Mentorship on malaria light Microscopy and quality assurance in Ethiopia: Phase-I
| Id | EPHI-DS0225 |
|---|---|
| Name | Mentorship on malaria light Microscopy and quality assurance in Ethiopia: Phase-I |
| Format | .dta |
| Coverage Location | Nationally representative |
| Coverage Sex | Both |
| Abstract | Accuracy in diagnosis and prompt treatment is a core component of the fight against malaria. In malaria-endemic countries, blood smear microscopy diagnosis is the most affordable, accessible, and reliable diagnostic tool. Besides, it is the most recommended parasitological confirmation to render treatment particularly in areas where both falciparum and Vivax malaria are co-endemic like Ethiopia. However, the quality of light microscopy is deteriorating as the malaria burden declines and subsequently limited resources for undertaking refresher training and other capacity-building schemes. This situational analysis aimed to assess the gaps in microscopic diagnostic service in selected health facilities and to conduct focused on spot mentorship to help to ensure accuracy on microscopic diagnosis and guide proper treatment of malaria cases. Between August and September 2019, a team of mentors conducted a cross-sectional assessment in 102 selected health facilities from nine regional states and one city administration using a standard checklist. The checklist comprised the status of infrastructure, laboratory manuals, reagents, and equipment, follow-up of standard operating procedures, the practice of quality assurance, training, and experience of professionals, data and supply management besides human resource and attrition rate. Moreover, external quality assurance like panel testing and blind rechecking were conducted during the onsite assessment. The major finding of this study revealed that most of the malaria microscopists in the current study achieved almost a good grade in parasite detection and poor grade in parasite species identification by the panel tests. However, a high level of false-positive and false-negative results was found on the slide re-checking which showed poor performance of the health facilities service. Almost half of the assessed health facility laboratories didn’t prepare both thick and thin blood films as per the standards which showed poor laboratory practice and needs further training and mentoring. The low competency of the microscopists in panel tests and the low performance of health facilities in slide re-checking were a great hurdle in malaria diagnosis in the era of malaria elimination. Therefore, the Ministry of Health (MoH) in collaboration with partners is supposed to provide comprehensive malaria microscopy mentorship and in-service training of professionals with fulfillment laboratory needs to have gold-standard malaria microscopy service in the country. |
| Additional Material | Yes |
| Additional Material | Download |
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| Recommended | Yes |
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| Cleaned | Yes |
| Cleaned Format | . csdb |
| RawFormat | . csdb |
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| Date Data Collection Started | 2019-08-01 |
| Date Data Collection End | 2019-09-30 |
| Title | Mentorship on Malaria Light Microscopy and Quality Assurance in Ethiopia: Phase-I |
| Data Type | Survey |
| PublicationYear | 2019 |
| SugestedCitation | There is no Suggested citation by the publisher or producer of a dataset |
| OtherIdType | |
| Description | The checklist comprised the status of infrastructure, laboratory manuals, reagents, and equipment, follow up of standard operating procedures, the practice of quality assurance, training, and experience of professionals, data and supply management in addition to human resource and attrition rate. Moreover, external quality assurance like panel testing and blind rechecking were conducted during the onsite assessment. |
| Dataset study design | Longitudinal |
| Date Data Archived | 2021-03-01 |
| Date Data Cataloged | 2021-03-05 |
| Data Generating Unit | Bacteriology, Parasitology and Zoonosis |
| URL | https://rtds.ephi.gov.et/public/showdetail/225 |
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Open Access