Assessment of knowledge, Attitude , Practice (KAP) and Associated Factor of Clinical Laboratory Proffessionals in Use of IQC for Laboratory Tests among Selected Public and Private Hospitals in Addis Ababa

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Date

2020-06

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Addis Abeba University

Abstract

Background: A well-organized Laboratory Quality Assurance Program includes InternalQuality Control (IQC) procedures, External Quality Assessment (EQA) programs andLaboratory Quality Management (LQM). IQC is a set of procedures that are used in daily routinework to control daily variance of test results, problems are identified immediately and themethod is brought back on track. So it needs professionalsā€˜ knowledge and commitment. Internalquality control (IQC) in laboratory is a crucial part of quality processes.so that poor practices ofprofessional on IQC affect the result of patients. That is why this study raises the question ofKAP of laboratory professionals in use of IQC among selected public and private hospitals inAddis Ababa. Objective: To assess knowledge, Attitude and Practice of clinical laboratory proffessionals andassociated factors in use of IQC for laboratory tests among selected public and private Hospitalin Addis Ababa, Ethiopia. Methods: A cross sectional study was conducted using questionnaire to assess KAP oflaboratory professionals and its associated factors in use of IQC among selected public andprivate hospitals in Addis Ababa from February 2020 to April 2020.A total of 250 laboratoryprofessionals from selected public and private Hospitals were participated in the study. Pre-testedand self-administered questionnaire were used .Data entry and analysis were performed by usingSPSS version 20 software. Descriptive statistics, such as mean, median, analysis were used.Association of different factors with KAP of laboratory professionals were done using the Binarylogistic regression and level of statistical significance was set at p<0.05 Results: From the total of two hundred fifty participants, (response rate, 100%) 147 (58.8%)were male. In this study 220(88.0%), 224(89.6%) and 168(67.2%) study participants had goodknowledge, positive attitude and good practice towards IQC, respectively. The mean number ofB test menu was 29.16 (SD +2.38), minimum 21 and maximum 33.from their available number oftests no one practice IQC for more than 80% of the tests, around half (52.8%) of the personnelpractice IQC for only 50-65% of the available tests. Conclusion: Even though majority of participants had good knowledge and attitude towardsIQC, around one third of them had poor practice on IQC in the laboratory, there reasons formajority participant were shortage of QC material. There was no significant difference on KAPof laboratory professionals from public and private hospitals towards IQC. No risk factors wereobserved for poor knowledge and negative attitude towards IQC. Practice for all test hadsignificant association with LQM training, duration of training and having schedule for IQC.

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Keywords

Laboratory proffessionals,Laboratory tests, IQC

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