FACTORS AFFECTING QUALITY OF LABORATORY SERVICES AT INFECTIOUS DISEASES HOSPITAL, KANO – NIGERIA
- Project Research
- 1-5 Chapters
- Abstract : Available
- Table of Content: Available
- Reference Style: APA
- Recommended for : Student Researchers
- NGN 5000
ABSTRACT
Quality laboratory services are essential and integral part of improved health outcome especially for HIV/AIDS patients on ART. We aimed to assess clients‘ satisfaction with laboratory services as an indicator of quality and factors affecting quality of laboratory services from service providers‘ perspective.
We conducted a hospital based cross-sectional study from January-April 2014 among adult HIV/AIDS patients attending IDH Kano, Nigeria. An exit and service providers‘ questionnaires were administered to clients and laboratory service providers respectively. We used SLIPTA laboratory inventory checklist to assess the availability of equipment, reagents, consumables and test profiles for patients on ART.
A total of 212 HIV positive patients attending laboratory for ART monitoring tests at IDH participated in the study. Of these, 65.6% were females. The mean (±SD) age, of the participants was 36.7 ± 10.2 and 36.3% were in the age group (30-39), 58% were married, 10% were single, while 6% and 26% were divorced and widowed respectively. Majority of the clients (70%) were on antiretroviral therapy (ART). The overall level of satisfaction with laboratory services calculated from a single indicator variable was 97.6%. Internal quality control (IQC) is conducted always for chemistry, and CD4 counts as stated by more than 90% of the respondents (records seen) while IQC for haematological indices is done only occasionally due to stock out of control reagents. The equipments used for HIV/AIDS monitoring tests for CD4 count, haematology and chemistry were available and functional but more than 50% were in use for more than 5 years. Repairs and service maintenance are done on site through service contract signed by donor organizations.
In conclusion, the satisfaction level of the clients on laboratory services received was high, which suggested acceptable quality of services offered. Form of visit to HF (follow-up visit), and ―waiting time‖ before clients are attended by service providers, were found to be the factors associated with client satisfaction. Inadequate work force was identified as one of the major factors affecting quality of laboratory services by 80% of service providers, inadequate training of laboratory personnel (72%), lack of EQA and IQC on some tests (45%), interrupted power supply that led to frequent equipment breakdown (86%) and infrastructural inadequacy (space) to accommodate all the equipment, staff, as well as the patients (64%). The clients identified stigma, location of the laboratory distant from the ART clinic and lack of awareness on the
xiii
importance of the laboratory tests in the management of the patient as barriers to accessing
laboratory services.
Related Project Materials
An Assessment of Public Health Interventions in Controlling the Spread of Tuberculosis in Enugu State, Nigeria
Background of the Study
Tuberculosis (TB) remains a major public health challenge in Nigeria, with Enugu S...
An examination of integrated risk management practices on reducing non-performing loans in banking: a case study of First City Monument Bank
Background of the Study
Integrated risk management (IRM) practices are essential for maintaining financial stability and en...
Enhancing Academic Performance Prediction Using Ensemble Learning Techniques in Federal University Gusau, Zamfara State
Background of the Study
Accurately predicting academic performance is essential for proactive student support and resource...
An evaluation of nursing interventions in preventing deep vein thrombosis in cardiac patients in Delta State
Background of the Study
Deep vein thrombosis (DVT) is a condition in which blood clots form in the deep veins, most ofte...
The effect of website usability on customer retention in e-commerce: A case study of online retailers in Katsina State
Background of the Study
Website usability refers to the ease with which users can navigate a website to achieve their objectives, whether...
AN EVALUATION OF PUBLIC AWARENESS ON OMICRON VARIANT AMONG NIGERIAN CITIZENS (CASE STUDY OF LAGOS STATE)
BACKGROUND OF THE STUDY
The coronavirus disease 2019 (covid-19), which was discovered in Wuhan, China,...
CREDIT RISK ON BANKS PERFORMANCE IN NIGERIA
ABSTRACT
The aim of this study is to examine the pattern of credit risk and the consequential effect of bad, doubtfu...
PERCEIVED GENDER COMPETENCE BY ATHLETES IN THE ADMINISTRATION OF SPORTS IN NIGERIAN UNIVERSITIES
ABSTRACT
This study investigated perceived gender competence by athletes in the administration of sports in Nigerian universities. This i...
The effect of economic barriers on healthcare utilization in Cross River State
Background of the Study
Economic barriers are a critical determinant of healthcare utilization, particularly in regions where poverty is...
The effect of budget implementation on financial performance in Nigerian SMEs: A study of Aba-based SMEs
Background of the Study
Small and Medium Enterprises (SMEs) are critical to the economic development of Nigeria, contributi...
