A comprehensive district-level laboratory intervention after the Ebola epidemic in Sierra Leone

African Journal of Laboratory Medicine

 
 
Field Value
 
Title A comprehensive district-level laboratory intervention after the Ebola epidemic in Sierra Leone
 
Creator Mesman, Annelies W. Bangura, Musa Kanawa, Sahr M. Gassimu, Joseph S. Dierberg, Kerry L. Sheku, Mohamed M. Orozco, J. Daniel Marsh, Regan H.
 
Subject — Sierra Leone; intervention; district hospital; diagnostics; service expansion; mentorship
Description Background: The 2014–2016 Ebola outbreak exposed the poor laboratory systems in Sierra Leone. Immense needs were recognised across all areas, from facilities, diagnostic capacity, supplies, trained personnel to quality assurance mechanisms.Objective: We aimed to describe the first year of a comprehensive intervention, which started in 2015, in a public hospital’s general laboratory serving a population of over 500 000 in a rural district.Methods: The intervention focused on (1) supporting local authorities and healthcare workers in policy implementation and developing procedures to enhance access to services, (2) addressing gaps by investing in infrastructure, supplies, and equipment, (3) development of quality assurance mechanisms via mentorship, bench-side training, and the introduction of quality control and information systems. All work was performed alongside counterparts from the Ministry of Health and Sanitation.Results: We observed a strong increase in patient visits and inpatient and outpatient testing volumes. Novel techniques and procedures were taken up well by staff, leading to improved and expanded service and safety, laying foundations for further improvements.Conclusion: This comprehensive approach was successful and the results suggest an increase in trust from patients and healthcare workers.
 
Publisher AOSIS
 
Contributor
Date 2019-10-22
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/ajlm.v8i1.885
 
Source African Journal of Laboratory Medicine; Vol 8, No 1 (2019); 7 pages 2225-2010 2225-2002
 
Language eng
 
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https://ajlmonline.org/index.php/ajlm/article/view/885/1385 https://ajlmonline.org/index.php/ajlm/article/view/885/1384 https://ajlmonline.org/index.php/ajlm/article/view/885/1386 https://ajlmonline.org/index.php/ajlm/article/view/885/1383 https://ajlmonline.org/index.php/ajlm/article/downloadSuppFile/885/1909
 
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Rights Copyright (c) 2019 Annelies W. Mesman, Musa Bangura, Sahr M. Kanawa, Joseph S. Gassimu, Kerry L. Dierberg, Mohamed M. Sheku, J. Daniel Orozco, Regan H. Marsh https://creativecommons.org/licenses/by/4.0
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