Implementation and performance evaluation of an integrated specimen referral system in Burkina Faso using the national courier services (2020-2022).

Autor:	Dama E; Division of Global Health Protection, Country Office, Center for Global Health, US Centers for Disease Control and Prevention, Ouagadougou, Burkina Faso., Porgho S; General Direction of Public Health, Ministry of Health and Public Hygiene, Ouagadougou, Burkina Faso., Ake YC; DAVYCAS International, Ouagadougou, Burkina Faso., Yameogo I; General Direction of Public Health, Ministry of Health and Public Hygiene, Ouagadougou, Burkina Faso., Gampini S; World Health Organization, Ouagadougou, Burkina Faso., Adjami AA; World Health Organization, Expanded Special Project for Elimination of NTDs (ESPEN), Ouagadougou, Burkina Faso., Nikiema A; Integrated Quality Laboratory Services (IQLS), Ouagadougou, Burkina Faso.; African Society for Laboratory Medicine (ASLM), Addis Ababa, Ethiopia., Kamate M; DAVYCAS International, Ouagadougou, Burkina Faso., Tarbangdo F; DAVYCAS International, Ouagadougou, Burkina Faso., Sawadogo R; Division of Global Health Protection, Country Office, Center for Global Health, US Centers for Disease Control and Prevention, Ouagadougou, Burkina Faso., Sawadogo C; Directorate of Biomedical Laboratory, Ministry of Health and Public Hygiene, Ouagadougou, Burkina Faso., Ouedraogo HS; General Direction of Public Health, Ministry of Health and Public Hygiene, Ouagadougou, Burkina Faso., Zerbo H; National Laboratory for Animal Health, Ministry of Agriculture, Animal Resources and Fisheries, Ouagadougou, Burkina Faso., Rahalison L; Division of Global Health Protection, US Centers for Disease Control and Prevention, Atlanta, GA, United States., Medah I; General Direction of Public Health, Ministry of Health and Public Hygiene, Ouagadougou, Burkina Faso., Dahourou AG; Division of Global Health Protection, Country Office, Center for Global Health, US Centers for Disease Control and Prevention, Ouagadougou, Burkina Faso., Greco-Kone R; Division of Global Health Protection, US Centers for Disease Control and Prevention, Atlanta, GA, United States., Ake FH; DAVYCAS International, Ouagadougou, Burkina Faso.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2024 Jul 30; Vol. 12, pp. 1384382. Date of Electronic Publication: 2024 Jul 30 (Print Publication: 2024).
DOI:	10.3389/fpubh.2024.1384382
Abstrakt:	Introduction: In 2017, the Ministry of Health and Public Hygiene (MoH) of Burkina Faso designed and piloted a specimen transport system using the national courier services (La Poste BF) in 4 districts. Based on satisfactory performance indicators, the MoH set a vision aimed at scaling up this system to strengthen disease detection and surveillance of epidemic prone diseases across the country. This work describes the implementation process, performances, and lessons learned. Methodology: This work describes the implementation process, performances, and lessons learned. Under the leadership of the Directorate of Population Health Protection within the MoH, a stepwise approach was used to bring together multiple partners across sectors to develop the first needed documents including a guide, an implementation plan, Standard Operating Procedures, and data collection tools. Then, the execution phase included equipment purchase, trainings, and consensus on a financing mechanism. Key indicators were defined to allow performance monitoring. Result: The integrated biological specimen referral system (SITEB) was officially launched in January 2020 to transport human biological specimens of priority diseases including COVID-19 from district level to reference laboratories nationwide. As of December 31, 2022, La Poste BF transported 168,856 packages containing 206,314 specimens from all 13 regions. 99.66% of packages were delivered in <24 h as required, and 99.68% of specimens were in good condition at reception. COVID-19 specimens represented respectively 18% and 63% of samples transported in 2020 and 2021. Discussion: The political will combined with the experience gained during the pilot phase and the commitment and support from all stakeholders laid to the foundation of the effective implementation of this system. Collaboration between two government entities (MoH and Minister of Transport, Urban Mobility, and Road Safety) to benefit public health has led to reasonable pricing for sustainability. Although all documents integrate the "One Health" approach, the system ensures the transport of only human samples for now. Despite security constraints, Burkina Faso has successfully set up a system using the national postal service to ensure the routine transport of specimens for all diseases under laboratory surveillance including laboratory tests for HIV and TB from the district level to reference laboratories nationwide. This system has also proved to be useful and efficient in managing public health emergency. Competing Interests: Y-CA, MK, FT, and FA were employed by DAVYCAS International. AN was employed by Integrated Quality Laboratory Services (IQLS). The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The reviewer AA declared a shared affiliation with the authors ED, RS, LR, AD, and RG-K to the handling editor at the time of review. (Copyright © 2024 Dama, Porgho, Ake, Yameogo, Gampini, Adjami, Nikiema, Kamate, Tarbangdo, Sawadogo, Sawadogo, Ouedraogo, Zerbo, Rahalison, Medah, Dahourou, Greco-Kone and Ake.)
Databáze:	MEDLINE
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