Implementing and Measuring the Level of Laboratory Service Integration in a Program Setting in Nigeria

Autor: Kwasi Torpey, Olusola Sanwo, Kingsley Ochei, Oluseyi Balogun, Patrick Anibbe Ikani, Maurice Ekanem, Olubunmi Ruth Negedu-Momoh, Oluwasanmi Adedokun, Henry A. Mbah
Rok vydání: 2014
Předmět:
Clinical Pathology
Quality management
Epidemiology
Science Policy
Health Care Providers
Human immunodeficiency virus (HIV)
lcsh:Medicine
Nigeria
Equipment
HIV Infections
Pathology and Laboratory Medicine
medicine.disease_cause
Research Funding
Laboratory service
medicine
Humans
Quality of Care
Operations management
Health Care Quality
lcsh:Science
Baseline (configuration management)
Grading (education)
Utilization
Medicine and health sciences
Service (business)
Serodiagnosis
Quarantines
Multidisciplinary
business.industry
lcsh:R
Process Assessment
Health Care
HIV diagnosis and management
Quality Improvement
Diagnostic medicine
Hospitals
Systems Integration
Laboratory Equipment
Clinical laboratory sciences
Health Care
HIV epidemiology
Health Care Facilities
Engineering and Technology
System integration
lcsh:Q
Laboratories
business
Research Article
Zdroj: PLoS ONE
PLoS ONE, Vol 9, Iss 9, p e107277 (2014)
ISSN: 1932-6203
Popis: Background The surge of donor funds to fight HIV&AIDS epidemic inadvertently resulted in the setup of laboratories as parallel structures to rapidly respond to the identified need. However these parallel structures are a threat to the existing fragile laboratory systems. Laboratory service integration is critical to remedy this situation. This paper describes an approach to quantitatively measure and track integration of HIV-related laboratory services into the mainstream laboratory services and highlight some key intervention steps taken, to enhance service integration. Method A quantitative before-and-after study conducted in 122 Family Health International (FHI360) supported health facilities across Nigeria. A minimum service package was identified including management structure; trainings; equipment utilization and maintenance; information, commodity and quality management for laboratory integration. A check list was used to assess facilities at baseline and 3 months follow-up. Level of integration was assessed on an ordinal scale (0 = no integration, 1 = partial integration, 2 = full integration) for each service package. A composite score grading expressed as a percentage of total obtainable score of 14 was defined and used to classify facilities (≤80% FULL, 25% to 79% PARTIAL and
Databáze: OpenAIRE
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