FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2893632004> ?p ?o ?g. }

• W2893632004 endingPage "1065" @default.
• W2893632004 startingPage "1064" @default.
• W2893632004 abstract "This year, WHO published the first essential diagnostics list1WHOWorld Health Organization model list of essential in vitro diagnostics, first edition.http://www.who.int/medical_devices/diagnostics/WHO_EDL_2018.pdfDate: May 16, 2018Date accessed: August 7, 2018Date accessed: August 4, 2018Google Scholar and declared its commitment to making diagnostics as important as essential medicines in universal health coverage.2Berumen AV Garner S Hill SR Swaminathan S Making diagnostic tests as essential as medicines.BMJ Global Health. 2018; 3: e001033PubMed Google Scholar The essential diagnostics list includes 113 tests, grouped by two broad levels: diagnostics for primary care settings with no or basic laboratories, and diagnostics for facilities with clinical laboratories.1WHOWorld Health Organization model list of essential in vitro diagnostics, first edition.http://www.who.int/medical_devices/diagnostics/WHO_EDL_2018.pdfDate: May 16, 2018Date accessed: August 7, 2018Date accessed: August 4, 2018Google Scholar At the primary care level, general tests in the list include urine dipstick, complete blood count, haemoglobin, glucose, and microscopy, and disease-specific tests include tests for HIV, tuberculosis, malaria, syphilis, and hepatitis B and C.2Berumen AV Garner S Hill SR Swaminathan S Making diagnostic tests as essential as medicines.BMJ Global Health. 2018; 3: e001033PubMed Google Scholar The essential diagnostics list offers countries a benchmark they can use to measure and improve diagnostic services. We used the list to assess availability of essential tests at the primary care level in the Indian public sector. For this pilot facility survey, we chose three districts in three states of India, in north, south, and central zones (figure). Within each district, with permissions from district health authorities, we randomly selected 20% of the all primary health centres. Each primary health centre was visited by a researcher (MK) with a checklist, to assess availability of diagnostics. Between Dec 13, 2017, and March 22, 2018, we assessed 21 primary health centres in Tumkur (Karnatka), 13 in Fatehpur (Uttar Pradesh), and six in Wardha (Maharashtra). No participant data were collected and ethics approval was deemed unnecessary. Our results show that all three districts had major gaps in test availability, and there were large variations across the districts, with Wardha faring relatively better, and Fatehpur faring worst (appendix). Some of the tests listed in the essential diagnostics list were not available in any district, such as blood lactate, hepatitis B e-antigen, anti-hepatitis C virus antibody, malaria rapid diagnostic tests, sputum tuberculosis loop-mediated isothermal amplification test, anti-HIV/p 24 rapid test, and a combined test for syphilis and HIV. With regard to the other tests, availability varied widely. For example, primary health centres in both Tumkur and Fatehpur had limited or no availability of blood counts and glycated haemoglobin A1c tests, whereas these tests were available in Wardha district. Of note, Wardha district used a public–private partnership model, in which diagnostic testing was outsourced to a private laboratory. For infections, the hepatitis (HBsAg) rapid test was available in 76% of the facilities in Tumkur, 38% of the facilities in Fatehpur, and 100% of the facilities in Wardha. For HIV and syphilis, only 38% of facilities in Fatehpur had these tests, whereas all facilities in Wardha provided the tests. Microscopy for tuberculosis and malaria was available in some, but not all, primary health centres. Our pilot survey revealed gaps in the availability of essential tests. Such gaps can limit the ability of health workers to manage common diseases, and the ability of the health systems to respond to threats such as outbreaks or antimicrobial resistance.3Schroeder LF Pai M A list to cement the rightful place of diagnostics in healthcare.J Clin Microbiol. 2018; (published online July 25.)DOI:10.1128/JCM.01137-18Crossref PubMed Scopus (4) Google Scholar To confirm our findings, larger, nationally representative sample surveys are necessary, and should cover both public and private sectors. Surveys must cover all key dimensions of access—availability, use, and quality—to generate a comprehensive diagnostics access scorecard. India has recently launched a free diagnostics service initiative under the National Health Mission to make some tests freely available.4Ministry of Health and Family WelfareNational Health mission: free diagnostics service initiative. Ministry of Health and Family Welfare, Government of India, New Delhi2016Google Scholar India is also developing a national essential diagnostics list.5Raghavan P India to create new essential list to improve access to life-saving diagnostic tests.https://economictimes.indiatimes.com/industry/healthcare/biotech/pharmaceuticals/india-to-create-new-essential-list-to-improve-access-to-life-saving-diagnostic-tests/articleshow/63272757.cmsDate accessed: August 14, 2018Google Scholar Both initiatives should improve access to essential tests, and the national essential diagnostics list could become the standard for benchmarking access, since it will better reflect national needs and disease burden. This project was supported in part by FIND, Geneva, and Canadian Institutes of Health Research. KW and MP served on the WHO SAGE IVD Group that developed the first edition of the WHO Essential Diagnostics List. KW, SM, CCB, and ZK declare no competing interests. We are grateful to district health officials of Tumkur, Fatehpur, and Wardha districts in India for their support. We are also grateful to Vijayashree Yellappa, Gurram Krishnamurthy Sanathkumar, Ashwini Kalantri, and Sunitha Varghese for their encouragement and support in organising field visits. Download .pdf (.7 MB) Help with pdf files Supplementary appendix" @default.
• W2893632004 created "2018-10-05" @default.
• W2893632004 creator A5002639768 @default.
• W2893632004 creator A5019369748 @default.
• W2893632004 creator A5032679285 @default.
• W2893632004 creator A5045061550 @default.
• W2893632004 creator A5065152532 @default.
• W2893632004 creator A5078519734 @default.
• W2893632004 date "2018-10-01" @default.
• W2893632004 modified "2023-10-05" @default.
• W2893632004 title "Availability of essential diagnostics in primary care in India" @default.
• W2893632004 cites W2883423601 @default.
• W2893632004 cites W2886136867 @default.
• W2893632004 doi "https://doi.org/10.1016/s1473-3099(18)30539-5" @default.
• W2893632004 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30303097" @default.
• W2893632004 hasPublicationYear "2018" @default.
• W2893632004 type Work @default.
• W2893632004 sameAs 2893632004 @default.
• W2893632004 citedByCount "15" @default.
• W2893632004 countsByYear W28936320042019 @default.
• W2893632004 countsByYear W28936320042020 @default.
• W2893632004 countsByYear W28936320042021 @default.
• W2893632004 countsByYear W28936320042022 @default.
• W2893632004 countsByYear W28936320042023 @default.
• W2893632004 crossrefType "journal-article" @default.
• W2893632004 hasAuthorship W2893632004A5002639768 @default.
• W2893632004 hasAuthorship W2893632004A5019369748 @default.
• W2893632004 hasAuthorship W2893632004A5032679285 @default.
• W2893632004 hasAuthorship W2893632004A5045061550 @default.
• W2893632004 hasAuthorship W2893632004A5065152532 @default.
• W2893632004 hasAuthorship W2893632004A5078519734 @default.
• W2893632004 hasBestOaLocation W28936320041 @default.
• W2893632004 hasConcept C138816342 @default.
• W2893632004 hasConcept C142724271 @default.
• W2893632004 hasConcept C159110408 @default.
• W2893632004 hasConcept C160735492 @default.
• W2893632004 hasConcept C162324750 @default.
• W2893632004 hasConcept C187212893 @default.
• W2893632004 hasConcept C2777424817 @default.
• W2893632004 hasConcept C2778048844 @default.
• W2893632004 hasConcept C2984752397 @default.
• W2893632004 hasConcept C50522688 @default.
• W2893632004 hasConcept C512399662 @default.
• W2893632004 hasConcept C71924100 @default.
• W2893632004 hasConcept C82157600 @default.
• W2893632004 hasConceptScore W2893632004C138816342 @default.
• W2893632004 hasConceptScore W2893632004C142724271 @default.
• W2893632004 hasConceptScore W2893632004C159110408 @default.
• W2893632004 hasConceptScore W2893632004C160735492 @default.
• W2893632004 hasConceptScore W2893632004C162324750 @default.
• W2893632004 hasConceptScore W2893632004C187212893 @default.
• W2893632004 hasConceptScore W2893632004C2777424817 @default.
• W2893632004 hasConceptScore W2893632004C2778048844 @default.
• W2893632004 hasConceptScore W2893632004C2984752397 @default.
• W2893632004 hasConceptScore W2893632004C50522688 @default.
• W2893632004 hasConceptScore W2893632004C512399662 @default.
• W2893632004 hasConceptScore W2893632004C71924100 @default.
• W2893632004 hasConceptScore W2893632004C82157600 @default.
• W2893632004 hasIssue "10" @default.
• W2893632004 hasLocation W28936320041 @default.
• W2893632004 hasLocation W28936320042 @default.
• W2893632004 hasOpenAccess W2893632004 @default.
• W2893632004 hasPrimaryLocation W28936320041 @default.
• W2893632004 hasRelatedWork W2035483676 @default.
• W2893632004 hasRelatedWork W2057873961 @default.
• W2893632004 hasRelatedWork W2245396768 @default.
• W2893632004 hasRelatedWork W2333979119 @default.
• W2893632004 hasRelatedWork W2899155327 @default.
• W2893632004 hasRelatedWork W2982193806 @default.
• W2893632004 hasRelatedWork W3094657022 @default.
• W2893632004 hasRelatedWork W3182130294 @default.
• W2893632004 hasRelatedWork W4309365539 @default.
• W2893632004 hasRelatedWork W2117182601 @default.
• W2893632004 hasVolume "18" @default.
• W2893632004 isParatext "false" @default.
• W2893632004 isRetracted "false" @default.
• W2893632004 magId "2893632004" @default.
• W2893632004 workType "article" @default.