ACCREDITATION OF

SEKOU TOURE REGIONAL HOSPITAL

LABORATORY

Fidelis Marcel1, Juma J. Shigella1, Marwa Kitangita2 , Pastory Sekule2,

William Bendela2, Emmanuel Lesilwa2 , Bernard Mbwele2

4th National Quality Improvement Forum, NQIF

BOT Conference Centre

30th October, 2014

1. Sekou Toure Regional Hospital

2. Christian Social Services Commission, CSSC

Outline

2

•Background

•Accreditation processes (Methods)

•Outcomes (Results)

•Challenges

•Conclusion

•Way forward

Background

3

Sekou toure Regional Hospital (SRH)

Regional Hospital of Mwanza region

Inaugurated by His excellence the late president

of Guinea Bissau Sekou Toure as a Health

Centre in 1968, and in 1994 it become to function

as a regional Hosp.

The Hospital capacity is 400 beds and the lab

services about 36,000 clients per year

Background

4

Laboratory services is an important

components in the management of

infectious diseases e.g. TB, HIV/AIDS

and Malaria

WHO-AFRO has established the

Stepwise Laboratory Quality

Improvement Process Towards

Accreditation (SLIPTA) to strengthen

laboratory systems of its Member States

SRHL-MWZ enrolled into SLIPTA,

Cohort 2 in 2012/2013

Accreditation processes

5

Application for Cohort 2 SLIPTA process in august 2012

Enrolment into Cohort 2 by October 2012

Mentorship from the ministry of Health

Staff training on quality improvement project and biosafety and biosecurity organized by the MOSW

The laboratory organizes stakeholders meeting including Lab staffs, HMT, RHMT and CSSC (IP) to

Build an enthusiastic team

Develop action items relaying on the WHO/SLPTA twelve elements

Follow up of action items developed Vs.

Accreditation processes…

6

Working on the 12 elements for accreditation needed SRH to focus on 8 Main are ;

Operating Manual and SOP

Audit Requirements

Processing Quality Assurance and Calibration of instruments by TBS

Organisation of Team, Development and follow up of developed quality management system (QMS)

Safety

Purchase of Tools and equipment

Personnel

Management Review

The lab was finally assessed locally and internationally recognised body/organ

Outcome

7

Baseline assessment in May 2012 the

lab scored 87 points (0 stars level)

The second assessment performed in

July 2013 locally it scored 132 points (0

star level)

In 2014 the laboratory continues

mitigating observed challenges,

The assessment conducted in march

2014 locally the results was 155 points

(1star level)

In July 2014 the lab was assessed by the

ASLM using WHO checklist where it

gained 178points (2 stars level)

Challenges

8

Inadequate supplies e.g. cartridge,

printing papers

Shortage of reagents.

Irregular service of machine by

engineer.

Lack of back up machine.

Recommendation

9

Quality improvement must involve all

stakeholders involved in the lab services

If Health Workers are well informed on

quality improvement they act accordingly

Behavioural changes in all stakeholders

involved is a key to quality improvement

(Lab staff, management and IPs)

Close collaboration is needed between

the health facilities and Implementing

partners in order to succeed

Conclusion

10

Giving laboratories quality

standards as process indicators

helps in improving the quality

assurance that might be beneficial

in accreditation process.