Table 2 Diagnostic Testing Performed at Geographic Sites in the Bantayan Archipelago
Geographic Site (N), Goal, and Hours | Diagnostic Tests | |||
|---|---|---|---|---|
Hematology | Chemistry | Microbiology | Notes and Exceptions | |
Barangay Health Stations (49). Preventative care. (No beds.) M-F 8–5 and on call Saturday/Sunday | None | Glucose meter (operable when test strips are available), O2 saturation (pulse oximeter) | None | •27 (55.1%) Barangay Health Stations have glucose test strips •22 (44.9%) without strips cannot use meters |
Birthing Homes (3). Midwives assist deliveries. Open 24/7 | None | Pulse oximeter, glucose meter, pregnancy test | None | •Prenatal screening is performed in Rural Health Units |
Rural Health Units (3). Preventative and primary care. M-F 8–5 and on call Saturday and Sunday | CBC, Hct, platelet count, blood typing (A, B, O, Rh) | O2 saturation (pulse oximetry), FBS/RBS, SGOT, SGPT, uric acid, Chol, Cr, BUN, UA, lipid panel, pregnancy test (urine beta-HCG) | COVID-19 RAgT, HIV, TB (GeneXpert), Dengue (NS1), stool exam (gross, bacteria, parasites, ova), syphilis, HBsAg | •Prenatal screening comprises CBC, FBS, HBsAg, and UA •Lipid panel — total cholesterol, triglycerides, HDL, and LDL •No blood gas testing • UTZ — availability depends on radiologists |
District Hospital (1). ER, labor and delivery, limited surgery (e.g., C-section); local referral hospital with limited specialty services. 25 beds with reserve capacity to 55. M-Sat 8–5, on call evenings, Sunday | CBC, Hct, platelet count, HbA1c, blood typing | Electrolytesa (Ca++, K + , Na+, Cl−), Glu, FBS, OGTT, ALT, AST, uric acid, Chol, lipid panel, Cr, BUN, UA, pregnancy test. Glucose meters and pulse oximeters in the ER | COVID-19 RAgT, RT-PCR. HIV, Dengue (duo rapid test), Salmonella typhi (rapid test), stool exam, FOB, syphilis, HBsAg, HCV screening test | •Qualitative cTnI testingb is performed in lab only when reagents are available. [No cTnT.] •Blood gas testing (pO2, pCO2, pH) not available • Genruic instrument for cTnI, NT-proBNP, CK-MB, and myoglobin testing not used – no reagents |
Private Laboratory | ||||
 Oasis. Referral lab and limited diagnostic care. M-Sat 7–6. Closed Sundays | CBC and blood typing on site | Pregnancy test (serum) and UA on site | Syphilis and stool exam on site | •UTZ for pregnancy •Branch lab outsources other tests to main lab in Bogo, Cebu Province |