ArticleBMC health services research2015
Point-of-care screening for syphilis and HIV in the borderlands: challenges in implementation in the Brazilian Amazon.
Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Pooled it
- Network Meta-Analytical Investigations of the Performance of HIV Combination Prevention Strategies for Indigenous Populations.Viruses · 2025Pooled it
- Implementation Science for HIV Prevention and Treatment in Indigenous Communities: a Systematic Review and Commentary.Current HIV/AIDS reports · 2024Pooled it
- "It was difficult to offer same day results": evaluation of community-based point-of-care testing for sexually transmitted infections among youth using the GeneXpert platform in Zimbabwe.BMC health services research · 2022Trial
- Trial
- An evaluation of barriers and facilitators to implementing multiplex rapid antigen testing for SARS-CoV-2 and influenza A and B in congregate living settings.Frontiers in public health · 2025Article
- Capacity of community health centers to treat snakebite envenoming in indigenous territories of the Brazilian Amazon.Toxicon : official journal of the International Society on Toxinology · 2024Article
- Detecting sexually transmitted infections beyond the syndromic approach: lessons from a rural setting in Chiapas, Mexico.Frontiers in reproductive health · 2024Article
- Maternal and congenital syphilis in Indigenous Peoples: a scoping review of the worldwide literature.International journal for equity in health · 2023Article
- Article
- Facilitators and barriers to point-of-care testing for sexually transmitted infections in low- and middle-income countries: a scoping review.BMC infectious diseases · 2022Article
- Maternal HIV and syphilis are not syndemic in Brazil: Hot spot analysis of the two epidemics.PloS one · 2021Article
- Epidemiological aspects of HIV infection and AIDS among indigenous populations.Revista de saude publica · 2019Article
- HIV, syphilis, and viral hepatitis among Latin American indigenous peoples and Afro-descendants: a systematic review.Revista panamericana de salud publica = Pan American journal of public health · 2019Review
- Sociodemographic determinants of attrition in the HIV continuum of care in Brazil, in 2016.Medicine · 2018Article
- HIV and syphilis in the context of community vulnerability among indigenous people in the Brazilian Amazon.International journal for equity in health · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 6 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPoint-of-care (POC) screening for HIV and syphilis using rapid testing was implemented in indigenous communities in the triple-border area of the Brazilian Amazon. We describe the context of the early introduction of POC screening, explore hindering and enabling factors for POC implementation, and recommend strategies for feasible, viable, and sustainable syphilis and HIV screening interventions.
methodsThis was a qualitative study based on grounded theory methodology. Data were collected using in-depth interviews, semi-structured questionnaires, and field observations and were analysed using the framework approach. Qualitative information was complemented by quantitative data for descriptive purposes.
resultsAn overall high score for vulnerability to acquiring HIV and syphilis was observed among the indigenous communities. Health professionals reported satisfactory rapid testing acceptance, although concerns were raised about the pain of the fingerprick. Counselling-related challenges included ensuring the accuracy of translations, collaborating with translators and communicating positive test results. Over 3 months, 86.7% of the syphilis-positive individuals began treatment, and all of them notified their partners. Accessibility, measured as travel time via the local transportation network, was a barrier to health care access. A lack of gasoline for boats and other transportation was also a hindering factor at all levels of implementation.
conclusionsThe recommendations address the preparation phase at the coordination level as well as at the training level. Tools such as strengths, weaknesses, opportunities, and threats (SWOT) analyses; checklists; context-adapted protocols; and fact sheets are very simple methods to facilitate implementation. The findings of this study are important because they may inform the implementation of new health technologies in low-resource national disease control programmes in remote communities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.