Operations research study to implement HIV and syphilis point-of-care tests and assess client perceptions in a marginalised area of Lima, Peru

Int J STD AIDS. 2015 Sep;26(10):723-8. doi: 10.1177/0956462414552696. Epub 2014 Sep 25.


In Peru, a significant proportion of people tested for HIV and syphilis do not receive timely results. Our objective was to assess the institutional feasibility of implementing simultaneous HIV/syphilis point-of-care tests and client perceptions regarding these point-of-care tests. Point-of-care tests were implemented in a hospital consultation room in a marginalised zone of Lima. A time-series design was used to compare the proportion of tested clients who received timely results, with and without the point-of-care test intervention. Experience and satisfaction with point-of-care tests was evaluated with 149 people. In the 6 months without intervention, 69% and 61% of clients tested for HIV and syphilis, respectively, received their results within the required 45-minute window. During the 2-month point-of-care test intervention, all clients tested for HIV (n = 387) and syphilis (n = 398) received their results within 45 minutes. All clients surveyed were completely satisfied (52%) or satisfied (48%) with the simultaneous HIV/syphilis point-of-care test screening process. Additionally, 73% strongly agreed with the statement 'I feel satisfied with the rapid testing process.' Screening using point-of-care tests represents an important opportunity to reduce the time, resource and cost burden for users and institutions and increase the proportion of users receiving their test results in a timely manner.

Keywords: AIDS; HIV; Peru; Treponema pallidum; client satisfaction; implementation feasibility; point-of-care tests; rapid test; sexually transmitted infections; syphilis.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Feasibility Studies
  • Female
  • HIV Infections / diagnosis*
  • Humans
  • Male
  • Operations Research
  • Outcome and Process Assessment, Health Care
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Patient Satisfaction*
  • Perception
  • Peru
  • Point-of-Care Systems / organization & administration*
  • Point-of-Care Testing*
  • Retrospective Studies
  • Syphilis / diagnosis*