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Table 2 Characteristics and finding of studies included in this scoping review

From: Supply chain management and accessibility to point-of-care testing in resource-limited settings: a systematic scoping review

Author and yearTarget PopulationType of POC diagnosticSupply chain management measures reportedDesirable outcome
Alemnji et al., 2011 [56]General populationHIVChallenges in procurement, reagent inventory and stock maintenance; timely and quality testing; and challenges with who manages the supply chain systemsAffected confidence in test results and patient care; huge challenges with accessing testing services when services are available at the national level.
Ansbro et al., 2015 [51]Pregnant womenSyphilis RSTsQuality assurance activities and supervisionReduced clinic waiting time, travel time and increased case detection and treatment, Acceptability and usability of RST kits and quality assurance activities, supply of RST kits less reliable, and stock-out
Bonawitz et al., 2015 [47]Pregnant womenSyphilis RSTsNone reportedHigh levels to complete stock-outs at baseline, midline and end line periods over several weeks
Hamer et al., 2012 [43]children < 5 yearsMalaria RDTsTransparent record keeping, adequate supplies, stock management, daily registers and periodic reconciliation of stocks, and ensuring that none had passed their expiration datesAvailability and use of malaria RDTs with over 98% accountability of the RDTs
Hasselback et al., 2014 [48]General populationMalaria RDTsAnalysis of distribution system characteristicsHigh levels of stock-out
Kyabayinze et al., 2012 [45]General populationMalaria Microscopy and RDTsNone reportedlimited availability of RDTs, limited use of RDTs, lack storage space, and lack of glucometers
Mabey et al., 2012 [49]Pregnant women and Sexually active populationsSyphilis RDTsTraining in stock management, record keeping, and quality control, monitoring supply chain problems and provision of sustainable solutions in case of stock-outsimprove access, increase antenatal clinic attendance, availability and use of RSTs
McGuire et al., 2014 [55]General populationDiabetes, Blood Pressure, and Dyslipidemia assaysReported frequent challenges with distribution of devicesStock-outs and limited use of devices
Peeling, 2015General populationNot specifiedCalled for redistribution when necessaryPrevent diagnostics from expiring
Peeling and Ronald, 2009 [54]General populationNot specifiedReported supply chain failureTest stock-outs
Shott et al., 2012 [53]General populationHIVChallenges with quality management (QM)systemsGood QM ensures accuracy of devices; transform the availability of tests in real time; and inform proper patient care.
Smith et al., 2015 [44]Pregnant womenHIV, Syphilis, and HBV RDTsNo supply chain management measuresIncreased coverage increase uptake, test stock-outs, limited uptake, and low testing
Stevens et al., 2014 [52]General populationHIV viral loadRaises challenges with reimbursement, quality monitoring, lack guideline and regulationsWhere VL testing is available, frequency of CD4 monitoring is reduces or stopped altogether
Thairu et al., 2011 [50]General populationHIV (CD4 testing with Guava EasyCD4Guava offered to provide a robust supply chain for reagents and maintenanceIncrease access to CD4 testing, low repeated testing, poor stock management, tardy response from Guava resulting in lost operating time
Jaya et al., 2017 [46]ClinicsHIV rapid testing kitsCompliance to guidelines for purchasing and inventory.HIV rapid test kits shortage in 4 clinics