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 |
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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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