BMC Infectious Diseases
Volume 17, 2017

The HepTestContest: A global innovation contest to identify approaches to hepatitis B and C testing (Article) (Open Access)

Tucker J.D.* , Meyers K. , Best J. , Kaplan K. , Pendse R. , Fenton K.A. , Andrieux-Meyer I. , Figueroa C. , Goicochea P. , Gore C. , Ishizaki A. , Khwairakpam G. , Miller V. , Mozalevskis A. , Ninburg M. , Ocama P. , Peeling R. , Walsh N. , Colombo M.G. , Easterbrook P.
  • a University of North Carolina Chapel Hill Project-China, Number 2 Lujing Road, Guangzhou, 510095, China, University of North Carolina Chapel Hill, Institute of Global Health and Infectious Diseases, 130 Mason Farm Rd, CB 7030, Chapel Hill, NC 27599-7030, United States, SESH Global, Number 2 Lujing Road, Guangzhou, 510095, China
  • b SESH Global, Number 2 Lujing Road, Guangzhou, 510095, China, Aaron Diamond AIDS Research Center, 455 1st Avenue no 7, New York, NY 10016, United States
  • c SESH Global, Number 2 Lujing Road, Guangzhou, 510095, China, University of Pennsylvania Neurology Department, 3400 Spruce Street, Philadelphia, PA 1914, United States, Asia Catalyst, 1109, 1270 Broadway, New York, NY 1001, United States
  • d Asia Catalyst, 1109, 1270 Broadway, New York, NY 1001, United States
  • e WHO Regional Office for South East Asia, World Health House, Indraprastha Estate, Mahatma Gandhi Marg, New Delhi, Delhi, 110002, India
  • f SESH Global, Number 2 Lujing Road, Guangzhou, 510095, China, Southwark Council, 160 Tooley Street, London, SE1 2QH, United Kingdom
  • g Médecins Sans Frontières, Rue de Lausanne 78, Genève, 1202, Switzerland
  • h World Health Organization HIV Department, 20 Avenue Appia, Geneva 27, CH-1211, Switzerland
  • i Forum for Collaborative HIV Research and the Univ. of California Berkeley School of Public Health, 1608 Rhode Island Avenue NW, Suite 212, Washington, DC 20036, United States
  • j World Hepatitis Alliance, 1 Baden Place, London, SE1 1YW, United Kingdom, Hepatitis C Trust, 27 Crosby Road, London, SE1 3YD, United Kingdom
  • k Hepatitis C Trust, 27 Crosby Road, London, SE1 3YD, United Kingdom
  • l TREAT Asia, Exchange Tower, 388 Sukhumvit Road, Suite 2104, Klongtoey, Bangkok, 10110, Thailand
  • m Forum for Collaborative HIV Research and the Univ. of California Berkeley School of Public Health, 1608 Rhode Island Avenue NW, Suite 212, Washington, DC 20036, United States
  • n WHO Regional Office for Europe, UN City, Marmorvej 51, Copenhagen, DK-2100, Denmark
  • o Hepatitis Education Project, 1621 S. Jackson Street, 2t 201, Seattle, WA 98144, United States
  • p Makere College of Health Sciences, Department of Medicine, PO Box 7072, Kampala, Uganda
  • q London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, United Kingdom
  • r The WHO Regional Office for the Western Pacific, P.O. Box 2932, Manila, 1000, Philippines
  • s IRCCS Humanitas Hospital, Rozzano, Italy, EASL International Liver Foundation, Geneva, Switzerland
  • t World Health Organization HIV Department, 20 Avenue Appia, Geneva 27, CH-1211, Switzerland

Abstract

Background: Innovation contests are a novel approach to elicit good ideas and innovative practices in various areas of public health. There remains limited published literature on approaches to deliver hepatitis testing. The purpose of this innovation contest was to identify examples of different hepatitis B and C approaches to support countries in their scale-up of hepatitis testing and to supplement development of formal recommendations on service delivery in the 2017 World Health Organization hepatitis B and C testing guidelines. Methods: This contest involved four steps: 1) establishment of a multisectoral steering committee to coordinate a call for contest entries; 2) dissemination of the call for entries through diverse media (Facebook, Twitter, YouTube, email listservs, academic journals); 3) independent ranking of submissions by a panel of judges according to pre-specified criteria (clarity of testing model, innovation, effectiveness, next steps) using a 1-10 scale 4) recognition of highly ranked entries through presentation at international conferences, commendation certificate, and inclusion as a case study in the WHO 2017 testing guidelines. Results: The innovation contest received 64 entries from 27 countries and took a total of 4months to complete. Sixteen entries were directly included in the WHO testing guidelines. The entries covered testing in different populations, including primary care patients (n=5), people who inject drugs (PWID) (n=4), pregnant women (n=4), general populations (n=4), high-risk groups (n=3), relatives of people living with hepatitis B and C (n=2), migrants (n=2), incarcerated individuals (n=2), workers (n=2), and emergency department patients (n=2). A variety of different testing delivery approaches were employed, including integrated HIV-hepatitis testing (n=12); integrated testing with harm reduction and addiction services (n=9); use of electronic medical records to support targeted testing (n=8); decentralization (n=8); and task shifting (n=7). Conclusion: The global innovation contest identified a range of local hepatitis testing approaches that can be used to inform the development of testing strategies in different settings and populations. Further implementation and evaluation of different testing approaches is needed. © 2017 World Health Organization.

Author Keywords

[No Keywords available]

Index Keywords

information dissemination primary medical care mass screening economics decentralization human prisoner emergency ward people who inject drugs innovation contest harm reduction Humans migrant social media electronic medical record diagnostic test high risk population Article Guidelines as Topic medical literature world health organization pregnant woman hepatitis B relative practice guideline competition health care delivery miscellaneous named groups primary health care public health hepatitis C health survey
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85032722763&doi=10.1186%2fs12879-017-2771-4&partnerID=40&md5=bf4af6ae96112893a71af0637a038808
DOI: 10.1186/s12879-017-2771-4
ISSN: 14712334
Cited by: 5
Original Language: English