Improving AFB Microscopy Services in Kenya by Strengthening the EQA System

Ernest Ruttoh, TB CARE I Laboratory Technical Advisor at MSH Kenya, presented his poster, “Improving AFB Microscopy Services in Kenya by Strengthening the EQA System” on Thursday, November 15.

MSH-TB CARE I supported development, dissemination and implementation of AFB microscopy EQA guidelines, EQA data capture tools, supervision checklist, and standard operating procedures (SOPs) from October 2009 to 2012. The support included provision of EQA feedback to the diagnostic centers after the blinded rechecking of slides at all levels.

This resulted in improvement of quality of AFB microscopy services in Kenya. The EQA coverage gradually improved from 28% in 2008 to 86% by 2012. There was also a great improvement in reduction of major errors from 14% in 2008 to 2.4% over the same period.

Ernest Ruttoh contributed to the content of this story.

“Quality is Everybody’s Responsibility”

A quality-assured laboratory system is now available in sub-Saharan Africa, World Health Organization (WHO) AFRO region, through the implementation of Stepwise Laboratory Improvement Process Towards Accreditation (SLIPTA) roll out from 2010, and the introduction of the Global Laboratory Initiative (GLI) TB tool for quality management system.

During the ”Ensured the Quality of TB laboratory Services” symposium on Thursday morning, Alaine Umubyeyi Nyaruhirira, a Senior Lab Advisor in the Center for Pharmaceutical Management at MSH Rwanda, and colleagues presented “Improving the quality of HIV and TB Laboratories: The Rwanda Experience“.

In this presentation, Nyaruhirira demonstrated how efforts to ensure the quality of HIV and TB laboratories services in five referral laboratories in Rwanda help to ensure clients satisfaction, recognition and visibility of the laboratories, and sustain the performance of a quality system.

”Quality is everybody’s responsibility, from laboratory staff to upper manager,” she said. In order for the system to be sustainable, the involvement of political leaders is more important than ever.