@article{fdi:010073977, title = {{A} scoping review on the field validation and implementation of rapid diagnostic tests for vector-borne and other infectious diseases of poverty in urban areas}, author = {{O}sorio, {L}. and {G}arcia, {J}. {A}. and {P}arra, {L}. {G}. and {G}arcia, {V}. and {T}orres, {L}. and {D}egroote, {S}. and {R}idde, {V}al{\'e}ry}, editor = {}, language = {{ENG}}, abstract = {{B}ackground: {H}ealth personnel face challenges in diagnosing vector-borne and other diseases of poverty in urban settings. {T}here is a need to know what rapid diagnostic technologies are available, have been properly assessed, and are being implemented to improve control of these diseases in the urban context. {T}his paper characterizes evidence on the field validation and implementation in urban areas of rapid diagnostics for vector-borne diseases and other diseases of poverty. {M}ain body: {A} scoping review was conducted. {P}eer-reviewed and grey literature were searched using terms describing the targeted infectious diseases, diagnostics evaluations, rapid tests, and urban setting. {T}he review was limited to studies published between 2000 and 2016 in {E}nglish, {S}panish, {F}rench, and {P}ortuguese. {I}nclusion and exclusion criteria were refined post hoc to identify relevant literature regardless of study design and geography. {A} total of 179 documents of the 7806 initially screened were included in the analysis. {M}alaria (n = 100) and tuberculosis (n = 47) accounted for the majority of studies that reported diagnostics performance, impact, and implementation outcomes. {F}ewer studies, assessing mainly performance, were identified for visceral leishmaniasis (n = 9), filariasis and leptospirosis (each n = 5), enteric fever and schistosomiasis (each n = 3), dengue and leprosy (each n = 2), and {C}hagas disease, human {A}frican trypanosomiasis, and cholera (each n = 1). {R}eported sensitivity of rapid tests was variable depending on several factors. {O}verall, specificities were high (> 80%), except for schistosomiasis and cholera. {I}mpact and implementation outcomes, mainly acceptability and cost, followed by adoption, feasibility, and sustainability of rapid tests are being evaluated in the field. {C}hallenges to implementing rapid tests range from cultural to technical and administrative issues. {C}onclusions: {R}apid diagnostic tests for vector-borne and other diseases of poverty are being used in the urban context with demonstrated impact on case detection. {H}owever, most evidence comes from malaria rapid diagnostics, with variable results. {W}hile rapid tests for tuberculosis and visceral leishmaniasis require further implementation studies, more evidence on performance of current tests or development of new alternatives is needed for dengue, {C}hagas disease, filariasis, leptospirosis, enteric fever, human {A}frican trypanosomiasis, schistosomiasis and cholera.}, keywords = {{C}ommunicable diseases ; {D}iagnostic services ; {P}oint-of-care testing ; {F}ield evaluation ; {S}ensitivity and specificity ; {I}mplementation ; {E}valuation studies ; {U}rban health}, booktitle = {{U}rban health and prevention and control of vector-borne diseases}, journal = {{I}nfectious {D}iseases of {P}overty}, volume = {7}, numero = {}, pages = {art. no 87 [18 ]}, ISSN = {2095-5162}, year = {2018}, DOI = {10.1186/s40249-018-0474-8}, URL = {https://www.documentation.ird.fr/hor/fdi:010073977}, }