Improved Specimen-Referral System and Increased Access to Quality Laboratory Services in Ethiopia: The Role of the Public-Private Partnership
Published Date:April 15, 2016
Source:J Infect Dis. 2016 Apr 15;213 Suppl 2:S59-64.
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Improved Specimen-Referral System And Increased Access To Quality Laboratory Services In Ethiopia: The Role Of The Public-Private Partnership.
In 2007, Through The Centers For Disease Control And Prevention (CDC), The Ethiopian Public Health Institute (EPHI) Joined With The BD-PEPFAR PPP To Strengthen Laboratory Systems. A Joint Planning And Assessment Committee Identified Gaps In The SRS For Prioritization And Intervention And Piloted The System In Addis Ababa And Amhara Region.
J Infect Dis. 2016 Apr 15;213 Suppl 2:S59-64. Doi: 10.1093/infdis/jiv576.
Kebede Y1, Fonjungo PN2, Tibesso G3, Shrivastava R4, Nkengasong JN4, Kenyon T2, Kebede A5, Gadde R6, Ayana G5.
Laboratories/organization & Administration
Medical Laboratory Personnel/education
National Health Programs
Nonstandardized Specimen-transport Logistics, Lack Of Laboratory Personnel To Transport Specimens, Lack Of Standard Specimen Containers, And Long Turnaround Time (TAT) Hindered Access To Quality Laboratory Services. The Objective Of The Becton, Dickinson, And Company (BD)-US President's Emergency Plan For AIDS Relief (PEPFAR) Public-Private Partnership (PPP) Was To Support Country-specific Programs To Develop Integrated Laboratory Systems, Services, And Quality Improvement Strategies, With An Emphasis On Strengthening The Specimen-referral System (SRS).
PMID: 27025700 PMCID: PMC4914743 [Available On 2017-04-15] DOI: 10.1093/infdis/jiv576
Postal System; Public-private Partnership; Specimen-referral System; Training; Turn Around Time
Public-Private Sector Partnerships
Publication Type, MeSH Terms, Grant Support
Quality Assurance, Health Care
Referral And Consultation
Research Support, U.S. Gov't, P.H.S.
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The PPP Established Standardized, Streamlined Specimen Logistics, Using The Ethiopian Postal Service Enterprise To Support A Laboratory Network In Which 554 Facilities Referred Specimens To 160 Laboratories. The PPP Supported Procuring 400 Standard Specimen Containers And The Training Of 586 Laboratory Personnel And 81 Postal Workers. The Average TAT Was Reduced From 7 Days (range, 2-14 Days) To 2 Days (range, 1-3 Days) In Addis Ababa And From 10 Days (range, 6-21 Days) To 5 Days (range, 2-6 Days) In Amhara Region.
This Study Highlights The Feasibility And Untapped Potential Of PPPs To Strengthen Laboratory Systems. This Planned And Structured Approach To Improving Specimen Referral Enhanced Access To Quality Laboratory Services.
US National Library Of Medicine National Institutes Of Health
[Indexed For MEDLINE]
© The Author 2016. Published By Oxford University Press For The Infectious Diseases Society Of America. All Rights Reserved. For Permissions, E-mail Journals.email@example.com.
Pubmed Central ID:PMC4914743
Funding:U2G PS000825/PS/NCHHSTP CDC HHS/United States
Description:86 - ET_Impoved Specimen-Referral System_Kebede_FY2016Evaluation
BACKGROUND: Nonstandardized specimen-transport logistics, lack of laboratory personnel to transport specimens, lack of standard specimen containers, and long turnaround time (TAT) hindered access to quality laboratory services. The objective of the Becton, Dickinson, and Company (BD)-US President's Emergency Plan for AIDS Relief (PEPFAR) Public-Private Partnership (PPP) was to support country-specific programs to develop integrated laboratory systems, services, and quality improvement strategies, with an emphasis on strengthening the specimen-referral system (SRS).
METHODS: In 2007, through the Centers for Disease Control and Prevention (CDC), the Ethiopian Public Health Institute (EPHI) joined with the BD-PEPFAR PPP to strengthen laboratory systems. A joint planning and assessment committee identified gaps in the SRS for prioritization and intervention and piloted the system in Addis Ababa and Amhara Region.
RESULTS: The PPP established standardized, streamlined specimen logistics, using the Ethiopian Postal Service Enterprise to support a laboratory network in which 554 facilities referred specimens to 160 laboratories. The PPP supported procuring 400 standard specimen containers and the training of 586 laboratory personnel and 81 postal workers. The average TAT was reduced from 7 days (range, 2-14 days) to 2 days (range, 1-3 days) in Addis Ababa and from 10 days (range, 6-21 days) to 5 days (range, 2-6 days) in Amhara Region.
CONCLUSIONS: This study highlights the feasibility and untapped potential of PPPs to strengthen laboratory systems. This planned and structured approach to improving specimen referral enhanced access to quality laboratory services.
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