Original Research

Training Course in Focused Assessment with Sonography for HIV/TB in HIV Prevalent Medical Centers in Malawi

Authors
  • Timothy Canan (University of California, Los Angeles)
  • Risa Hoffman (University of California, Los Angeles)
  • Alan Schooley (University of California, Los Angeles)
  • Zachary Boas (University of California, Los Angeles)
  • Kristin Schwab (University of California, Los Angeles)
  • Daniel Kahn (University of California, Los Angeles)
  • Roger Shih (University of California, Los Angeles)
  • Khumbo Phiri (Partners in Hope Medical Centre and EQUIP Malawi)
  • Julie Parent (Partners in Hope Medical Centre and EQUIP Malawi)
  • Ben Allan Banda (Partners in Hope Medical Centre and EQUIP Malawi)
  • Ronald Chagoma (Partners in Hope Medical Centre and EQUIP Malawi)
  • Chifundo Chipungu (Partners in Hope Medical Centre and EQUIP Malawi)
  • Kara-Lee Pool (University of California, Los Angeles)

Abstract

Purpose: This article describes the process of training medical providers of different backgrounds about the “focused assessment with sonography for HIV-associated TB” (FASH) exam to expand the availability of ultrasound for TB diagnosis in resource poor settings in the central region of Malawi.

Methods and Materials: A survey was completed by the 19 eligible participants before and after a 4-day training course regarding the utility of the FASH exam. A six-question quiz was used to assess knowledge of the use of ultrasound in the FASH exam before and after the course.

Results: Participants’ knowledge of the FASH technique significantly improved after the four-day course with a 32% increase in total quiz questions answered correctly (p < 0.001). Ninety-five percent (n= 18) of participants answered that they would “likely” incorporate FASH in their clinical practice. Furthermore, 100% (n=19) of participants agreed that the FASH exam would improve their ability to diagnose TB and 95% (n=18) agreed that FASH would improve patient care in their clinic.

Conclusions: After completing a 4-day training course, medical providers were more knowledgeable about the FASH exam and its findings, and felt more comfortable using ultrasound for the diagnosis of TB. Participants were also unanimous in opinion that the FASH ultrasound exam would improve their ability to diagnose TB.

Keywords: Radiology, ultrasound, tuberculosis, global health

How to Cite:

Canan, T., Hoffman, R., Schooley, A., Boas, Z., Schwab, K., Kahn, D., Shih, R., Phiri, K., Parent, J., Banda, B., Chagoma, R., Chipungu, C. & Pool, K., (2018) “Training Course in Focused Assessment with Sonography for HIV/TB in HIV Prevalent Medical Centers in Malawi”, Journal of Global Radiology 4(1): 2. doi: https://doi.org/10.7191/jgr.2018.1045

Rights: © 2018 the Author(s). This open access article is distributed under a Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/).

Publisher Notes

  • Erratum

    The PDF version of this article was corrected on March 30, 2018 to correct minor formatting errors.

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Published on
28 Mar 2018