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Juliana Hagembe - Institute of Human Virology, University of Maryland School of Medicine, USA
Juliana Hagembe - Institute of Human Virology, University of Maryland School of Medicine, USA
Juliana Hagembe - Institute of Human Virology, University of Maryland School of Medicine, USA
Juliana Hagembe - Institute of Human Virology, University of Maryland School of Medicine, USA
Juliana Hagembe - Institute of Human Virology, University of Maryland School of Medicine, USA
Juliana Hagembe - Institute of Human Virology, University of Maryland School of Medicine, USA
Juliana Hagembe - Institute of Human Virology, University of Maryland School of Medicine, USA
Juliana Hagembe - Institute of Human Virology, University of Maryland School of Medicine, USA
Juliana Hagembe - Institute of Human Virology, University of Maryland School of Medicine, USA
Juliana Hagembe - Institute of Human Virology, University of Maryland School of Medicine, USA
Juliana Hagembe - Institute of Human Virology, University of Maryland School of Medicine, USA
Juliana Hagembe - Institute of Human Virology, University of Maryland School of Medicine, USA
Juliana Hagembe - Institute of Human Virology, University of Maryland School of Medicine, USA
Juliana Hagembe - Institute of Human Virology, University of Maryland School of Medicine, USA
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Juliana Hagembe - Institute of Human Virology, University of Maryland School of Medicine, USA

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Innovative tools for improving quality and laboratory capacity in peripheral laboratories in Sub-Saharan Africa,

Innovative tools for improving quality and laboratory capacity in peripheral laboratories in Sub-Saharan Africa,

Published in: Education, Health & Medicine
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  • Key interventions (training, technical support, provision of resources, referrals and linkages etc)
  • Data shows LQIT Potential to drive continuous quality improvement / build laboratory capacityQuick identification of gaps to be addressed during on site visits & through targeted trainings
  • Routine use of LQIT by either external assessors or by laboratory staff represents a valid approach for ingraining CQI activities with the overall goal of reaching and maintaining high quality of diagnostic services at primary level facilities in Sub-Saharan Africa, where about 80% of the patients are referred
  • Transcript

    • 1. INNOVATIVE TOOLS FOR IMPROVING LABORATORYCAPACITY & QUALITY IN SUB- SAHARAN AFRICAJULIANA HAGEMBE, MPH, MSC
    • 2. • Laboratories play important role in fighting diseases• HIV • HIV test • Viral Load • CD4 cell count • Kidney Function text (Toxicity) • Drug resistance assay (Monitor)
    • 3. • Quality assurance crucial!• Lab results usefulness • Timely • Reliable • Reproducible
    • 4. Rural labs - Limited National Quality assessment participation
    • 5. • PROBLEM • 60% in Rural Areas • Cannot be linked to central services • Persisting Issues related to reliability of diagnostic services• SOLUTION • Laboratory Quality improvement tools ( LQITS) • Targeted Mentoring approach • Strengthen the pre-analytical, analytical and post analytical stages of total diagnostic process
    • 6. • LQIT: 100 close ended question, 12 Sections  Staff  Safety  Equipment/Supplies  Reagents  Quality control  Maintenance  Inventory  Sample collection  Results reporting  Sample transport  SOP/Documentation  Sample processing
    • 7. 4/8/2013 Slide 7
    • 8. 4/8/2013 Slide 8
    • 9. • Initial LQIT scores used as baseline• Labs visited on a regular basis and graded • Quality of services provided • Personal skill/knowledge level• Tailored site-specific interventions during TA visits• Improvements in the quality of tests for diagnostics monitored
    • 10. • Major gap in the primary laboratories by LQIT• Better planning of trainings • Continual development/ maintenance of quality • Step closer to meeting international accreditation (e.g. WHO-AFRO)
    • 11. Nigeria Rwanda Uganda Tanzania Zambia Kenya100 50 0
    • 12. (TANZANIA SITE 2011-2012)100 Visit 1 Visit 2 50 Visit 3 Visit 4 0 Bunda Tarime Muheza SeKou Toure
    • 13. • Funding to ensure regular visits to sites• Competing priorities• Routine use of LQIT valid approach for ingraining CQI activities• Maintain high quality of diagnostic services at primary level facilities

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