Site assessment tool
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• Completed by TTANGO Coordinators at baseline, and updated 6 monthly in all health services.
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Broad description of:
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(i) Clinical services and staffing
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(ii) STI testing practices
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(iii) Patient information system
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(iv) Clinic setting as it relates to location of GeneXpert machine and consumables
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Clinical data (quantitative)
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• Collated from one or more of the following sources:
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(i) Patient consultation data and associated demographics
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(i) Health service patient information management systems
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(ii) STI testing (point of care and laboratory), retesting and treatment outcomes
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(ii) Laboratory data
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• Extracted 3 monthly for all health services
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Quality management data
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• Services record results of EQA and forward to coordinators,
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• External quality assurance and internal quality control test results
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• twice during POC phase
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• Temperature range of consumables during transport
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• Internal quality control testing, once per month
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• Multiple choice quiz and observed practice against competency standards
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• Temperature monitoring of test consumables during transport
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• Knowledge and competency assessment of staff following training in GeneXpert usage
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Surveys (quantitative)
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• Staff acceptability survey at end of POC phase
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• Confidence using the test; satisfaction with training; trust in the results; ease of use; experience of discordant results; and impact on health service operations.
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• Client acceptability survey, with attending clients in last month of POC phase
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• Preference for testing modality (POC test vs conventional); convenience; satisfaction with test process and communication of results
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In-depth interviews (qualitative)
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• Stakeholders (national)
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• Challenges and implications of introducing POC testing
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• Stakeholders (national and international)
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• Quality management and training considerations
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• Acceptability
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• Health service staff |
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