Evidence map›Paper›PMID 27022150›Full record

ArticleThe American journal of tropical medicine and hygiene2016

Assessing Perceived Challenges to Laboratory Testing at a Malawian Referral Hospital.

Lia G Petrose, Arielle M Fisher, Gerald P Douglas, Martha A Terry, Adamson Muula, Marlen S Chawani, Henry Limula, Julia Driessen

Abstract read
In one paragraph

Article in The American journal of tropical medicine and hygiene, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
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

8 authors.

Lia G PetroseCenter for Health Informatics for the Underserved, Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, Pennsylvania; Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania; School of Public Health and Family Medicine, College of Medicine, University of Malawi, Blantyre, Malawi; Baobab Health Trust, Lilongwe, Malawi; Department of Laboratory Testing, Kamuzu Central Hospital, Lilongwe, Malawi; Department of Health Policy and Management, University of Pittsburgh, Pittsburgh, Pennsylvania.
Arielle M FisherCenter for Health Informatics for the Underserved, Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, Pennsylvania; Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania; School of Public Health and Family Medicine, College of Medicine, University of Malawi, Blantyre, Malawi; Baobab Health Trust, Lilongwe, Malawi; Department of Laboratory Testing, Kamuzu Central Hospital, Lilongwe, Malawi; Department of Health Policy and Management, University of Pittsburgh, Pittsburgh, Pennsylvania.
Gerald P DouglasCenter for Health Informatics for the Underserved, Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, Pennsylvania; Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania; School of Public Health and Family Medicine, College of Medicine, University of Malawi, Blantyre, Malawi; Baobab Health Trust, Lilongwe, Malawi; Department of Laboratory Testing, Kamuzu Central Hospital, Lilongwe, Malawi; Department of Health Policy and Management, University of Pittsburgh, Pittsburgh, Pennsylvania.
Martha A TerryCenter for Health Informatics for the Underserved, Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, Pennsylvania; Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania; School of Public Health and Family Medicine, College of Medicine, University of Malawi, Blantyre, Malawi; Baobab Health Trust, Lilongwe, Malawi; Department of Laboratory Testing, Kamuzu Central Hospital, Lilongwe, Malawi; Department of Health Policy and Management, University of Pittsburgh, Pittsburgh, Pennsylvania.
Adamson MuulaCenter for Health Informatics for the Underserved, Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, Pennsylvania; Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania; School of Public Health and Family Medicine, College of Medicine, University of Malawi, Blantyre, Malawi; Baobab Health Trust, Lilongwe, Malawi; Department of Laboratory Testing, Kamuzu Central Hospital, Lilongwe, Malawi; Department of Health Policy and Management, University of Pittsburgh, Pittsburgh, Pennsylvania.
Marlen S ChawaniCenter for Health Informatics for the Underserved, Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, Pennsylvania; Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania; School of Public Health and Family Medicine, College of Medicine, University of Malawi, Blantyre, Malawi; Baobab Health Trust, Lilongwe, Malawi; Department of Laboratory Testing, Kamuzu Central Hospital, Lilongwe, Malawi; Department of Health Policy and Management, University of Pittsburgh, Pittsburgh, Pennsylvania.
Henry LimulaCenter for Health Informatics for the Underserved, Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, Pennsylvania; Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania; School of Public Health and Family Medicine, College of Medicine, University of Malawi, Blantyre, Malawi; Baobab Health Trust, Lilongwe, Malawi; Department of Laboratory Testing, Kamuzu Central Hospital, Lilongwe, Malawi; Department of Health Policy and Management, University of Pittsburgh, Pittsburgh, Pennsylvania.
Julia DriessenCenter for Health Informatics for the Underserved, Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, Pennsylvania; Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania; School of Public Health and Family Medicine, College of Medicine, University of Malawi, Blantyre, Malawi; Baobab Health Trust, Lilongwe, Malawi; Department of Laboratory Testing, Kamuzu Central Hospital, Lilongwe, Malawi; Department of Health Policy and Management, University of Pittsburgh, Pittsburgh, Pennsylvania driessen@pitt.edu.

Funding

The internship in Biomedical Research, Informatics, and Computer Science (iBRIC): Biomedical Informatics and Data Science research experiences for students from Minority Serving InstitutionsT15LM007059 · NLM · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HARRY S HOCHHEISER · 1987 to 2026
$23.9M
NLM NIH HHS T15 LM007059
6 · The paper itself

Abstract

Adequate laboratory infrastructure in sub-Saharan Africa is vital for tackling the burden of infectious diseases such as human immunodeficiency virus and acquired immune deficiency syndrome, malaria, and tuberculosis, yet laboratories are ill-integrated into the diagnostic and care delivery process in low-resource settings. Although much of the literature focuses on disease-specific challenges around laboratory testing, we sought to identify horizontal challenges to the laboratory testing process through interviews with clinicians involved in the diagnostic process. Based on 22 interviews with physicians, nurses, clinical officers, medical students, and laboratory technicians, technologists and supervisors, we identified 12 distinct challenges in the areas of staff, materials, workflow, and the blood bank. These challenges underscore the informational challenges that compound more visible resource shortages in the laboratory testing process, which lend themselves to horizontal strengthening efforts around the diagnostic process.

Indexed as

HospitalsBlood BanksEconomics, HospitalHospital AdministrationHumansInterviews as TopicLaboratoriesMalawiOdds RatioWorkforce

Identifiers

PMID27022150
PMCPMC4889768

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.