Federal Democratic Republic of Ethiopia Ministry of Health [FMoH], 2009. Master Plan for the Public Health Laboratory System in Ethiopia, 2009–2013. 2nd ed. Addis Ababa, Ethiopia: Ethiopian Health and Nutrition Research Institute (EHNRI), Federal Ministry of Health.
Gershy-Damet GM, Rotz P, Cross D, Belabbes el H, Cham F, Ndihokubwayo JB, Fine G, Zeh C, Njukeng PA, Mboup S, Sesse DE, Messele T, Birx DL, Nkengasong JN, 2010. The World Health Organization African region laboratory accreditation process: improving the quality of laboratory systems in the African region. Am J Clin Pathol 134: 393–400.
Nsubuga P, Nwanyanwu O, Nkengasong JN, Mukanga D, Trostle M, 2010. Strengthening public health surveillance and response using the health systems strengthening agenda in developing countries. BMC Public Health 10: S5.
Nkengasong JN, Nsubuga P, Nwanyanwu O, Gershy-Damet GM, Roscigno G, Bulterys M, Schoub B, DeCock KM, Birx D, 2010. Laboratory systems and services are critical in global health: time to end the neglect? Am J Clin Pathol 134: 368–373.
Floyd K, Skeva J, Nyirenda T, Gausi F, Salaniponi F, 2003. Cost and cost-effectiveness of increased community and primary care facility involvement in tuberculosis care in Lilongwe District, Malawi. Int J Tuberc Lung Dis 9: S29–S37.
Nganda B, Wang'ombe J, Floyd K, Kangangi J, 2003. Cost and cost-effectiveness of increased community and primary care facility involvement in tuberculosis care in Machakos District, Kenya. Int J Tuberc Lung Dis 9: S14–S20.
Okello D, Floyd K, Adatu F, Odeke R, Gargioni G, 2003. Cost and cost-effectiveness of community-based care for tuberculosis patients in rural Uganda. Int J Tuberc Lung Dis 9: S72–S79.
Sinanovic E, Floyd K, Dudley L, Azevedo V, Grant R, Maher D, 2003. Cost and cost-effectiveness of community-based care for tuberculosis in Cape Town, South Africa. Int J Tuberc Lung Dis 9: S56–S62.
Shargie EB, Mørkve O, Lindtjørn B, 2006. Tuberculosis case-finding through a village outreach programme in a rural setting in southern Ethiopia: community randomized trial. Bull World Health Organ 84: 112–119.
Getahun H, Maher D, 2000. Contribution of ‘TB clubs’ to tuberculosis control in a rural district in Ethiopia. Int J Tuberc Lung Dis 4: 174–178.
Hadley M, Maher D, 2000. Community involvement in tuberculosis control: lessons from other health care programmes. Int J Tuberc Lung Dis 4: 401–408.
Yimer S, Holm-Hansen C, Yimaldu T, Bjune G, 2009. Health care seeking among pulmonary tuberculosis suspects and patients in rural Ethiopia: a community-based study. BMC Public Health 9: 454.
McNabb SJ, Chungong S, Ryan M, Wuhib T, Nsubuga P, Alemu W, Carande-Kulis V, Rodier G, 2002. Conceptual framework of public health surveillance and action and its application in health sector reform. BMC Public Health 2: 2.
Breman JG, Holloway CN, 2007. Malaria surveillance counts. Am J Trop Med Hyg 77: 36–47.
Harries AD, Nyirenda TE, Banerjee A, Mundy C, Salaniponi FM, 1998. District sputum smear microscopy services in Malawi. Int J Tuberc Lung Dis 2: 914–918.
Yimer S, Bjune G, Alene G, 2005. Diagnostic and treatment delay among pulmonary tuberculosis patients in Ethiopia: a cross sectional study. BMC Infect Dis 5: 112.
Mfinanga SG, Mutayoba BK, Kahwa A, Kimaro G, Mtandu R, Ngadaya E, Egwaga S, Kitua AY, 2008. The magnitude and factors associated with delays in management of smear positive tuberculosis in Dar es Salaam, Tanzania. BMC Health Serv Res 8: 158.
Addo KK, Owusu-Darko K, Dan-Dzide M, Yeboah-Manu D, Ablordey A, Caulley P, Minamikawa M, Bonsu F, Lienhardt C, Akpedonu P, Ofori-Adjei D, 2006. Situation analysis of TB microscopy centres in Ghana. Int J Tuberc Lung Dis 10: 870–875.
Mfinanga GS, Ngadaya E, Mtandu R, Mutayoba B, Basra D, Kimaro G, Chonde TM, Ngowi P, Mfaume S, Kilale AM, Egwaga S, Kitua AY, 2007. The qualities of sputum smear microscopy diagnosis of pulmonary tuberculosis in Dar es Salaam, Tanzania. Tanzan Health Res Bull 3: 164–168.
Dini L, Frean J, 2003. Quality assessment of malaria laboratory diagnosis in South Africa. Trans R Soc Trop Med Hyg 97: 675–677.
Durrhelm DN, Becker PJ, Billinghurst K, Brink A, 1997. Diagnostic disagreement–the lessons learnt from malaria diagnosis in Mpumalanga. S Afr Med J 87: 609–611.
Kiggundu M, Nsobya SL, Kamya MR, Filler S, Nasr S, Dorsey G, Yeka A, 2011. Evaluation of a comprehensive refresher training program in malaria microscopy covering four districts of Uganda. Am J Trop Med Hyg 84: 820–824.
Van Rie A, Fitzgerald D, Kabuya G, Van Deun A, Tabala M, Jarret N, Behets F, Bahati E, 2008. Sputum smear microscopy: evaluation of impact of training, microscope distribution, and use of external quality assessment guidelines for resource-poor settings. J Clin Microbiol 46: 897–901.
Aziz M, Bretzel G, 2002. Use of a standardised checklist to assess peripheral sputum smear microscopy laboratories for tuberculosis diagnosis in Uganda. Int J Tuberc Lung Dis 6: 340–349.
Hailegiorgis B, Girma S, Melaku Z, Teshi T, Demeke L, Gebresellasie S, Yadeta D, Tibesso G, Whitehurst N, Yamo E, Carter J, Reithinger R, 2010. Laboratory malaria diagnostic capacity in health facilities in five administrative zones of Oromia Regional State, Ethiopia. Trop Med Int Health 15: 1449–1457.
Sarkinfada F, Aliyu Y, Chavasse C, Bates I, 2009. Impact of introducing integrated quality assessment for tuberculosis and malaria microscopy in Kano, Nigeria. J Infect Dev Ctrie 3: 20–27.
Addo KK, Yeboah-Manu D, Dan-Dzide M, Owusu-Darko K, Caulley P, Mensah GI, Minamikawa M, Lienhardt C, Bonsu FA, Ofori-Adjei D, 2010. Diagnosis of tuberculosis in Ghana: the role of laboratory training. Ghana Med J 44: 31–36.
Girma A, H/Mariam D, Deribe K, 2010. Quality of tuberculosis care in six health facilities of Afar Region, Ethiopia. Ethiop Med J 48: 195–202.
Chinery WA, 1992. Diagnostic laboratory parasitology—a stepping stone to medical research in tropical Africa. J Hyg Epidemiol Microbiol Immunol 36: 356–361.
Boehme CC, Nabeta P, Henostroza G, Raqib R, Rahim Z, Gerhardt M, Sanga E, Hoelscher M, Notomi T, Hase T, Perkins MD, 2007. Operational feasibility of using loop-mediated isothermal amplification for diagnosis of pulmonary tuberculosis in microscopy centers of developing countries. J Clin Microbiol 45: 1936–1940.
Marinucci F, Medina-Moreno S, Paterniti AD, Wattleworth M, Redfield RR, 2010. Decentralization of CD4 testing in resource limited settings: 7 years of experience in 6 African countries. Cytometry A 79: 368–374.
St Luke Catholic Hospital and College of Nursing and Midwifery [SLCH], 2010. Annual Report, 2010. Wolisso, Ethiopia: St Luke Catholic and College of Nursing and Midwifery.
Past two years | Past Year | Past 30 Days | |
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Abstract Views | 971 | 792 | 39 |
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The use of standardized tools for continuous quality improvement of laboratory services is crucial to identify service gaps, plan targeted interventions, and prove successes. Laboratory quality improvement tools (LQITs) were developed and applied for 18 months at five health centers and one faith-based hospital laboratories in Southwest Showa Zone in Ethiopia to assess and monitor the quality of malaria and acid-fast bacilli (AFB) microscopy total testing processes. For the six laboratories, baseline malaria microscopy scores were 55%, 42%, 52%, 55%, 54%, and 61%. Similarly, baseline AFB microscopy scores were 49%, 41%, 46%, 58%, 44%, and 70%. On the sixth quarter for the first four laboratories and the fourth quarter for the last two laboratories, malaria microscopy scores were 89%, 88%, 88%, 90%, 88%, and 89%, whereas AFB microscopy scores were 90%, 88%, 89%, 95%, 88%, and 90%. All laboratories scored above 85% for both services at the end of interventions.
Authors' addresses: Francesco Marinucci, Antonio D. Paterniti, Sandra Medina-Moreno, Matthew Wattleworth, Juliana Hagembe, and Robert R. Redfield, Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, E-mails: fmarinucci@ihv.umaryland.edu, apaterniti@ihv.umaryland.edu, smmoreno@ihv.umaryland.edu, mwattleworth@ihv.umaryland.edu, jhagembe@ihv.umaryland.edu, and rredfield@ihv.umaryland.edu. Tsegahun Manyazewal, Institute of Human Virology, University of Maryland, US President's Emergency Plan for AIDS Relief, Addis Ababa, Ethiopia, E-mail: tsegahunm@gmail.com.
Federal Democratic Republic of Ethiopia Ministry of Health [FMoH], 2009. Master Plan for the Public Health Laboratory System in Ethiopia, 2009–2013. 2nd ed. Addis Ababa, Ethiopia: Ethiopian Health and Nutrition Research Institute (EHNRI), Federal Ministry of Health.
Gershy-Damet GM, Rotz P, Cross D, Belabbes el H, Cham F, Ndihokubwayo JB, Fine G, Zeh C, Njukeng PA, Mboup S, Sesse DE, Messele T, Birx DL, Nkengasong JN, 2010. The World Health Organization African region laboratory accreditation process: improving the quality of laboratory systems in the African region. Am J Clin Pathol 134: 393–400.
Nsubuga P, Nwanyanwu O, Nkengasong JN, Mukanga D, Trostle M, 2010. Strengthening public health surveillance and response using the health systems strengthening agenda in developing countries. BMC Public Health 10: S5.
Nkengasong JN, Nsubuga P, Nwanyanwu O, Gershy-Damet GM, Roscigno G, Bulterys M, Schoub B, DeCock KM, Birx D, 2010. Laboratory systems and services are critical in global health: time to end the neglect? Am J Clin Pathol 134: 368–373.
Floyd K, Skeva J, Nyirenda T, Gausi F, Salaniponi F, 2003. Cost and cost-effectiveness of increased community and primary care facility involvement in tuberculosis care in Lilongwe District, Malawi. Int J Tuberc Lung Dis 9: S29–S37.
Nganda B, Wang'ombe J, Floyd K, Kangangi J, 2003. Cost and cost-effectiveness of increased community and primary care facility involvement in tuberculosis care in Machakos District, Kenya. Int J Tuberc Lung Dis 9: S14–S20.
Okello D, Floyd K, Adatu F, Odeke R, Gargioni G, 2003. Cost and cost-effectiveness of community-based care for tuberculosis patients in rural Uganda. Int J Tuberc Lung Dis 9: S72–S79.
Sinanovic E, Floyd K, Dudley L, Azevedo V, Grant R, Maher D, 2003. Cost and cost-effectiveness of community-based care for tuberculosis in Cape Town, South Africa. Int J Tuberc Lung Dis 9: S56–S62.
Shargie EB, Mørkve O, Lindtjørn B, 2006. Tuberculosis case-finding through a village outreach programme in a rural setting in southern Ethiopia: community randomized trial. Bull World Health Organ 84: 112–119.
Getahun H, Maher D, 2000. Contribution of ‘TB clubs’ to tuberculosis control in a rural district in Ethiopia. Int J Tuberc Lung Dis 4: 174–178.
Hadley M, Maher D, 2000. Community involvement in tuberculosis control: lessons from other health care programmes. Int J Tuberc Lung Dis 4: 401–408.
Yimer S, Holm-Hansen C, Yimaldu T, Bjune G, 2009. Health care seeking among pulmonary tuberculosis suspects and patients in rural Ethiopia: a community-based study. BMC Public Health 9: 454.
McNabb SJ, Chungong S, Ryan M, Wuhib T, Nsubuga P, Alemu W, Carande-Kulis V, Rodier G, 2002. Conceptual framework of public health surveillance and action and its application in health sector reform. BMC Public Health 2: 2.
Breman JG, Holloway CN, 2007. Malaria surveillance counts. Am J Trop Med Hyg 77: 36–47.
Harries AD, Nyirenda TE, Banerjee A, Mundy C, Salaniponi FM, 1998. District sputum smear microscopy services in Malawi. Int J Tuberc Lung Dis 2: 914–918.
Yimer S, Bjune G, Alene G, 2005. Diagnostic and treatment delay among pulmonary tuberculosis patients in Ethiopia: a cross sectional study. BMC Infect Dis 5: 112.
Mfinanga SG, Mutayoba BK, Kahwa A, Kimaro G, Mtandu R, Ngadaya E, Egwaga S, Kitua AY, 2008. The magnitude and factors associated with delays in management of smear positive tuberculosis in Dar es Salaam, Tanzania. BMC Health Serv Res 8: 158.
Addo KK, Owusu-Darko K, Dan-Dzide M, Yeboah-Manu D, Ablordey A, Caulley P, Minamikawa M, Bonsu F, Lienhardt C, Akpedonu P, Ofori-Adjei D, 2006. Situation analysis of TB microscopy centres in Ghana. Int J Tuberc Lung Dis 10: 870–875.
Mfinanga GS, Ngadaya E, Mtandu R, Mutayoba B, Basra D, Kimaro G, Chonde TM, Ngowi P, Mfaume S, Kilale AM, Egwaga S, Kitua AY, 2007. The qualities of sputum smear microscopy diagnosis of pulmonary tuberculosis in Dar es Salaam, Tanzania. Tanzan Health Res Bull 3: 164–168.
Dini L, Frean J, 2003. Quality assessment of malaria laboratory diagnosis in South Africa. Trans R Soc Trop Med Hyg 97: 675–677.
Durrhelm DN, Becker PJ, Billinghurst K, Brink A, 1997. Diagnostic disagreement–the lessons learnt from malaria diagnosis in Mpumalanga. S Afr Med J 87: 609–611.
Kiggundu M, Nsobya SL, Kamya MR, Filler S, Nasr S, Dorsey G, Yeka A, 2011. Evaluation of a comprehensive refresher training program in malaria microscopy covering four districts of Uganda. Am J Trop Med Hyg 84: 820–824.
Van Rie A, Fitzgerald D, Kabuya G, Van Deun A, Tabala M, Jarret N, Behets F, Bahati E, 2008. Sputum smear microscopy: evaluation of impact of training, microscope distribution, and use of external quality assessment guidelines for resource-poor settings. J Clin Microbiol 46: 897–901.
Aziz M, Bretzel G, 2002. Use of a standardised checklist to assess peripheral sputum smear microscopy laboratories for tuberculosis diagnosis in Uganda. Int J Tuberc Lung Dis 6: 340–349.
Hailegiorgis B, Girma S, Melaku Z, Teshi T, Demeke L, Gebresellasie S, Yadeta D, Tibesso G, Whitehurst N, Yamo E, Carter J, Reithinger R, 2010. Laboratory malaria diagnostic capacity in health facilities in five administrative zones of Oromia Regional State, Ethiopia. Trop Med Int Health 15: 1449–1457.
Sarkinfada F, Aliyu Y, Chavasse C, Bates I, 2009. Impact of introducing integrated quality assessment for tuberculosis and malaria microscopy in Kano, Nigeria. J Infect Dev Ctrie 3: 20–27.
Addo KK, Yeboah-Manu D, Dan-Dzide M, Owusu-Darko K, Caulley P, Mensah GI, Minamikawa M, Lienhardt C, Bonsu FA, Ofori-Adjei D, 2010. Diagnosis of tuberculosis in Ghana: the role of laboratory training. Ghana Med J 44: 31–36.
Girma A, H/Mariam D, Deribe K, 2010. Quality of tuberculosis care in six health facilities of Afar Region, Ethiopia. Ethiop Med J 48: 195–202.
Chinery WA, 1992. Diagnostic laboratory parasitology—a stepping stone to medical research in tropical Africa. J Hyg Epidemiol Microbiol Immunol 36: 356–361.
Boehme CC, Nabeta P, Henostroza G, Raqib R, Rahim Z, Gerhardt M, Sanga E, Hoelscher M, Notomi T, Hase T, Perkins MD, 2007. Operational feasibility of using loop-mediated isothermal amplification for diagnosis of pulmonary tuberculosis in microscopy centers of developing countries. J Clin Microbiol 45: 1936–1940.
Marinucci F, Medina-Moreno S, Paterniti AD, Wattleworth M, Redfield RR, 2010. Decentralization of CD4 testing in resource limited settings: 7 years of experience in 6 African countries. Cytometry A 79: 368–374.
St Luke Catholic Hospital and College of Nursing and Midwifery [SLCH], 2010. Annual Report, 2010. Wolisso, Ethiopia: St Luke Catholic and College of Nursing and Midwifery.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 971 | 792 | 39 |
Full Text Views | 551 | 8 | 2 |
PDF Downloads | 162 | 13 | 2 |