Experiences in Establishing a PEPFAR-Supported Laboratory Quality System in Nigeria

被引：5

作者：

Abimiku, Alash'le G. ^{[1
,2
]}

Croxton, Talishiea ^{[1
,2
]}

Akintunde, Ezekiel ^{[2
]}

Okelade, Bimpe ^{[2
]}

Jugu, Joseph ^{[2
]}

Peters, Sam ^{[2
]}

Dakum, Patrick ^{[2
]}

Blattner, William ^{[1
]}

Constantine, Niel ^{[1
]}

机构：

[1] Univ Maryland, Sch Med, Inst Human Virol, Baltimore, MD 21201 USA

[2] Inst Human Virol Nigeria, Abuja, Nigeria

来源：

AMERICAN JOURNAL OF CLINICAL PATHOLOGY | 2010年 / 134卷 / 04期

关键词：

HIV; Laboratory; Quality; Assurance; Strengthening; Accreditation;

D O I：

10.1309/AJCP5RP4QWEQLUZR

中图分类号：

R36 [病理学];

学科分类号：

100104 ;

摘要：

The need to accurately diagnose HIV-infected persons and monitor their immune status and sequelae from increased access to antiretroviral therapy dictated the establishment of a quality assurance (QA) system supported by dedicated personnel, financial resources, and a close monitoring system. Assessment of laboratories and personnel in Nigeria revealed the need for improved laboratoty infrastructure and training, including on-site didactic and wet workshops and the institution of a tiered QA unit of laboratoty regional officers, focal persons, and site monitors who provided guidance and continuous monitoring. Quarterly assessments and generated reports guided corrective actions. A sustainable quality laboratoty system was developed for the first time in Nigeria with funding from the US President's Emergency Plan for AIDS Relief With expansion from 7 to 34 comprehensive treatment sites, a tiered laboratory organizational structure with regional and site-based Nigerian quality control officers was developed. Measured improvements included reduction in deficiencies from 13% to 2%.

引用

页码：541 / 549

页数：9

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