Assessment of Feedback Quality & Utilization on TB Microscopy External Quality Assurance Performance at Selected Public Health Facilities in Addis Ababa, Ethiopia
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Date
2021-03
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Addis Abeba University
Abstract
Abstract
Background: Tuberculosis is an infectious disease caused mainly by the Mycobacterium
tuberculosis and remains a major cause of ill Health and death worldwide. Ethiopia is one of the
30 highest TB burden countries in the world, Federal Ministry of Health of Ethiopia is
implementing TB Prevention and control program at all level of the Health facility to reach 70%
detection rate and to achieve sustainable quality TB service. The performance of TB smear
microscopy quality of slide had no improvement in order to mitigate this the laboratories shall
participate on continuous EQA and review the feedback by taking corrective action for
sustainable performance.
Objective: To assess Feedback quality & utilization on TB microscopy EQA performance from
Feb - March 2020.
Method: Institutional based retrospective and prospective cross sectional study design were
conducted at 47 public Health centers which were selected by simple random sampling method
from ten sub cities in Addis Ababa, Ethiopia. Data collection was conducted using semistructured
questionnaire to assess feedback quality & utilization on TB microscopy EQA
performance from February- March 2020. The data was entered by EPI Info version 7 and
analyzed by Microsoft Excel, SPSS version 23 and narrative form.
Result: The overall TB EQA feedback utilization of Addis Ababa public Health centers showed
that only 15.9% of the facilities were using the feedback for improvement by identifying root
cause, taking corrective action and follows the effectiveness. On TB microscopy blinded
rechecking program feedback which was given for public Health centers from EQA centers have
only 6.8% quality that is timely, accurate and reliable. Most of the laboratories have a challenge
on competency, lack of commitment and lack of trained laboratory personnel on TB microscopy
and quality management system.
Conclusion: The performance of Public Health facility laboratories on TB microscopy EQA
quality of slide was poor in Addis Ababa, due to the facilities were not utilizing the feedback
effectively for improving their achievement. And also regarding a quality feedback EQA centers
had gap on timely distributing the feedback for Health facilities and overall feedback content.
Description
Keywords
EQA, TB microscopy, blinded rechecking, feedback quality and utilization