Table 2.
Diagnostic Testing Performed at Geographic Sites in the Bantayan Archipelago
| Geographic Site (N), Goal, and Hours | Diagnostic Tests | |||
|---|---|---|---|---|
| Hematology | Chemistry | Microbiology | Notes and Exceptions | |
| Barangay Health Stations (49). Preventative care. (No beds.) M-F 8–5 and on call Saturday/Sunday | None | Glucose meter (operable when test strips are available), O2 saturation (pulse oximeter) | None |
•27 (55.1%) Barangay Health Stations have glucose test strips •22 (44.9%) without strips cannot use meters |
| Birthing Homes (3). Midwives assist deliveries. Open 24/7 | None | Pulse oximeter, glucose meter, pregnancy test | None | •Prenatal screening is performed in Rural Health Units |
| Rural Health Units (3). Preventative and primary care. M-F 8–5 and on call Saturday and Sunday |
CBC, Hct, platelet count, blood typing (A, B, O, Rh) |
O2 saturation (pulse oximetry), FBS/RBS, SGOT, SGPT, uric acid, Chol, Cr, BUN, UA, lipid panel, pregnancy test (urine beta-HCG) |
COVID-19 RAgT, HIV, TB (GeneXpert), Dengue (NS1), stool exam (gross, bacteria, parasites, ova), syphilis, HBsAg |
•Prenatal screening comprises CBC, FBS, HBsAg, and UA •Lipid panel — total cholesterol, triglycerides, HDL, and LDL •No blood gas testing • UTZ — availability depends on radiologists |
| District Hospital (1). ER, labor and delivery, limited surgery (e.g., C-section); local referral hospital with limited specialty services. 25 beds with reserve capacity to 55. M-Sat 8–5, on call evenings, Sunday | CBC, Hct, platelet count, HbA1c, blood typing | Electrolytesa (Ca++, K + , Na+, Cl−), Glu, FBS, OGTT, ALT, AST, uric acid, Chol, lipid panel, Cr, BUN, UA, pregnancy test. Glucose meters and pulse oximeters in the ER | COVID-19 RAgT, RT-PCR. HIV, Dengue (duo rapid test), Salmonella typhi (rapid test), stool exam, FOB, syphilis, HBsAg, HCV screening test |
•Qualitative cTnI testingb is performed in lab only when reagents are available. [No cTnT.] •Blood gas testing (pO2, pCO2, pH) not available • Genruic instrument for cTnI, NT-proBNP, CK-MB, and myoglobin testing not used – no reagents |
| Private Laboratory | ||||
| Oasis. Referral lab and limited diagnostic care. M-Sat 7–6. Closed Sundays | CBC and blood typing on site | Pregnancy test (serum) and UA on site | Syphilis and stool exam on site |
•UTZ for pregnancy •Branch lab outsources other tests to main lab in Bogo, Cebu Province |
a) Genrui (Shenzhen, China). Electrolyte Analyzer GE 300. Ion-selective instrument that measures ionized calcium (Ca + +), potassium, sodium, and chloride. https://www.genrui-bio.com/products/electrolyte-analyzer-ge300.html Accessed November 22, 2023
b) InTec (Fujian, China). Qualitative One-step (15–20 min) Troponin I Test Card (sensitivity not specified; whole blood, plasma, or serum). https://www.intecasi.com/rapid-troponin-i-test_p67.html. Accessed November 22, 2023
c) Genrui (Shenzhen, China). Quantitative Immunoassay Analyzer FA50. https://www.genrui-bio.com/products/quantitative-immunoassay-analyzer-fa50.html Accessed November 22, 2023
24/7, service all days/hours; ALT alanine transaminase (SGPT, serum glutamic pyruvic transaminase), AST aspartate transaminase (SGOT, serum glutamic oxaloacetic transaminase), BUN blood urea nitrogen, CBC complete blood count, Chol cholesterol, CK-MB creatine kinase MB isoenzyme, COVID-19 Coronavirus infectious disease 2019, Cr creatinine, cTnI/T cardiac troponin I/T, ER emergency room, FBS fasting blood sugar, FOB fecal occult blood, HBsAg hepatitis B surface antigen, HbA1c hemoglobin A1C, HCG human chorionic gonadotropin hormone, Hct hematocrit, HDL high density lipoprotein, HIV human immunodeficiency virus, LDL low density lipoprotein, Myo myoglobin, NS1 Non-Structural Protein 1, NT-proBNP, NT-proB type brain natriuretic peptide, OGTT oral glucose tolerance test; RAgT rapid antigen test, RBS, random blood sugar, RT-PCR reverse transcription polymerase chain reaction, TB Tuberculosis, UA urine analysis, and UTZ ultrasound