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 Internal
Quality Control (IQC) procedures, External Quality Assessment (EQA) programs and
Laboratory Quality Management (LQM). IQC is a set of procedures that are used in daily routine
work to control daily variance of test results, problems are identified immediately and the
method is brought back on track. So it needs professionalsā knowledge and commitment. Internal
quality control (IQC) in laboratory is a crucial part of quality processes.so that poor practices of
professional on IQC affect the result of patients. That is why this study raises the question of
KAP of laboratory professionals in use of IQC among selected public and private hospitals in
Addis Ababa.
Objective: To assess knowledge, Attitude and Practice of clinical laboratory proffessionals and
associated factors in use of IQC for laboratory tests among selected public and private Hospital
in Addis Ababa, Ethiopia.
Methods: A cross sectional study was conducted using questionnaire to assess KAP of
laboratory professionals and its associated factors in use of IQC among selected public and
private hospitals in Addis Ababa from February 2020 to April 2020.A total of 250 laboratory
professionals from selected public and private Hospitals were participated in the study. Pre-tested
and self-administered questionnaire were used .Data entry and analysis were performed by using
SPSS 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 Binary
logistic 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 good
knowledge, positive attitude and good practice towards IQC, respectively. The mean number of
test menu was 29.16 (SD +2.38), minimum 21 and maximum 33.from their available number of
tests no one practice IQC for more than 80% of the tests, around half (52.8%) of the personnel
practice IQC for only 50-65% of the available tests.
Conclusion: Even though majority of participants had good knowledge and attitude towards
IQC, around one third of them had poor practice on IQC in the laboratory, there reasons for
majority participant were shortage of QC material. There was no significant difference on KAP
of laboratory professionals from public and private hospitals towards IQC. No risk factors were
observed for poor knowledge and negative attitude towards IQC. Practice for all test had
significant association with LQM training, duration of training and having schedule for IQC.
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Keywords
Laboratory proffessionals,Laboratory tests, IQC