Table 2.
Agreement between point-of-care rapid test and laboratory-based immunoassay testing, the 2017 Antenatal Sentinel HIV Survey, South Africa.
| National | Eastern Cape | Free State | Gauteng | KwaZulu Natal | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Laboratory-based testing | |||||||||||||||
| POC testing | HIV+ | HIV− | Total | HIV+ | HIV− | Total | HIV+ | HIV− | Total | HIV+ | HIV− | Total | HIV+ | HIV− | Total |
| HIV+ | 9,677 | 84 | 9,761 | 1,254 | 7 | 1,261 | 849 | 4 | 853 | 1,463 | 6 | 1,469 | 3,270 | 28 | 3,298 |
| HIV− | 364 | 21,623 | 21,987 | 69 | 2638 | 2,707 | 24 | 1,806 | 1,830 | 49 | 3,184 | 3,233 | 56 | 4,754 | 4,810 |
| Total | 10,041 | 21,707 | 31,748 | 1,323 | 2,645 | 3,968 | 873 | 1,810 | 2,683 | 1,512 | 3,190 | 4,702 | 3,326 | 4,782 | 8,108 |
| PPA = 96.3% (95% CI: 95.9%–96.6%) | PPA = 94.8% (95% CI: 93.7%–95.7%) | PPA = 97.3% (95% CI: 96.3%–98.0%) | PPA = 96.8% (95% CI: 95.3%–97.5%) | PPA = 98.3% (95% CI: 97.9%–98.7%) | |||||||||||
| NPA = 99.7% (95% CI: 99.6–99.7%) | NPA = 99.7% (95% CI: 99.5%–99.9%) | NPA = 99.8% (95% CI: 99.6%–99.9%) | NPA = 99.8% (95% CI: 99.6%–99.9%) | NPA = 99.4% (95% CI: 99.2%–99.6%) | |||||||||||
| Limpopo | Mpumalanga | Northern Cape | North West | Western Cape | |||||||||||
| Laboratory-based testing | |||||||||||||||
| POC testing | HIV+ | HIV− | Total | HIV+ | HIV− | Total | HIV+ | HIV− | Total | HIV+ | HIV− | Total | HIV+ | HIV− | Total |
| HIV+ | 537 | 13 | 550 | 985 | 5 | 990 | 247 | 3 | 250 | 543 | 12 | 555 | 529 | 6 | 535 |
| HIV− | 33 | 1,856 | 1,889 | 65 | 1,748 | 1,813 | 19 | 1,228 | 1,247 | 27 | 1,453 | 1,480 | 22 | 2,956 | 2,978 |
| Total | 570 | 1,869 | 2,439 | 1,050 | 1,753 | 2,803 | 266 | 1,231 | 1,497 | 570 | 1,465 | 2,035 | 551 | 2,962 | 3,513 |
| PPA = 94.2% (95% CI: 92.5%–95.6%) | PPA = 93.8% (95% CI: 92.4%–95.0%) | PPA = 92.9% (95% CI: 89.8%–95.1%) | PPA = 95.3% (95% CI: 93.4%–96.6%) | PPA = 96.0% (95% CI: 94.3%–97.2%) | |||||||||||
| NPA = 99.3% (95% CI: 98.9%–99.5%) | NPA = 99.7% (95% CI: 99.2%–99.9%) | NPA = 99.8% (95% CI: 99.4%–99.9%) | NPA = 99.2% (95% CI: 98.5%–99.5%) | NPA = 99.8% (95% CI: 99.7%–99.9%) | |||||||||||
Percent agreement weighted.