Evidence map›Paper›PMID 26753129›Full record

ArticleAfrican journal of laboratory medicine

Laboratory system strengthening and quality improvement in Ethiopia.

Tilahun M Hiwotu, Gonfa Ayana, Achamyeleh Mulugeta, Getachew B Kassa, Yenew Kebede, Peter N Fonjungo, Gudeta Tibesso, Adino Desale, Adisu Kebede, Wondwossen Kassa and 5 more

Abstract read
In one paragraph

Article in African journal of laboratory medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Tilahun M HiwotuEthiopian Public Health Institute (EPHI), Addis Ababa, Ethiopia.
Gonfa AyanaEthiopian Public Health Institute (EPHI), Addis Ababa, Ethiopia.
Achamyeleh MulugetaEthiopian Public Health Institute (EPHI), Addis Ababa, Ethiopia.
Getachew B KassaEthiopian Public Health Institute (EPHI), Addis Ababa, Ethiopia.
Yenew KebedeUS Centers for Disease Control and Prevention (CDC), Addis Ababa, Ethiopia.
Peter N FonjungoUS Centers for Disease Control and Prevention (CDC), Addis Ababa, Ethiopia ; International Laboratory Branch, Division of Global HIV/AIDS, US Centers for Disease Control and Prevention (CDC), Atlanta, United States.
Gudeta TibessoEthiopian Public Health Institute (EPHI), Addis Ababa, Ethiopia.
Adino DesaleEthiopian Public Health Institute (EPHI), Addis Ababa, Ethiopia.
Adisu KebedeEthiopian Public Health Institute (EPHI), Addis Ababa, Ethiopia.
Wondwossen KassaEthiopian Public Health Institute (EPHI), Addis Ababa, Ethiopia.
Tesfaye MekonnenEthiopian Public Health Institute (EPHI), Addis Ababa, Ethiopia.
Katy YaoInternational Laboratory Branch, Division of Global HIV/AIDS, US Centers for Disease Control and Prevention (CDC), Atlanta, United States.
Elizabeth T LumanInternational Laboratory Branch, Division of Global HIV/AIDS, US Centers for Disease Control and Prevention (CDC), Atlanta, United States.
Amha KebedeEthiopian Public Health Institute (EPHI), Addis Ababa, Ethiopia.
Mary K LindeThe American Society for Clinical Pathology (ASCP), Chicago, United States.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundIn 2010, a National Laboratory Strategic Plan was set forth in Ethiopia to strengthen laboratory quality systems and set the stage for laboratory accreditation. As a result, the Strengthening Laboratory Management Toward Accreditation (SLMTA) programme was initiated in 45 Ethiopian laboratories.

objectivesThis article discusses the implementation of the programme, the findings from the evaluation process and key challenges.

methodsThe 45 laboratories were divided into two consecutive cohorts and staff from each laboratory participated in SLMTA training and improvement projects. The average amount of supportive supervision conducted in the laboratories was 68 hours for cohort I and two hours for cohort II. Baseline and exit audits were conducted in 44 of the laboratories and percent compliance was determined using a checklist with scores divided into zero- to five-star rating levels.

resultsImprovements, ranging from < 1 to 51 percentage points, were noted in 42 laboratories, whilst decreases were recorded in two. The average scores at the baseline and exit audits were 40% and 58% for cohort I (

conclusionImprovements resulting from SLMTA implementation are encouraging. Continuous advocacy at all levels of the health system is needed to ensure involvement of stakeholders and integration with other improvement initiatives and routine activities.

Identifiers

PMID26753129
PMCPMC4703116

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.