{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:37:04Z","timestamp":1747190224435,"version":"3.40.5"},"reference-count":25,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,11,19]],"date-time":"2020-11-19T00:00:00Z","timestamp":1605744000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AIDS Research and Treatment"],"published-print":{"date-parts":[[2020,11,19]]},"abstract":"<jats:p>Background. Human resources for health-care delivery are essential for attaining global health and development goals. Especially in developing countries, health extension workers are frontline health personnel who can play a key role in preventing and controlling HIV\/AIDS. This study aimed to evaluate the performance of health extension workers in HIV-1\/2 screening tests. Methodology. A comparative cross-sectional study was carried out to evaluate the performance of health extension workers in HIV-1\/2 screening tests. Study participants had performed HIV screening tests on the prepared sample panels. Finally, the percentage of accuracy, error rate, sensitivity, specificity, predictive values, and measure of agreement (kappa) were calculated using SPSS version 26. Result. Totally, 1600 HIV screening tests were performed, and of these, 684 and 235 tests were done by HEWs (n\u2009=\u200915) and laboratory personnel (n\u2009=\u20095), respectively, with three discordant results by HEWs from a single sample panel which was weak reactive for HIV antibody test. The sensitivity, specificity, PPV, and NPV of HIV screening tests by HEWs were 97.4%, 100%, 100%, and 97.22%, respectively, and 100% for all parameters when it is tested by laboratory professionals. The measure of kappa agreement was 0.971 (95% CI, 0.932\u20131) for HEWs and 1 for laboratory personnel compared with the reference result. Conclusion. Based on this evidence, we conclude that the potential contribution of HEWs can be invaluable in the expansion of HIV screening tests nationwide to compensate the shortage of laboratory personnel.<\/jats:p>","DOI":"10.1155\/2020\/7841352","type":"journal-article","created":{"date-parts":[[2020,11,21]],"date-time":"2020-11-21T01:50:47Z","timestamp":1605923447000},"page":"1-5","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of the Performance of Health Extension Workers in HIV-1\/2 Screening Tests: A Comparative Cross-Sectional Study, Addis Ababa, Ethiopia"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2299-7863","authenticated-orcid":true,"given":"Mulatu","family":"Gashaw","sequence":"first","affiliation":[{"name":"School of Medical Laboratory Science, Jimma University, Jimma, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel","family":"Kindie","sequence":"additional","affiliation":[{"name":"Department of Medical Laboratory Science, Addis Ababa University, Addis Ababa, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9338-9953","authenticated-orcid":true,"given":"Minale","family":"Fekadie","sequence":"additional","affiliation":[{"name":"School of Biomedical Sciences, Jimma University, Jimma, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kassu","family":"Desta","sequence":"additional","affiliation":[{"name":"Department of Medical Laboratory Science, Addis Ababa University, Addis Ababa, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dawit","family":"Wolday","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Mekele University, Mek\u2019ele, Ethiopia"},{"name":"Medical Biotech Laboratories, Addis Ababa, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"volume-title":"Global Strategy on Human Resources for Health: Workforce 2030","year":"2016","author":"Organization WH","key":"1"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1186\/1478-4491-4-20"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-812"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2013.15.50.2328"},{"volume-title":"Treat, Train, Retain: the AIDS and Health Workforce Plan: Report on the Consultation on AIDS and Human Resources for Health","year":"2006","author":"Organization WH","key":"5"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-12-352"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1186\/s12960-018-0279-7"},{"key":"8","article-title":"Introduction to health education","volume-title":"Ethiopia Public Health Training Initiative","author":"M. 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