Assessment of Laboratory Service Interruption and its Associated Factors in Public Hospitals, Addis Ababa, Ethiopia
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Date
2020-11
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Addis Abeba University
Abstract
Background: Medical laboratory service is very essential for sustainable and reliable patientdiagnosis and treatment. Interruption is a global problem and much higher in resource limitedsettings. However, there is no adequate evidence on the magnitude and contributed factors.Thus, this study aimed to assess the laboratory service interruption and its associated factorsin public hospitals found in Addis Ababa, Ethiopia.
Methods: Facility based cross sectional study design was conducted in public hospitals foundin Addis Ababa using qualitative and quantitative data from April-June/ 2020in Ethiopia.Standardized check list was developed to assess level of interruption and also structureddichotomous questioners’ were used for related factors. Data was entered and analyzed usingSPSS version 23. Binary and multiple logistic regression analysis were used to explanatoryfactor that affect the outcome variable.
Result: Totally 190 laboratory professionals were participated with a response rate of 95.5%.In public hospitals averagely 17(23%) tests were interrupted for 76(84%) days. In specialized and General hospitals averagely 13(17%) and 19(28%) tests were interrupted, respectively. Inthis study serology and hematology tests accounts the highest level of interruption which is5(6.9%) and 4(5.5%) respectively. While parasitological, urinalysis and body fluid analysis were consistently available. Absence of laboratory annual plan at [AOR=3.028, pvalue=0.044,95%Cl(1.030-8.903],inappropriateequipment maintenanceat[AOR=9.350,pvalue=0.003,95%Cl(2.10241.596],andshortageofreagentsandsuppliesat[AOR=3.845,pvalue=0.049,95%Cl (1.008-14.663] were the major factors that affect laboratory serviceinterruption.
Conclusion: Even though sustainable laboratory service is important in the health careservice, most public hospital laboratories found in Addis Ababa did not provide continuousdiagnostic service for all expected tests. Therefore, to improve service interruption, hospitalmanagers, health professionals and other stakeholders should undertake effort to intervene thefactors that affect laboratory service interruption.
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Laboratory, service, interruption, Ethiopia