Standard Operating Procedure Utilization for Tuberculosis Microscopy in Mekelle City, North Ethiopia

Weldu, Yemane; Gebru, Hagos; Kahsay, Getahun; Teweldemedhn, Gebremichael; Hagos, Yifter; Kahsay, Amlsha

doi:10.1093/ajcp/aqw196

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…Timely feedback on supportive supervision and EQA coverage of the present study were 66.6% and 15%, respectively. It was comparable to the finding of the study conducted in west Amhara and Mekelle, Ethiopia indicating supportive supervision and timely feedback, internal and external quality assurance practices, equity in training and resource distribution were issues given less attention in these areas 17,18 .…”

Section: Discussionsupporting

confidence: 78%

Quality of Same-Day Sputum Smears Microscopy and Presumptive Tuberculosis Patients Drop-out at Health Facilities of Addis Ababa, Ethiopia

Taddese

Misganaw

2020

Tuberc Respir Dis

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Background: Same-day sputum microcopy is recommended in areas where sputum smear microscopy external quality assessment (EQA) is effectively implemented and sturdy. In Addis Ababa, the status of EQA and drop-out of same-day sputum smear microcopy has not yet been assessed. The objective of this study was to assess the quality of same-day sputum smear microscopy and diagnostic drop-out of presumptive tuberculosis (TB) patients in health facilities (HFs) across Addis Ababa, Ethiopia. Methods: Amulti-analysis was conducted from September 2016 to July 2017 to determine the status of external quality assessment and diagnostic drop-out of presumptive TB patients registered for same-day sputum smear microscopy. Data was coded and entered in Microsoft Excel, and subsequently transferred and analyzed using SPSS version 20.0. Results: The drop-out of same-day sputum smear microscopy was 209 (6.2%). More than 33% of the specimens collected for purposes of same-day sputum smears were of poor quality. Among the selected HFs for the study: 13 (46.4%) used filter reagents prior to sputum smear staining while 75% of the selected HFs for the study used smear microscopy services interruption in a year. The sensitivity and specificity of the HFs participating in regional quality assessment scheme for the diagnosis of TB was 97.4% and 99.6%, respectively. Conclusion: The diagnostic drop-out of same-day sputum smear microscopy was high in Addis Ababa. Strengthening EQA, competency-based laboratory professionals training on sputum smear microscopy might reduce the reading errors in sputum smear. Awareness creation of the community on the benefits gained from completion of specimen provision for the same-day approach decreases diagnostic drop-out and enhances TB control program.

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Section: Discussionsupporting

confidence: 78%

Quality of Same-Day Sputum Smears Microscopy and Presumptive Tuberculosis Patients Drop-out at Health Facilities of Addis Ababa, Ethiopia

Taddese

Misganaw

2020

Tuberc Respir Dis

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“…Paper copies may exist within the clinic setting, but these are easily lost and difficult to maintain. The providers’ reports suggest a similar situation to that reported in a study performed in Ethiopia, where they found that SOPs are not routinely followed even when they are available and their use is critical for good medical care (Weldu et al, 2017). While comprehensive HIV disclosure training would be ideal for all those working with HIV-infected adolescents and their caregivers, this may not be an option due to its high cost and Kenya’s high rate of clinical provider turnover.…”

Section: Discussionsupporting

confidence: 63%

Tablet-based disclosure counselling for HIV-infected children, adolescents, and their caregivers: a pilot study

McHenry

Apondi

McAteer

et al. 2018

African Journal of AIDS Research

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Background: Overwhelmed, under-trained medical staff working in resource-limited settings need efficient resources for HIV disclosure counselling. The objective of this study was to describe providers’ experiences using tablet computers for disclosure-related counselling with HIV-infected children and their caregivers in western Kenya, with additional perspectives from adolescents. Methods: A qualitative study design was implemented at three HIV clinics in western Kenya (Bumala, Busia, and Port Victoria) within Academic Model Providing Access to Healthcare (AMPATH). Twenty-one healthcare providers involved with pediatric disclosure were recruited and enrolled in the study. Initial interviews focused on understanding current disclosure practices and barriers. Tablets containing disclosure-related resources were distributed. Resources included short narrative videos created in this context to highlight issues relevant to child HIV disclosure. Results: Providers reported tablets improved disclosure, child participation, and medication adherence. All reported that reviewing materials increased their knowledge and comfort with disclosure. The most frequently used materials were the narrative videos and an animated video explaining the importance of medication adherence. Time was a major barrier for using the tablet. Clinician self-education persisted at one-year follow-up. Adolescents expressed enjoyment from viewing the tablet resources and had a better understanding of the importance of medication adherence. Conclusions: Tablet computers containing resources for disclosure are an acceptable and potentially effective resource to help providers support families with disclosure. Further work is needed to appropriately train the clinical providers in using the resources in a developmentally appropriate manner, as well as to develop new resources on adolescent-specific and HIV-related topics.

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“…The main problems were improper provision of information, 30,33,34 lack of commitment, 11,12,17,22,35,36 poor professional skill, 15,18,19,21,23,24,32,37,38 poor communication, [31][32][33]35 poor internal quality control practice 19,23,29,35,36,39,40 and inadequate utilization of laboratory documents. 13,14,31,32,35,40,41 Inadequate Support from Management Bodies…”

Section: Problems Associated With Laboratory Professionalsmentioning

confidence: 99%

Medical Laboratories Quality Management and Challenges in Ethiopia: A Systematic Review

Mesganaw¹,

Fenta²,

Hibstu³

et al. 2023

PLMI

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Background: Although based on a single system, each laboratory should have their own quality management system, in Ethiopia, quality management systems in medical laboratories were introduced in 2009 with the aim of improving the quality of services. Objective: This review was designed to evaluate the status of quality management practice and challenges among medical laboratories in Ethiopia. Methods: A systematic qualitative review of the literature was made by searching the international electronic bibliographic database of PubMed (NML), web of science (TS), google scholar, African journals online (AJOL) and Cochrane Library. Results: Thirty-six full-text articles, which were published between 2010 and 2022, were included in this review. In this review, 33 of 36 (91.7%) studies showed that status of quality management practice in Ethiopian medical laboratories was limited. As a result, the quality of medical laboratories was inadequate. The main challenges were problems associated with laboratory professionals (35/ 36=97.2%), inadequate support from management bodies (21/36=58.3%), limited on-job training access (8 /36=22.2%) and high workload (5/36=13.8%). Conclusion:The status of quality management practice among medical laboratories in Ethiopia is limited. The main quality compromising factors were problems associated with laboratory professionals, inadequate support from management bodies, high workload, and limited on-job training access. Therefore, all responsible stakeholders should focus on ensuring Quality Management Systems and the system should be applied in all Medical laboratories. Only this will ensure the improvement of quality within medical laboratories across Ethiopia.

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Standard Operating Procedure Utilization for Tuberculosis Microscopy in Mekelle City, North Ethiopia

Abstract: Tuberculosis microscopy was found to be substandard with clear gaps in documentation, sample collection, and processing.

Cited by 3 publications

References 3 publications

Quality of Same-Day Sputum Smears Microscopy and Presumptive Tuberculosis Patients Drop-out at Health Facilities of Addis Ababa, Ethiopia

Quality of Same-Day Sputum Smears Microscopy and Presumptive Tuberculosis Patients Drop-out at Health Facilities of Addis Ababa, Ethiopia

Tablet-based disclosure counselling for HIV-infected children, adolescents, and their caregivers: a pilot study

Medical Laboratories Quality Management and Challenges in Ethiopia: A Systematic Review

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