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首页> 外文期刊>Journal of Advances in Biomedical Studies >ASSESSMENT OF PUBLIC HEALTH LABORATORIES FOR MICROSCOPIC EXAMINATION OF BLOOD SMEARS FOR MALARIA IN A RURAL HIGH TRANSMISSION SETTING IN UGANDA: FINDINGS FROM BASELINE SURVEY
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ASSESSMENT OF PUBLIC HEALTH LABORATORIES FOR MICROSCOPIC EXAMINATION OF BLOOD SMEARS FOR MALARIA IN A RURAL HIGH TRANSMISSION SETTING IN UGANDA: FINDINGS FROM BASELINE SURVEY

机译：乌干达农村高传输环境中疟疾血液涂片显微镜检查的公共卫生实验室评估：基线调查的发现

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World Health Organization recommends malaria parasitological confirmation of all suspected cases before treatment. Microscopy remains the gold standard method for malaria diagnosis however its quality is frequently inadequate. In this project we assessed health facility laboratories on their capacity to implement malaria parasite-based diagnosis policy. Data from this baseline could inform appropriate future capacity development interventions designed to improve malaria blood smear microscopy in this region. We conducted a baseline assessment of 50 health laboratories in five districts of Mid-western region on their capacity to perform malaria diagnosis. Selected Laboratories were assessed using a standard checklist tool to capture all the data. Descriptive analysis was done using SPSS version 11 to establish status of the laboratories. Overall, 86% of targeted laboratories were assessed.77% were run by laboratory assistants. 77% had binocular microscopes but only 87.9% were functional. 17% of staff received refresher training, 20.5% participated in malaria External Quality Assurance while 47% of received supervision for malaria. 28% had personal protective gear while 11.6% had post exposure prophylaxis kits for HIV/AIDS. Over 57% of laboratories experienced stock out of malaria supplies. 97% of the laboratories had suboptimal staffing levels. Malaria laboratory diagnosis in this region as weak and suboptimal to implement the malaria parasite-based diagnosis policy. Rapid Diagnostic Tests that do not require laboratory setting and highly trained technicians could be considered for use in this rural setting.
机译：世界卫生组织建议在治疗前对所有可疑病例进行疟疾寄生虫学确认。显微镜检查仍然是疟疾诊断的金标准方法，但是其质量经常不足。在这个项目中，我们评估了卫生机构实验室实施基于疟疾寄生虫的诊断政策的能力。来自该基线的数据可以为将来设计适当的能力发展干预措施提供信息，以改善该地区的疟疾血液涂片显微镜检查。我们对中西部地区五个地区的50个卫生实验室进行了疟疾诊断的能力进行了基线评估。使用标准清单工具对选定的实验室进行了评估，以捕获所有数据。使用SPSS 11版进行描述性分析，以建立实验室的状态。总体而言，对86％的目标实验室进行了评估，其中77％由实验室助手管理。 77％拥有双目显微镜，但只有87.9％具有功能。 17％的员工接受了进修培训，20.5％的员工参加了疟疾外部质量保证，而47％的员工接受了疟疾监督。 28％的人配备了个人防护装备，而11.6％的人具有暴露后预防艾滋病毒/艾滋病的工具包。超过57％的实验室的疟疾供应量不足。 97％的实验室配备的人员不足。该地区的疟疾实验室诊断为弱且次优，因此无法实施基于疟疾寄生虫的诊断政策。不需要实验室环境和训练有素的技术人员的快速诊断测试可以考虑在这种农村环境中使用。

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