{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T04:13:02Z","timestamp":1743653582456,"version":"3.40.3"},"reference-count":5,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"4_Suppl","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n<jats:p>To expand access to testing beyond public health facilities and to strengthen surveillance efforts for COVID-19, community testing using COVID-19 antigen-based rapid diagnostic tests (Ag-RDTs) was identified as a major area of focus in Malawi and Zambia. This research aimed to gather evidence on the feasibility and acceptability of community testing in marketplaces. A cross-sectional study with a mixed-methods design was conducted in marketplaces in Malawi and Zambia to understand operational considerations for the implementation of Ag-RDTs for SARS-CoV-2 in a community setting. Programmatic data were collected prospectively as individuals were tested from June to September 2022. COVID-19 testing was done using Abbott Panbio nasal swab test kits. Semi-qualitative questionnaires were administered to individuals who tested, healthcare workers, and site-based personnel. Data were collected electronically via the SurveyCTO platform and analyzed using STATA. In Malawi, 2,348 participants were tested, and in Zambia, 1,723 people were tested for COVID-19. In Zambia, participants were 46% female, with a median age of 28\u2009years, whereas in Malawi, participants were 69% female, with a median age of 37\u2009years. In Malawi, 78 positive cases were reported (3.3% positivity rate), and in Zambia 10 positive cases were reported (0.5% positivity rate). In Zambia, 99% of 300 participants and in Malawi, 92% of 1,158 testers found the market testing experience and sample collection acceptable. Community testing is a feasible and acceptable intervention to increase testing access in Malawi and Zambia, especially when coupled with community awareness campaigns and mobilization.<\/jats:p>","DOI":"10.4269\/ajtmh.23-0785","type":"journal-article","created":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T14:54:32Z","timestamp":1727794472000},"page":"63-70","source":"Crossref","is-referenced-by-count":0,"title":["Community-Based Delivery and Administration of SARS-CoV-2 Antigen Rapid Diagnostic Tests: An Operational Research Study in Marketplaces in Malawi and Zambia"],"prefix":"10.4269","volume":"112","author":[{"given":"Fiona","family":"Gambanga","sequence":"first","affiliation":[{"name":"Clinton Health Access Initiative, Boston, Massachusetts;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindiwe","family":"Nchimunya","sequence":"additional","affiliation":[{"name":"Clinton Health Access Initiative, Boston, Massachusetts;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Makondesa","sequence":"additional","affiliation":[{"name":"Clinton Health Access Initiative, Boston, Massachusetts;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chancy","family":"Chavula","sequence":"additional","affiliation":[{"name":"Clinton Health Access Initiative, Boston, Massachusetts;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Namwaka","family":"Mulenga","sequence":"additional","affiliation":[{"name":"Clinton Health Access Initiative, Boston, Massachusetts;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamara","family":"Mwenifumbo","sequence":"additional","affiliation":[{"name":"Clinton Health Access Initiative, Boston, Massachusetts;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francis","family":"Chitanda","sequence":"additional","affiliation":[{"name":"Clinton Health Access Initiative, Boston, Massachusetts;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Mtaula","sequence":"additional","affiliation":[{"name":"Clinton Health Access Initiative, Boston, Massachusetts;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yucheng","family":"Tsai","sequence":"additional","affiliation":[{"name":"Clinton Health Access Initiative, Boston, Massachusetts;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Bitilinyu-Bangoh","sequence":"additional","affiliation":[{"name":"Ministry of Health, HTSS-Diagnostics, Lilongwe Central Region, Malawi;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrews","family":"Gunda","sequence":"additional","affiliation":[{"name":"Clinton Health Access Initiative, Boston, Massachusetts;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron","family":"Shibemba","sequence":"additional","affiliation":[{"name":"Ministry of Health, Laboratory Services, Lusaka, Zambia;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Powell","family":"Choonga","sequence":"additional","affiliation":[{"name":"Ministry of Health, Laboratory Services, Lusaka, Zambia;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaukat","family":"Khan","sequence":"additional","affiliation":[{"name":"Clinton Health Access Initiative, Boston, Massachusetts;"},{"name":"FIND, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trevor","family":"Peter","sequence":"additional","affiliation":[{"name":"Clinton Health Access Initiative, Boston, Massachusetts;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"year":"2021","key":"b1"},{"key":"b2","series-title":"J Infect","first-page":"391","article-title":"Panbio\u2122 rapid antigen test for SARS-CoV-2 has acceptable accuracy in symptomatic patients in primary health care","volume":"82","author":"Bulilete","year":"2021"},{"key":"b3"},{"key":"b4","series-title":"Front Psychiatry","first-page":"626456","article-title":"Parents are stressed! Patterns of parent stress across COVID-19","volume":"12","author":"Adams","year":"2021"},{"key":"b5","series-title":"BMC Public Health","first-page":"750","article-title":"Barriers to and strategies to address COVID-19 testing hesitancy: A rapid scoping review","volume":"22","author":"Embrett","year":"2022"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/112\/4_Suppl\/article-p63.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/112\/4_Suppl\/article-p63.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/112\/4_Suppl\/article-p63.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T13:25:04Z","timestamp":1743600304000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/112\/4_Suppl\/article-p63.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,1]]},"references-count":5,"journal-issue":{"issue":"4_Suppl"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.23-0785","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"type":"print","value":"0002-9637"},{"type":"electronic","value":"1476-1645"}],"subject":[],"published":{"date-parts":[[2025,4,1]]}}}