Browsing by Author "Hassen, Fatuma (MPH, PhD Fellow)"

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    Performance Evaluation of Laboratory Professionals on Manual assessment of Peripheral blood cells morphology and associated factors in government hospital laboratories of Addis Ababa, Ethiopia
    (Addis Ababa University, 2018-06) Yimer, Yeshi; Hassen, Fatuma (MPH, PhD Fellow)
    Background: Microscopic examination of Wright’s stained blood film by skilled professionals has remained the standard laboratory method for assessment of peripheral blood cells morphology. However, assessment of blood cells morphology with this method is problematic since interpretation of result need considerable experts. Objective: The objective of the study was to evaluate the performance of laboratory professionals on manual assessment of Peripheral blood cells morphology (MAPBCM) and associated factors in government hospital laboratories of Addis Ababa. Methods: A cross sectional study was conducted from April 1 to May15, 2018. A total of 202 medical laboratory professionals were participated with a response rate of 90.6%. Self-administered questionnaires and observational checklist were employed to assess factors and routine activity. Ten panel slides, eight from cases with hematological abnormality, one from healthy person and one RBC inclusion (malaria) were used to evaluate laboratory professionals’ performance in MAPBCM. Data were entered and analyzed using SPSS version20 and p-value <0.05 was taken as statistically significant. Results: More than half of participants (56.9%) were male and the mean age of the participants was 30 (SD=5.1) years. All participants had never taken training, 158(78.2%) of them had sometimes done smear review for flagged automated result. Among13 hospitals 11(84.6%) had daily microscope preventive maintenance. Of the participants, 31 (15.3%), 32(15.8%), 23(11.4%) correctly reported all red blood cells (RBC), white blood cells (WBC) and platelets morphology panel slides individually. performance of professionals in assessment of WBC (p=0.028), and platelet (p=0.005) had statistical significant association with experience in hematology laboratory. The overall agreement between reference and participants reading was 55%, 52%, 41%, 35% for RBC, WBC, platelet and malaria detection, respectively. Conclusion: Overall low agreements were found between reference reading and participants reading in MAPBCM. Performance level of laboratory professionals on assessment of WBC morphology and platelets estimation was related to experience in hematology laboratory. Thus, more practical focused training with supervision is recommended.
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    Quality Perception and Utilization of Clinical Laboratory Test Results to Increase Physicians towards Laboratory service in Hospitals of South West Ethiopia
    (Addis Ababa Universty, 2018-06) Demeke, Natal; Hassen, Fatuma (MPH, PhD Fellow)
    Background: Medical laboratory work is composed of the technical activities that produce laboratory results for patient care and the management activities that support the technical work. It is crucial for proper treatment of patients and surveillance of the disease. However, laboratory diagnosis in Ethiopia is constrained by inadequate infrastructure, consumables and insufficient skilled personnel. Furthermore, the perceptions and attitude of physicians on the quality of laboratory services also present a significant challenge in the utilization of the available services. Objectives: The objective of the study is to assess the quality perception and utilization of laboratory test result among physicians. Methodology: A prospective and retrospective hospital based cross sectional study design was conducted to assess the quality perception and utilization of clinical laboratory test results among 227 physicians on 12 hospitals of south-west Ethiopia from January to March, 2018. The reliability of the response was checked using Cronbach’s alpha and it was 69%. The data entry and analysis were double checked before result reporting. Result: Of 214 total respondents, 167(77%) were male and the age of participant’s lies 18-46. The participants 144(67.3%) and 110(51.4%) had poor quality perception and utilization of laboratory test result respectively. Participants’ educational level and type of institution had significant association with quality perception and utilization in addition formal customer handling training, system for physician feedback, physician survey & internal audit and service interruption had significant association for quality perception while participants’ working department type, quality perception level and recording of results on patients’ card had significant association for utilization of laboratory result. Conclusion: The overall findings illustrate that formal customer handling training, system for physician feedback, physician survey & internal audit, service interruption, good quality perception creation and recording of results on patients’ card are factors for quality perception and utilization of laboratory test result among physicians and intervention that should focus on those factors.