ArticleBMC health services research2026
Assessments of the in vitro diagnostic kits landscape and availability from selected hospitals and health-related facilities in Addis Ababa, Ethiopia.
Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundIn vitro diagnostic (IVD) kits are essential for diagnosing and treating diseases all over the world. The availability and condition of IVDs in Addis Ababa were assessed in this study, which concentrated on producers, hospitals, regulatory bodies, and diagnostic facilities.
methodsUsing multistage stratified random sampling, a descriptive cross-sectional study was carried out between 1
resultsThere were notable differences in the availability of diagnostics between different types of facilities. Only 25% (95% CI [1.3-69.9]) of public hospitals had malaria RDTs available, compared to 100% (95% CI [46.3-100]) of private hospitals (p = 0.048). All hospitals had HIV RDTs, but only 33.3% (95% CI [1.8-87.5]) of diagnostic centers had them (p = 0.030). Hepatitis PCR testing was not available in any hospital (p = 0.006), although it was available only in diagnostic centers (66.7%, 95% CI [12.5-98.2]). HIV viral load testing was available in 66.7% (95% CI [12.5-98.2]) of diagnostic centers and 50% (95% CI [9.2-90.8]) of public hospitals, but not in private hospitals (p = 0.043). Hepatitis (p = 0.04) and pregnancy tests (p = 0.03) showed significant differences by diagnostic area, with 100% availability in diagnostic centers as opposed to lesser coverage in hospitals. Less than fifty IVD tests were used per day across all sites. Private hospitals relied on imports, whereas public hospitals relied on EPSS supplies. Regulatory barriers, supply chain issues, stockouts, high costs, and difficulty with quality control were among the main challenges.
conclusionsThere are notable differences in IVD availability among Addis Ababa healthcare facilities, especially in public hospitals for routine testing and private hospitals for specialty assays. To increase IVD production, quality, and fair access, stakeholder collaboration is desperately needed.
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