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WeightNameValue
1000 Titel
  • Uncertainties, work conditions and testing biases: Potential pathways to misdiagnosis in point-of-care rapid HIV testing in Zimbabwe
1000 Autor/in
  1. Skovdal, Morten |
  2. Beckmann, Nadine |
  3. Maswera, Rufurwokuda |
  4. Nyamukapa, Constance |
  5. Gregson, Simon |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-08-13
1000 Erschienen in
1000 Quellenangabe
  • 15(8):e0237239
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1371/journal.pone.0237239 |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • 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.
1000 Sacherschließung
lokal Zimbabwe
lokal Health care facilities
lokal Virus testing
lokal HIV
lokal HIV prevention
lokal HIV diagnosis and management
lokal Nurses
lokal Medical personel
1000 Fächerklassifikation (DDC)
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0002-2068-1814|https://orcid.org/0000-0002-2747-0833|https://frl.publisso.de/adhoc/uri/TWFzd2VyYSwgUnVmdXJ3b2t1ZGE=|https://frl.publisso.de/adhoc/uri/TnlhbXVrYXBhLCBDb25zdGFuY2U=|https://frl.publisso.de/adhoc/uri/R3JlZ3NvbiwgU2ltb24=
1000 Label
1000 Förderer
  1. Bill and Melinda Gates Foundation |
  2. Medical Research Council |
  3. Department for International Development |
1000 Fördernummer
  1. OPP1131208
  2. -
  3. MR/R015600/1
1000 Förderprogramm
  1. -
  2. -
  3. -
1000 Dateien
1000 Förderung
  1. 1000 joinedFunding-child
    1000 Förderer Bill and Melinda Gates Foundation |
    1000 Förderprogramm -
    1000 Fördernummer OPP1131208
  2. 1000 joinedFunding-child
    1000 Förderer Medical Research Council |
    1000 Förderprogramm -
    1000 Fördernummer -
  3. 1000 joinedFunding-child
    1000 Förderer Department for International Development |
    1000 Förderprogramm -
    1000 Fördernummer MR/R015600/1
1000 Objektart article
1000 Beschrieben durch
1000 @id frl:6422660.rdf
1000 Erstellt am 2020-08-19T10:18:35.661+0200
1000 Erstellt von 122
1000 beschreibt frl:6422660
1000 Bearbeitet von 122
1000 Zuletzt bearbeitet Wed Aug 19 10:22:10 CEST 2020
1000 Objekt bearb. Wed Aug 19 10:21:43 CEST 2020
1000 Vgl. frl:6422660
1000 Oai Id
  1. oai:frl.publisso.de:frl:6422660 |
1000 Sichtbarkeit Metadaten public
1000 Sichtbarkeit Daten public
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