Community-based SARS-CoV-2 testing in low-income neighbourhoods in Rotterdam: Results from a pilot study

Martijn Vink, Zsófia Iglói, Ewout B. Fanoy, Janko van Beek, Timo Boelsums, Miranda de Graaf, Helene A.C.M. Voeten, Richard Molenkamp, Marion Pg Koopmans, Fraukje Ef Mevissen

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Background: High incidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and low testing uptake were reported in low-income neighbourhoods in Rotterdam. We aimed to improve willingness and access to testing by introducing community-based test facilities, and to evaluate the effectiveness of a rapid antigen detection test (RDT). Methods: Two to eleven test facilities operated consecutively in three low-income neighbourhoods in Rotterdam, offering the options of walk-in or appointments. Background characteristics were collected at intake and one nasopharyngeal swab was taken and processed using both RDT and reverse transcription polymerase chain reaction (RT-PCR). Visitors were asked to join a survey for evaluation purposes. Results: In total, 19 773 visitors were tested - 9662 (48.9%) without an appointment. Walk-in visitors were older, lived more often in the proximity of the test facilities, and reported coronavirus disease (COVID-19)-related symptoms less often than by-appointment visitors. For 67.7% of the visitors, this was the first time they got tested. A total of 1211 (6.1%) tested SARS-CoV-2-positive with RT-PCR, of whom 309 (25.5%) were asymptomatic. Test uptake increased among residents of the pilot neighbourhoods, especially in the older age groups, compared to people living in comparable neighbourhoods without community-based testing facilities. RDT detected asymptomatic individuals with 71.8% sensitivity, which was acceptable in this high prevalence setting. Visitors reported positive attitudes towards the test facilities and welcomed the easy access. Conclusions: Offering community-based SARS-CoV-2 testing seems a promising approach for increasing testing uptake among specific populations in low-income neighbourhoods.

Original languageEnglish
Article number05042
Pages (from-to)5042
Number of pages1
JournalJournal of Global Health
Publication statusPublished - 1 Oct 2022

Bibliographical note

This project was funded by the Dutch Ministry of Health, Welfare and Sport and by the H2020 RECOVER
project (grant number 101003589)

Publisher Copyright:
Copyright © 2022 by the Journal of Global Health. All rights reserved.


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