Assessing the outcome of Strengthening Laboratory Management Towards Accreditation (SLMTA) on laboratory quality management system in City government of Addis Ababa.
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Date
2014-06
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Addis Ababa University
Abstract
Background; Medical laboratory services are an essential component of health systems.
Strengthening these services can combat the major infectious diseases. Laboratory accreditation
system is found to be essential to have national and international acceptance of various
laboratory test results. Poor quality laboratory services guide to massive cause
of over-
treatment, overuse of drugs which leads to the emergence of drug resistant and laboratory errors
guide the patients at risk of inappropriate care and potentially of adverse events .By recognizing
this gaps of the current state of laboratories and the requirements of ISO 15189 particular
requirements for quality and competence in Africa, Ethiopia, in 2009, WHO-AFRO established
SLMTA in order to help laboratories with stepwise recognition of evolving fulfillment of the
ISO 15189 standard instead of a grading of pass-fail.
Objectives: To assess the outcome of Strengthening Laboratory Management Towards
Accreditation (SLMTA) on laboratory quality management system in Addis Ababa.
Methods: The study used an Institutional based cross sectional study design that employed a
retrospective and prospective data collection approach on the participated institution of medical
laboratory in SLMTA in Addis Ababa city government. The study was conducted in Addis
Ababa city government and the data was collected from February –April 2014 and data was
interred in to EPI-data version 3.1 and was analyzed by SPSS version 20.
Results; The assessment finding indicate that there was a significant improvement in average
scores (141.4; range of 65-196, 95%CI =86.275-115.5, p = 0.000) at final with 3 laboratories
become 3 star, 6 laboratories were at 2 star, 11 were at 1 star .76% of the respondents respond
that their facilities have no work plan and budget for laboratory specific purpose and lack of
resources accounts 24% is the reason for this which is followed by absence of System.
Laboratory facilities which get adequate and timely manner mentorship were found 2.5 times
more likely to get good success in the final status of improvement project (AOR= 2.501, 95%
CI= 1.109-4.602) than which did not get it and those laboratory which didn’t perform their
customer satisfaction survey were 2.261 times more likely to get less final result than laboratory
which are conducting their customer satisfaction survey (AOR= 2.261, 95% CI= 1.851-6.007).
Conclusion: At the end of SLMTA 3 laboratories become 3 star, 6 laboratories were at 2 star,
11 were at 1 star .The most important contributing factor for not scoring star in the final outcome
of SLMTA were not conducting their customer satisfaction survey, shortage of resource, poor
staff motivation, and lack of regular equipment service maintenance. Mentorship, onsite and
offsite coaching and training activities had shown that a great improvement on laboratory quality
management system in most district laboratories.
Keywords:-SLMTA, WHO-AFRO, Mentorship, Accreditation.
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Keywords
SLMTA; WHO-AFRO; Mentorship; Accreditation.