60 minutes' named entity 'HIV testing'

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