%PDF-1.6
%
1 0 obj
<>
endobj
2 0 obj
<>stream
Michael Marks, Tommy Esau, Rowena Asugeni, Relmah Harrington, Jason Diau, Hilary Toloka, James Asugeni, Eimhin Ansbro, Anthony W. Solomon, David Maclaren, Michelle Redman-Maclaren, David C. W. Mabey
Point-of-care tests for syphilis and yaws in a low-income setting – A qualitative study of healthcare worker and patient experiences
www.plosntds.org
www.plosntds.org
endstream
endobj
3 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 10 0 R/Annots 11 0 R/Contents 12 0 R/TrimBox[0 0 612 792]>>
endobj
11 0 obj
[13 0 R 14 0 R 15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R]
endobj
13 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref001)>>
endobj
14 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref002)>>
endobj
15 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref003)>>
endobj
16 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref004)>>
endobj
17 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref005)>>
endobj
18 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref006)>>
endobj
19 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref007)>>
endobj
20 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref001)>>
endobj
21 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref008)>>
endobj
22 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref009)>>
endobj
23 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref010)>>
endobj
24 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref011)>>
endobj
25 0 obj
<>/Border[0 0 0]/A 26 0 R>>
endobj
26 0 obj
<>
endobj
12 0 obj
[27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R]
endobj
27 0 obj
<>stream
q
0.955 g
0 w
199.9998 552.9101 m
575.9997 552.9101 l
575.9997 417.9104 l
199.9998 417.9104 l
f*
0.45 0.36 0.35 0.01 k
575.9997 577.91 m
199.9998 577.91 l
199.9998 578.41 l
575.9997 578.41 l
f*
0.83 0.64 0.02 0 k
353.3102 341.915 m
358.0724 341.915 l
h
f*
427.011 315.9496 m
431.7732 315.9496 l
h
f*
481.4362 289.9276 m
486.1984 289.9276 l
h
f*
488.4661 289.9276 m
493.2283 289.9276 l
h
f*
371.9055 276.9449 m
376.611 276.9449 l
h
f*
335.1685 263.9055 m
339.9307 263.9055 l
h
f*
342.1417 263.9055 m
346.9039 263.9055 l
h
f*
203.4142 237.9402 m
208.1764 237.9402 l
h
f*
377.1213 211.9181 m
381.8835 211.9181 l
h
f*
302.0598 146.948 m
306.7654 146.948 l
h
f*
309.0331 146.948 m
318.5575 146.948 l
h
f*
553.1528 133.9087 m
562.6772 133.9087 l
h
f*
0 g
1 j
1 J
11.4998 0 0 11.4998 200.0125 706.3937 cm
BT
/F2 1 Tf
1 TL
-0.0035 Tc
0 0 Td
(Results)Tj
3.796 0 Td
(and)Tj
1.9916 0 Td
(discussion)Tj
ET
Q
q
1 j
1 J
0 w
9.5 0 0 9.5 200.0125 689.3858 cm
BT
/F0 1 Tf
1 TL
-0.0042 Tc
0 0 Td
(Four)Tj
2.2557 0 Td
(main)Tj
2.3632 0 Td
(themes)Tj
3.4732 0 Td
(emerged)Tj
4.1236 0 Td
(in)Tj
0.9847 0 Td
(the)Tj
1.5934 0 Td
(interviews:)Tj
4.8875 0 Td
(1\))Tj
1.098 0 Td
(training)Tj
3.4553 0 Td
(and)Tj
1.8619 0 Td
(ease)Tj
2.3632 0 Td
(of)Tj
1.0443 0 Td
(performing)Tj
4.9472 0 Td
(the)Tj
1.5934 0 Td
(test;)Tj
2.1006 0 Td
(2\))Tj
-38.1452 -1.474 Td
(time)Tj
2.0886 0 Td
(taken)Tj
2.6437 0 Td
(and)Tj
1.8619 0 Td
(ability)Tj
2.7392 0 Td
(to)Tj
1.0443 0 Td
(fit)Tj
0.9906 0 Td
(the)Tj
1.5934 0 Td
(test)Tj
1.8201 0 Td
(into)Tj
1.8142 0 Td
(a)Tj
0.7639 0 Td
(clinical)Tj
3.1748 0 Td
(workflow;)Tj
4.3444 0 Td
(3\))Tj
1.0981 0 Td
(perceived)Tj
4.4996 0 Td
(reliability)Tj
4.046 0 Td
(and)Tj
1.8619 0 Td
(trust-)Tj
-36.3847 -1.468 Td
(worthiness)Tj
4.9471 0 Td
(of)Tj
1.0444 0 Td
(the)Tj
1.5933 0 Td
(test;)Tj
2.1007 0 Td
(and)Tj
1.8619 0 Td
(4\))Tj
1.098 0 Td
(level)Tj
2.2438 0 Td
(of)Tj
1.0504 0 Td
(the)Tj
1.5933 0 Td
(health)Tj
2.9063 0 Td
(care)Tj
2.1424 0 Td
(system)Tj
3.3657 0 Td
(the)Tj
1.5993 0 Td
(test)Tj
1.8202 0 Td
(was)Tj
1.9812 0 Td
(most)Tj
2.3692 0 Td
(usefully)Tj
-33.7172 -1.474 Td
(deployed.)Tj
4.4996 0 Td
(Many)Tj
2.6436 0 Td
(healthcare)Tj
4.8338 0 Td
(workers)Tj
3.6821 0 Td
(related)Tj
3.2404 0 Td
(their)Tj
2.1364 0 Td
(experience)Tj
5.0487 0 Td
(with)Tj
1.9812 0 Td
(the)Tj
1.5934 0 Td
(POCT)Tj
2.9898 0 Td
(to)Tj
1.0443 0 Td
(their)Tj
2.1424 0 Td
(experi-)Tj
-35.8357 -1.474 Td
(ence)Tj
2.3631 0 Td
(using)Tj
2.5781 0 Td
(similar)Tj
3.0673 0 Td
(tests)Tj
2.3155 0 Td
(for)Tj
1.3785 0 Td
(malaria.)Tj
3.7298 0 Td
(Although)Tj
4.1237 0 Td
(the)Tj
1.5933 0 Td
(test)Tj
1.8202 0 Td
(was)Tj
1.9812 0 Td
(considered)Tj
5.0487 0 Td
(to)Tj
1.0443 0 Td
(take)Tj
2.0946 0 Td
(a)Tj
0.7699 0 Td
(relatively)Tj
-33.9082 -1.474 Td
(long)Tj
2.0767 0 Td
(time)Tj
2.0946 0 Td
(to)Tj
1.0444 0 Td
(perform)Tj
3.6343 0 Td
(the)Tj
1.5933 0 Td
(benefits)Tj
3.6821 0 Td
(of)Tj
1.0503 0 Td
(improved)Tj
4.2848 0 Td
(access)Tj
3.3001 0 Td
(to)Tj
1.0503 0 Td
(testing)Tj
3.133 0 Td
(were)Tj
2.3632 0 Td
(considered)Tj
5.0486 0 Td
(positive)Tj
3.5627 0 Td
(by)Tj
-37.9184 -1.474 Td
(most)Tj
2.3691 0 Td
(healthcare)Tj
4.8338 0 Td
(workers.)Tj
3.9625 0 Td
(Qualitative)Tj
4.8875 0 Td
(data)Tj
2.1484 0 Td
(is)Tj
0.931 0 Td
(needed)Tj
3.5089 0 Td
(to)Tj
1.0444 0 Td
(help)Tj
2.0827 0 Td
(inform)Tj
2.9719 0 Td
(better)Tj
2.7511 0 Td
(training)Tj
3.4493 0 Td
(packages)Tj
-34.9406 -1.4741 Td
(to)Tj
1.0443 0 Td
(support)Tj
3.5209 0 Td
(the)Tj
1.5934 0 Td
(implementation)Tj
6.9225 0 Td
(of)Tj
1.0443 0 Td
(POCT)Tj
2.9898 0 Td
(in)Tj
0.9846 0 Td
(low-resource)Tj
5.8722 0 Td
(settings.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 209.9905 534.8976 cm
BT
/F0 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Author)Tj
3.137 0 Td
(summary)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 209.9905 516.9259 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Syphilis)Tj
3.3391 0 Td
(and)Tj
1.7292 0 Td
(yaws)Tj
2.1543 0 Td
(are)Tj
1.4456 0 Td
(closely)Tj
2.8857 0 Td
(related)Tj
2.9423 0 Td
(bacterial)Tj
3.6284 0 Td
(infections.)Tj
4.3766 0 Td
(In)Tj
1.1055 0 Td
(many)Tj
2.4775 0 Td
(countries)Tj
3.9515 0 Td
(where)Tj
2.6475 0 Td
(the)Tj
1.4683 0 Td
(dis-)Tj
-34.1515 -1.3039 Td
(eases)Tj
2.2223 0 Td
(are)Tj
1.4513 0 Td
(found)Tj
2.6192 0 Td
(there)Tj
2.2621 0 Td
(is)Tj
0.8503 0 Td
(limited)Tj
3.0671 0 Td
(access)Tj
2.6476 0 Td
(to)Tj
1.0261 0 Td
(diagnostic)Tj
4.32 0 Td
(testing.)Tj
3.1067 0 Td
(Recently)Tj
3.6567 0 Td
(a)Tj
0.6576 0 Td
(point)Tj
2.3584 0 Td
(of)Tj
1.0148 0 Td
(care)Tj
1.8709 0 Td
(test)Tj
-33.1311 -1.2982 Td
(for)Tj
1.3889 0 Td
(both)Tj
2.058 0 Td
(diseases)Tj
3.3788 0 Td
(has)Tj
1.5421 0 Td
(been)Tj
2.1203 0 Td
(developed.)Tj
4.5014 0 Td
(In)Tj
1.1055 0 Td
(the)Tj
1.4683 0 Td
(current)Tj
3.1861 0 Td
(study)Tj
2.3925 0 Td
(we)Tj
1.3266 0 Td
(evaluated)Tj
3.9911 0 Td
(the)Tj
1.4684 0 Td
(experience)Tj
4.507 0 Td
(of)Tj
-34.435 -1.2983 Td
(healthcare)Tj
4.3313 0 Td
(workers)Tj
3.4355 0 Td
(and)Tj
1.7292 0 Td
(patients)Tj
3.3675 0 Td
(in)Tj
1.0375 0 Td
(using)Tj
2.3867 0 Td
(the)Tj
1.4684 0 Td
(test)Tj
1.6044 0 Td
(in)Tj
1.0374 0 Td
(the)Tj
1.4684 0 Td
(Solomon)Tj
3.8324 0 Td
(Islands.)Tj
3.2598 0 Td
(Both)Tj
2.1316 0 Td
(healthcare)Tj
-31.0901 -1.3039 Td
(workers)Tj
3.4355 0 Td
(and)Tj
1.7291 0 Td
(patients)Tj
3.3676 0 Td
(valued)Tj
2.8346 0 Td
(the)Tj
1.4683 0 Td
(improved)Tj
4.1103 0 Td
(access)Tj
2.6475 0 Td
(to)Tj
1.0261 0 Td
(testing)Tj
2.88 0 Td
(that)Tj
1.7802 0 Td
(provided)Tj
3.8154 0 Td
(by)Tj
1.1792 0 Td
(the)Tj
1.474 0 Td
(point)Tj
2.3584 0 Td
(of)Tj
-34.1062 -1.2983 Td
(care)Tj
1.8708 0 Td
(test.)Tj
1.8312 0 Td
(Experience)Tj
4.6488 0 Td
(of)Tj
1.0148 0 Td
(healthcare)Tj
4.3313 0 Td
(workers)Tj
3.4355 0 Td
(in)Tj
1.0375 0 Td
(using)Tj
2.3868 0 Td
(similar)Tj
2.9877 0 Td
(tests)Tj
1.9615 0 Td
(for)Tj
1.3833 0 Td
(other)Tj
2.3528 0 Td
(diseases,)Tj
3.5999 0 Td
(such)Tj
2.0637 0 Td
(as)Tj
-34.9056 -1.2982 Td
(malaria,)Tj
3.4525 0 Td
(had)Tj
1.7121 0 Td
(both)Tj
2.058 0 Td
(positive)Tj
3.3165 0 Td
(and)Tj
1.7291 0 Td
(negative)Tj
3.532 0 Td
(impacts)Tj
3.3448 0 Td
(on)Tj
1.2756 0 Td
(their)Tj
2.109 0 Td
(beliefs)Tj
2.7326 0 Td
(about)Tj
2.4944 0 Td
(the)Tj
1.4684 0 Td
(syphilis)Tj
3.2258 0 Td
(and)Tj
-32.4508 -1.2983 Td
(yaws)Tj
2.1543 0 Td
(test.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 372.9826 cm
BT
/F2 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Introduction)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 355.9748 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(The)Tj
1.7801 0 Td
(human)Tj
3.0784 0 Td
(treponematoses)Tj
6.514 0 Td
(comprise)Tj
3.9118 0 Td
(venereal)Tj
3.5432 0 Td
(syphilis)Tj
3.2202 0 Td
(and)Tj
1.7348 0 Td
(the)Tj
1.4683 0 Td
(three)Tj
2.262 0 Td
(non-venereal)Tj
5.4992 0 Td
(or)Tj
1.0999 0 Td
(endemic)Tj
-34.1119 -1.2982 Td
(treponematoses)Tj
6.5139 0 Td
(yaws,)Tj
2.3754 0 Td
(bejel,)Tj
2.3018 0 Td
(and)Tj
1.7348 0 Td
(pinta[)Tj
0.83 0.64 0.02 0 k
(1)Tj
0 g
(].)Tj
3.6623 0 Td
(Syphilis,)Tj
3.566 0 Td
(caused)Tj
2.914 0 Td
(by)Tj
/F10 1 Tf
1.1848 0 Td
[()75()20()2()4()11()6()2()6()]TJ
4.6885 0 Td
[()4()11( )4( )12(\n)4()12()12()]TJ
/F5 1 Tf
3.719 0 Td
(subsp.)Tj
/F10 1 Tf
2.7213 0 Td
[()4()11( )4( )12(\n\r)]TJ
-35.3818 -1.2983 Td
[()12()12()]TJ
/F5 1 Tf
(,)Tj
2.245 0 Td
(remains)Tj
3.4469 0 Td
(an)Tj
1.2019 0 Td
(important)Tj
4.2803 0 Td
(cause)Tj
2.3924 0 Td
(of)Tj
1.0148 0 Td
(both)Tj
2.0579 0 Td
(morbidity)Tj
4.2406 0 Td
(and)Tj
1.7291 0 Td
(mortality)Tj
3.9175 0 Td
(worldwide)Tj
4.4617 0 Td
(and)Tj
1.7291 0 Td
(remains)Tj
-32.7172 -1.2982 Td
(one)Tj
1.6951 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.474 0 Td
(major)Tj
2.6078 0 Td
(preventable)Tj
4.8642 0 Td
(causes)Tj
2.7553 0 Td
(of)Tj
1.0148 0 Td
(stillbirth)Tj
3.6056 0 Td
(globally)Tj
3.3279 0 Td
([)Tj
0.83 0.64 0.02 0 k
(2)Tj
0 g
(].)Tj
1.6044 0 Td
(Stillbirths)Tj
4.0819 0 Td
(and)Tj
1.7347 0 Td
(neonatal)Tj
3.6567 0 Td
(death)Tj
2.4321 0 Td
(due)Tj
-35.8693 -1.304 Td
(to)Tj
1.0261 0 Td
(mother-to-child)Tj
6.6614 0 Td
(transmission)Tj
5.3687 0 Td
(of)Tj
1.0148 0 Td
(syphilis)Tj
3.2202 0 Td
(are)Tj
1.4513 0 Td
(almost)Tj
2.8857 0 Td
(entirely)Tj
3.2541 0 Td
(preventable)Tj
4.8642 0 Td
(through)Tj
3.4469 0 Td
(appropri-)Tj
-33.1934 -1.2982 Td
(ate)Tj
1.3719 0 Td
(screening)Tj
4.0535 0 Td
(and)Tj
1.7292 0 Td
(treatment)Tj
4.1385 0 Td
(of)Tj
1.0148 0 Td
(pregnant)Tj
3.8268 0 Td
(women)Tj
3.2031 0 Td
(during)Tj
2.9253 0 Td
(antenatal)Tj
3.8891 0 Td
(care[)Tj
0.83 0.64 0.02 0 k
(3)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(4)Tj
0 g
(];)Tj
3.9515 0 Td
(this)Tj
1.6781 0 Td
(intervention)Tj
-31.7818 -1.2983 Td
(has)Tj
1.542 0 Td
(been)Tj
2.1203 0 Td
(shown)Tj
2.8516 0 Td
(to)Tj
1.0262 0 Td
(be)Tj
1.1451 0 Td
(highly)Tj
2.71 0 Td
(cost-effective)Tj
5.4538 0 Td
([)Tj
0.83 0.64 0.02 0 k
(5)Tj
0 g
(],)Tj
1.5987 0 Td
(but)Tj
1.5534 0 Td
(access)Tj
2.6475 0 Td
(to)Tj
1.0262 0 Td
(syphilis)Tj
3.2201 0 Td
(testing)Tj
2.88 0 Td
(is)Tj
0.8504 0 Td
(a)Tj
0.6519 0 Td
(barrier)Tj
2.9651 0 Td
(to)Tj
-34.2423 -1.3039 Td
(implementation)Tj
6.6386 0 Td
(in)Tj
1.0319 0 Td
(many)Tj
2.4774 0 Td
(settings[)Tj
0.83 0.64 0.02 0 k
(6)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(7)Tj
0 g
(].)Tj
-8.9517 -1.2983 Td
(Yaws,)Tj
2.5568 0 Td
(caused)Tj
2.9197 0 Td
(by)Tj
/F10 1 Tf
1.1792 0 Td
[()]TJ
/F5 1 Tf
(.)Tj
/F10 1 Tf
1.0374 0 Td
[()]TJ
/F5 1 Tf
(.)Tj
0.9241 0 Td
(subsp.)Tj
/F10 1 Tf
2.7156 0 Td
[()4()2()-19()11()2()18()4()]TJ
/F5 1 Tf
3.5886 0 Td
(is)Tj
0.8448 0 Td
(the)Tj
1.474 0 Td
(most)Tj
2.2053 0 Td
(common)Tj
3.8438 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(endemic)Tj
3.6567 0 Td
(treponematoses)Tj
-30.6253 -1.2982 Td
([)Tj
0.83 0.64 0.02 0 k
(1)Tj
0 g
(].)Tj
1.5987 0 Td
(Although)Tj
4.0025 0 Td
(its)Tj
1.1508 0 Td
(aetiological)Tj
4.7395 0 Td
(agent)Tj
2.3868 0 Td
(is)Tj
0.8504 0 Td
(closely)Tj
2.88 0 Td
(related)Tj
2.9423 0 Td
(to)Tj
/F10 1 Tf
1.0261 0 Td
[()]TJ
/F5 1 Tf
(.)Tj
/F10 1 Tf
1.0375 0 Td
[()]TJ
/F5 1 Tf
(.)Tj
0.9184 0 Td
(subsp.)Tj
/F10 1 Tf
2.7213 0 Td
[()4()11( )4( )12(\n)4()12()12()]TJ
/F5 1 Tf
(,)Tj
3.9458 0 Td
(yaws)Tj
2.1543 0 Td
(is)Tj
0.8504 0 Td
(transmit-)Tj
-33.2048 -1.304 Td
(ted)Tj
1.4683 0 Td
(by)Tj
1.1792 0 Td
(non-sexual)Tj
4.6318 0 Td
(skin)Tj
1.8935 0 Td
(to)Tj
1.0261 0 Td
(skin)Tj
1.8936 0 Td
(contact)Tj
3.1521 0 Td
(affects)Tj
2.7382 0 Td
(children)Tj
3.5547 0 Td
(living)Tj
2.4717 0 Td
(in)Tj
1.0319 0 Td
(poor,)Tj
2.3527 0 Td
(rural)Tj
2.1656 0 Td
(communities)Tj
5.4879 0 Td
(in)Tj
1.0318 0 Td
(the)Tj
-36.0791 -1.2982 Td
(tropics,)Tj
3.1917 0 Td
(where)Tj
2.6476 0 Td
(the)Tj
1.4683 0 Td
(ambient)Tj
3.5206 0 Td
(humidity)Tj
3.9118 0 Td
(is)Tj
0.8447 0 Td
(high[)Tj
0.83 0.64 0.02 0 k
(8)Tj
0 g
(].)Tj
3.3902 0 Td
(In)Tj
1.1056 0 Td
(2012,)Tj
2.3527 0 Td
(the)Tj
1.4683 0 Td
(World)Tj
2.8347 0 Td
(Health)Tj
2.9196 0 Td
(Organization)Tj
-29.6558 -1.2983 Td
(\(WHO\))Tj
3.3788 0 Td
(launched)Tj
3.8778 0 Td
(a)Tj
0.6576 0 Td
(renewed)Tj
3.617 0 Td
(plan)Tj
1.9672 0 Td
(to)Tj
1.0262 0 Td
(eradicate)Tj
3.8211 0 Td
(yaws)Tj
2.1543 0 Td
(globally)Tj
3.3278 0 Td
(by)Tj
1.1849 0 Td
(2020)Tj
2.1203 0 Td
(using)Tj
2.3868 0 Td
(community)Tj
4.8869 0 Td
(mass)Tj
-34.4067 -1.3039 Td
(treatment)Tj
4.1328 0 Td
(with)Tj
2.0013 0 Td
(single)Tj
2.5285 0 Td
(dose)Tj
2.0409 0 Td
(azithromycin.)Tj
5.777 0 Td
(Currently,)Tj
4.3483 0 Td
(when)Tj
2.4038 0 Td
(submitting)Tj
4.5807 0 Td
(data)Tj
1.9162 0 Td
(to)Tj
1.0262 0 Td
(WHO,)Tj
2.9253 0 Td
(most)Tj
-33.681 -1.2983 Td
(countries)Tj
3.9458 0 Td
(report)Tj
2.7099 0 Td
(clinically)Tj
3.7757 0 Td
(suspected)Tj
4.0875 0 Td
(cases)Tj
2.2224 0 Td
(without)Tj
3.3278 0 Td
(laboratory)Tj
4.3483 0 Td
(confirmation,)Tj
5.726 0 Td
(but)Tj
1.5534 0 Td
(clinical)Tj
3.0784 0 Td
(diag-)Tj
-34.7752 -1.2982 Td
(nosis)Tj
2.262 0 Td
(may)Tj
1.9275 0 Td
(be)Tj
1.1509 0 Td
(inaccurate,)Tj
4.5978 0 Td
(with)Tj
1.9955 0 Td
(less)Tj
1.6158 0 Td
(than)Tj
2.0296 0 Td
(50%)Tj
1.9275 0 Td
(of)Tj
1.0148 0 Td
(phenotypically)Tj
6.0831 0 Td
(consistent)Tj
4.2576 0 Td
(cases)Tj
2.2224 0 Td
(confirmed)Tj
4.3993 0 Td
(sero-)Tj
-35.4838 -1.2983 Td
(logically)Tj
3.5092 0 Td
(in)Tj
1.0375 0 Td
(some)Tj
2.3301 0 Td
(studies)Tj
2.9877 0 Td
([)Tj
0.83 0.64 0.02 0 k
(9)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(10)Tj
0 g
(].)Tj
2.7722 0 Td
(The)Tj
1.7858 0 Td
(development)Tj
5.4085 0 Td
(and)Tj
1.7291 0 Td
(validation)Tj
4.2066 0 Td
(of)Tj
1.0148 0 Td
(appropriate)Tj
4.8812 0 Td
(point-of-care)Tj
-31.6627 -1.3039 Td
(diagnostics)Tj
4.6771 0 Td
(for)Tj
1.389 0 Td
(use)Tj
1.5307 0 Td
(in)Tj
1.0374 0 Td
(yaws)Tj
2.1543 0 Td
(eradication)Tj
4.7225 0 Td
(efforts)Tj
2.7553 0 Td
(has)Tj
1.542 0 Td
(been)Tj
2.1203 0 Td
(highlighted)Tj
4.7679 0 Td
(as)Tj
1.0148 0 Td
(a)Tj
0.6519 0 Td
(research)Tj
3.5547 0 Td
(priority[)Tj
0.83 0.64 0.02 0 k
(11)Tj
0 g
(],)Tj
-31.9179 -1.2983 Td
(and)Tj
1.7291 0 Td
(would)Tj
2.7099 0 Td
(allow)Tj
2.3357 0 Td
(strengthening)Tj
5.7713 0 Td
(of)Tj
1.0148 0 Td
(national)Tj
3.4979 0 Td
(yaws)Tj
2.1544 0 Td
(surveillance)Tj
4.9492 0 Td
(programmes)Tj
5.3064 0 Td
(and)Tj
1.7292 0 Td
(accurate)Tj
3.5546 0 Td
(report-)Tj
-34.7525 -1.2982 Td
(ing)Tj
1.5023 0 Td
(of)Tj
1.0148 0 Td
(cases.)Tj
-1.3209 -1.304 Td
(Serological)Tj
4.5864 0 Td
(assays)Tj
2.6305 0 Td
(remain)Tj
3.0841 0 Td
(the)Tj
1.4683 0 Td
(most)Tj
2.2054 0 Td
(common)Tj
3.8437 0 Td
(diagnostic)Tj
4.32 0 Td
(method)Tj
3.3222 0 Td
(for)Tj
1.389 0 Td
(all)Tj
1.1451 0 Td
(treponemal)Tj
4.8076 0 Td
(infec-)Tj
-33.9985 -1.2982 Td
(tions.)Tj
2.4264 0 Td
(Importantly,)Tj
5.2781 0 Td
(none)Tj
2.2507 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(currently)Tj
3.8834 0 Td
(available)Tj
3.668 0 Td
(assays)Tj
2.6249 0 Td
(is)Tj
0.8504 0 Td
(able)Tj
1.8312 0 Td
(to)Tj
1.0261 0 Td
(differentiate)Tj
5.074 0 Td
(between)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 183.2882 23.6976 re
W* n
q
183.2315 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 432.9637 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Syphilis)Tj
3.6 0 Td
(and)Tj
1.8567 0 Td
(yaws)Tj
2.4591 0 Td
(POCT)Tj
2.9764 0 Td
(qualitativ)Tj
3.8622 0 Td
(e)Tj
0.7654 0 Td
(study)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
163.5591 34.9228 m
317.7071 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Neglected)Tj
4.6417 0 Td
(Tropical)Tj
3.7135 0 Td
(Disease)Tj
3.5433 0 Td
(s)Tj
0.7158 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8197 0 Td
(1/journal.pn)Tj
5.1237 0 Td
(td.00063)Tj
3.8197 0 Td
(60)Tj
0 g
2.0905 0 Td
(April)Tj
2.1827 0 Td
(19,)Tj
1.5804 0 Td
(2018)Tj
25.1647 0 Td
(2)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
28 0 obj
<>stream
endstream
endobj
29 0 obj
<>stream
endstream
endobj
30 0 obj
<>stream
endstream
endobj
31 0 obj
<>stream
endstream
endobj
32 0 obj
<>stream
endstream
endobj
33 0 obj
<>stream
endstream
endobj
34 0 obj
<>stream
endstream
endobj
35 0 obj
<>stream
endstream
endobj
36 0 obj
<>stream
endstream
endobj
37 0 obj
<>stream
endstream
endobj
38 0 obj
<>stream
endstream
endobj
39 0 obj
<>stream
BT
66.402 0 Td
(10)Tj
ET
Q
endstream
endobj
40 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 10 0 R/Annots 42 0 R/Contents 43 0 R/TrimBox[0 0 612 792]>>
endobj
42 0 obj
[44 0 R 45 0 R 46 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 52 0 R 53 0 R 54 0 R]
endobj
44 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref012)>>
endobj
45 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref013)>>
endobj
46 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref006)>>
endobj
47 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref014)>>
endobj
48 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref015)>>
endobj
49 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref019)>>
endobj
50 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref020)>>
endobj
51 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref021)>>
endobj
52 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref008)>>
endobj
53 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref022)>>
endobj
54 0 obj
<>/Border[0 0 0]/A 55 0 R>>
endobj
55 0 obj
<>
endobj
43 0 obj
[56 0 R 57 0 R 58 0 R 59 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R 65 0 R 66 0 R 67 0 R 68 0 R]
endobj
56 0 obj
<>stream
q
0.83 0.64 0.02 0 k
509.6126 706.337 m
519.0803 706.337 l
h
f*
358.1291 563.3008 m
367.6535 563.3008 l
h
f*
461.1969 563.3008 m
465.9024 563.3008 l
h
f*
227.2252 433.3039 m
236.7496 433.3039 l
h
f*
272.5228 394.2992 m
282.0472 394.2992 l
h
f*
287.2063 394.2992 m
296.7307 394.2992 l
h
f*
418.2803 303.3071 m
427.8047 303.3071 l
h
f*
430.0724 303.3071 m
439.5402 303.3071 l
h
f*
530.4189 290.3244 m
535.1811 290.3244 l
h
f*
214.8094 264.3024 m
224.3339 264.3024 l
h
f*
0 g
1 j
1 J
0 w
10 0 0 10 200.0125 707.4141 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(infection)Tj
3.7927 0 Td
(with)Tj
1.9956 0 Td
(syphilis)Tj
3.2201 0 Td
(and)Tj
1.7291 0 Td
(infection)Tj
3.7928 0 Td
(with)Tj
2.0012 0 Td
(any)Tj
1.6554 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(endemic)Tj
3.6566 0 Td
(treponematoses[)Tj
0.83 0.64 0.02 0 k
(12)Tj
0 g
(].)Tj
8.3678 0 Td
(Standard)Tj
-32.6945 -1.3039 Td
(serological)Tj
4.473 0 Td
(testing)Tj
2.88 0 Td
(consists)Tj
3.3448 0 Td
(of)Tj
1.0148 0 Td
(both)Tj
2.0636 0 Td
(a)Tj
0.652 0 Td
(treponemal)Tj
4.8075 0 Td
(specific)Tj
3.1918 0 Td
(test,)Tj
1.8255 0 Td
(such)Tj
2.0636 0 Td
(as)Tj
1.0148 0 Td
(the)Tj
/F10 1 Tf
1.4684 0 Td
[()75()20()2()4()11()6()2()6()]TJ
4.6884 0 Td
[()4()11( )4( )12(\n)4()12()12()]TJ
/F5 1 Tf
-33.4882 -1.2982 Td
(particle)Tj
3.1974 0 Td
(agglutination)Tj
5.5275 0 Td
(assay)Tj
2.2677 0 Td
(\(TPPA\),)Tj
3.5377 0 Td
(combined)Tj
4.2462 0 Td
(with)Tj
1.9956 0 Td
(a)Tj
0.652 0 Td
(non-treponemal)Tj
6.7634 0 Td
(test,)Tj
1.8312 0 Td
(such)Tj
2.0579 0 Td
(as)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(Rapid)Tj
-34.5597 -1.2983 Td
(Plasma)Tj
3.0727 0 Td
(Reagin)Tj
2.982 0 Td
(\(RPR\))Tj
2.6986 0 Td
(assay.)Tj
2.4888 0 Td
(Treponemal)Tj
5.125 0 Td
(tests)Tj
1.9616 0 Td
(are)Tj
1.4513 0 Td
(highly)Tj
2.7042 0 Td
(specific)Tj
3.1918 0 Td
(but)Tj
1.5534 0 Td
(generally)Tj
3.8324 0 Td
(remain)Tj
3.0841 0 Td
(positive)Tj
-34.1459 -1.2983 Td
(for)Tj
1.3832 0 Td
(life)Tj
1.4457 0 Td
(following)Tj
3.9798 0 Td
(infection.)Tj
4.0195 0 Td
(Non-treponemal)Tj
6.9505 0 Td
(tests)Tj
1.9616 0 Td
(are)Tj
1.4457 0 Td
(less)Tj
1.6157 0 Td
(specific)Tj
3.1918 0 Td
(but)Tj
1.5477 0 Td
(reflect)Tj
2.6986 0 Td
(disease)Tj
3.016 0 Td
(activity)Tj
-33.2558 -1.3039 Td
(more)Tj
2.3414 0 Td
(accurately,)Tj
4.4787 0 Td
(and)Tj
1.7348 0 Td
(their)Tj
2.1033 0 Td
(titres)Tj
2.2393 0 Td
(fall)Tj
1.4343 0 Td
(following)Tj
3.9798 0 Td
(successful)Tj
4.1669 0 Td
(treatment.)Tj
4.3597 0 Td
(Testing)Tj
3.1918 0 Td
(therefore)Tj
3.8551 0 Td
(requires)Tj
-33.8851 -1.2982 Td
(both)Tj
2.0579 0 Td
(assays)Tj
2.6249 0 Td
(to)Tj
1.0261 0 Td
(give)Tj
1.8312 0 Td
(an)Tj
1.2018 0 Td
(interpretable)Tj
5.3518 0 Td
(result.)Tj
-12.8975 -1.2983 Td
(Whilst)Tj
2.8913 0 Td
(traditional)Tj
4.4163 0 Td
(serological)Tj
4.4731 0 Td
(tests)Tj
1.9615 0 Td
(are)Tj
1.4514 0 Td
(relatively)Tj
3.8381 0 Td
(straightforward)Tj
6.4232 0 Td
(to)Tj
1.0262 0 Td
(perform,)Tj
3.7417 0 Td
(they)Tj
1.9275 0 Td
(require)Tj
3.1124 0 Td
(a)Tj
-36.4589 -1.3039 Td
(cold)Tj
1.9218 0 Td
(chain)Tj
2.4208 0 Td
(and)Tj
1.7291 0 Td
(electricity,)Tj
4.3427 0 Td
(denying)Tj
3.4582 0 Td
(access)Tj
2.6476 0 Td
(to)Tj
1.0261 0 Td
(testing)Tj
2.88 0 Td
(to)Tj
1.0261 0 Td
(those)Tj
2.3357 0 Td
(living)Tj
2.4718 0 Td
(in)Tj
1.0318 0 Td
(many)Tj
2.4775 0 Td
(remote)Tj
3.0671 0 Td
(communi-)Tj
-32.8363 -1.2983 Td
(ties.)Tj
1.7914 0 Td
(Point-of-care)Tj
5.5502 0 Td
(tests)Tj
1.9616 0 Td
(\(POCTs\))Tj
3.8438 0 Td
(allow)Tj
2.3357 0 Td
(testing)Tj
2.88 0 Td
(without)Tj
3.3335 0 Td
(further)Tj
3.0274 0 Td
(development)Tj
5.4084 0 Td
(of)Tj
1.0148 0 Td
(infrastructure)Tj
-31.1468 -1.2983 Td
(in)Tj
1.0318 0 Td
(populations)Tj
4.9549 0 Td
(where)Tj
2.6475 0 Td
(routine)Tj
3.1635 0 Td
(laboratory)Tj
4.354 0 Td
(facilities)Tj
3.4922 0 Td
(are)Tj
1.4514 0 Td
(not)Tj
1.5703 0 Td
(available.)Tj
3.8948 0 Td
(A)Tj
0.9014 0 Td
(large)Tj
2.16 0 Td
(number)Tj
3.4186 0 Td
(of)Tj
1.0148 0 Td
(syphilis)Tj
-34.0552 -1.3039 Td
(POCTs)Tj
3.1577 0 Td
(meeting)Tj
3.4696 0 Td
(the)Tj
1.4683 0 Td
(ASSURED)Tj
4.5184 0 Td
(criteria[)Tj
0.83 0.64 0.02 0 k
(13)Tj
0 g
(])Tj
4.7055 0 Td
(have)Tj
2.0636 0 Td
(been)Tj
2.1203 0 Td
(developed)Tj
4.2747 0 Td
([)Tj
0.83 0.64 0.02 0 k
(6)Tj
0 g
(])Tj
1.3719 0 Td
(but)Tj
1.5534 0 Td
(the)Tj
1.4683 0 Td
(majority)Tj
3.6284 0 Td
(of)Tj
1.0147 0 Td
(com-)Tj
-34.8148 -1.2982 Td
(mercially)Tj
3.9061 0 Td
(available)Tj
3.668 0 Td
(tests)Tj
1.9615 0 Td
(include)Tj
3.1805 0 Td
(only)Tj
1.9786 0 Td
(a)Tj
0.6519 0 Td
(treponemal)Tj
4.8132 0 Td
(line.)Tj
1.9276 0 Td
(Although)Tj
4.0025 0 Td
(these)Tj
2.2563 0 Td
(tests)Tj
1.9616 0 Td
(allow)Tj
2.3357 0 Td
(identifica-)Tj
-32.6435 -1.2983 Td
(tion)Tj
1.8425 0 Td
(of)Tj
1.0148 0 Td
(individuals)Tj
4.6487 0 Td
(who)Tj
1.9389 0 Td
(have)Tj
2.058 0 Td
(been)Tj
2.1203 0 Td
(exposed)Tj
3.4469 0 Td
(to)Tj
1.0261 0 Td
(treponemal)Tj
4.8075 0 Td
(infection,)Tj
4.0195 0 Td
(they)Tj
1.9219 0 Td
(cannot)Tj
2.9821 0 Td
(distinguish)Tj
-31.8272 -1.3039 Td
(between)Tj
3.5262 0 Td
(current)Tj
3.1861 0 Td
(and)Tj
1.7292 0 Td
(previous,)Tj
3.8777 0 Td
(successfully)Tj
4.8643 0 Td
(treated)Tj
2.9933 0 Td
(infection.)Tj
4.0195 0 Td
(In)Tj
1.1055 0 Td
(the)Tj
1.4684 0 Td
(antenatal)Tj
3.8891 0 Td
(setting,)Tj
3.1067 0 Td
(this)Tj
-33.766 -1.2983 Td
(results)Tj
2.8062 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4683 0 Td
(unnecessary)Tj
5.0967 0 Td
(treatment)Tj
4.1386 0 Td
(of)Tj
1.0148 0 Td
(women)Tj
3.2031 0 Td
(with)Tj
1.9956 0 Td
(previously)Tj
4.3483 0 Td
(treated)Tj
2.999 0 Td
(syphilis;)Tj
3.4469 0 Td
(in)Tj
1.0375 0 Td
(yaws)Tj
2.1543 0 Td
(eradi-)Tj
-34.7468 -1.2982 Td
(cation)Tj
2.6985 0 Td
(programmes)Tj
5.3064 0 Td
(it)Tj
0.7881 0 Td
(represents)Tj
4.3199 0 Td
(a)Tj
0.652 0 Td
(barrier)Tj
2.965 0 Td
(to)Tj
1.0262 0 Td
(accurately)Tj
4.2576 0 Td
(assessing)Tj
3.804 0 Td
(ongoing)Tj
3.5263 0 Td
(transmission)Tj
5.3631 0 Td
(follow-)Tj
-34.7071 -1.2983 Td
(ing)Tj
1.5023 0 Td
(community)Tj
4.8812 0 Td
(mass)Tj
2.1997 0 Td
(treatment.)Tj
-7.387 -1.3039 Td
(A)Tj
0.907 0 Td
(single)Tj
2.5285 0 Td
(commercially)Tj
5.6579 0 Td
(available)Tj
3.6681 0 Td
(test,)Tj
1.8255 0 Td
(the)Tj
1.4683 0 Td
(Dual)Tj
2.1657 0 Td
(Path)Tj
2.0409 0 Td
(Platform)Tj
3.7417 0 Td
(\(DPP-POCT\))Tj
5.6863 0 Td
(Syphilis)Tj
3.3335 0 Td
(Screen)Tj
-34.2196 -1.2983 Td
(and)Tj
1.7291 0 Td
(Confirm)Tj
3.685 0 Td
(test)Tj
1.5987 0 Td
(kit)Tj
1.2869 0 Td
(\(Chembio,)Tj
4.4958 0 Td
(Medford,)Tj
3.9854 0 Td
(NY,)Tj
1.8142 0 Td
(USA\))Tj
2.4548 0 Td
(provides)Tj
3.651 0 Td
(both)Tj
2.0579 0 Td
(a)Tj
0.6577 0 Td
(treponemal)Tj
5.5899 0 Td
(result)Tj
-33.0064 -1.2983 Td
(\(analogous)Tj
4.5864 0 Td
(to)Tj
1.0261 0 Td
(a)Tj
0.6576 0 Td
(TPPA)Tj
2.6306 0 Td
(assay\))Tj
2.6078 0 Td
(and)Tj
1.7292 0 Td
(a)Tj
0.6519 0 Td
(non-treponemal)Tj
7.5515 0 Td
(result)Tj
2.4434 0 Td
(\(analogous)Tj
4.5921 0 Td
(to)Tj
1.0262 0 Td
(a)Tj
0.6519 0 Td
(qualitative)Tj
4.3824 0 Td
(RPR)Tj
-34.5371 -1.3039 Td
(assay\)[)Tj
0.83 0.64 0.02 0 k
(14)Tj
0 g
(],)Tj
4.4617 0 Td
(and)Tj
1.7291 0 Td
(can)Tj
1.6271 0 Td
(therefore)Tj
3.855 0 Td
(distinguish)Tj
4.6375 0 Td
(between)Tj
3.5263 0 Td
(current)Tj
3.1861 0 Td
(and)Tj
1.7291 0 Td
(past)Tj
1.8312 0 Td
(infection.)Tj
4.0138 0 Td
(A)Tj
0.9071 0 Td
(number)Tj
3.4186 0 Td
(of)Tj
-34.9226 -1.2982 Td
(studies)Tj
2.9876 0 Td
(and)Tj
1.7292 0 Td
(a)Tj
0.6519 0 Td
(meta-analysis)Tj
5.6523 0 Td
(have)Tj
2.0579 0 Td
(demonstrated)Tj
5.7657 0 Td
(that)Tj
1.7744 0 Td
(the)Tj
1.4684 0 Td
(test)Tj
1.6044 0 Td
(has)Tj
1.542 0 Td
(a)Tj
0.652 0 Td
(good)Tj
2.228 0 Td
(sensitivity)Tj
4.2236 0 Td
(and)Tj
1.7291 0 Td
(specific-)Tj
-34.0665 -1.2983 Td
(ity)Tj
1.2415 0 Td
(for)Tj
1.3833 0 Td
(the)Tj
1.4684 0 Td
(diagnosis)Tj
3.9571 0 Td
(but)Tj
1.5534 0 Td
(there)Tj
2.2677 0 Td
(have)Tj
2.0579 0 Td
(not)Tj
1.5761 0 Td
(been)Tj
2.1203 0 Td
(any)Tj
1.6611 0 Td
(evaluations)Tj
4.7168 0 Td
(of)Tj
1.0148 0 Td
(implementation)Tj
6.6387 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.474 0 Td
(test)Tj
1.5987 0 Td
(in)Tj
1.0375 0 Td
(a)Tj
-36.7821 -1.3039 Td
(real)Tj
1.6951 0 Td
(world)Tj
2.5568 0 Td
(setting[)Tj
0.83 0.64 0.02 0 k
(15)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(19)Tj
0 g
(].)Tj
-3.0557 -1.2983 Td
(Alongside)Tj
4.2519 0 Td
(the)Tj
1.4683 0 Td
(test's)Tj
2.177 0 Td
(performance)Tj
5.3518 0 Td
(characteristics)Tj
5.9017 0 Td
(assessed)Tj
3.4753 0 Td
(through)Tj
3.4412 0 Td
(diagnostic)Tj
4.32 0 Td
(evaluation,)Tj
4.5864 0 Td
(it)Tj
0.788 0 Td
(is)Tj
-36.9578 -1.2983 Td
(important)Tj
4.2802 0 Td
(to)Tj
1.0262 0 Td
(consider)Tj
3.651 0 Td
(broader)Tj
3.3618 0 Td
(issues)Tj
2.5172 0 Td
(when)Tj
2.4038 0 Td
(rolling)Tj
2.8743 0 Td
(out)Tj
1.5533 0 Td
(a)Tj
0.652 0 Td
(POCT.)Tj
3.0274 0 Td
(Adequate)Tj
4.0422 0 Td
(training)Tj
3.4242 0 Td
(and)Tj
1.7291 0 Td
(quality)Tj
-34.5427 -1.2982 Td
(control)Tj
3.118 0 Td
(\(QC\))Tj
2.3131 0 Td
(steps)Tj
2.1827 0 Td
(must)Tj
2.2223 0 Td
(be)Tj
1.1509 0 Td
(developed,)Tj
4.4957 0 Td
(and)Tj
1.7348 0 Td
(both)Tj
2.0579 0 Td
(health-care)Tj
4.6828 0 Td
(workers)Tj
3.4299 0 Td
(and)Tj
1.7348 0 Td
(patients)Tj
3.3676 0 Td
(may)Tj
1.9275 0 Td
(require)Tj
-34.418 -1.3039 Td
(additional)Tj
4.2746 0 Td
(education)Tj
4.1782 0 Td
(about)Tj
2.4945 0 Td
(the)Tj
1.4683 0 Td
(role)Tj
1.7688 0 Td
(of)Tj
1.0148 0 Td
(POCTs)Tj
3.1635 0 Td
(in)Tj
1.0318 0 Td
(making)Tj
3.2541 0 Td
(a)Tj
0.652 0 Td
(diagnosis.)Tj
4.1839 0 Td
(Experience)Tj
4.6545 0 Td
(with)Tj
1.9955 0 Td
(malaria)Tj
-34.1345 -1.2983 Td
(POCT)Tj
2.8006 0 Td
(roll-out)Tj
3.2711 0 Td
(in)Tj
1.0375 0 Td
(sub-Saharan)Tj
5.193 0 Td
(Africa)Tj
2.6873 0 Td
(has)Tj
1.542 0 Td
(demonstrated)Tj
5.76 0 Td
(that)Tj
1.7801 0 Td
(both)Tj
2.0579 0 Td
(healthcare)Tj
4.3314 0 Td
(worker)Tj
3.0727 0 Td
(and)Tj
-33.5336 -1.2983 Td
(patient)Tj
3.0047 0 Td
(beliefs)Tj
2.7382 0 Td
(significantly)Tj
5.091 0 Td
(influence)Tj
3.9118 0 Td
(the)Tj
1.474 0 Td
(utilisation)Tj
4.2406 0 Td
(and)Tj
1.7291 0 Td
(interpretation)Tj
5.794 0 Td
(of)Tj
1.0148 0 Td
(POCTs)Tj
3.1634 0 Td
(and)Tj
1.7292 0 Td
(may)Tj
1.9275 0 Td
(play)Tj
-35.8183 -1.3039 Td
(a)Tj
0.6519 0 Td
(major)Tj
2.6079 0 Td
(role)Tj
1.7688 0 Td
(in)Tj
1.0375 0 Td
(shaping)Tj
3.3391 0 Td
(their)Tj
2.109 0 Td
(use)Tj
1.5307 0 Td
(in)Tj
1.0375 0 Td
(real-world)Tj
4.3823 0 Td
(settings[)Tj
0.83 0.64 0.02 0 k
(20)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(21)Tj
0 g
(].)Tj
-17.2685 -1.2982 Td
(The)Tj
1.7858 0 Td
(Solomon)Tj
3.8324 0 Td
(Islands)Tj
3.0387 0 Td
(reports)Tj
3.0671 0 Td
(the)Tj
1.4683 0 Td
(third)Tj
2.211 0 Td
(most)Tj
2.211 0 Td
(cases)Tj
2.2224 0 Td
(of)Tj
1.0148 0 Td
(yaws)Tj
2.1543 0 Td
(in)Tj
1.0318 0 Td
(the)Tj
1.4683 0 Td
(world)Tj
2.5569 0 Td
(annually[)Tj
0.83 0.64 0.02 0 k
(8)Tj
0 g
(],)Tj
5.0456 0 Td
(after)Tj
-34.3046 -1.2983 Td
(Ghana)Tj
2.8743 0 Td
(and)Tj
1.7234 0 Td
(Papua)Tj
2.6872 0 Td
(New)Tj
2.0637 0 Td
(Guinea.)Tj
3.3562 0 Td
(Recent)Tj
2.9536 0 Td
(ANC)Tj
2.2961 0 Td
(surveys)Tj
3.1691 0 Td
(have)Tj
2.0579 0 Td
(also)Tj
1.7632 0 Td
(show)Tj
2.296 0 Td
(a)Tj
0.6463 0 Td
(high)Tj
2.0069 0 Td
(prevalence)Tj
4.4787 0 Td
(of)Tj
1.0092 0 Td
(syph-)Tj
-35.3818 -1.3039 Td
(ilis[)Tj
0.83 0.64 0.02 0 k
(22)Tj
0 g
(].)Tj
3.2144 0 Td
(Diagnostic)Tj
4.5241 0 Td
(testing)Tj
2.88 0 Td
(in)Tj
1.0318 0 Td
(the)Tj
1.4626 0 Td
(Solomon)Tj
3.8268 0 Td
(Islands)Tj
3.0387 0 Td
(is)Tj
0.8447 0 Td
(limited)Tj
3.0671 0 Td
(to)Tj
1.0205 0 Td
(hospital)Tj
3.3732 0 Td
(laboratories.)Tj
5.1703 0 Td
(As)Tj
1.2643 0 Td
(a)Tj
0.6463 0 Td
(result)Tj
-35.3648 -1.2983 Td
(testing)Tj
2.8799 0 Td
(for)Tj
1.389 0 Td
(syphilis)Tj
3.2201 0 Td
(in)Tj
1.0375 0 Td
(rural)Tj
2.1713 0 Td
(clinics)Tj
2.7553 0 Td
(relies)Tj
2.313 0 Td
(on)Tj
1.2756 0 Td
(sending)Tj
3.3619 0 Td
(tests)Tj
1.9616 0 Td
(away)Tj
2.228 0 Td
(to)Tj
1.0204 0 Td
(a)Tj
0.6577 0 Td
(local)Tj
2.0749 0 Td
(hospital,)Tj
3.6057 0 Td
(whilst)Tj
2.6022 0 Td
(most)Tj
-34.5541 -1.2983 Td
(cases)Tj
2.2223 0 Td
(of)Tj
1.0148 0 Td
(yaws)Tj
2.1543 0 Td
(are)Tj
1.4457 0 Td
(never)Tj
2.4434 0 Td
(confirmed)Tj
4.3937 0 Td
(serologically.)Tj
5.4028 0 Td
(These)Tj
2.5625 0 Td
(gaps)Tj
2.0012 0 Td
(in)Tj
1.0319 0 Td
(current)Tj
3.1861 0 Td
(diagnostic)Tj
4.3199 0 Td
(test)Tj
1.5988 0 Td
(provision)Tj
-33.7774 -1.3039 Td
(highlight)Tj
3.8097 0 Td
(a)Tj
0.6576 0 Td
(potential)Tj
3.7587 0 Td
(role)Tj
1.7688 0 Td
(for)Tj
1.3833 0 Td
(the)Tj
1.4684 0 Td
(DPP-POCT)Tj
5.0059 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4683 0 Td
(Solomon)Tj
3.8325 0 Td
(Islands)Tj
3.0387 0 Td
(to)Tj
1.0261 0 Td
(improve)Tj
3.5773 0 Td
(access)Tj
2.6476 0 Td
(to)Tj
1.0261 0 Td
(test-)Tj
-35.5065 -1.2982 Td
(ing)Tj
1.5023 0 Td
(for)Tj
1.3833 0 Td
(both)Tj
2.0579 0 Td
(yaws)Tj
2.1544 0 Td
(and)Tj
1.7291 0 Td
(syphilis.)Tj
3.4526 0 Td
(We)Tj
1.6044 0 Td
(conducted)Tj
4.4276 0 Td
(a)Tj
0.6577 0 Td
(qualitative)Tj
4.3766 0 Td
(study)Tj
2.3868 0 Td
(evaluating)Tj
4.32 0 Td
(healthcare)Tj
4.3313 0 Td
(worker)Tj
-34.384 -1.2983 Td
(and)Tj
1.7291 0 Td
(patient)Tj
3.0047 0 Td
(perceptions)Tj
4.8812 0 Td
(of)Tj
1.0148 0 Td
(using)Tj
2.3868 0 Td
(a)Tj
0.6576 0 Td
(syphilis/yaws)Tj
5.4822 0 Td
(POCT)Tj
2.8006 0 Td
(in)Tj
1.0375 0 Td
(clinics)Tj
2.7552 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4683 0 Td
(East)Tj
1.8822 0 Td
(Malaita)Tj
3.2258 0 Td
(region)Tj
2.8063 0 Td
(of)Tj
-36.1698 -1.2983 Td
(Malaita)Tj
3.2258 0 Td
(province)Tj
3.7303 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4683 0 Td
(Solomon)Tj
3.8325 0 Td
(Islands.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 156.9826 cm
BT
/F2 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Methods)Tj
/F11 1 Tf
0 -1.4976 Td
(Study)Tj
2.6173 0 Td
(site)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 122.0031 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(The)Tj
1.7801 0 Td
(study)Tj
2.3924 0 Td
(was)Tj
1.6951 0 Td
(at)Tj
0.9525 0 Td
(Atoifi)Tj
2.5341 0 Td
(Adventist)Tj
4.0819 0 Td
(Hospital)Tj
3.617 0 Td
(\(AAH\),)Tj
3.2655 0 Td
(Uru)Tj
1.8538 0 Td
(Harbour,)Tj
3.9288 0 Td
(the)Tj
1.474 0 Td
(local)Tj
2.075 0 Td
(referral)Tj
3.1464 0 Td
(hospital)Tj
3.3789 0 Td
(for)Tj
-36.1755 -1.2982 Td
(the)Tj
1.4683 0 Td
(eastern)Tj
3.0784 0 Td
(region)Tj
2.8063 0 Td
(of)Tj
1.0148 0 Td
(Malaita)Tj
3.2258 0 Td
(Province.)Tj
3.9968 0 Td
(Addition)Tj
3.8494 0 Td
(healthcare)Tj
4.3313 0 Td
(services)Tj
3.3052 0 Td
(are)Tj
1.4457 0 Td
(provided)Tj
3.8211 0 Td
(in)Tj
1.0318 0 Td
(the)Tj
1.4683 0 Td
(Prov-)Tj
-34.8432 -1.3039 Td
(ince)Tj
1.8821 0 Td
(by)Tj
1.1792 0 Td
(a)Tj
0.6577 0 Td
(number)Tj
3.4185 0 Td
(of)Tj
1.0148 0 Td
(nurse)Tj
2.4492 0 Td
(aid)Tj
1.4513 0 Td
(posts)Tj
2.262 0 Td
(and)Tj
1.7291 0 Td
(rural)Tj
2.1714 0 Td
(health)Tj
2.6759 0 Td
(clinics.)Tj
2.982 0 Td
(Serological)Tj
4.5864 0 Td
(testing)Tj
2.8857 0 Td
(for)Tj
1.3833 0 Td
(syphilis)Tj
3.2258 0 Td
(and)Tj
-35.9544 -1.2983 Td
(yaws)Tj
2.1543 0 Td
(is)Tj
0.8447 0 Td
(available)Tj
3.668 0 Td
(in)Tj
1.0375 0 Td
(this)Tj
1.6724 0 Td
(catchment)Tj
4.4163 0 Td
(area)Tj
1.8822 0 Td
(but)Tj
1.5534 0 Td
(requires)Tj
3.4753 0 Td
(venepuncture)Tj
5.7089 0 Td
(and)Tj
1.7291 0 Td
(delivery)Tj
3.3902 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(blood)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 183.2882 23.6976 re
W* n
q
183.2315 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 432.9637 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Syphilis)Tj
3.6 0 Td
(and)Tj
1.8567 0 Td
(yaws)Tj
2.4591 0 Td
(POCT)Tj
2.9764 0 Td
(qualitativ)Tj
3.8622 0 Td
(e)Tj
0.7654 0 Td
(study)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
163.5591 34.9228 m
317.7071 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Neglected)Tj
4.6417 0 Td
(Tropical)Tj
3.7135 0 Td
(Disease)Tj
3.5433 0 Td
(s)Tj
0.7158 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8197 0 Td
(1/journal.pn)Tj
5.1237 0 Td
(td.00063)Tj
3.8197 0 Td
(60)Tj
0 g
2.0905 0 Td
(April)Tj
2.1827 0 Td
(19,)Tj
1.5804 0 Td
(2018)Tj
25.1647 0 Td
(3)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
57 0 obj
<>stream
endstream
endobj
58 0 obj
<>stream
endstream
endobj
59 0 obj
<>stream
endstream
endobj
60 0 obj
<>stream
endstream
endobj
61 0 obj
<>stream
endstream
endobj
62 0 obj
<>stream
endstream
endobj
63 0 obj
<>stream
endstream
endobj
64 0 obj
<>stream
endstream
endobj
65 0 obj
<>stream
endstream
endobj
66 0 obj
<>stream
endstream
endobj
67 0 obj
<>stream
endstream
endobj
68 0 obj
<>stream
BT
66.402 0 Td
(10)Tj
ET
Q
endstream
endobj
69 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 10 0 R/Annots 70 0 R/Contents 71 0 R/TrimBox[0 0 612 792]>>
endobj
70 0 obj
[72 0 R]
endobj
72 0 obj
<>/Border[0 0 0]/A 73 0 R>>
endobj
73 0 obj
<>
endobj
71 0 obj
[74 0 R 75 0 R 76 0 R 77 0 R 78 0 R]
endobj
74 0 obj
<>stream
q
1 j
1 J
0 w
10 0 0 10 200.0125 707.4141 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(sample)Tj
3.0217 0 Td
(to)Tj
1.0261 0 Td
(AAH)Tj
2.3527 0 Td
(or)Tj
1.0999 0 Td
(for)Tj
1.3833 0 Td
(the)Tj
1.474 0 Td
(patient)Tj
3.0047 0 Td
(to)Tj
1.0261 0 Td
(travel)Tj
2.4491 0 Td
(to)Tj
1.0262 0 Td
(the)Tj
1.4683 0 Td
(hospital)Tj
3.3789 0 Td
(for)Tj
1.3833 0 Td
(venepuncture.)Tj
5.9357 0 Td
(In)Tj
1.1055 0 Td
(many)Tj
2.4775 0 Td
(remote)Tj
-33.613 -1.3039 Td
(communities)Tj
5.4821 0 Td
(this)Tj
1.6725 0 Td
(may)Tj
1.9275 0 Td
(require)Tj
3.1124 0 Td
(travelling)Tj
3.9742 0 Td
(for)Tj
1.3889 0 Td
(more)Tj
2.3414 0 Td
(than)Tj
2.0296 0 Td
(eight)Tj
2.1997 0 Td
(hours)Tj
2.5172 0 Td
(to)Tj
1.0261 0 Td
(have)Tj
2.0579 0 Td
(blood)Tj
2.5115 0 Td
(taken.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 662.57 cm
BT
/F11 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(The)Tj
1.8425 0 Td
(DPP-POCT)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 645.5622 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(DPP-POCT)Tj
5.0059 0 Td
(kits)Tj
1.6384 0 Td
(were)Tj
2.126 0 Td
(purchased)Tj
4.3313 0 Td
(from)Tj
2.2053 0 Td
(Chembio)Tj
3.9345 0 Td
(for)Tj
1.389 0 Td
(use)Tj
1.5307 0 Td
(in)Tj
1.0374 0 Td
(the)Tj
1.4684 0 Td
(study.)Tj
2.6135 0 Td
(The)Tj
1.7858 0 Td
(DPP-POCT)Tj
5.006 0 Td
(com-)Tj
-34.0722 -1.3039 Td
(bines)Tj
2.3243 0 Td
(both)Tj
2.0637 0 Td
(a)Tj
0.6519 0 Td
(treponemal)Tj
4.8075 0 Td
(and)Tj
1.7292 0 Td
(a)Tj
0.6576 0 Td
(non-treponemal)Tj
6.7634 0 Td
(line.)Tj
1.9276 0 Td
(A)Tj
0.9071 0 Td
(finger)Tj
2.5851 0 Td
(prick)Tj
2.2961 0 Td
(blood)Tj
2.5115 0 Td
(sample)Tj
3.0217 0 Td
(is)Tj
0.8504 0 Td
(collected)Tj
-33.0971 -1.2982 Td
(and)Tj
1.7291 0 Td
(placed)Tj
2.7949 0 Td
(with)Tj
1.9956 0 Td
(buffer)Tj
2.6249 0 Td
(into)Tj
1.8425 0 Td
(the)Tj
1.4683 0 Td
(first)Tj
1.8028 0 Td
(well)Tj
1.8199 0 Td
(on)Tj
1.2755 0 Td
(the)Tj
1.474 0 Td
(POCT.)Tj
3.0218 0 Td
(The)Tj
1.7858 0 Td
(test)Tj
1.5987 0 Td
(is)Tj
0.8504 0 Td
(allowed)Tj
3.2882 0 Td
(to)Tj
1.0261 0 Td
(run)Tj
1.6668 0 Td
(for)Tj
1.3833 0 Td
(five)Tj
1.6554 0 Td
(min-)Tj
-35.104 -1.2983 Td
(utes)Tj
1.8311 0 Td
(before)Tj
2.7383 0 Td
(additional)Tj
4.2803 0 Td
(buffer)Tj
2.6248 0 Td
(is)Tj
0.8447 0 Td
(added)Tj
2.6646 0 Td
(to)Tj
1.0205 0 Td
(the)Tj
1.474 0 Td
(second)Tj
3.0103 0 Td
(well)Tj
1.8199 0 Td
(on)Tj
1.2756 0 Td
(the)Tj
1.4683 0 Td
(POCT.)Tj
3.0274 0 Td
(The)Tj
1.7801 0 Td
(test)Tj
1.5987 0 Td
(is)Tj
0.8504 0 Td
(allowed)Tj
3.2882 0 Td
(to)Tj
-35.5972 -1.2983 Td
(run)Tj
1.6667 0 Td
(for)Tj
1.3833 0 Td
(a)Tj
0.6576 0 Td
(further)Tj
3.0274 0 Td
(1015)Tj
2.6419 0 Td
(minutes)Tj
3.4639 0 Td
(before)Tj
2.7383 0 Td
(the)Tj
1.4683 0 Td
(results)Tj
2.812 0 Td
(are)Tj
1.4456 0 Td
(read.)Tj
2.2054 0 Td
(Tests)Tj
2.2733 0 Td
(were)Tj
2.126 0 Td
(purchased)Tj
4.3313 0 Td
(by)Tj
1.1792 0 Td
(the)Tj
1.474 0 Td
(Lon-)Tj
-34.8942 -1.3039 Td
(don)Tj
1.8028 0 Td
(School)Tj
2.9083 0 Td
(of)Tj
1.0148 0 Td
(Hygiene)Tj
3.566 0 Td
(&)Tj
0.9297 0 Td
(Tropical)Tj
3.5943 0 Td
(Medicine.)Tj
4.218 0 Td
(Test)Tj
1.9162 0 Td
(kits)Tj
1.644 0 Td
(and)Tj
1.7292 0 Td
(equipment)Tj
4.5524 0 Td
(required)Tj
3.6396 0 Td
(to)Tj
1.0262 0 Td
(perform)Tj
3.5149 0 Td
(the)Tj
-36.0564 -1.2982 Td
(DPP-POCT)Tj
5.0059 0 Td
(were)Tj
2.1203 0 Td
(provided)Tj
3.8154 0 Td
(to)Tj
1.0261 0 Td
(all)Tj
1.1452 0 Td
(clinics)Tj
2.761 0 Td
(for)Tj
1.3833 0 Td
(the)Tj
1.4683 0 Td
(duration)Tj
3.702 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(study.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 535.6913 cm
BT
/F11 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Introduction)Tj
5.6315 0 Td
(of)Tj
1.0677 0 Td
(the)Tj
1.5402 0 Td
(DPP-POCT)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 518.6834 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(The)Tj
1.7801 0 Td
(DPP-POCT)Tj
5.0059 0 Td
(was)Tj
1.7008 0 Td
(deployed)Tj
3.8438 0 Td
(in)Tj
1.0375 0 Td
(three)Tj
2.2677 0 Td
(settings:)Tj
3.4639 0 Td
(the)Tj
1.474 0 Td
(outpatient)Tj
4.337 0 Td
(department)Tj
4.8812 0 Td
(of)Tj
1.0148 0 Td
(AAH,)Tj
2.5852 0 Td
(the)Tj
1.4683 0 Td
(ante-)Tj
-34.8602 -1.2982 Td
(natal)Tj
2.1769 0 Td
(clinic)Tj
2.3981 0 Td
(of)Tj
1.0148 0 Td
(AAH)Tj
2.3584 0 Td
(and)Tj
1.7292 0 Td
(four)Tj
1.9105 0 Td
(rural)Tj
2.1713 0 Td
(health)Tj
2.6816 0 Td
(clinics)Tj
2.7552 0 Td
(accessible)Tj
4.0876 0 Td
(to)Tj
1.0261 0 Td
(AAH)Tj
2.3584 0 Td
(only)Tj
1.9729 0 Td
(by)Tj
1.1849 0 Td
(walking)Tj
3.3619 0 Td
(or)Tj
1.0998 0 Td
(canoe.)Tj
-34.2876 -1.2983 Td
(Clinical)Tj
3.3165 0 Td
(care)Tj
1.8708 0 Td
(in)Tj
1.0375 0 Td
(each)Tj
2.0239 0 Td
(of)Tj
1.0148 0 Td
(these)Tj
2.2564 0 Td
(settings)Tj
3.2428 0 Td
(is)Tj
0.8504 0 Td
(provided)Tj
3.8154 0 Td
(by)Tj
1.1792 0 Td
(registered)Tj
4.1556 0 Td
(nurses.)Tj
3.0387 0 Td
(The)Tj
1.7801 0 Td
(rural)Tj
2.1714 0 Td
(clinics)Tj
2.7552 0 Td
(all)Tj
1.1452 0 Td
(pro-)Tj
-35.6539 -1.3039 Td
(vide)Tj
1.8935 0 Td
(antenatal)Tj
3.8834 0 Td
(care)Tj
1.8709 0 Td
(as)Tj
1.0148 0 Td
(well)Tj
1.8198 0 Td
(as)Tj
1.0148 0 Td
(general)Tj
3.1351 0 Td
(outpatient)Tj
4.337 0 Td
(care)Tj
1.8765 0 Td
(including)Tj
4.0422 0 Td
(seeing)Tj
2.7042 0 Td
(patients)Tj
3.3732 0 Td
(with)Tj
1.9956 0 Td
(yaws.)Tj
-32.961 -1.2983 Td
(Members)Tj
4.0195 0 Td
(of)Tj
1.0147 0 Td
(the)Tj
1.4684 0 Td
(study)Tj
2.3867 0 Td
(team)Tj
2.1997 0 Td
(visited)Tj
2.8176 0 Td
(each)Tj
2.0296 0 Td
(location)Tj
3.4526 0 Td
(and)Tj
1.7291 0 Td
(provided)Tj
3.8154 0 Td
(a)Tj
0.652 0 Td
(one-day)Tj
3.4696 0 Td
(training)Tj
3.4185 0 Td
(package)Tj
3.4129 0 Td
(to)Tj
-35.8863 -1.2982 Td
(staff)Tj
1.8878 0 Td
(members)Tj
3.9458 0 Td
(on)Tj
1.2756 0 Td
(the)Tj
1.4683 0 Td
(use)Tj
1.5307 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.474 0 Td
(DPP-POCT.)Tj
5.2271 0 Td
(Each)Tj
2.177 0 Td
(location)Tj
3.4526 0 Td
(was)Tj
1.6951 0 Td
(also)Tj
1.7688 0 Td
(provided)Tj
3.8154 0 Td
(with)Tj
2.0012 0 Td
(a)Tj
0.652 0 Td
(standard-)Tj
-33.3862 -1.3039 Td
(ised)Tj
1.7971 0 Td
(protocol)Tj
3.6 0 Td
(for)Tj
1.3833 0 Td
(performance,)Tj
5.5729 0 Td
(interpretation)Tj
5.7939 0 Td
(and)Tj
1.7292 0 Td
(recording)Tj
4.1272 0 Td
(of)Tj
1.0148 0 Td
(results.)Tj
3.033 0 Td
(Briefly)Tj
2.8517 0 Td
(this)Tj
1.6781 0 Td
(protocol)Tj
-32.5812 -1.2983 Td
(included)Tj
3.7133 0 Td
(collection)Tj
4.1102 0 Td
(of)Tj
1.0148 0 Td
(a)Tj
0.652 0 Td
(finger-prick)Tj
5.0116 0 Td
(blood)Tj
2.5115 0 Td
(samples)Tj
3.3845 0 Td
(followed)Tj
3.651 0 Td
(by)Tj
1.1792 0 Td
(performance)Tj
5.3461 0 Td
(and)Tj
1.7348 0 Td
(interpreta-)Tj
-32.309 -1.2983 Td
(tion)Tj
1.8425 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(assay)Tj
2.262 0 Td
(in)Tj
1.0375 0 Td
(line)Tj
1.7064 0 Td
(with)Tj
1.9956 0 Td
(manufacturer's)Tj
6.2646 0 Td
(instructions.)Tj
5.2213 0 Td
(Treatment)Tj
4.4504 0 Td
(for)Tj
1.389 0 Td
(those)Tj
2.3357 0 Td
(testing)Tj
2.88 0 Td
(positive)Tj
-33.8681 -1.2982 Td
(was)Tj
1.6951 0 Td
(provided,)Tj
4.0421 0 Td
(in)Tj
1.0375 0 Td
(line)Tj
1.7065 0 Td
(with)Tj
1.9955 0 Td
(Solomon)Tj
3.8325 0 Td
(Islands)Tj
3.0387 0 Td
(Ministry)Tj
3.6793 0 Td
(of)Tj
1.0148 0 Td
(Health)Tj
2.9197 0 Td
(and)Tj
1.7291 0 Td
(Medical)Tj
3.4356 0 Td
(Services')Tj
3.634 0 Td
(guide-)Tj
-33.7604 -1.304 Td
(lines)Tj
2.0636 0 Td
(for)Tj
1.3889 0 Td
(syphilis)Tj
3.2202 0 Td
(and)Tj
1.7291 0 Td
(yaws)Tj
2.1543 0 Td
(respectively.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 356.8251 cm
BT
/F11 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Interviews)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 339.874 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(We)Tj
1.61 0 Td
(facilitated)Tj
4.1272 0 Td
(semi-structured)Tj
6.5707 0 Td
(interviews)Tj
4.32 0 Td
(with)Tj
1.9956 0 Td
(both)Tj
2.0636 0 Td
(health)Tj
2.6759 0 Td
(care)Tj
1.8708 0 Td
(workers)Tj
3.4356 0 Td
(and)Tj
1.7291 0 Td
(patients)Tj
3.3675 0 Td
(to)Tj
-33.766 -1.3039 Td
(explore)Tj
3.1747 0 Td
(individuals')Tj
4.8643 0 Td
(experiences)Tj
4.8642 0 Td
(and)Tj
1.7291 0 Td
(beliefs)Tj
2.7382 0 Td
(in)Tj
1.0375 0 Td
(relation)Tj
3.3165 0 Td
(to)Tj
1.0205 0 Td
(the)Tj
1.474 0 Td
(DPP-POCT.)Tj
5.2271 0 Td
(Participants)Tj
5.0002 0 Td
(were)Tj
-34.4463 -1.2982 Td
(selected)Tj
3.3448 0 Td
(using)Tj
2.3924 0 Td
(convenience)Tj
5.2101 0 Td
(sampling)Tj
3.8778 0 Td
(of)Tj
1.0148 0 Td
(health-care)Tj
4.6828 0 Td
(workers)Tj
3.4355 0 Td
(at)Tj
0.9525 0 Td
(each)Tj
2.0239 0 Td
(facility)Tj
2.9026 0 Td
(who)Tj
1.9389 0 Td
(reported)Tj
3.6567 0 Td
(hav-)Tj
-35.4328 -1.2983 Td
(ing)Tj
1.5023 0 Td
(used)Tj
2.0579 0 Td
(the)Tj
1.4684 0 Td
(DPP-POCT.)Tj
5.2327 0 Td
(The)Tj
1.7801 0 Td
(interviews)Tj
4.32 0 Td
(covered)Tj
3.3506 0 Td
(experience)Tj
4.507 0 Td
(of)Tj
1.0148 0 Td
(training,)Tj
3.6453 0 Td
(positive)Tj
3.3166 0 Td
(and)Tj
1.7291 0 Td
(negative)Tj
-33.9248 -1.3039 Td
(experiences)Tj
4.8642 0 Td
(of)Tj
1.0148 0 Td
(performing)Tj
4.8018 0 Td
(the)Tj
1.4684 0 Td
(test,)Tj
1.8255 0 Td
(perceptions)Tj
4.8812 0 Td
(of)Tj
1.0148 0 Td
(reliability)Tj
4.0025 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(test)Tj
1.6044 0 Td
(and)Tj
1.7291 0 Td
(what)Tj
2.16 0 Td
(level)Tj
2.0183 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
-34.8829 -1.2983 Td
(healthcare)Tj
4.3313 0 Td
(system)Tj
2.9366 0 Td
(that)Tj
1.7745 0 Td
(individuals)Tj
4.6545 0 Td
(believed)Tj
3.4922 0 Td
(the)Tj
1.4684 0 Td
(test)Tj
1.5987 0 Td
(should)Tj
2.9197 0 Td
(be)Tj
1.1508 0 Td
(available)Tj
3.668 0 Td
(at.)Tj
1.1736 0 Td
(For)Tj
1.627 0 Td
(health)Tj
2.6759 0 Td
(care)Tj
-33.4712 -1.2982 Td
(workers)Tj
3.4355 0 Td
(interviews)Tj
4.32 0 Td
(were)Tj
2.1203 0 Td
(performed)Tj
4.4674 0 Td
(by)Tj
1.1848 0 Td
(researchers)Tj
4.7112 0 Td
(with)Tj
1.9956 0 Td
(training)Tj
3.4185 0 Td
(and)Tj
1.7348 0 Td
(previous)Tj
3.6454 0 Td
(experience)Tj
4.507 0 Td
(in)Tj
-35.5405 -1.304 Td
(qualitative)Tj
4.3766 0 Td
(research)Tj
3.5546 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4683 0 Td
(Solomon)Tj
3.8325 0 Td
(Islands.)Tj
3.2655 0 Td
(We)Tj
1.6044 0 Td
(performed)Tj
4.473 0 Td
(interviews)Tj
4.32 0 Td
(at)Tj
0.9524 0 Td
(each)Tj
2.0239 0 Td
(clinical)Tj
3.0784 0 Td
(location)Tj
-33.9871 -1.2982 Td
(one)Tj
1.6951 0 Td
(and)Tj
1.7347 0 Td
(six)Tj
1.3096 0 Td
(months)Tj
3.2825 0 Td
(after)Tj
2.0353 0 Td
(the)Tj
1.4683 0 Td
(rollout)Tj
2.9254 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(POCT)Tj
2.8006 0 Td
(aiming)Tj
3.0217 0 Td
(to)Tj
1.0262 0 Td
(interview)Tj
3.9571 0 Td
(each)Tj
2.0296 0 Td
(healthcare)Tj
4.3313 0 Td
(worker)Tj
-34.1005 -1.2983 Td
(in)Tj
1.0318 0 Td
(each)Tj
2.0295 0 Td
(clinical)Tj
3.0785 0 Td
(settings.)Tj
3.4695 0 Td
(At)Tj
1.2019 0 Td
(six)Tj
1.3096 0 Td
(months,)Tj
3.5093 0 Td
(we)Tj
1.3266 0 Td
(used)Tj
2.0636 0 Td
(convenience)Tj
5.21 0 Td
(sampling)Tj
3.8778 0 Td
(to)Tj
1.0262 0 Td
(additionally)Tj
4.9776 0 Td
(inter-)Tj
-34.1119 -1.2983 Td
(view)Tj
2.0466 0 Td
(patients)Tj
3.3675 0 Td
(attending)Tj
4.0308 0 Td
(clinics)Tj
2.761 0 Td
(about)Tj
2.4944 0 Td
(their)Tj
2.109 0 Td
(experience)Tj
4.5014 0 Td
(of)Tj
1.0204 0 Td
(being)Tj
2.4265 0 Td
(tested)Tj
2.5568 0 Td
(using)Tj
2.3868 0 Td
(the)Tj
1.4683 0 Td
(POCT.)Tj
3.0274 0 Td
(All)Tj
-34.1969 -1.3039 Td
(interviews)Tj
4.3199 0 Td
(were)Tj
2.1203 0 Td
(undertaken)Tj
4.8189 0 Td
(in)Tj
1.0375 0 Td
(either)Tj
2.5285 0 Td
(Kwaio)Tj
2.7892 0 Td
(\(a)Tj
0.9921 0 Td
(local)Tj
2.075 0 Td
(language\))Tj
4.1045 0 Td
(or)Tj
1.0999 0 Td
(Pijin)Tj
2.1203 0 Td
(\(the)Tj
1.8085 0 Td
(lingua-franca)Tj
5.5615 0 Td
(of)Tj
-35.3761 -1.2982 Td
(the)Tj
1.4683 0 Td
(Solomon)Tj
3.8324 0 Td
(Islands\).)Tj
3.6 0 Td
(Interviews)Tj
4.3937 0 Td
(were)Tj
2.1259 0 Td
(digitally)Tj
3.4243 0 Td
(recorded)Tj
3.7927 0 Td
(and)Tj
1.7348 0 Td
(then)Tj
2.0182 0 Td
(transcribed)Tj
4.7509 0 Td
(for)Tj
1.3889 0 Td
(analysis)Tj
3.3222 0 Td
(by)Tj
1.1849 0 Td
(a)Tj
-37.0372 -1.2983 Td
(member)Tj
3.5829 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(study)Tj
2.3924 0 Td
(team)Tj
2.194 0 Td
(\(TE\).)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 139.011 cm
BT
/F11 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Sample)Tj
3.2787 0 Td
(size)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 122.0031 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(As)Tj
1.2642 0 Td
(this)Tj
1.6724 0 Td
(was)Tj
1.7008 0 Td
(a)Tj
0.652 0 Td
(qualitative)Tj
4.3766 0 Td
(study,)Tj
2.6192 0 Td
(no)Tj
1.2756 0 Td
(formal)Tj
2.8857 0 Td
(sample)Tj
3.0217 0 Td
(size)Tj
1.6837 0 Td
(calculation)Tj
4.5751 0 Td
(was)Tj
1.7008 0 Td
(undertaken.)Tj
5.0456 0 Td
(In)Tj
1.1056 0 Td
(each)Tj
2.0295 0 Td
(set-)Tj
-35.6085 -1.2982 Td
(ting)Tj
1.7971 0 Td
(purposive)Tj
4.1669 0 Td
(sampling)Tj
3.8778 0 Td
(of)Tj
1.0148 0 Td
(health)Tj
2.6815 0 Td
(workers)Tj
3.4299 0 Td
(was)Tj
1.7008 0 Td
(used)Tj
2.0636 0 Td
(to)Tj
1.0205 0 Td
(select)Tj
2.3981 0 Td
(participants.)Tj
5.1817 0 Td
(In)Tj
1.1112 0 Td
(each)Tj
2.0295 0 Td
(clinical)Tj
3.0728 0 Td
(set-)Tj
-35.5462 -1.3039 Td
(ting)Tj
1.7971 0 Td
(only)Tj
1.9786 0 Td
(one)Tj
1.6951 0 Td
(cadre)Tj
2.4037 0 Td
(of)Tj
1.0148 0 Td
(staff)Tj
1.8879 0 Td
(was)Tj
1.7008 0 Td
(available,)Tj
3.8891 0 Td
(either)Tj
2.5341 0 Td
(nurses)Tj
2.812 0 Td
(in)Tj
1.0375 0 Td
(rural)Tj
2.1713 0 Td
(clinics)Tj
2.7553 0 Td
(and)Tj
1.7291 0 Td
(the)Tj
1.4683 0 Td
(AAH)Tj
2.3584 0 Td
(outpatient)Tj
-33.2331 -1.2983 Td
(department)Tj
4.8812 0 Td
(and)Tj
1.7291 0 Td
(midwives)Tj
4.0252 0 Td
(in)Tj
1.0374 0 Td
(the)Tj
1.4684 0 Td
(AAH)Tj
2.3584 0 Td
(ANC)Tj
2.3017 0 Td
(department.)Tj
5.108 0 Td
(We)Tj
1.6101 0 Td
(aimed)Tj
2.6929 0 Td
(to)Tj
1.0204 0 Td
(perform)Tj
3.5207 0 Td
(multiple)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 183.2882 23.6976 re
W* n
q
183.2315 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 432.9637 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Syphilis)Tj
3.6 0 Td
(and)Tj
1.8567 0 Td
(yaws)Tj
2.4591 0 Td
(POCT)Tj
2.9764 0 Td
(qualitativ)Tj
3.8622 0 Td
(e)Tj
0.7654 0 Td
(study)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
163.5591 34.9228 m
317.7071 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Neglected)Tj
4.6417 0 Td
(Tropical)Tj
3.7135 0 Td
(Disease)Tj
3.5433 0 Td
(s)Tj
0.7158 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8197 0 Td
(1/journal.pn)Tj
5.1237 0 Td
(td.00063)Tj
3.8197 0 Td
(60)Tj
0 g
2.0905 0 Td
(April)Tj
2.1827 0 Td
(19,)Tj
1.5804 0 Td
(2018)Tj
25.1647 0 Td
(4)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
75 0 obj
<>stream
endstream
endobj
76 0 obj
<>stream
endstream
endobj
77 0 obj
<>stream
endstream
endobj
78 0 obj
<>stream
BT
66.402 0 Td
(10)Tj
ET
Q
endstream
endobj
79 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 10 0 R/Annots 80 0 R/Contents 81 0 R/TrimBox[0 0 612 792]>>
endobj
80 0 obj
[82 0 R]
endobj
82 0 obj
<>/Border[0 0 0]/A 83 0 R>>
endobj
83 0 obj
<>
endobj
81 0 obj
[84 0 R 85 0 R 86 0 R 87 0 R 88 0 R 89 0 R]
endobj
84 0 obj
<>stream
q
1 j
1 J
0 w
10 0 0 10 200.0125 707.4141 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(interviews)Tj
4.3199 0 Td
(at)Tj
0.9525 0 Td
(each)Tj
2.0239 0 Td
(clinic)Tj
2.3981 0 Td
(and)Tj
1.7291 0 Td
(at)Tj
0.9524 0 Td
(each)Tj
2.0296 0 Td
(time)Tj
2.0296 0 Td
(point)Tj
2.3584 0 Td
(to)Tj
1.0262 0 Td
(ensure)Tj
2.8743 0 Td
(a)Tj
0.6519 0 Td
(full)Tj
1.5307 0 Td
(range)Tj
2.4605 0 Td
(of)Tj
1.0148 0 Td
(views)Tj
2.4094 0 Td
(and)Tj
1.7348 0 Td
(experience)Tj
-32.4961 -1.3039 Td
(of)Tj
1.0147 0 Td
(the)Tj
1.4684 0 Td
(DPP-POCT)Tj
5.0059 0 Td
(were)Tj
2.1203 0 Td
(obtained)Tj
3.7361 0 Td
(until)Tj
2.1089 0 Td
(we)Tj
1.3266 0 Td
(reached)Tj
3.3506 0 Td
(saturation.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 666.7086 cm
BT
/F11 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Analysis)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 649.7007 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Immersion)Tj
4.6771 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4683 0 Td
(data)Tj
1.9105 0 Td
(was)Tj
1.7008 0 Td
(achieved)Tj
3.702 0 Td
(by)Tj
1.1792 0 Td
(verbatim)Tj
3.7984 0 Td
(transcribing)Tj
5.0854 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(interviews)Tj
4.32 0 Td
(and)Tj
1.7291 0 Td
(repeated)Tj
-33.0914 -1.2982 Td
(reading)Tj
3.2541 0 Td
(of)Tj
1.0148 0 Td
(interview)Tj
3.9628 0 Td
(transcripts)Tj
4.4674 0 Td
(prior)Tj
2.2563 0 Td
(to)Tj
1.0262 0 Td
(their)Tj
2.1089 0 Td
(analysis.)Tj
3.549 0 Td
(We)Tj
1.6101 0 Td
(used)Tj
2.0579 0 Td
(thematic)Tj
3.7134 0 Td
(analysis)Tj
3.3278 0 Td
(to)Tj
1.0262 0 Td
(identify)Tj
-33.3749 -1.2983 Td
(common)Tj
3.8437 0 Td
(themes)Tj
3.0727 0 Td
(or)Tj
1.0999 0 Td
(stands)Tj
2.7496 0 Td
(in)Tj
1.0374 0 Td
(healthcare)Tj
4.3314 0 Td
(worker)Tj
3.0727 0 Td
(and)Tj
1.7291 0 Td
(patient)Tj
3.0047 0 Td
(experiences.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 596.0125 cm
BT
/F11 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Ethics)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 579.0614 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(The)Tj
1.7801 0 Td
(study)Tj
2.3924 0 Td
(was)Tj
1.6951 0 Td
(approved)Tj
3.9742 0 Td
(by)Tj
1.1849 0 Td
(the)Tj
1.4683 0 Td
(ethics)Tj
2.5171 0 Td
(committees)Tj
4.8643 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(Atoifi)Tj
2.5342 0 Td
(Adventist)Tj
4.0818 0 Td
(Hospital,)Tj
3.8438 0 Td
(the)Tj
1.4683 0 Td
(Solo-)Tj
-34.2876 -1.3039 Td
(mon)Tj
2.0919 0 Td
(Islands)Tj
3.0387 0 Td
(Ministry)Tj
3.685 0 Td
(of)Tj
1.0148 0 Td
(Health)Tj
2.914 0 Td
(and)Tj
1.7292 0 Td
(Medical)Tj
3.4355 0 Td
(Services,)Tj
3.6454 0 Td
(and)Tj
1.7291 0 Td
(the)Tj
1.474 0 Td
(London)Tj
3.3959 0 Td
(School)Tj
2.9083 0 Td
(of)Tj
1.0148 0 Td
(Hygiene)Tj
3.566 0 Td
(&)Tj
-35.6426 -1.2982 Td
(Tropical)Tj
3.5943 0 Td
(Medicine.)Tj
4.2236 0 Td
(Individuals)Tj
4.7168 0 Td
(undergoing)Tj
4.8755 0 Td
(testing)Tj
2.88 0 Td
(with)Tj
1.9956 0 Td
(the)Tj
1.474 0 Td
(DPP-POCT)Tj
5.006 0 Td
(and)Tj
1.7291 0 Td
(individuals)Tj
4.6488 0 Td
(par-)Tj
-35.1437 -1.2983 Td
(ticipating)Tj
4.0024 0 Td
(in)Tj
1.0375 0 Td
(interviews)Tj
4.32 0 Td
(provided)Tj
3.8154 0 Td
(written)Tj
3.1124 0 Td
(informed)Tj
3.9742 0 Td
(consent.)Tj
3.5546 0 Td
(Where)Tj
2.931 0 Td
(a)Tj
0.6576 0 Td
(DPP-POCT)Tj
5.0003 0 Td
(was)Tj
1.7008 0 Td
(per-)Tj
-34.1062 -1.3039 Td
(formed)Tj
3.1577 0 Td
(on)Tj
1.2756 0 Td
(a)Tj
0.652 0 Td
(child)Tj
2.211 0 Td
(we)Tj
1.3266 0 Td
(obtained)Tj
3.736 0 Td
(written)Tj
3.1124 0 Td
(consent)Tj
3.3279 0 Td
(from)Tj
2.2053 0 Td
(their)Tj
2.109 0 Td
(parent)Tj
2.812 0 Td
(or)Tj
1.0998 0 Td
(guardian)Tj
3.7984 0 Td
(and)Tj
1.7291 0 Td
(additionally)Tj
-32.5528 -1.2983 Td
(obtained)Tj
3.7303 0 Td
(verbal)Tj
2.6589 0 Td
(assent)Tj
2.6475 0 Td
(from)Tj
2.2054 0 Td
(the)Tj
1.4683 0 Td
(child.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 486.3685 cm
BT
/F2 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Results)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 469.3606 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Over)Tj
2.2166 0 Td
(the)Tj
1.4684 0 Td
(study)Tj
2.3867 0 Td
(period)Tj
2.8347 0 Td
(approximately)Tj
5.9753 0 Td
(500)Tj
1.6498 0 Td
(DPP-POCTs)Tj
5.3631 0 Td
(were)Tj
2.126 0 Td
(used)Tj
2.0579 0 Td
(across)Tj
2.6759 0 Td
(the)Tj
1.474 0 Td
(study)Tj
2.3868 0 Td
(sites.)Tj
2.1543 0 Td
(We)Tj
-34.7695 -1.2982 Td
(interviewed)Tj
4.9095 0 Td
(a)Tj
0.652 0 Td
(total)Tj
2.0069 0 Td
(of)Tj
1.0148 0 Td
(20)Tj
1.1679 0 Td
(health)Tj
2.6759 0 Td
(care)Tj
1.8765 0 Td
(workers,)Tj
3.6567 0 Td
(12)Tj
1.1735 0 Td
(at)Tj
0.9524 0 Td
(the)Tj
1.4684 0 Td
(one)Tj
1.7007 0 Td
(month)Tj
2.9197 0 Td
(time)Tj
2.0296 0 Td
(point)Tj
2.3584 0 Td
(post)Tj
1.9049 0 Td
(training)Tj
3.4185 0 Td
(and)Tj
-35.8863 -1.3039 Td
(a)Tj
0.6519 0 Td
(further)Tj
3.0274 0 Td
(eight)Tj
2.2053 0 Td
(healthcare)Tj
4.3257 0 Td
(workers)Tj
3.4355 0 Td
(at)Tj
0.9525 0 Td
(the)Tj
1.4683 0 Td
(six)Tj
1.3153 0 Td
(month)Tj
2.9197 0 Td
(time)Tj
2.0295 0 Td
(point)Tj
2.3585 0 Td
(post)Tj
1.9048 0 Td
(training.)Tj
3.6454 0 Td
(We)Tj
1.61 0 Td
(additionally)Tj
-31.8498 -1.2983 Td
(interviewed)Tj
4.9095 0 Td
(four)Tj
1.9106 0 Td
(patients)Tj
3.3675 0 Td
(who)Tj
1.9389 0 Td
(had)Tj
1.7121 0 Td
(been)Tj
2.1203 0 Td
(tested)Tj
2.5568 0 Td
(using)Tj
2.3868 0 Td
(the)Tj
1.4683 0 Td
(DPP-POCT.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 402.6897 cm
BT
/F11 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Themes)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 385.6818 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(As)Tj
1.2642 0 Td
(a)Tj
0.652 0 Td
(result)Tj
2.4491 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(thematic)Tj
3.7134 0 Td
(analysis)Tj
3.3278 0 Td
(we)Tj
1.3266 0 Td
(identified)Tj
4.0592 0 Td
(four)Tj
1.9162 0 Td
(main)Tj
2.2847 0 Td
(themes:)Tj
3.2995 0 Td
(1\))Tj
1.0375 0 Td
(training)Tj
3.4186 0 Td
(and)Tj
1.7291 0 Td
(ease)Tj
1.8652 0 Td
(of)Tj
1.0148 0 Td
(per-)Tj
-35.841 -1.2982 Td
(forming)Tj
3.4865 0 Td
(the)Tj
1.4684 0 Td
(test;)Tj
1.8255 0 Td
(2\))Tj
1.0375 0 Td
(time)Tj
2.0295 0 Td
(taken)Tj
2.4208 0 Td
(and)Tj
1.7291 0 Td
(ability)Tj
2.6929 0 Td
(to)Tj
1.0262 0 Td
(fit)Tj
1.0715 0 Td
(the)Tj
1.474 0 Td
(test)Tj
1.5987 0 Td
(into)Tj
1.8425 0 Td
(a)Tj
0.652 0 Td
(clinical)Tj
3.0784 0 Td
(workflow;)Tj
4.2292 0 Td
(3\))Tj
1.0318 0 Td
(perceived)Tj
-32.6945 -1.3039 Td
(reliability)Tj
4.0024 0 Td
(and)Tj
1.7292 0 Td
(trustworthiness)Tj
6.4289 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(test;)Tj
1.8255 0 Td
(and)Tj
1.7292 0 Td
(4\))Tj
1.0374 0 Td
(level)Tj
2.0126 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(health)Tj
2.6815 0 Td
(care)Tj
1.8709 0 Td
(system)Tj
2.9366 0 Td
(the)Tj
1.4684 0 Td
(test)Tj
1.6044 0 Td
(was)Tj
-34.2933 -1.2983 Td
(most)Tj
2.2053 0 Td
(usefully)Tj
3.2938 0 Td
(deployed.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 319.011 cm
BT
/F11 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Training)Tj
3.9071 0 Td
(and)Tj
1.7905 0 Td
(ease)Tj
1.9371 0 Td
(of)Tj
1.0677 0 Td
(testing)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 302.0031 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(All)Tj
1.3946 0 Td
(but)Tj
1.5534 0 Td
(two)Tj
1.7121 0 Td
(healthcare)Tj
4.3256 0 Td
(workers)Tj
3.4356 0 Td
(interviewed)Tj
4.9096 0 Td
(\(18/20\))Tj
3.1351 0 Td
(had)Tj
1.7064 0 Td
(received)Tj
3.5376 0 Td
(training)Tj
3.4186 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4683 0 Td
(use)Tj
1.5307 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
-34.1799 -1.2982 Td
(DPP-POCT)Tj
5.0059 0 Td
(from)Tj
2.2053 0 Td
(members)Tj
3.9458 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(study)Tj
2.3867 0 Td
(team)Tj
2.1997 0 Td
(at)Tj
0.9524 0 Td
(the)Tj
1.4684 0 Td
(time)Tj
2.0296 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(DPP-POCT)Tj
5.006 0 Td
(pilot.)Tj
2.279 0 Td
(All)Tj
1.3946 0 Td
(health-)Tj
-33.8397 -1.3039 Td
(care)Tj
1.8708 0 Td
(workers)Tj
3.4356 0 Td
(reported)Tj
3.6566 0 Td
(that)Tj
1.7802 0 Td
(they)Tj
1.9275 0 Td
(were)Tj
2.1203 0 Td
(already)Tj
3.1125 0 Td
(familiar)Tj
3.3448 0 Td
(with)Tj
2.0013 0 Td
(POCTs)Tj
3.1577 0 Td
(for)Tj
1.389 0 Td
(malaria)Tj
3.2258 0 Td
(and)Tj
1.7291 0 Td
(that)Tj
1.7802 0 Td
(this)Tj
-34.5314 -1.2983 Td
(helped)Tj
2.8856 0 Td
(them)Tj
2.2904 0 Td
(conduct)Tj
3.4752 0 Td
(the)Tj
1.4684 0 Td
(DPP-POCT;;)Tj
/F10 1 Tf
5.4538 0 Td
[()-12()11(\n)4()8()7()]TJ
2.6079 0 Td
[()6()2()18(\n)]TJ
2.1656 0 Td
[()10(\n)12()18(\n)4( )4()16()]TJ
2.9424 0 Td
[()3()8()7(\n)12()]TJ
2.6191 0 Td
[()24()]TJ
2.092 0 Td
[()10( )4()]TJ
1.4003 0 Td
[()6()11( )4()16()-9(\n)4()]TJ
3.3165 0 Td
[()4()7()7()16()-4()-3()]TJ
3.5263 0 Td
[()10()6()]TJ
-36.2435 -1.2983 Td
[()11()8()9()]TJ
1.5363 0 Td
[(\n)-4()]TJ
0.8164 0 Td
[()10(\n)12()18(\n)4( )4()16()]TJ
2.948 0 Td
[()11()]TJ
0.9808 0 Td
[()10()6()]TJ
1.4173 0 Td
[()24()]TJ
2.0976 0 Td
[()9()11()]TJ
1.3096 0 Td
[()28()11( )4()16()-9(\n)4()]TJ
/F5 1 Tf
(Healthcare)Tj
8.4132 0 Td
(worker,)Tj
3.2995 0 Td
(rural)Tj
2.1713 0 Td
(health)Tj
2.6759 0 Td
(clinic)Tj
/F10 1 Tf
[()]TJ
/F5 1 Tf
(.)Tj
3.3109 0 Td
(The)Tj
1.7858 0 Td
(majority)Tj
3.6283 0 Td
(of)Tj
-36.3909 -1.3039 Td
(healthcare)Tj
4.3313 0 Td
(workers)Tj
3.4299 0 Td
(reported)Tj
3.6623 0 Td
(that)Tj
1.7801 0 Td
(the)Tj
1.4684 0 Td
(test)Tj
1.5987 0 Td
(was)Tj
1.7008 0 Td
(relatively)Tj
3.8381 0 Td
(easy)Tj
1.8935 0 Td
(to)Tj
1.0261 0 Td
(perform)Tj
3.5207 0 Td
(but)Tj
1.5533 0 Td
(several)Tj
2.931 0 Td
(noted)Tj
2.5229 0 Td
(that)Tj
-35.2571 -1.2982 Td
(it)Tj
0.7823 0 Td
(was)Tj
1.7008 0 Td
(possible)Tj
3.4072 0 Td
(to)Tj
1.0261 0 Td
(make)Tj
2.3981 0 Td
(mistakes)Tj
3.6794 0 Td
(with)Tj
1.9956 0 Td
(both)Tj
2.0579 0 Td
(the)Tj
1.474 0 Td
(timing)Tj
2.8857 0 Td
(and)Tj
1.7291 0 Td
(volume)Tj
3.1974 0 Td
(of)Tj
1.0148 0 Td
(buffer)Tj
2.6249 0 Td
(resulting)Tj
3.7304 0 Td
(in)Tj
1.0374 0 Td
(errors)Tj
-34.7411 -1.2983 Td
(in)Tj
1.0318 0 Td
(the)Tj
1.474 0 Td
(test)Tj
/F10 1 Tf
-1.3096 -2.5001 Td
[()-9()18(\n)4()]TJ
1.8651 0 Td
[()11()8()9()]TJ
1.5364 0 Td
[()18(\n)14()]TJ
1.2529 0 Td
[(\n)4()]TJ
0.9695 0 Td
[()4()6()]TJ
1.576 0 Td
[()6()2()]TJ
1.8992 0 Td
[()11()10( )4()]TJ
1.8369 0 Td
[()11()20()13()10( )4()2()]TJ
/F5 1 Tf
(,)Tj
/F10 1 Tf
3.6339 0 Td
[(\n)12()]TJ
0.7541 0 Td
[()18(\n)]TJ
1.2642 0 Td
[()6()11()8()2()]TJ
3.1181 0 Td
[()18(\n)-4()9()11()11()8()]TJ
3.2371 0 Td
[( )4()]TJ
0.9185 0 Td
[()6()16()17()4()]TJ
2.9763 0 Td
[()11()]TJ
0.9525 0 Td
[()11()12()6()]TJ
1.8198 0 Td
[()18(\n)]TJ
1.2642 0 Td
[()12()12(\n)12()]TJ
2.2904 0 Td
[()18(\n)-4()9()11()11()8()]TJ
-33.1651 -1.2983 Td
[( )4()]TJ
0.9241 0 Td
[()6()2()]TJ
/F5 1 Tf
(,)Tj
/F10 1 Tf
2.1203 0 Td
[()11()]TJ
1.0488 0 Td
[()11()6()2()18(\n)12()13()]TJ
3.3788 0 Td
[()10( )4()]TJ
1.4003 0 Td
[()18(\n)]TJ
1.2643 0 Td
[()6()2()]TJ
1.8992 0 Td
[()6()]TJ
1.2132 0 Td
[()6()7()1()12()20()22()11()]TJ
3.5093 0 Td
[()6()2()]TJ
1.8992 0 Td
[()6()6()]TJ
1.7008 0 Td
[()4()6()]TJ
1.5703 0 Td
[()18(\n)]TJ
1.2643 0 Td
[()-3()22()3()]TJ
1.8652 0 Td
[()3()8()9()7(\n)12()]TJ
2.948 0 Td
[()18(\n)14()]TJ
1.2529 0 Td
[()10( )4()]TJ
1.3946 0 Td
[()18(\n)]TJ
1.2643 0 Td
[()-13(\n)4()]TJ
1.4059 0 Td
[()10()6()]TJ
-33.3238 -1.3039 Td
[()11()10( )15()]TJ
1.8878 0 Td
[()11()20()13()10( )4()2()]TJ
3.4016 0 Td
[(\n)-4()]TJ
0.8164 0 Td
[(\n)12()]TJ
0.754 0 Td
[()3()11()]TJ
1.644 0 Td
[()6()11()8()]TJ
2.3414 0 Td
[()]TJ
0.7087 0 Td
[()18(\n)-4()9()11()11()8()]TJ
3.2372 0 Td
[()-13(\n)14()10()]TJ
1.9558 0 Td
[()10()6()]TJ
1.4174 0 Td
[()18()12()17()4()2()]TJ
3.2825 0 Td
[()11()]TJ
0.9524 0 Td
[()12()20()11()7()]TJ
2.3471 0 Td
[()11()]TJ
1.0431 0 Td
[()10()6()]TJ
1.4173 0 Td
[()7(\n)12()18(\n)12()13()]TJ
2.7723 0 Td
[()10()6()]TJ
1.4173 0 Td
[()11()8()9()]TJ
1.542 0 Td
[(\n)-4()10()91( )36()]TJ
-32.9383 -1.2983 Td
[()6()7()1()12()20()22()11()]TJ
3.5149 0 Td
[()16()6()]TJ
1.7291 0 Td
[(\n)-4()]TJ
0.8221 0 Td
[()3()9()11()7()]TJ
3.2031 0 Td
[()]TJ
/F5 1 Tf
(Healthcare)Tj
4.8982 0 Td
(worker,)Tj
3.2995 0 Td
(rural)Tj
2.1714 0 Td
(health)Tj
2.6759 0 Td
(clinic)Tj
/F10 1 Tf
[()]TJ
/F5 1 Tf
-22.3142 -2.5001 Td
(One)Tj
1.9388 0 Td
(healthcare)Tj
4.3314 0 Td
(worker)Tj
3.0727 0 Td
(explained)Tj
4.0762 0 Td
(the)Tj
1.4683 0 Td
(withdrawal)Tj
4.6942 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(blood)Tj
2.5172 0 Td
(for)Tj
1.3833 0 Td
(the)Tj
1.474 0 Td
(test)Tj
1.5987 0 Td
(was)Tj
1.7008 0 Td
(sometimes)Tj
-31.9349 -1.2983 Td
(difficult;)Tj
/F10 1 Tf
3.5773 0 Td
[()12()3()16()]TJ
2.279 0 Td
[()6()2()-8()4()]TJ
2.6532 0 Td
[()-3()16()22()7(\n)12()13()]TJ
3.3165 0 Td
[( )4()]TJ
0.9241 0 Td
[()-3()6()7()]TJ
1.9219 0 Td
[( )4()]TJ
0.9184 0 Td
[()9()11()14()]TJ
1.8709 0 Td
[()6()11()6()4(!)]TJ
3.1691 0 Td
[( )4()]TJ
0.9184 0 Td
[()-3()6()8()]TJ
1.7291 0 Td
[( )4()]TJ
0.9184 0 Td
[()-13(\n)14()10()6()12()20()22()3()11( )]TJ
4.6828 0 Td
[( )4()]TJ
0.9241 0 Td
[()10( )12()4(")]TJ
2.1827 0 Td
[(#)31()2()]TJ
2.126 0 Td
[()6()11()6()4()]TJ
-34.1119 -1.3039 Td
[()6()2()]TJ
1.8935 0 Td
[( )4()15( )14()4()8()]TJ
2.2507 0 Td
[()4()16()13()2()2()]TJ
2.897 0 Td
[()9()]TJ
0.9524 0 Td
[()-3()6()7()]TJ
1.9275 0 Td
[( )4()]TJ
0.9185 0 Td
[()9()11()14()-105()]TJ
2.2393 0 Td
[()11()6()]TJ
1.9332 0 Td
[()6()9()2()22()7(\n)15()3()]TJ
3.4356 0 Td
[()10()18(\n)12()13()]TJ
2.228 0 Td
[()9()11()]TJ
1.3153 0 Td
[()9()11()14()]TJ
1.8708 0 Td
[()3()]TJ
1.6952 0 Td
[()11()11()18(\n)12()13()]TJ
2.6815 0 Td
[()10( )4()4()4(")]TJ
2.5795 0 Td
[()1()6()22()]TJ
2.1033 0 Td
[()3()]TJ
1.7008 0 Td
[()]TJ
0.703 0 Td
[()11(\n)14()]TJ
1.2642 0 Td
[()11()]TJ
-36.5893 -1.2983 Td
[()]TJ
0.7029 0 Td
[()4()16()13()2()2()]TJ
2.897 0 Td
[()9()11()]TJ
1.3153 0 Td
[()10()6()]TJ
1.4173 0 Td
[()9()11()14()]TJ
/F5 1 Tf
1.8652 0 Td
(\(Healthcare)Tj
4.9096 0 Td
(worker,)Tj
3.2995 0 Td
(rural)Tj
2.1713 0 Td
(clinic\).)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 183.2882 23.6976 re
W* n
q
183.2315 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 432.9637 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Syphilis)Tj
3.6 0 Td
(and)Tj
1.8567 0 Td
(yaws)Tj
2.4591 0 Td
(POCT)Tj
2.9764 0 Td
(qualitativ)Tj
3.8622 0 Td
(e)Tj
0.7654 0 Td
(study)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
163.5591 34.9228 m
317.7071 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Neglected)Tj
4.6417 0 Td
(Tropical)Tj
3.7135 0 Td
(Disease)Tj
3.5433 0 Td
(s)Tj
0.7158 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8197 0 Td
(1/journal.pn)Tj
5.1237 0 Td
(td.00063)Tj
3.8197 0 Td
(60)Tj
0 g
2.0905 0 Td
(April)Tj
2.1827 0 Td
(19,)Tj
1.5804 0 Td
(2018)Tj
25.1647 0 Td
(5)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
85 0 obj
<>stream
endstream
endobj
86 0 obj
<>stream
endstream
endobj
87 0 obj
<>stream
endstream
endobj
88 0 obj
<>stream
endstream
endobj
89 0 obj
<>stream
BT
66.402 0 Td
(10)Tj
ET
Q
endstream
endobj
90 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 10 0 R/Annots 91 0 R/Contents 92 0 R/TrimBox[0 0 612 792]>>
endobj
91 0 obj
[93 0 R]
endobj
93 0 obj
<>/Border[0 0 0]/A 94 0 R>>
endobj
94 0 obj
<>
endobj
92 0 obj
[95 0 R 96 0 R 97 0 R]
endobj
95 0 obj
<>stream
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 706.0535 cm
BT
/F11 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Time)Tj
2.4236 0 Td
(for)Tj
1.4693 0 Td
(testing)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 689.1023 cm
BT
/F5 1 Tf
1 TL
-0.02 Tc
0 0 Td
(Several)Tj
2.9366 0 Td
(nurses)Tj
2.7156 0 Td
(\(4/20\))Tj
2.5625 0 Td
(reported)Tj
3.5319 0 Td
(that)Tj
1.7122 0 Td
(the)Tj
1.4229 0 Td
(DPP-POCT)Tj
4.8756 0 Td
(took)Tj
1.9672 0 Td
(a)Tj
0.635 0 Td
(relatively)Tj
3.6793 0 Td
(long)Tj
1.9276 0 Td
(time)Tj
1.9616 0 Td
(to)Tj
0.9921 0 Td
(deliver)Tj
2.8233 0 Td
(a)Tj
0.6406 0 Td
(result)Tj
-34.384 -1.3039 Td
(and)Tj
1.6837 0 Td
(that)Tj
1.7121 0 Td
(this)Tj
1.6101 0 Td
(could)Tj
2.3698 0 Td
(disrupt)Tj
2.982 0 Td
(workflow)Tj
3.8778 0 Td
(in)Tj
1.0034 0 Td
(a)Tj
0.635 0 Td
(clinical)Tj
2.948 0 Td
(environment.)Tj
5.4651 0 Td
(One)Tj
1.8936 0 Td
(health)Tj
2.5795 0 Td
(care)Tj
1.8085 0 Td
(worker)Tj
2.9763 0 Td
(explained,)Tj
/F10 1 Tf
-0.004 Tc
-32.3487 -2.5001 Td
[()14($)-3()15( )4()20()4()8()]TJ
3.3165 0 Td
[()4()16()-19()]TJ
1.8425 0 Td
[()6()2()18(\n)]TJ
2.1656 0 Td
[()6()2()-8()4()]TJ
2.6476 0 Td
[()6()11()6()4()]TJ
2.9423 0 Td
[( )4()15( )4()20()4()8()]TJ
2.6419 0 Td
[()11()6()2()18(\n)12()13()]TJ
3.3845 0 Td
[()3()7()]TJ
1.7632 0 Td
[(\n)12()]TJ
1.0148 0 Td
[()11()15()8()2()]TJ
2.5455 0 Td
[()9()]TJ
0.9524 0 Td
[()20()7()12(\n)12()]TJ
2.5115 0 Td
[()20()8()-3()10( )14(%)]TJ
2.5285 0 Td
[()3()7()]TJ
1.7631 0 Td
[()6()2()]TJ
-32.0199 -1.2983 Td
[()20()15()16()3()6()2()-9(\n)12()]TJ
4.388 0 Td
[(&'\(&\))]TJ
2.5795 0 Td
[()18(\n)12()18()14()11()8()]TJ
3.3392 0 Td
[()9()]TJ
0.9524 0 Td
[(\n)12()]TJ
1.0148 0 Td
[()20()7()12(\n)12()]TJ
2.5115 0 Td
[()20()8()-3()10( )14()]TJ
2.3074 0 Td
[()-13(\n)4()]TJ
/F5 1 Tf
(.)Tj
/F10 1 Tf
1.6327 0 Td
[(*)]TJ
1.2019 0 Td
[()10()18(\n)12()13()]TJ
2.2337 0 Td
[()10()6()22()]TJ
1.8085 0 Td
[(\n)-4()]TJ
0.8163 0 Td
[()6()12()]TJ
1.5081 0 Td
[()2()4()4()]TJ
2.0636 0 Td
[(\n)-4()]TJ
0.8164 0 Td
[()10()6()]TJ
1.4173 0 Td
[()7(\n)12()6()]TJ
1.9559 0 Td
[(\n)14()]TJ
0.7823 0 Td
[()11()11()8()8()]TJ
2.194 0 Td
[()11()]TJ
-35.5235 -1.2982 Td
[()20()7()6()]TJ
1.9559 0 Td
[()10()6()]TJ
1.4173 0 Td
[()20()8()10()4( )14(%)]TJ
2.5908 0 Td
[(\n)14()]TJ
0.788 0 Td
[()7()16()]TJ
1.6044 0 Td
[()20()7(+)14()12(\n)12()20()]TJ
2.9991 0 Td
[(&')]TJ
1.1452 0 Td
[()18(\n)12()18()14()11()8()]TJ
3.3448 0 Td
[()4()1()9()11()20()]TJ
2.5739 0 Td
[()3()11()]TJ
1.6441 0 Td
[()7()16()]TJ
1.6044 0 Td
[()20()7()6()]TJ
1.9559 0 Td
[()10()6()]TJ
1.4173 0 Td
[()20()8()10()4( )14()]TJ
/F5 1 Tf
2.6872 0 Td
(\(Healthcare)Tj
4.9096 0 Td
(worker,)Tj
-32.6379 -1.304 Td
(rural)Tj
2.1713 0 Td
(health)Tj
2.6815 0 Td
(clinic\))Tj
/F10 1 Tf
[()]TJ
/F5 1 Tf
-4.8528 -2.5001 Td
(D)Tj
-0.01 Tc
(espite)Tj
3.2144 0 Td
(this)Tj
1.6498 0 Td
(delay,)Tj
2.4945 0 Td
(healthcare)Tj
4.2689 0 Td
(workers)Tj
3.3959 0 Td
(at)Tj
0.9411 0 Td
(both)Tj
2.0352 0 Td
(AAH)Tj
2.3358 0 Td
(and)Tj
1.7121 0 Td
(the)Tj
1.4513 0 Td
(clinics)Tj
2.7156 0 Td
(reported)Tj
3.6113 0 Td
(that)Tj
1.7575 0 Td
(the)Tj
1.4513 0 Td
(time)Tj
-34.2309 -1.2983 Td
(taken)Tj
2.3924 0 Td
(for)Tj
1.3663 0 Td
(the)Tj
1.4513 0 Td
(test)Tj
1.576 0 Td
(compared)Tj
4.1953 0 Td
(favourably)Tj
4.388 0 Td
(with)Tj
1.9729 0 Td
(having)Tj
2.88 0 Td
(to)Tj
1.0148 0 Td
(wait)Tj
1.8765 0 Td
(a)Tj
0.652 0 Td
(week)Tj
2.2223 0 Td
(for)Tj
1.3663 0 Td
(a)Tj
0.6463 0 Td
(result)Tj
2.4151 0 Td
(to)Tj
1.0148 0 Td
(come)Tj
2.3698 0 Td
(back)Tj
-33.8001 -1.2982 Td
(from)Tj
2.1826 0 Td
(the)Tj
1.4513 0 Td
(hospital)Tj
3.3279 0 Td
(laboratory,)Tj
4.5127 0 Td
(or)Tj
1.0829 0 Td
(the)Tj
1.4513 0 Td
(time)Tj
2.0069 0 Td
(it)Tj
0.771 0 Td
(would)Tj
2.6872 0 Td
(take)Tj
1.8482 0 Td
(patients)Tj
3.3165 0 Td
(to)Tj
1.0148 0 Td
(reach)Tj
2.3698 0 Td
(facilities)Tj
3.4355 0 Td
(where)Tj
2.6192 0 Td
(standard)Tj
-34.0778 -1.2983 Td
(laboratory)Tj
4.2916 0 Td
(tests)Tj
1.9275 0 Td
(could)Tj
2.4265 0 Td
(be)Tj
1.1395 0 Td
(performed.)Tj
4.6318 0 Td
(A)Tj
0.8957 0 Td
(health)Tj
2.6419 0 Td
(care)Tj
1.8482 0 Td
(worker)Tj
3.0387 0 Td
(from)Tj
2.1826 0 Td
(AAH)Tj
2.3414 0 Td
(stated)Tj
2.5229 0 Td
(that)Tj
1.7574 0 Td
(previously,)Tj
/F10 1 Tf
-0.004 Tc
-30.4495 -2.5001 Td
[()-9( )4()9()]TJ
1.9559 0 Td
[()11()6()2()]TJ
2.1713 0 Td
[(\n)4()]TJ
/F5 1 Tf
(,)Tj
/F10 1 Tf
1.2019 0 Td
[()4()6()]TJ
1.5703 0 Td
[()18(\n)12()9()11( )4()]TJ
2.744 0 Td
[()-8(\n)15()-13(\n)12()]TJ
2.3754 0 Td
[()2()]TJ
1.0998 0 Td
[( )4()]TJ
0.9184 0 Td
[( )4()22()]TJ
1.4174 0 Td
[()14()-4()11()]TJ
1.7574 0 Td
[()3()16()]TJ
1.8992 0 Td
[()-13(\n)4()]TJ
1.6158 0 Td
[()6()]TJ
1.2359 0 Td
[()11(\n)12()9()]TJ
1.6951 0 Td
[()18(\n)12()9()11( )4()]TJ
2.7382 0 Td
[()20()8()10(\n)15()-13(\n)12()]TJ
3.0501 0 Td
[()20()8()-3()10( )14()]TJ
2.3017 0 Td
[()4()1()9()11()20()]TJ
-31.7478 -1.304 Td
[()3()6()2()]TJ
2.313 0 Td
[()3()]TJ
1.2756 0 Td
[()6()22()3()]TJ
2.0409 0 Td
[()10()6()]TJ
1.4173 0 Td
[()-3()16()15()10( )4()]TJ
2.914 0 Td
[()11()]TJ
0.9865 0 Td
[()10()6()]TJ
1.4173 0 Td
[( )4()22()]TJ
1.4173 0 Td
[()3()]TJ
1.2756 0 Td
[()6()6()]TJ
1.7065 0 Td
[()11()]TJ
0.9864 0 Td
[()3()16(\n)14()]TJ
1.9332 0 Td
[()]TJ
0.7087 0 Td
[()3()7()15()]TJ
2.1316 0 Td
[()11()]TJ
0.9808 0 Td
[()20()7()7()2(\n)15()3()]TJ
2.829 0 Td
[()10()6()]TJ
1.4173 0 Td
[()20()8()10()4( )14()]TJ
/F5 1 Tf
3.0557 0 Td
(\(Healthcare)Tj
-30.8067 -1.2982 Td
(worker,)Tj
3.2995 0 Td
(Atoifi)Tj
2.5341 0 Td
(Hospital)Tj
3.617 0 Td
(Antenatal)Tj
4.1386 0 Td
(Clinic\))Tj
/F10 1 Tf
[()]TJ
/F5 1 Tf
(.)Tj
-13.5892 -2.5002 Td
(A)Tj
0.907 0 Td
(rural)Tj
2.1714 0 Td
(healthcare)Tj
4.3313 0 Td
(worker)Tj
3.0727 0 Td
(explained)Tj
/F10 1 Tf
-10.4824 -2.5001 Td
[(,\))]TJ
1.5363 0 Td
[()18(\n)12()18()14()11()8()]TJ
3.3392 0 Td
[(\n)4()]TJ
0.9751 0 Td
[()6()2()]TJ
1.8936 0 Td
[()-3()11()-19()]TJ
1.6781 0 Td
[()11()6()2()]TJ
2.1713 0 Td
[(\n)4()]TJ
0.9751 0 Td
[()7()11()15()4()16()20()7()]TJ
4.0422 0 Td
[( )4()]TJ
0.9241 0 Td
[()10()8()8()11()]TJ
2.3244 0 Td
[()11()8()9()]TJ
1.542 0 Td
[()4()1()9()11()20()]TJ
2.5738 0 Td
[()3()7()]TJ
1.7575 0 Td
[( )4()6()15()]TJ
1.8028 0 Td
[( )4()]TJ
0.9185 0 Td
[()10(\n)14()11()8()11()11()]TJ
2.8006 0 Td
[( )4()]TJ
0.9184 0 Td
[()18(\n)4()]TJ
1.4797 0 Td
[()-3()16(\r)]TJ
-33.6527 -1.2983 Td
[()9()11( )4()]TJ
1.6951 0 Td
[( )4()]TJ
0.9241 0 Td
[()10()8()8()11()]TJ
2.3244 0 Td
[( )12(\n)4()8()]TJ
1.5817 0 Td
[()16()22()11()2()6()22()11()11( )]TJ
3.9571 0 Td
[()6()12()10()6()2()5()]TJ
3.3505 0 Td
[()10()8()8()11()]TJ
2.3301 0 Td
[()6()-5()]TJ
1.5534 0 Td
[()11()]TJ
0.9808 0 Td
[()3()11( )4()]TJ
2.0749 0 Td
[()9()]TJ
0.9468 0 Td
[(-)]TJ
/F5 1 Tf
(,)Tj
/F10 1 Tf
[(.)]TJ
/F5 1 Tf
(,)Tj
/F10 1 Tf
[(\))]TJ
2.0693 0 Td
[()6()11()12()5()]TJ
2.4094 0 Td
[(\n)4()]TJ
0.9751 0 Td
[()9()]TJ
0.9524 0 Td
[()7()10(\n)12()]TJ
2.4492 0 Td
[()9()6()1(\n)4( )12(\n)14(/)]TJ
2.7439 0 Td
[(,\))]TJ
-33.3182 -1.3039 Td
[()18(\n)12()18()14()11()8()]TJ
3.3448 0 Td
[(\n)-4()]TJ
0.8164 0 Td
[()]TJ
0.703 0 Td
[()12()6()11()-19()]TJ
2.1826 0 Td
[()7(\n)12()6()]TJ
1.9559 0 Td
[()7()11()15()4()16()20()7()]TJ
4.0479 0 Td
[()11()]TJ
0.9808 0 Td
[()12()10()6()2()]TJ
2.245 0 Td
[()11()8()9()]TJ
1.8652 0 Td
[()3()6()2()20()]TJ
2.5398 0 Td
[()10()6()]TJ
1.4173 0 Td
[()16()22()11()2()6()16()22()11()11( )]TJ
4.4844 0 Td
[()6()12()10()6()2()5()]TJ
3.3505 0 Td
[()18(\n)10()-2()22()]TJ
2.4832 0 Td
[()6()22()3()]TJ
2.0409 0 Td
[()11()]TJ
-34.4577 -1.2983 Td
[()3()11( )4()]TJ
2.0749 0 Td
[(-)]TJ
/F5 1 Tf
(,)Tj
/F10 1 Tf
[(.)]TJ
/F5 1 Tf
(,)Tj
/F10 1 Tf
[(\))]TJ
2.0636 0 Td
[()6()11()12()5()]TJ
2.4095 0 Td
[()11()]TJ
0.9864 0 Td
[()20()7()6()13()]TJ
2.3357 0 Td
[()]TJ
0.7087 0 Td
[()9()6()1(\n)4( )12(\n)14()-3()]TJ
/F5 1 Tf
3.1634 0 Td
(\(Healthcare)Tj
4.9096 0 Td
(worker,)Tj
3.2995 0 Td
(rural)Tj
2.1713 0 Td
(health)Tj
2.6759 0 Td
(clinic\))Tj
/F10 1 Tf
[()]TJ
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 369.9779 cm
BT
/F11 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Perceived)Tj
4.2472 0 Td
(reliability)Tj
4.2757 0 Td
(of)Tj
1.063 0 Td
(results)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 353.0267 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Most)Tj
2.279 0 Td
(nurses)Tj
2.8119 0 Td
(\(16/20\))Tj
3.1295 0 Td
(reported)Tj
3.6623 0 Td
(confidence)Tj
4.6034 0 Td
(in)Tj
1.0318 0 Td
(the)Tj
1.4684 0 Td
(results)Tj
2.8119 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(DPP-POCT)Tj
5.0059 0 Td
(and)Tj
1.7291 0 Td
(that)Tj
1.7802 0 Td
(this)Tj
1.6724 0 Td
(had)Tj
-34.469 -1.3039 Td
(been)Tj
2.1203 0 Td
(reinforced)Tj
4.3709 0 Td
(by)Tj
1.1849 0 Td
(concordance)Tj
5.3575 0 Td
(between)Tj
3.5262 0 Td
(POCT)Tj
2.8007 0 Td
(and)Tj
1.7291 0 Td
(laboratory)Tj
4.354 0 Td
(tests.)Tj
2.1883 0 Td
(Two)Tj
2.0183 0 Td
(nurses)Tj
2.8119 0 Td
(highlighted)Tj
-32.4621 -1.2982 Td
(the)Tj
1.4683 0 Td
(experience)Tj
4.507 0 Td
(of)Tj
1.0148 0 Td
(discordant)Tj
4.4844 0 Td
(results)Tj
2.812 0 Td
(between)Tj
3.5263 0 Td
(laboratory)Tj
4.3539 0 Td
(and)Tj
1.7292 0 Td
(POCT)Tj
2.8006 0 Td
(testing)Tj
2.88 0 Td
(as)Tj
1.0148 0 Td
(impacting)Tj
4.2632 0 Td
(their)Tj
-34.8545 -1.2983 Td
(confidence)Tj
4.5977 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4683 0 Td
(test.)Tj
1.8255 0 Td
(One)Tj
1.9389 0 Td
(healthcare)Tj
4.3313 0 Td
(worker)Tj
3.0728 0 Td
(stated,)Tj
/F10 1 Tf
-17.0758 -2.5001 Td
[()12()3()7()]TJ
2.1486 0 Td
[()10()8()8()11()]TJ
2.3244 0 Td
[()11()8()9()]TJ
1.5364 0 Td
[()9()]TJ
0.9524 0 Td
[()7()-13()10()18(\n)4( )12(\n)-4()]TJ
3.0671 0 Td
[()-3()]TJ
1.0148 0 Td
[()11()6()2()]TJ
2.177 0 Td
[()12(\n)-4()7()3()16()]TJ
2.9877 0 Td
[()6()2()]TJ
1.8992 0 Td
[()7()11()11()-8(\n)12()-9()]TJ
3.2541 0 Td
[()4()7()10(\n)14()7(\n)15()3()]TJ
3.1521 0 Td
[()16()6()]TJ
1.7291 0 Td
[()6()1()9()11( )4()]TJ
2.863 0 Td
[()-3()2()6()12(\n)12()]TJ
3.0161 0 Td
[()10( )12()4()]TJ
1.9502 0 Td
[()11()]TJ
-34.0722 -1.304 Td
[()-3()16()6()]TJ
2.211 0 Td
[()20()8()-3()10( )14()]TJ
2.3017 0 Td
[()6()2()]TJ
1.8935 0 Td
[()16()20()6()1()]TJ
/F5 1 Tf
(,)Tj
/F10 1 Tf
2.4378 0 Td
[()-3()]TJ
1.0148 0 Td
[()10()6()22()28( )89()]TJ
2.3471 0 Td
[()6()12()]TJ
1.8538 0 Td
[()18(\n)]TJ
1.2643 0 Td
[()2()16()20()2()]TJ
2.6532 0 Td
[()7()-9()-4()9()]TJ
2.0352 0 Td
[()4()8()]TJ
1.406 0 Td
[()12(\n)-4()7()3()16()]TJ
2.9877 0 Td
[()11()]TJ
1.2132 0 Td
[()6()2()]TJ
1.8992 0 Td
[()7()11()11()-8(\n)12()-9()]TJ
3.2542 0 Td
[()11()8()9()]TJ
/F5 1 Tf
(.)Tj
/F10 1 Tf
1.7631 0 Td
[()4(0)92()]TJ
-32.5358 -1.2982 Td
[()11( )15()3()22()2()]TJ
2.8573 0 Td
[()11()8()9()]TJ
1.5363 0 Td
[()9()11()]TJ
1.3153 0 Td
[()7()-13()10()18(\n)4( )12(\n)-4()]TJ
/F5 1 Tf
(.)Tj
/F10 1 Tf
3.2938 0 Td
[(0)11()6()2()]TJ
2.5909 0 Td
[()10()6()]TJ
1.4173 0 Td
[()11()8()9()]TJ
1.5364 0 Td
[(\n)-4()]TJ
0.8163 0 Td
[()4()7()10(\n)14()7(\n)15()3()]TJ
3.1522 0 Td
[()16()6()]TJ
1.7291 0 Td
[(/)]TJ
0.5499 0 Td
[()-3()2()6()]TJ
1.9672 0 Td
[()10()6()]TJ
1.4173 0 Td
[()10( )4()4()4()]TJ
2.3584 0 Td
[()22()3()22()]TJ
2.2848 0 Td
[()16()6()]TJ
1.7348 0 Td
[()2()8()]TJ
1.3209 0 Td
[()10()6()]TJ
1.4173 0 Td
[()-3()16()6()]TJ
-33.2955 -1.2983 Td
[()20()8()10()4( )14()]TJ
2.3697 0 Td
[()-8()20()11()]TJ
2.0863 0 Td
[()10()6()]TJ
1.4173 0 Td
[( )4()22()]TJ
1.4173 0 Td
[()10()6()22()]TJ
1.8142 0 Td
[()-8(\n)15()3()8()]TJ
2.0523 0 Td
[()6()]TJ
1.3946 0 Td
[()7()-9()-4()9()]TJ
2.0353 0 Td
[(\n)12()]TJ
1.0148 0 Td
[()10()6()]TJ
1.4173 0 Td
[()11()8()9()]TJ
/F5 1 Tf
1.5363 0 Td
(\(Healthcare)Tj
4.9096 0 Td
(worker,)Tj
3.2995 0 Td
(rural)Tj
2.1713 0 Td
(health)Tj
2.6759 0 Td
(clinic\))Tj
/F10 1 Tf
[()]TJ
/F5 1 Tf
-31.6117 -2.5001 Td
(Another)Tj
3.5829 0 Td
(healthcare)Tj
4.3313 0 Td
(worker)Tj
3.0728 0 Td
(at)Tj
0.9524 0 Td
(a)Tj
0.652 0 Td
(different)Tj
3.6566 0 Td
(clinic)Tj
2.3981 0 Td
(explained,)Tj
/F10 1 Tf
4.2973 0 Td
[()12()3()16()11()9()11( )4()]TJ
3.7531 0 Td
[()4()22()7(\n)4()2()22()]TJ
2.965 0 Td
[()6()]TJ
1.2359 0 Td
[()11()6()2()]TJ
2.1713 0 Td
[()6()1()9()]TJ
-34.2649 -1.304 Td
[()13()6()7()13()18(\n)12()]TJ
3.3732 0 Td
[( )4()]TJ
0.9184 0 Td
[()24()]TJ
2.0976 0 Td
[()6()2()]TJ
1.8935 0 Td
[()6()9()2()22()7(\n)15()]TJ
3.0388 0 Td
[()11()14()]TJ
1.525 0 Td
[()4()2()]TJ
1.6327 0 Td
[()6()1()9()11( )4()]TJ
2.8687 0 Td
[()1()20()7()10()]TJ
2.0749 0 Td
[()13()6()7()13()]TJ
2.3244 0 Td
[( )4()]TJ
0.9241 0 Td
[()4()12()-13()]TJ
2.3698 0 Td
[()6()2()]TJ
1.8992 0 Td
[()20()7()6()-4()7(\n)15()3()]TJ
3.2201 0 Td
[()6()]TJ
1.2359 0 Td
[()10( )12()4()]TJ
1.9559 0 Td
[()10( )4()]TJ
1.3946 0 Td
[()6()2()]TJ
1.8992 0 Td
[()-3()]TJ
-36.646 -1.2982 Td
[()6()2()]TJ
1.8935 0 Td
[()6()]TJ
1.2359 0 Td
[()18(\n)12()9()11( )4()]TJ
2.7382 0 Td
[()9()11()22()]TJ
1.6328 0 Td
[()16()3()8()9()7(\n)4()11()]TJ
3.6283 0 Td
[()22()4()11()14()]TJ
2.4775 0 Td
[()12(\n)-4()10()]TJ
1.6384 0 Td
[()11()8()9()]TJ
1.542 0 Td
[(1)-4()6()]TJ
2.16 0 Td
[()4()22()7(\n)4()2()22()]TJ
2.9707 0 Td
[()3()]TJ
1.6951 0 Td
[()6()9()2()22()7(\n)15()3()]TJ
3.4299 0 Td
[()11()]TJ
1.2132 0 Td
[()10()6()]TJ
1.4173 0 Td
[()24()]TJ
2.0977 0 Td
[()11()14()]TJ
1.5193 0 Td
[()20()7()6()-4()7(\n)15()3()]TJ
3.2258 0 Td
[()11()]TJ
-36.5156 -1.2983 Td
[()10()6()]TJ
1.4173 0 Td
[()10( )4()4()4()]TJ
2.3584 0 Td
[()3()18(\n)4()13()]TJ
2.5341 0 Td
[()6()11()8()8()]TJ
2.6703 0 Td
[()6()]TJ
1.3889 0 Td
[(+)14()4()8()9()7(\n)4()11()]TJ
3.5036 0 Td
[()10()6()]TJ
1.4173 0 Td
[()11()8()9()]TJ
/F5 1 Tf
1.8595 0 Td
(\(Healthcare)Tj
4.9096 0 Td
(worker,)Tj
3.2995 0 Td
(rural)Tj
2.1714 0 Td
(health)Tj
2.6758 0 Td
(clinic\))Tj
/F10 1 Tf
[()]TJ
/F5 1 Tf
-29.0095 -1.2982 Td
(Parallels)Tj
3.5432 0 Td
(were)Tj
2.1203 0 Td
(also)Tj
1.7689 0 Td
(drawn)Tj
2.7892 0 Td
(between)Tj
3.5263 0 Td
(the)Tj
1.4683 0 Td
(experience)Tj
4.5071 0 Td
(of)Tj
1.0148 0 Td
(RDTs)Tj
2.5512 0 Td
(for)Tj
1.3889 0 Td
(malaria)Tj
3.2258 0 Td
(and)Tj
1.7292 0 Td
(the)Tj
1.4683 0 Td
(DPP-POCT.)Tj
-32.2977 -1.304 Td
(Two)Tj
2.0182 0 Td
(nurses)Tj
2.8176 0 Td
(invoked)Tj
3.4413 0 Td
(previous)Tj
3.651 0 Td
(experience)Tj
4.507 0 Td
(of)Tj
1.0148 0 Td
(discordant)Tj
4.4844 0 Td
(results)Tj
2.812 0 Td
(between)Tj
3.5262 0 Td
(the)Tj
1.474 0 Td
(POCT)Tj
2.795 0 Td
(used)Tj
2.0636 0 Td
(for)Tj
-34.6051 -1.2982 Td
(malaria)Tj
3.2258 0 Td
(and)Tj
1.7291 0 Td
(microscopic)Tj
5.108 0 Td
(diagnosis)Tj
3.9571 0 Td
(of)Tj
1.0148 0 Td
(malaria,)Tj
3.4526 0 Td
(and)Tj
1.7291 0 Td
(reported)Tj
3.6624 0 Td
(that)Tj
1.7801 0 Td
(this)Tj
1.6724 0 Td
(made)Tj
2.4265 0 Td
(them)Tj
2.2847 0 Td
(worry,)Tj
2.8346 0 Td
(by)Tj
-34.8772 -1.2983 Td
(analogy,)Tj
3.5319 0 Td
(if)Tj
0.7767 0 Td
(the)Tj
1.4683 0 Td
(DPP-POCT)Tj
5.006 0 Td
(was)Tj
1.7008 0 Td
(accurate.)Tj
/F10 1 Tf
-11.2875 -2.5001 Td
[()14($)-3()]TJ
1.5987 0 Td
[()6()11( )4()16()-9(\n)4()]TJ
3.3165 0 Td
[()18(\n)14()]TJ
1.2529 0 Td
[(\n)12()]TJ
0.754 0 Td
[()6()11( )4()16()-9(\n)4()]TJ
3.3222 0 Td
[()3()7()]TJ
1.7575 0 Td
[()6()2()]TJ
1.8992 0 Td
[(,)]TJ
0.686 0 Td
[()10( )12()-4()]TJ
1.7858 0 Td
[()12(\n)-4()4()9()11( )4()]TJ
2.7892 0 Td
[()24()]TJ
2.0977 0 Td
[()10( )4()]TJ
1.3946 0 Td
[()6()11( )4()16()-9(\n)4()]TJ
3.3222 0 Td
[()-13(\n)4()]TJ
1.406 0 Td
[()6()2()18(\n)]TJ
2.1656 0 Td
[()6()]TJ
1.2132 0 Td
[()20()7()6()12(\n)12()]TJ
2.9991 0 Td
[()-13(\n)4()]TJ
/F5 1 Tf
(..)Tj
/F10 1 Tf
-33.7604 -1.304 Td
[(2)-2()6()]TJ
1.6724 0 Td
[()10( )15()3()8()]TJ
2.3017 0 Td
[()-8(\n)15()-13(\n)12()]TJ
2.3811 0 Td
[()18(\n)12()9()11( )4()]TJ
2.7382 0 Td
[()6()9()2()22()7(\n)12()]TJ
2.8744 0 Td
[()16()-3()]TJ
/F5 1 Tf
(.)Tj
/F10 1 Tf
[(2)17()14()]TJ
3.668 0 Td
[()-3()12()4()7()]TJ
2.3074 0 Td
[()18(\n)]TJ
1.2642 0 Td
[()-8(\n)15()-13(\n)12()]TJ
2.3811 0 Td
[()2()]TJ
1.0998 0 Td
[( )4()]TJ
0.9184 0 Td
[()18(\n)4()1()20()7()-3()7()11()11(\n)-4()9()]TJ
5.0003 0 Td
[()4()6()]TJ
1.5761 0 Td
[()6()2()18(\n)]TJ
2.16 0 Td
[()-3()22()]TJ
1.4683 0 Td
[(,)]TJ
0.686 0 Td
[()10( )12()-4()]TJ
/F5 1 Tf
(.)Tj
/F10 1 Tf
-34.4974 -1.2982 Td
[(3)-6()]TJ
1.1452 0 Td
[()4()8()]TJ
1.4059 0 Td
[()3()16()]TJ
1.8936 0 Td
[(\n)4()]TJ
0.9751 0 Td
[()6()6()]TJ
1.7007 0 Td
[()6()2()18(\n)]TJ
2.16 0 Td
[()-8(\n)15()-13(\n)12()]TJ
2.3811 0 Td
[()18(\n)]TJ
1.2643 0 Td
[()4()6()12()]TJ
1.9672 0 Td
[( )4()]TJ
0.9184 0 Td
[()12(\n)-4()4()9()11( )4()]TJ
2.7893 0 Td
[()7()-13()10()18(\n)4( )12(\n)-4()]TJ
3.0671 0 Td
[()4()7()7()7()]TJ
2.2563 0 Td
[()6()2()18(\n)]TJ
2.16 0 Td
[()6()]TJ
1.2132 0 Td
[()-8(\n)15()-13(\n)12()]TJ
2.3811 0 Td
[()18(\n)]TJ
1.2643 0 Td
[()6()12()]TJ
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 183.2882 23.6976 re
W* n
q
183.2315 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 432.9637 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Syphilis)Tj
3.6 0 Td
(and)Tj
1.8567 0 Td
(yaws)Tj
2.4591 0 Td
(POCT)Tj
2.9764 0 Td
(qualitativ)Tj
3.8622 0 Td
(e)Tj
0.7654 0 Td
(study)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
163.5591 34.9228 m
317.7071 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Neglected)Tj
4.6417 0 Td
(Tropical)Tj
3.7135 0 Td
(Disease)Tj
3.5433 0 Td
(s)Tj
0.7158 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8197 0 Td
(1/journal.pn)Tj
5.1237 0 Td
(td.00063)Tj
3.8197 0 Td
(60)Tj
0 g
2.0905 0 Td
(April)Tj
2.1827 0 Td
(19,)Tj
1.5804 0 Td
(2018)Tj
25.1647 0 Td
(6)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
96 0 obj
<>stream
endstream
endobj
97 0 obj
<>stream
BT
66.402 0 Td
(10)Tj
ET
Q
endstream
endobj
98 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 10 0 R/Annots 99 0 R/Contents 100 0 R/TrimBox[0 0 612 792]>>
endobj
99 0 obj
[101 0 R 102 0 R 103 0 R 104 0 R 105 0 R]
endobj
101 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref014)>>
endobj
102 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref018)>>
endobj
103 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref019)>>
endobj
104 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref023)>>
endobj
105 0 obj
<>/Border[0 0 0]/A 106 0 R>>
endobj
106 0 obj
<>
endobj
100 0 obj
[107 0 R 108 0 R 109 0 R 110 0 R 111 0 R 112 0 R 113 0 R]
endobj
107 0 obj
<>stream
q
0.83 0.64 0.02 0 k
531.1559 263.9055 m
540.6803 263.9055 l
h
f*
542.8913 263.9055 m
552.4157 263.9055 l
h
f*
554.6835 263.9055 m
564.2079 263.9055 l
h
f*
363.5717 107.9433 m
373.0394 107.9433 l
h
f*
0 g
1 j
1 J
0 w
10 0 0 10 211.9748 707.4141 cm
BT
/F10 1 Tf
1 TL
-0.004 Tc
0 0 Td
[()-3()2()-9(\n)4()11()-4()10()6()8()10()]TJ
4.473 0 Td
[()6()6()]TJ
1.7008 0 Td
[()12(\n)-4()4()9()11( )4()]TJ
2.7892 0 Td
[()12(\n)-4()-3()8()-3()8()]TJ
/F5 1 Tf
(.)Tj
/F10 1 Tf
2.9821 0 Td
[(/)23()]TJ
1.1452 0 Td
[()10()6()]TJ
1.4173 0 Td
[()12( )12(\n)4()4()]TJ
1.9389 0 Td
[()6()]TJ
1.542 0 Td
[(,4)]TJ
1.2756 0 Td
[(5)14(6)]TJ
1.2869 0 Td
[()10()6()2()]TJ
1.9446 0 Td
[()10()6()]TJ
1.4173 0 Td
[()6()11( )4()16()-9(\n)4()]TJ
3.3222 0 Td
[()24()]TJ
2.0976 0 Td
[(\n)-4()]TJ
0.8164 0 Td
[()6()12()]TJ
1.508 0 Td
[()4()8()11()7()-4()7(\n)12()13()]TJ
3.6793 0 Td
[(\n)14()]TJ
/F5 1 Tf
(.)Tj
/F10 1 Tf
-35.3364 -1.3039 Td
[()1()6()]TJ
1.7121 0 Td
[()11()8()9()]TJ
1.5363 0 Td
[(\n)-4()]TJ
0.8164 0 Td
[()11( )15()3()22()2()]TJ
2.8573 0 Td
[()6()9()2()22()7(\n)15()3(%)]TJ
3.6567 0 Td
[()11()14()]TJ
1.5193 0 Td
[(\n)12()]TJ
0.7541 0 Td
[()3()11()]TJ
1.6497 0 Td
[()-8(\n)15()3()]TJ
1.7235 0 Td
[(\n)14()]TJ
0.788 0 Td
[()11()]TJ
0.9808 0 Td
[()10()6()]TJ
1.4173 0 Td
[()18(\n)4()1()20()7()-3()7()11()11(\n)-4()9()]TJ
5.0003 0 Td
[()10()6()-5()]TJ
1.8538 0 Td
[()20()2()4()11()-19()]TJ
2.5739 0 Td
[(,4)]TJ
/F5 1 Tf
(.)Tj
/F10 1 Tf
1.4966 0 Td
[(3)-6()]TJ
1.1396 0 Td
[()10()6()22()]TJ
1.8141 0 Td
[()-8(\n)15()3()8()]TJ
-33.2898 -1.2982 Td
[()6()]TJ
1.3946 0 Td
[()4()11()14()12()]TJ
2.8119 0 Td
[()22()4()11()14()]TJ
2.4718 0 Td
[()10()6()]TJ
1.4173 0 Td
[()7()-13()10()18(\n)4( )12(\n)-4()]TJ
3.0671 0 Td
[()11()8()9()]TJ
/F5 1 Tf
(,)Tj
/F10 1 Tf
1.7632 0 Td
[()4()7()7()16()-4()-3()]TJ
3.1974 0 Td
[(\n)14()]TJ
0.7824 0 Td
[(\n)-4()]TJ
0.8163 0 Td
[()]TJ
0.7087 0 Td
[()-3()2()-9(\n)4()11()-4()]TJ
2.8913 0 Td
[()12(\n)-4()-3()7()-3()]TJ
/F5 1 Tf
3.2315 0 Td
(\(Healthcare)Tj
4.9096 0 Td
(worker,)Tj
3.2995 0 Td
(rural)Tj
-32.7626 -1.2983 Td
(health)Tj
2.6815 0 Td
(clinic\))Tj
/F10 1 Tf
[()]TJ
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 632.1826 cm
BT
/F11 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Access)Tj
2.9669 0 Td
(to)Tj
1.0772 0 Td
(testing)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 615.1748 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(All)Tj
1.3946 0 Td
(health)Tj
2.6759 0 Td
(care)Tj
1.8765 0 Td
(workers)Tj
3.4356 0 Td
(\(20/20\))Tj
3.1294 0 Td
(reported)Tj
3.6623 0 Td
(that)Tj
1.7745 0 Td
(providing)Tj
4.1499 0 Td
(access)Tj
2.6419 0 Td
(to)Tj
1.0261 0 Td
(testing)Tj
2.8857 0 Td
(at)Tj
0.9524 0 Td
(the)Tj
1.4683 0 Td
(clinic)Tj
2.3925 0 Td
(level)Tj
2.0182 0 Td
(was)Tj
-35.4838 -1.2982 Td
(a)Tj
0.6519 0 Td
(strength)Tj
3.515 0 Td
(of)Tj
1.0147 0 Td
(the)Tj
1.4684 0 Td
(POCT.)Tj
3.0274 0 Td
(Lack)Tj
2.1089 0 Td
(of)Tj
1.0148 0 Td
(access)Tj
2.6476 0 Td
(to)Tj
1.0261 0 Td
(laboratory)Tj
4.3483 0 Td
(facilities)Tj
3.498 0 Td
(due)Tj
1.7007 0 Td
(to)Tj
1.0262 0 Td
(the)Tj
1.4683 0 Td
(distance)Tj
3.5036 0 Td
(from)Tj
2.2053 0 Td
(the)Tj
1.4684 0 Td
(hos-)Tj
-35.6936 -1.2983 Td
(pital)Tj
1.9842 0 Td
(was)Tj
1.6951 0 Td
(seen)Tj
1.9786 0 Td
(as)Tj
1.0148 0 Td
(a)Tj
0.6519 0 Td
(significant)Tj
4.388 0 Td
(challenge)Tj
3.9628 0 Td
(in)Tj
1.0318 0 Td
(terms)Tj
2.4945 0 Td
(of)Tj
1.0148 0 Td
(logistics,)Tj
3.6397 0 Td
(time)Tj
2.0296 0 Td
(and)Tj
1.7291 0 Td
(costs.)Tj
2.3981 0 Td
(POCT)Tj
2.8006 0 Td
(addressed)Tj
-32.8136 -1.2982 Td
(these)Tj
2.2506 0 Td
(challenges)Tj
4.32 0 Td
(by)Tj
1.1849 0 Td
(providing)Tj
4.1442 0 Td
(access)Tj
2.6476 0 Td
(to)Tj
1.0261 0 Td
(testing)Tj
2.88 0 Td
(at)Tj
0.9524 0 Td
(a)Tj
0.652 0 Td
(lower)Tj
2.4548 0 Td
(level)Tj
2.0125 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(health)Tj
2.6815 0 Td
(care)Tj
1.8709 0 Td
(system.)Tj
3.1634 0 Td
(One)Tj
-34.7241 -1.304 Td
(nurse)Tj
2.4491 0 Td
(stated)Tj
/F10 1 Tf
2.5625 0 Td
[()-12()11(\n)4()8()7()]TJ
2.6078 0 Td
[( )4()22()]TJ
1.4173 0 Td
[()6()2()]TJ
1.8936 0 Td
[()9()16()20()22()3()]TJ
2.88 0 Td
[()-8()20()11()]TJ
2.0919 0 Td
[()18(\n)12()9()11( )4()]TJ
/F5 1 Tf
(.)Tj
/F10 1 Tf
2.965 0 Td
[(3)-6()]TJ
1.1396 0 Td
[()6()2()]TJ
1.8935 0 Td
[()4()16()20()22()3()]TJ
2.948 0 Td
[()4()8()9()]TJ
1.7178 0 Td
[()10( )4()8()]TJ
1.6554 0 Td
[()6()]TJ
1.2302 0 Td
[(\n)4()]TJ
/F5 1 Tf
(.)Tj
/F10 1 Tf
1.2019 0 Td
[()8()1()6()]TJ
2.0353 0 Td
[( )4()22()]TJ
1.4173 0 Td
[(\n)-4()]TJ
0.8164 0 Td
[()9()16()]TJ
-34.9226 -1.2982 Td
[()22()3()22()]TJ
2.2903 0 Td
[()-8()20()11()]TJ
2.0863 0 Td
[()-4()]TJ
/F5 1 Tf
(.)Tj
/F10 1 Tf
1.3039 0 Td
[(3)-6()]TJ
1.1396 0 Td
[()6()2()20()]TJ
1.8765 0 Td
[()13( )12(\n)12()18(\n)4()]TJ
2.9083 0 Td
[(\n)-4()]TJ
0.8164 0 Td
[()10()6()]TJ
1.4173 0 Td
[()4()8()9()]TJ
1.7121 0 Td
[()10( )4()6()7()]TJ
/F5 1 Tf
2.5058 0 Td
(\(Healthcare)Tj
4.9096 0 Td
(worker,)Tj
3.2938 0 Td
(rural)Tj
2.1714 0 Td
(health)Tj
2.6815 0 Td
(clinic)Tj
/F10 1 Tf
[()]TJ
/F5 1 Tf
(.)Tj
-31.1128 -1.2983 Td
(Another)Tj
3.5773 0 Td
(rural)Tj
2.1713 0 Td
(health)Tj
2.6815 0 Td
(worker)Tj
3.0728 0 Td
(explained,)Tj
/F10 1 Tf
-10.3067 -2.5001 Td
[()14(#)31()2()]TJ
2.5114 0 Td
[()6()6()]TJ
1.7008 0 Td
[()15()10()4()2()10(\n)12()]TJ
3.6624 0 Td
[()9()]TJ
0.9524 0 Td
[()10( )4()8()8()11()]TJ
2.5625 0 Td
[()6()16()6()]TJ
2.7496 0 Td
[()9()]TJ
0.9524 0 Td
[()1()12()]TJ
1.8992 0 Td
[()4()6()11()]TJ
2.194 0 Td
[( )4()]TJ
0.9184 0 Td
[()6()7()10()11(\n)14()11()11( )]TJ
3.2882 0 Td
[()9()]TJ
0.9524 0 Td
[()-4()-3()2()]TJ
2.2451 0 Td
[()11()8()9()]TJ
1.542 0 Td
[(\n)4()]TJ
/F5 1 Tf
(.)Tj
/F10 1 Tf
1.1962 0 Td
[(/)39()12()18(\n)]TJ
2.1203 0 Td
[()-3()22()3()]TJ
1.8652 0 Td
[()12()12(\n)12()]TJ
-33.3125 -1.3039 Td
[()6()11()6()]TJ
2.4774 0 Td
[( )4()]TJ
0.9241 0 Td
[()10( )4()8()8()11()]TJ
2.5625 0 Td
[()-9()12()20()11( )]TJ
2.1884 0 Td
[()13( )12(\n)12()18(\n)4()1()]TJ
2.5908 0 Td
[(/)33()]TJ
1.1792 0 Td
[(\n)-4()]TJ
0.8164 0 Td
[()1(7)4()2()10(\n)15()3()]TJ
3.8948 0 Td
[()9()11()]TJ
1.3152 0 Td
[()10()6()]TJ
1.4173 0 Td
[()6()12()10()6()2()5()]TJ
3.3506 0 Td
[()11()]TJ
0.9864 0 Td
[()2()]TJ
1.0942 0 Td
[()11()]TJ
0.9864 0 Td
[()10()6()]TJ
1.4174 0 Td
[()6()7()10()11(\n)14()11()11( )]TJ
3.2825 0 Td
[(**#)]TJ
2.9139 0 Td
[()11()]TJ
0.9808 0 Td
[()6()22()3()]TJ
-34.3783 -1.2983 Td
[()10()6()]TJ
1.4173 0 Td
[()11()8()9()]TJ
/F5 1 Tf
(.)Tj
/F10 1 Tf
1.7688 0 Td
[($)-3()8()]TJ
1.7631 0 Td
[()4()]TJ
1.1849 0 Td
[()10()6()]TJ
1.4173 0 Td
[()11()8()9()]TJ
1.5364 0 Td
[()22()]TJ
1.0034 0 Td
[()11( )4( )]TJ
1.1792 0 Td
[()11()]TJ
0.9525 0 Td
[()10()6()]TJ
1.4173 0 Td
[()-9()12()20()11( )]TJ
2.194 0 Td
[()13( )12(\n)12()18(\n)4()1()]TJ
/F5 1 Tf
2.5908 0 Td
(\(Healthcare)Tj
4.9096 0 Td
(worker)Tj
3.0728 0 Td
(nurse,)Tj
2.6758 0 Td
(rural)Tj
2.1714 0 Td
(health)Tj
-31.2546 -1.2983 Td
(clinic\).)Tj
0 -2.5001 Td
(Patients)Tj
3.4129 0 Td
(reported)Tj
3.6566 0 Td
(that)Tj
1.7802 0 Td
(improving)Tj
4.439 0 Td
(access)Tj
2.6475 0 Td
(to)Tj
1.0262 0 Td
(testing)Tj
2.88 0 Td
(at)Tj
0.9524 0 Td
(the)Tj
1.4683 0 Td
(clinic)Tj
2.3981 0 Td
(level)Tj
2.0126 0 Td
(was)Tj
1.7008 0 Td
(beneficial)Tj
4.0478 0 Td
(due)Tj
1.7008 0 Td
(to)Tj
1.0205 0 Td
(the)Tj
-36.3399 -1.3039 Td
(delays)Tj
2.6645 0 Td
(involved)Tj
3.651 0 Td
(in)Tj
1.0375 0 Td
(travelling)Tj
3.9741 0 Td
(to)Tj
1.0262 0 Td
(hospitals)Tj
3.736 0 Td
(for)Tj
1.389 0 Td
(testing.)Tj
3.1067 0 Td
(One)Tj
1.9389 0 Td
(patient)Tj
3.0047 0 Td
(explained,)Tj
/F10 1 Tf
-24.3324 -2.5002 Td
[()44()-3()2()6()4()2()]TJ
3.5206 0 Td
[()2()]TJ
1.0998 0 Td
[( )4()]TJ
0.9184 0 Td
[()6()7()10()11(\n)14()11()11( )]TJ
3.2882 0 Td
[()]TJ
0.6803 0 Td
[()-3()2()6()4()2()]TJ
3.1408 0 Td
[()2()]TJ
1.0941 0 Td
[( )4()]TJ
0.9241 0 Td
[()10( )4()8()8()11()]TJ
2.5625 0 Td
[()6()16()20()]TJ
2.0806 0 Td
[()10( )4()6()7()]TJ
2.1827 0 Td
[()11()8()9()7(\n)12()]TJ
2.5795 0 Td
[()8()16()]TJ
1.9502 0 Td
[()10( )4()8()8()11()]TJ
2.5625 0 Td
[()10( )12()4()]TJ
1.9559 0 Td
[(\n)4()]TJ
0.9752 0 Td
[()22()7(\n)12()13()]TJ
2.211 0 Td
[()4()6()]TJ
-33.7264 -1.2982 Td
[()6()2()]TJ
1.8992 0 Td
[( )4()15( )4()20()4()8()]TJ
2.6418 0 Td
[()12( )4()]TJ
1.2529 0 Td
[()11()]TJ
0.9808 0 Td
[()-3()]TJ
1.0148 0 Td
[()22()7(\n)12()13()]TJ
2.211 0 Td
[()6()2()]TJ
1.8992 0 Td
[()-8()4()]TJ
1.6555 0 Td
[()6()]TJ
1.2359 0 Td
[()9()11()]TJ
1.3152 0 Td
[()10()8()15( )14()11()]TJ
2.5625 0 Td
[()6()11()8()2()]TJ
3.1181 0 Td
[( )4()]TJ
0.9184 0 Td
[()18(\n)4()]TJ
1.4797 0 Td
[()6()11()6()4()]TJ
2.9424 0 Td
[()4()2(\n)12()13()]TJ
2.6305 0 Td
[()-3()2()22()]TJ
1.7631 0 Td
[()11()]TJ
0.9865 0 Td
[()]TJ
0.703 0 Td
[()6()7()10()11(\n)14()11()11( )]TJ
-33.2105 -1.2983 Td
[()11()]TJ
1.0488 0 Td
[()16()6()12()10()6()2()]TJ
3.2598 0 Td
[()10( )4()6()7()]TJ
2.177 0 Td
[()9()11()]TJ
1.3153 0 Td
[()10( )4()4()4()]TJ
2.3584 0 Td
[()11()8()9()]TJ
1.8652 0 Td
[(\n)-4()]TJ
0.8163 0 Td
[()12( )4()12()]TJ
1.9162 0 Td
[()-3()]TJ
1.0148 0 Td
[(\n)14()]TJ
0.7881 0 Td
[(\n)-4()]TJ
0.8163 0 Td
[()2()4()4()]TJ
2.058 0 Td
[()11()]TJ
0.9864 0 Td
[()4()]TJ
1.0828 0 Td
[()22()10( )4()]TJ
1.8142 0 Td
[()11()]TJ
0.9808 0 Td
[()11()11()8()]TJ
1.8595 0 Td
[(\n)14()]TJ
0.788 0 Td
[()6()2()20()]TJ
/F5 1 Tf
2.194 0 Td
(\(Patient)Tj
3.3846 0 Td
(rural)Tj
-32.5245 -1.2983 Td
(health)Tj
2.6815 0 Td
(clinic\).)Tj
-2.6815 -2.5001 Td
(The)Tj
1.7858 0 Td
(costs)Tj
2.1713 0 Td
(of)Tj
1.0148 0 Td
(getting)Tj
2.982 0 Td
(to)Tj
1.0262 0 Td
(the)Tj
1.474 0 Td
(hospital)Tj
3.3732 0 Td
(was)Tj
1.7008 0 Td
(also)Tj
1.7688 0 Td
(a)Tj
0.6519 0 Td
(concern)Tj
3.4696 0 Td
(expressed)Tj
4.0932 0 Td
(by)Tj
1.1792 0 Td
(for)Tj
1.389 0 Td
(health)Tj
2.6759 0 Td
(workers.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 308.0125 cm
BT
/F2 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Discussion)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 291.0047 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(In)Tj
1.1055 0 Td
(this)Tj
1.6781 0 Td
(study)Tj
2.3867 0 Td
(we)Tj
1.3266 0 Td
(provide)Tj
3.2882 0 Td
(the)Tj
1.474 0 Td
(first)Tj
1.8028 0 Td
(real-world)Tj
4.3823 0 Td
(evaluation)Tj
4.3597 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.474 0 Td
(acceptability)Tj
5.2101 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.474 0 Td
(DPP-POCT)Tj
-31.9916 -1.2982 Td
(in)Tj
1.0318 0 Td
(routine)Tj
3.1577 0 Td
(health)Tj
2.6759 0 Td
(care)Tj
1.8709 0 Td
(settings,)Tj
3.4639 0 Td
(in)Tj
1.0318 0 Td
(a)Tj
0.652 0 Td
(country)Tj
3.3448 0 Td
(co-endemic)Tj
4.9323 0 Td
(for)Tj
1.3833 0 Td
(yaws)Tj
2.1486 0 Td
(and)Tj
1.7291 0 Td
(syphilis.)Tj
3.4413 0 Td
(Whilst)Tj
2.8856 0 Td
(a)Tj
0.6463 0 Td
(number)Tj
-34.3953 -1.3039 Td
(of)Tj
1.0147 0 Td
(evaluations)Tj
4.7225 0 Td
(have)Tj
2.058 0 Td
(been)Tj
2.1203 0 Td
(conducted)Tj
4.4277 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.474 0 Td
(analytic)Tj
3.3222 0 Td
(performance)Tj
5.3517 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(DPP-POCT[)Tj
0.83 0.64 0.02 0 k
(14)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(18)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
(19)Tj
0 g
(],)Tj
-27.9891 -1.2983 Td
(no)Tj
1.2755 0 Td
(previous)Tj
3.651 0 Td
(studies)Tj
2.9821 0 Td
(have)Tj
2.0636 0 Td
(addressed)Tj
4.1725 0 Td
(factors)Tj
2.9084 0 Td
(affecting)Tj
3.651 0 Td
(its)Tj
1.1508 0 Td
(real-world)Tj
4.3824 0 Td
(roll-out.)Tj
3.4979 0 Td
(Our)Tj
1.8652 0 Td
(data)Tj
1.9162 0 Td
(highlight)Tj
-33.5166 -1.2983 Td
(the)Tj
1.4683 0 Td
(ability)Tj
2.6929 0 Td
(of)Tj
1.0148 0 Td
(these)Tj
2.2563 0 Td
(tests)Tj
1.9616 0 Td
(to)Tj
1.0261 0 Td
(improve)Tj
3.5773 0 Td
(access)Tj
2.6476 0 Td
(to)Tj
1.0261 0 Td
(diagnostics)Tj
4.6828 0 Td
(for)Tj
1.3833 0 Td
(patients)Tj
3.3676 0 Td
(in)Tj
1.0374 0 Td
(remote)Tj
3.0614 0 Td
(communities,)Tj
-31.2035 -1.3039 Td
(and)Tj
1.7234 0 Td
(the)Tj
1.4683 0 Td
(receptiveness)Tj
5.5162 0 Td
(to)Tj
1.0205 0 Td
(the)Tj
1.4683 0 Td
(test)Tj
1.5988 0 Td
(of)Tj
1.0091 0 Td
(healthcare)Tj
4.3313 0 Td
(workers)Tj
3.4299 0 Td
(and)Tj
1.7291 0 Td
(patients.)Tj
3.5887 0 Td
(Our)Tj
1.8651 0 Td
(findings)Tj
3.4866 0 Td
(also)Tj
1.7688 0 Td
(highlight)Tj
-34.0041 -1.2982 Td
(lessons)Tj
3.0217 0 Td
(that)Tj
1.7688 0 Td
(can)Tj
1.6214 0 Td
(be)Tj
1.1395 0 Td
(learnt)Tj
2.5342 0 Td
(in)Tj
1.0318 0 Td
(guiding)Tj
3.2768 0 Td
(roll-out)Tj
3.2712 0 Td
(of)Tj
1.0034 0 Td
(the)Tj
1.4627 0 Td
(DPP-POCT)Tj
5.0003 0 Td
(to)Tj
1.0148 0 Td
(support)Tj
3.3165 0 Td
(both)Tj
2.0522 0 Td
(yaws)Tj
2.143 0 Td
(and)Tj
1.7235 0 Td
(syph-)Tj
-35.3818 -1.2983 Td
(ilis)Tj
1.3606 0 Td
(control)Tj
3.1237 0 Td
(programmes.)Tj
-3.2881 -1.3039 Td
(The)Tj
1.7801 0 Td
(majority)Tj
3.6227 0 Td
(of)Tj
1.0091 0 Td
(nurses)Tj
2.8119 0 Td
(reported)Tj
3.651 0 Td
(a)Tj
0.652 0 Td
(high)Tj
2.0013 0 Td
(level)Tj
2.0125 0 Td
(of)Tj
1.0092 0 Td
(trust)Tj
2.0692 0 Td
(in)Tj
1.0319 0 Td
(the)Tj
1.4626 0 Td
(test,)Tj
1.8255 0 Td
(and)Tj
1.7235 0 Td
(both)Tj
2.0522 0 Td
(patients)Tj
3.3676 0 Td
(and)Tj
1.7234 0 Td
(nurses)Tj
-35.0019 -1.2983 Td
(recognised)Tj
4.5354 0 Td
(the)Tj
1.474 0 Td
(benefits)Tj
3.3335 0 Td
(of)Tj
1.0148 0 Td
(making)Tj
3.2541 0 Td
(diagnostic)Tj
4.3143 0 Td
(testing)Tj
2.8857 0 Td
(available)Tj
3.668 0 Td
(in)Tj
1.0318 0 Td
(primary)Tj
3.4582 0 Td
(health)Tj
2.6759 0 Td
(facilities)Tj
3.498 0 Td
(with-)Tj
-35.1437 -1.2983 Td
(out)Tj
1.5533 0 Td
(recourse)Tj
3.6283 0 Td
(to)Tj
1.0262 0 Td
(a)Tj
0.6519 0 Td
(hospital)Tj
3.3789 0 Td
(laboratory.)Tj
4.5751 0 Td
(The)Tj
1.7802 0 Td
(test)Tj
1.6044 0 Td
(was)Tj
1.7007 0 Td
(generally)Tj
3.8325 0 Td
(reported)Tj
3.6566 0 Td
(to)Tj
1.0262 0 Td
(be)Tj
1.1508 0 Td
(easy)Tj
1.8935 0 Td
(to)Tj
1.0262 0 Td
(perform)Tj
-32.4848 -1.2982 Td
(based)Tj
2.4717 0 Td
(on)Tj
1.2756 0 Td
(the)Tj
1.4684 0 Td
(training)Tj
3.4185 0 Td
(received)Tj
3.5376 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4684 0 Td
(study)Tj
2.3867 0 Td
(and)Tj
1.7348 0 Td
(despite)Tj
3.0387 0 Td
(the)Tj
1.4684 0 Td
(relatively)Tj
3.838 0 Td
(long)Tj
1.99 0 Td
(time)Tj
2.0239 0 Td
(required)Tj
3.6396 0 Td
(to)Tj
-34.7978 -1.3039 Td
(obtain)Tj
2.7779 0 Td
(a)Tj
0.6576 0 Td
(result,)Tj
2.6702 0 Td
(nurses)Tj
2.8177 0 Td
(reported)Tj
3.6566 0 Td
(the)Tj
1.4684 0 Td
(test)Tj
1.6044 0 Td
(could)Tj
2.4491 0 Td
(be)Tj
1.1508 0 Td
(integrated)Tj
4.2803 0 Td
(into)Tj
1.8425 0 Td
(clinical)Tj
3.0728 0 Td
(workflows.)Tj
4.5921 0 Td
(Previous)Tj
-33.0404 -1.2983 Td
(studies)Tj
2.9876 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(roll-out)Tj
3.2711 0 Td
(of)Tj
1.0148 0 Td
(rapid)Tj
2.3414 0 Td
(syphilis)Tj
3.2202 0 Td
(tests)Tj
1.9615 0 Td
(in)Tj
1.0375 0 Td
(other)Tj
2.3471 0 Td
(settings)Tj
3.2428 0 Td
(have)Tj
2.0579 0 Td
(also)Tj
1.7688 0 Td
(demonstrated)Tj
5.76 0 Td
(an)Tj
1.2019 0 Td
(overall)Tj
-34.6958 -1.2983 Td
(high)Tj
2.0069 0 Td
(level)Tj
2.0126 0 Td
(of)Tj
1.0147 0 Td
(acceptability)Tj
5.2158 0 Td
(and)Tj
1.7291 0 Td
(feasibility)Tj
4.0365 0 Td
([)Tj
0.83 0.64 0.02 0 k
(23)Tj
0 g
(].)Tj
2.0749 0 Td
(In)Tj
1.1112 0 Td
(line)Tj
1.7008 0 Td
(with)Tj
2.0012 0 Td
(our)Tj
1.6271 0 Td
(findings,)Tj
3.7134 0 Td
(these)Tj
2.2563 0 Td
(studies)Tj
2.9877 0 Td
(high-)Tj
-33.4882 -1.3039 Td
(lighted)Tj
2.9763 0 Td
(the)Tj
1.4683 0 Td
(potential)Tj
3.7588 0 Td
(value)Tj
2.3073 0 Td
(of)Tj
1.0148 0 Td
(reducing)Tj
3.7758 0 Td
(travel)Tj
2.4491 0 Td
(time)Tj
2.0239 0 Td
(to)Tj
1.0261 0 Td
(access)Tj
2.6476 0 Td
(tests)Tj
1.9616 0 Td
(and)Tj
1.7291 0 Td
(the)Tj
1.474 0 Td
(ability)Tj
2.6929 0 Td
(to)Tj
1.0261 0 Td
(offer)Tj
2.0976 0 Td
(same)Tj
-34.4293 -1.2982 Td
(day)Tj
1.6327 0 Td
(treatment)Tj
4.1386 0 Td
(and)Tj
1.7291 0 Td
(testing)Tj
2.88 0 Td
(to)Tj
1.0261 0 Td
(patients.)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 183.2882 23.6976 re
W* n
q
183.2315 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 432.9637 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Syphilis)Tj
3.6 0 Td
(and)Tj
1.8567 0 Td
(yaws)Tj
2.4591 0 Td
(POCT)Tj
2.9764 0 Td
(qualitativ)Tj
3.8622 0 Td
(e)Tj
0.7654 0 Td
(study)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
163.5591 34.9228 m
317.7071 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Neglected)Tj
4.6417 0 Td
(Tropical)Tj
3.7135 0 Td
(Disease)Tj
3.5433 0 Td
(s)Tj
0.7158 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8197 0 Td
(1/journal.pn)Tj
5.1237 0 Td
(td.00063)Tj
3.8197 0 Td
(60)Tj
0 g
2.0905 0 Td
(April)Tj
2.1827 0 Td
(19,)Tj
1.5804 0 Td
(2018)Tj
25.1647 0 Td
(7)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
108 0 obj
<>stream
endstream
endobj
109 0 obj
<>stream
endstream
endobj
110 0 obj
<>stream
endstream
endobj
111 0 obj
<>stream
endstream
endobj
112 0 obj
<>stream
endstream
endobj
113 0 obj
<>stream
BT
66.402 0 Td
(10)Tj
ET
Q
endstream
endobj
114 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 10 0 R/Annots 115 0 R/Contents 116 0 R/TrimBox[0 0 612 792]>>
endobj
115 0 obj
[117 0 R 118 0 R 119 0 R 120 0 R 121 0 R 122 0 R 123 0 R 124 0 R]
endobj
117 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref024)>>
endobj
118 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref025)>>
endobj
119 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref021)>>
endobj
120 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref023)>>
endobj
121 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref005)>>
endobj
122 0 obj
<>/Border[0 0 0]/Dest(Rpntd.0006360.ref005)>>
endobj
123 0 obj
<>/Border[0 0 0]/A 125 0 R>>
endobj
125 0 obj
<>
endobj
124 0 obj
<>/Border[0 0 0]/A 126 0 R>>
endobj
126 0 obj
<>
endobj
116 0 obj
[127 0 R 128 0 R 129 0 R 130 0 R 131 0 R 132 0 R 133 0 R 134 0 R]
endobj
127 0 obj
<>stream
q
0.83 0.64 0.02 0 k
314.8724 641.3102 m
324.3969 641.3102 l
h
f*
343.5024 615.3449 m
353.0268 615.3449 l
h
f*
275.1307 589.3228 m
284.6551 589.3228 l
h
f*
307.5024 511.3134 m
316.9701 511.3134 l
h
f*
233.8583 446.3433 m
238.6205 446.3433 l
h
f*
340.0441 420.3213 m
344.8063 420.3213 l
h
f*
0 g
1 j
1 J
0 w
10 0 0 10 211.9748 707.4141 cm
BT
/F5 1 Tf
1 TL
-0.004 Tc
0 0 Td
(In)Tj
1.1111 0 Td
(the)Tj
1.4684 0 Td
(current)Tj
3.1861 0 Td
(study,)Tj
2.6135 0 Td
(many)Tj
2.4775 0 Td
(health)Tj
2.6759 0 Td
(care)Tj
1.8765 0 Td
(workers)Tj
3.4299 0 Td
(drew)Tj
2.228 0 Td
(parallels)Tj
3.5036 0 Td
(between)Tj
3.5263 0 Td
(their)Tj
2.1089 0 Td
(experience)Tj
4.5071 0 Td
(of)Tj
-35.909 -1.3039 Td
(the)Tj
1.4683 0 Td
(DPP-POCT)Tj
5.0059 0 Td
(and)Tj
1.7291 0 Td
(their)Tj
2.109 0 Td
(previous)Tj
3.651 0 Td
(experience)Tj
4.5071 0 Td
(with)Tj
1.9955 0 Td
(malaria)Tj
3.2259 0 Td
(RDTs.)Tj
2.7779 0 Td
(Whilst)Tj
2.8856 0 Td
(familiarity)Tj
4.3654 0 Td
(with)Tj
-33.7207 -1.2982 Td
(RDTs)Tj
2.5511 0 Td
(was)Tj
1.6951 0 Td
(clearly)Tj
2.8233 0 Td
(advantageous,)Tj
5.8563 0 Td
(it)Tj
0.7881 0 Td
(also)Tj
1.7688 0 Td
(highlighted)Tj
4.7621 0 Td
(how)Tj
1.9389 0 Td
(lack)Tj
1.8199 0 Td
(of)Tj
1.0148 0 Td
(confidence)Tj
4.6034 0 Td
(in)Tj
1.0318 0 Td
(one)Tj
1.7008 0 Td
(test)Tj
1.5987 0 Td
(kit)Tj
1.2869 0 Td
(could)Tj
-35.24 -1.2983 Td
(affect)Tj
2.3754 0 Td
(the)Tj
1.4683 0 Td
(roll-out)Tj
3.2768 0 Td
(of)Tj
1.0148 0 Td
(a)Tj
0.652 0 Td
(second,)Tj
3.2371 0 Td
(unrelated,)Tj
4.2463 0 Td
(test)Tj
1.5987 0 Td
(kit.)Tj
1.5081 0 Td
(Adoption)Tj
4.0761 0 Td
(of)Tj
1.0148 0 Td
(RDTs)Tj
2.5512 0 Td
(for)Tj
1.389 0 Td
(the)Tj
1.4683 0 Td
(diagnosis)Tj
3.9572 0 Td
(of)Tj
-33.8341 -1.2983 Td
(malaria)Tj
3.2257 0 Td
(has)Tj
1.5421 0 Td
(not)Tj
1.576 0 Td
(always)Tj
2.829 0 Td
(translated)Tj
4.1669 0 Td
(into)Tj
1.8368 0 Td
(anticipated)Tj
4.6602 0 Td
(reductions)Tj
4.4787 0 Td
(in)Tj
1.0318 0 Td
(the)Tj
1.474 0 Td
(number)Tj
3.4185 0 Td
(of)Tj
1.0148 0 Td
(patients)Tj
3.3676 0 Td
(treated)Tj
-34.6221 -1.3039 Td
(for)Tj
1.3832 0 Td
(malaria)Tj
3.2258 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4684 0 Td
(real)Tj
1.6951 0 Td
(world[)Tj
0.83 0.64 0.02 0 k
(24)Tj
0 g
(].)Tj
4.4163 0 Td
(Studies)Tj
3.1011 0 Td
(of)Tj
1.0148 0 Td
(RDT)Tj
2.1883 0 Td
(roll-out)Tj
3.2712 0 Td
(programmes)Tj
5.3121 0 Td
(have)Tj
2.0579 0 Td
(highlighted)Tj
4.7679 0 Td
(the)Tj
-34.9396 -1.2982 Td
(complex)Tj
3.6226 0 Td
(interplay)Tj
3.7814 0 Td
(between)Tj
3.5263 0 Td
(patient)Tj
3.0103 0 Td
(and)Tj
1.7292 0 Td
(clinician)Tj
3.6453 0 Td
(expectations)Tj
5.1874 0 Td
(that)Tj
1.7744 0 Td
(drives)Tj
2.6306 0 Td
(how)Tj
1.9332 0 Td
(clinicians)Tj
4.0082 0 Td
(inter-)Tj
-34.8489 -1.2983 Td
(act)Tj
1.3719 0 Td
(with,)Tj
2.228 0 Td
(utilise)Tj
2.6079 0 Td
(and)Tj
1.7291 0 Td
(interpret)Tj
3.7417 0 Td
(RDTs[)Tj
0.83 0.64 0.02 0 k
(25)Tj
0 g
(].)Tj
4.405 0 Td
(Taking)Tj
3.0444 0 Td
(account)Tj
3.3789 0 Td
(of)Tj
1.0148 0 Td
(these)Tj
2.2563 0 Td
(interactions)Tj
4.9663 0 Td
(and)Tj
1.7348 0 Td
(building)Tj
-32.4791 -1.3039 Td
(more)Tj
2.3413 0 Td
(sophisticated)Tj
5.4312 0 Td
(training)Tj
3.4185 0 Td
(and)Tj
1.7348 0 Td
(support)Tj
3.3166 0 Td
(packages)Tj
3.7757 0 Td
(are)Tj
1.4513 0 Td
(important)Tj
4.2803 0 Td
(facilitators)Tj
4.4163 0 Td
(for)Tj
1.3833 0 Td
(successful)Tj
-31.5493 -1.2983 Td
(adoption)Tj
3.8267 0 Td
(of)Tj
1.0148 0 Td
(RDTs[)Tj
0.83 0.64 0.02 0 k
(21)Tj
0 g
(].)Tj
4.405 0 Td
(Our)Tj
1.8652 0 Td
(data)Tj
1.9162 0 Td
(might)Tj
2.5965 0 Td
(inform)Tj
3.0217 0 Td
(a)Tj
0.652 0 Td
(refined)Tj
3.0727 0 Td
(DPP-POCT)Tj
5.006 0 Td
(training)Tj
3.4185 0 Td
(package.)Tj
-29.5991 -1.2983 Td
(There)Tj
2.5795 0 Td
(are)Tj
1.4513 0 Td
(a)Tj
0.652 0 Td
(number)Tj
3.4185 0 Td
(of)Tj
1.0148 0 Td
(limitations)Tj
4.5354 0 Td
(to)Tj
1.0205 0 Td
(this)Tj
1.6781 0 Td
(study.)Tj
2.6135 0 Td
(Firstly,)Tj
2.9707 0 Td
(we)Tj
1.3266 0 Td
(focused)Tj
3.2825 0 Td
(on)Tj
1.2756 0 Td
(a)Tj
0.652 0 Td
(relatively)Tj
3.838 0 Td
(small)Tj
-33.5052 -1.3039 Td
(number)Tj
3.4185 0 Td
(of)Tj
1.0148 0 Td
(clinics)Tj
2.7553 0 Td
(over)Tj
1.9785 0 Td
(a)Tj
0.652 0 Td
(fairly)Tj
2.279 0 Td
(limited)Tj
3.0728 0 Td
(timeframe.)Tj
4.5864 0 Td
(This)Tj
1.9899 0 Td
(reduced)Tj
3.4469 0 Td
(our)Tj
1.6214 0 Td
(ability)Tj
2.6986 0 Td
(to)Tj
1.0261 0 Td
(consider)Tj
3.6453 0 Td
(the)Tj
-34.1855 -1.2982 Td
(impact)Tj
2.9763 0 Td
(of)Tj
1.0148 0 Td
(broader)Tj
3.3619 0 Td
(health)Tj
2.6815 0 Td
(systems)Tj
3.2995 0 Td
(factors)Tj
2.9027 0 Td
(that)Tj
1.7745 0 Td
(may)Tj
1.9275 0 Td
(influence)Tj
3.9175 0 Td
(the)Tj
1.474 0 Td
(feasibility)Tj
4.0308 0 Td
(of)Tj
1.0148 0 Td
(rolling)Tj
2.8743 0 Td
(out)Tj
1.5534 0 Td
(the)Tj
-34.8035 -1.2983 Td
(DPP-POCT.)Tj
5.227 0 Td
(Previous)Tj
3.6907 0 Td
(studies)Tj
2.9877 0 Td
(on)Tj
1.2756 0 Td
(syphilis)Tj
3.2258 0 Td
(RDTs)Tj
2.5455 0 Td
(have)Tj
2.0636 0 Td
(highlighted)Tj
4.7621 0 Td
(the)Tj
1.4684 0 Td
(importance)Tj
4.8302 0 Td
(of)Tj
1.0148 0 Td
(supply)Tj
-33.0914 -1.3039 Td
(chain)Tj
2.4207 0 Td
(and)Tj
1.7291 0 Td
(quality)Tj
2.9537 0 Td
(control)Tj
3.1238 0 Td
(monitoring)Tj
4.8188 0 Td
(systems)Tj
3.2995 0 Td
(in)Tj
1.0375 0 Td
(maintaining)Tj
5.1137 0 Td
(long)Tj
1.9899 0 Td
(term)Tj
2.1316 0 Td
(effectiveness)Tj
5.2044 0 Td
(of)Tj
1.0148 0 Td
(RDT)Tj
-34.8375 -1.2983 Td
(scale-up)Tj
3.5035 0 Td
(at)Tj
0.9525 0 Td
(a)Tj
0.6519 0 Td
(national)Tj
3.5036 0 Td
(level[)Tj
0.83 0.64 0.02 0 k
(23)Tj
0 g
(].)Tj
3.8721 0 Td
(These)Tj
2.5682 0 Td
(cross-cutting)Tj
5.4198 0 Td
(issues)Tj
2.5228 0 Td
(would)Tj
2.7099 0 Td
(be)Tj
1.1509 0 Td
(important)Tj
4.286 0 Td
(to)Tj
1.0204 0 Td
(consider)Tj
3.651 0 Td
(in)Tj
-35.8126 -1.2982 Td
(the)Tj
1.4683 0 Td
(context)Tj
3.1861 0 Td
(of)Tj
1.0148 0 Td
(a)Tj
0.652 0 Td
(broader)Tj
3.3618 0 Td
(programmatic)Tj
5.9471 0 Td
(scale)Tj
2.1089 0 Td
(up)Tj
1.2643 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(DPP-POCT.)Tj
5.2327 0 Td
(Second,)Tj
3.3506 0 Td
(we)Tj
1.3266 0 Td
(did)Tj
1.542 0 Td
(not)Tj
1.5761 0 Td
(con-)Tj
-34.5144 -1.2983 Td
(sider)Tj
2.1713 0 Td
(issues)Tj
2.5171 0 Td
(around)Tj
3.1408 0 Td
(the)Tj
1.4683 0 Td
(cost)Tj
1.8085 0 Td
(of)Tj
1.0148 0 Td
(introducing)Tj
4.9719 0 Td
(the)Tj
1.4684 0 Td
(test)Tj
1.6044 0 Td
(kit,)Tj
1.508 0 Td
(either)Tj
2.5285 0 Td
(from)Tj
2.2053 0 Td
(the)Tj
1.4684 0 Td
(perspective)Tj
4.7054 0 Td
(of)Tj
1.0148 0 Td
(eliminat-)Tj
-33.5959 -1.3039 Td
(ing)Tj
1.5023 0 Td
(mother-to-child-transmission)Tj
12.1605 0 Td
(of)Tj
1.0148 0 Td
(syphilis)Tj
3.2202 0 Td
(or)Tj
1.0998 0 Td
(from)Tj
2.2054 0 Td
(the)Tj
1.4683 0 Td
(perspective)Tj
4.6998 0 Td
(of)Tj
1.0148 0 Td
(supporting)Tj
4.6034 0 Td
(yaws)Tj
-32.9893 -1.2983 Td
(eradication.)Tj
4.9435 0 Td
(Whilst)Tj
2.8913 0 Td
(antenatal)Tj
3.8835 0 Td
(screening)Tj
4.0535 0 Td
(for)Tj
1.3833 0 Td
(syphilis)Tj
3.2258 0 Td
(is)Tj
0.8447 0 Td
(considered)Tj
4.6035 0 Td
(a)Tj
0.6519 0 Td
(highly)Tj
2.7099 0 Td
(cost-effective)Tj
5.4482 0 Td
(inter-)Tj
-34.6391 -1.2983 Td
(vention[)Tj
0.83 0.64 0.02 0 k
(5)Tj
0 g
(],)Tj
4.6487 0 Td
(the)Tj
1.4684 0 Td
(optimal)Tj
3.3108 0 Td
(strategy)Tj
3.3279 0 Td
(depends)Tj
3.5489 0 Td
(on)Tj
1.2756 0 Td
(the)Tj
1.4683 0 Td
(prevalence)Tj
4.4844 0 Td
(of)Tj
1.0148 0 Td
(syphilis)Tj
3.2202 0 Td
(and)Tj
1.7347 0 Td
(the)Tj
1.4684 0 Td
(cost)Tj
1.8085 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(test)Tj
-35.2627 -1.3039 Td
(kits.)Tj
1.8651 0 Td
(In)Tj
1.1112 0 Td
(many)Tj
2.4775 0 Td
(situations,)Tj
4.3143 0 Td
(use)Tj
1.5307 0 Td
(of)Tj
1.0148 0 Td
(a)Tj
0.6576 0 Td
(treponemal-only)Tj
6.9165 0 Td
(rapid)Tj
2.3357 0 Td
(syphilis)Tj
3.2202 0 Td
(test)Tj
1.6044 0 Td
(is)Tj
0.8447 0 Td
(more)Tj
2.3414 0 Td
(cost)Tj
1.8085 0 Td
(effective,)Tj
-32.0426 -1.2982 Td
(albeit)Tj
2.3924 0 Td
(at)Tj
0.9524 0 Td
(the)Tj
1.474 0 Td
(cost)Tj
1.8085 0 Td
(of)Tj
1.0148 0 Td
(over-treatment[)Tj
0.83 0.64 0.02 0 k
(5)Tj
0 g
(].)Tj
7.6251 0 Td
(Cost-effectiveness)Tj
7.3814 0 Td
(studies)Tj
2.9877 0 Td
(on)Tj
1.2756 0 Td
(the)Tj
1.4683 0 Td
(use)Tj
1.5307 0 Td
(of)Tj
1.0148 0 Td
(RDTs)Tj
2.5512 0 Td
(for)Tj
1.389 0 Td
(yaws)Tj
-34.8659 -1.2983 Td
(have)Tj
2.0579 0 Td
(advocated)Tj
4.2519 0 Td
(that)Tj
1.7802 0 Td
(a)Tj
0.6519 0 Td
(two)Tj
1.7065 0 Td
(stage)Tj
2.2053 0 Td
(screening)Tj
4.0535 0 Td
(process,)Tj
3.4073 0 Td
(an)Tj
1.2018 0 Td
(initial)Tj
2.5512 0 Td
(treponemal-only)Tj
6.9165 0 Td
(test)Tj
1.5987 0 Td
(followed)Tj
3.651 0 Td
(by)Tj
-36.0337 -1.3039 Td
(a)Tj
0.652 0 Td
(DPP-POCT)Tj
5.0059 0 Td
(if)Tj
0.7766 0 Td
(positive,)Tj
3.5377 0 Td
(is)Tj
0.8503 0 Td
(more)Tj
2.3414 0 Td
(cost-effective,)Tj
5.675 0 Td
(given)Tj
2.3811 0 Td
(the)Tj
1.4683 0 Td
(current)Tj
3.1861 0 Td
(cost)Tj
1.8085 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(DPP-POCT)Tj
5.006 0 Td
(\(Fitz-)Tj
-35.172 -1.2983 Td
(patrick)Tj
3.0273 0 Td
(REFaccepted)Tj
5.9244 0 Td
(PLOS)Tj
2.5398 0 Td
(NTDs\).)Tj
-10.2953 -1.2983 Td
(This)Tj
1.9899 0 Td
(is)Tj
0.8447 0 Td
(the)Tj
1.474 0 Td
(first)Tj
1.8028 0 Td
(study)Tj
2.3924 0 Td
(to)Tj
1.0262 0 Td
(assess)Tj
2.5171 0 Td
(the)Tj
1.4684 0 Td
(acceptability)Tj
5.2157 0 Td
(of)Tj
1.0148 0 Td
(rolling)Tj
2.8743 0 Td
(out)Tj
1.5534 0 Td
(the)Tj
1.4683 0 Td
(DPP-POCT)Tj
5.0059 0 Td
(in)Tj
1.0319 0 Td
(a)Tj
0.6576 0 Td
(routine)Tj
-33.5336 -1.2982 Td
(health)Tj
2.6758 0 Td
(care)Tj
1.8709 0 Td
(setting.)Tj
3.1067 0 Td
(We)Tj
1.6101 0 Td
(highlight)Tj
3.8154 0 Td
(the)Tj
1.4683 0 Td
(potential)Tj
3.7588 0 Td
(added)Tj
2.6645 0 Td
(value)Tj
2.3017 0 Td
(to)Tj
1.0262 0 Td
(both)Tj
2.0636 0 Td
(patient)Tj
3.0047 0 Td
(and)Tj
1.7291 0 Td
(healthcare)Tj
-31.0958 -1.3039 Td
(workers)Tj
3.4355 0 Td
(that)Tj
1.7745 0 Td
(can)Tj
1.6271 0 Td
(be)Tj
1.1508 0 Td
(provided)Tj
3.8154 0 Td
(by)Tj
1.1849 0 Td
(positioning)Tj
4.7735 0 Td
(these)Tj
2.2507 0 Td
(tests)Tj
1.9616 0 Td
(at)Tj
0.9524 0 Td
(the)Tj
1.474 0 Td
(primary)Tj
3.4526 0 Td
(health)Tj
2.6759 0 Td
(care)Tj
1.8765 0 Td
(level.)Tj
2.2394 0 Td
(Longer)Tj
-34.6448 -1.2983 Td
(term)Tj
2.1316 0 Td
(and)Tj
1.7291 0 Td
(larger)Tj
2.5342 0 Td
(evaluations)Tj
4.7224 0 Td
(of)Tj
1.0148 0 Td
(DPP-POCT)Tj
5.0003 0 Td
(would)Tj
2.7156 0 Td
(be)Tj
1.1509 0 Td
(valuable)Tj
3.4922 0 Td
(to)Tj
1.0262 0 Td
(assess)Tj
2.5228 0 Td
(the)Tj
1.4683 0 Td
(impact)Tj
2.9764 0 Td
(and)Tj
1.7348 0 Td
(cost-)Tj
-34.2196 -1.2983 Td
(effectiveness)Tj
5.2043 0 Td
(of)Tj
1.0148 0 Td
(scaling)Tj
2.965 0 Td
(up)Tj
1.2643 0 Td
(access)Tj
2.6475 0 Td
(to)Tj
1.0262 0 Td
(the)Tj
1.4683 0 Td
(DPP-POCT)Tj
5.0059 0 Td
(on)Tj
1.2756 0 Td
(the)Tj
1.4684 0 Td
(management)Tj
5.4368 0 Td
(of)Tj
1.0148 0 Td
(syphilis)Tj
3.2201 0 Td
(and)Tj
1.7291 0 Td
(yaws.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 291.1748 cm
BT
/F2 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Supporting)Tj
5.537 0 Td
(information)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 274.2236 cm
BT
/F11 1 Tf
1 TL
-0.004 Tc
0 0 Td
(S1)Tj
1.2132 0 Td
(Checklist.)Tj
4.337 0 Td
(STROBE)Tj
3.9911 0 Td
(checklist.)Tj
/F5 1 Tf
-9.5413 -1.3039 Td
(\(DOCX\))Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 228.9826 cm
BT
/F2 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Author)Tj
3.4771 0 Td
(Contributions)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 211.9748 cm
BT
/F11 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Conceptualization:)Tj
/F5 1 Tf
8.1523 0 Td
(Michael)Tj
3.4356 0 Td
(Marks,)Tj
2.999 0 Td
(Rowena)Tj
3.4413 0 Td
(Asugeni,)Tj
3.7247 0 Td
(Hilary)Tj
2.7609 0 Td
(Toloka,)Tj
3.2428 0 Td
(Eimhin)Tj
3.2202 0 Td
(Ansbro,)Tj
-29.7806 -1.2982 Td
(Anthony)Tj
3.7927 0 Td
(W.)Tj
1.4116 0 Td
(Solomon,)Tj
4.0536 0 Td
(David)Tj
2.6418 0 Td
(Maclaren,)Tj
4.218 0 Td
(Michelle)Tj
3.668 0 Td
(Redman-Maclaren,)Tj
7.9483 0 Td
(David)Tj
2.6362 0 Td
(C.)Tj
1.1111 0 Td
(W.)Tj
1.4117 0 Td
(Mabey.)Tj
/F11 1 Tf
-34.0892 -1.7972 Td
(Data)Tj
2.245 0 Td
(curation:)Tj
/F5 1 Tf
4.0138 0 Td
(Tommy)Tj
3.4299 0 Td
(Esau.)Tj
/F11 1 Tf
-9.6887 -1.8028 Td
(Formal)Tj
3.2711 0 Td
(analysis:)Tj
/F5 1 Tf
3.7474 0 Td
(Michael)Tj
3.4356 0 Td
(Marks,)Tj
2.999 0 Td
(Tommy)Tj
3.4356 0 Td
(Esau,)Tj
2.3357 0 Td
(Rowena)Tj
3.4412 0 Td
(Asugeni,)Tj
3.7191 0 Td
(Michelle)Tj
3.6736 0 Td
(Redman-)Tj
-28.8621 -1.2982 Td
(Maclaren.)Tj
/F11 1 Tf
-1.1962 -1.8029 Td
(Funding)Tj
3.7587 0 Td
(acquisition:)Tj
/F5 1 Tf
5.091 0 Td
(Michael)Tj
3.4355 0 Td
(Marks.)Tj
/F11 1 Tf
-12.2852 -1.7971 Td
(Investigation:)Tj
/F5 1 Tf
5.9583 0 Td
(Michael)Tj
3.4356 0 Td
(Marks,)Tj
2.999 0 Td
(Tommy)Tj
3.4356 0 Td
(Esau,)Tj
2.3357 0 Td
(Rowena)Tj
3.4413 0 Td
(Asugeni,)Tj
3.719 0 Td
(Relmah)Tj
3.2939 0 Td
(Harrington,)Tj
5.0229 0 Td
(Jason)Tj
-32.4451 -1.2983 Td
(Diau,)Tj
2.4151 0 Td
(Hilary)Tj
2.7609 0 Td
(Toloka,)Tj
3.2428 0 Td
(James)Tj
2.5909 0 Td
(Asugeni,)Tj
3.719 0 Td
(David)Tj
2.6419 0 Td
(Maclaren,)Tj
4.2179 0 Td
(Michelle)Tj
3.6737 0 Td
(Redman-Maclaren,)Tj
7.9426 0 Td
(David)Tj
-33.2048 -1.3039 Td
(C.)Tj
1.1111 0 Td
(W.)Tj
1.4117 0 Td
(Mabey.)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 183.2882 23.6976 re
W* n
q
183.2315 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 432.9637 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Syphilis)Tj
3.6 0 Td
(and)Tj
1.8567 0 Td
(yaws)Tj
2.4591 0 Td
(POCT)Tj
2.9764 0 Td
(qualitativ)Tj
3.8622 0 Td
(e)Tj
0.7654 0 Td
(study)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
163.5591 34.9228 m
317.7071 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(Neglected)Tj
4.6417 0 Td
(Tropical)Tj
3.7135 0 Td
(Disease)Tj
3.5433 0 Td
(s)Tj
0.7158 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8197 0 Td
(1/journal.pn)Tj
5.1237 0 Td
(td.00063)Tj
3.8197 0 Td
(60)Tj
0 g
2.0905 0 Td
(April)Tj
2.1827 0 Td
(19,)Tj
1.5804 0 Td
(2018)Tj
25.1647 0 Td
(8)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
128 0 obj
<>stream
endstream
endobj
129 0 obj
<>stream
endstream
endobj
130 0 obj
<>stream
endstream
endobj
131 0 obj
<>stream
endstream
endobj
132 0 obj
<>stream
endstream
endobj
133 0 obj
<>stream
endstream
endobj
134 0 obj
<>stream
BT
66.402 0 Td
(10)Tj
ET
Q
endstream
endobj
135 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 10 0 R/Annots 138 0 R/Contents 139 0 R/TrimBox[0 0 612 792]>>
endobj
137 0 obj
<>
endobj
140 0 obj
<>
endobj
141 0 obj
<>stream
%!PS-AdobeFont-1.0
%%This font is a conversion from Helvetica-Oblique with the following copyright notice:
%Copyright (c) 1985, 1987, 1989, 1990, 1997, 1998, 1999 Adobe Systems Incorporated. All Rights Reserved.Helvetica is a trademark of Linotype-Hell AG and/or its subsidiaries.
11 dict begin
/FontName /Helvetica-Oblique def
/FontType 1 def
/FontBBox {-166 -218 1114 770} readonly def
/FontMatrix [0.001 0 0 0.001 0 0] readonly def
/PaintType 0 def
/FontInfo 8 dict dup begin
/FullName (Helvetica-Oblique) readonly def
/BaseFontName (Helvetica-Oblique) def
/Notice (Copyright \(c\) 1985, 1987, 1989, 1990, 1997, 1998, 1999 Adobe Systems Incorporated. All Rights Reserved.Helvetica is a trademark of Linotype-Hell AG and/or its subsidiaries.) readonly def
end def
/Encoding 256 array
0 1 255 {1 index exch /.notdef put} for
dup 32 /space put
dup 33 /exclam put
dup 34 /quotedbl put
dup 35 /numbersign put
dup 36 /dollar put
dup 37 /percent put
dup 38 /ampersand put
dup 39 /quoteright put
dup 40 /parenleft put
dup 41 /parenright put
dup 42 /asterisk put
dup 43 /plus put
dup 44 /comma put
dup 45 /hyphen put
dup 46 /period put
dup 47 /slash put
dup 48 /zero put
dup 49 /one put
dup 50 /two put
dup 51 /three put
dup 52 /four put
dup 53 /five put
dup 54 /six put
dup 55 /seven put
dup 56 /eight put
dup 57 /nine put
dup 58 /colon put
dup 59 /semicolon put
dup 60 /less put
dup 61 /equal put
dup 62 /greater put
dup 63 /question put
dup 64 /at put
dup 65 /A put
dup 66 /B put
dup 67 /C put
dup 68 /D put
dup 69 /E put
dup 70 /F put
dup 71 /G put
dup 72 /H put
dup 73 /I put
dup 74 /J put
dup 75 /K put
dup 76 /L put
dup 77 /M put
dup 78 /N put
dup 79 /O put
dup 80 /P put
dup 81 /Q put
dup 82 /R put
dup 83 /S put
dup 84 /T put
dup 85 /U put
dup 86 /V put
dup 87 /W put
dup 88 /X put
dup 89 /Y put
dup 90 /Z put
dup 91 /bracketleft put
dup 92 /backslash put
dup 93 /bracketright put
dup 94 /asciicircum put
dup 95 /underscore put
dup 96 /quoteleft put
dup 97 /a put
dup 98 /b put
dup 99 /c put
dup 100 /d put
dup 101 /e put
dup 102 /f put
dup 103 /g put
dup 104 /h put
dup 105 /i put
dup 106 /j put
dup 107 /k put
dup 108 /l put
dup 109 /m put
dup 110 /n put
dup 111 /o put
dup 112 /p put
dup 113 /q put
dup 114 /r put
dup 115 /s put
dup 116 /t put
dup 117 /u put
dup 118 /v put
dup 119 /w put
dup 120 /x put
dup 121 /y put
dup 122 /z put
dup 123 /braceleft put
dup 124 /bar put
dup 125 /braceright put
dup 126 /asciitilde put
dup 161 /exclamdown put
dup 162 /cent put
dup 163 /sterling put
dup 164 /fraction put
dup 165 /yen put
dup 166 /florin put
dup 167 /section put
dup 168 /currency put
dup 169 /quotesingle put
dup 170 /quotedblleft put
dup 171 /guillemotleft put
dup 172 /guilsinglleft put
dup 173 /guilsinglright put
dup 174 /fi put
dup 175 /fl put
dup 177 /endash put
dup 178 /dagger put
dup 179 /daggerdbl put
dup 180 /periodcentered put
dup 182 /paragraph put
dup 183 /bullet put
dup 184 /quotesinglbase put
dup 185 /quotedblbase put
dup 186 /quotedblright put
dup 187 /guillemotright put
dup 188 /ellipsis put
dup 189 /perthousand put
dup 191 /questiondown put
dup 193 /grave put
dup 194 /acute put
dup 195 /circumflex put
dup 196 /tilde put
dup 197 /macron put
dup 198 /breve put
dup 199 /dotaccent put
dup 200 /dieresis put
dup 202 /ring put
dup 203 /cedilla put
dup 205 /hungarumlaut put
dup 206 /ogonek put
dup 207 /caron put
dup 208 /emdash put
dup 225 /AE put
dup 227 /ordfeminine put
dup 232 /Lslash put
dup 233 /Oslash put
dup 234 /OE put
dup 235 /ordmasculine put
dup 241 /ae put
dup 245 /dotlessi put
dup 248 /lslash put
dup 249 /oslash put
dup 250 /oe put
dup 251 /germandbls put
readonly def
currentdict end
currentfile eexec
M#1H5 J6o\&rtS(#v\0\V7Fe༙OYx5-cY9^%Y6
(efIOldN"wȰ;)UƽoFg/rvV$JS8_oc@
o9-eGJp}[Do]mN=4*{ܯq=eU^t6¤)wRfxpc@X$UČc@:p:20eַl&^
ZXs/ 1# PGhjtUDA@tZ.nr[
,
"LvJLVguˏrF.Cv
\Fջo. ϛo9aѯxyNh <Іi@qlZz}g2tMag"j e,Ѥ5,[LPE5>ޤfȿB҆}_f☷?QrQYr$#h)[
Y#)793imTV9b#j2-<\ (IlUWwm5q\ѳewY j.Q5ˈZ]7{dEq"2T@cQ)Dso;_H6[l]Y6*'ɾ_I3ajJle>/:y{\M40lD/]K(09u[5