Browsing by Author "Bulti, Gemechis"

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    Performance of non-medical laboratory professionals on HIV rapid testing and associated factors in public health facilities of Adama ,Oromia, Ethiopia.
    (Addis Abeba University, 2020-06) Bulti, Gemechis; Wolde, Mistire (PhD); Sisay, Abay(BSc, MSc, PhD Fellow)
    Background: The implementation of HIV point-of-care testing and upgrading of the service in a countries with highly HIV prevalent is mandatory. However, the studies related to accuracies are remaining limited. As a need to get HIV testing increases, the testing strategies and technology shift to rapid test (RT) and point of care test (POC) which were used to decentralize the testing and includes non laboratory professionals as the complexity of the testing method was resolved. Objective: the aim of this study was to assess performance and associated factors of non medical laboratory professional working on rapid HIV testing in public health facilities of Adama, Oromia, Ethiopia. Methods: Facility based cross-sectional study was conducted from February to April, 2020. A total of 348 non medical laboratory professionals were considered determining their performance and associated factors working on rapid HIV testing in health centers and hospital of Adama. Epidata version 3.1 was used for data entry and exported to SPSS version 23 for analysis and P-Value less than 0.05 was taken as statistically significant. Results: Among 348 HIV rapid testing providers, 336 (96.6 %) could correctly detect negative and positive panel samples and the rest 12 (3.4%) had discordant result during performance test evaluation. From those who had discordant test result, 5(1.4%) had false positive reports and 7 (2%) had false negative reports that were corrected through the algorithm on the final result. In the onsite checklist, 93(26.7%) had safety Manual at their working area where 255(73.3%) lack of safety Manual at point of care. Regarding check up of expiry dates of the kits, 268(77.0%) doesn’t checked expiry dates of test Kits where 80(23.0%) of them checked expiry dates of the kits. 308(88.5%) of non laboratory professionals were managed data of quality elements of Registrations book contents and 155(44.55) non laboratory professionals were lack of personnel trained on internal quality control and External quality assurance. Statistical analysis by multi variable logistic regression indicated that, profession AOR 0.057(0.0060.579) (95% CI), P=0.015 and Transfer right amount of sample AOR 51.799 (6.929-387.235) (95%CI) P=0.001 were significantly associated with non-acceptable rapid HIV proficiency test result. Conclusion: HIV rapid testing sites had (96.6%) performance score. False negative and false positive results need attention since misdiagnosis leads to psychological, social and economic disturbances to the community. Therefore, immediate intervention is needed based on identified findings. Less experience non laboratory professionals shown lower Proficiency performances so this gaps might be minimized by facilitating training on HIV rapid testing.