Assessment on the Stepwise Laboratory Improvement Process towards Accreditation (SLIPTA) Implementation in Selected Public Hospital Laboratories in Ethiopia

Beyene, Kefelegn (2015) Assessment on the Stepwise Laboratory Improvement Process towards Accreditation (SLIPTA) Implementation in Selected Public Hospital Laboratories in Ethiopia. Masters thesis, Addis Ababa University.

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Abstract

Background; Strengthening Laboratory Improvement Process Towards Accreditation recognizes laboratories where they are in the process of quality improvement; through audits and direct on technical assistance. Objective: The aim of this study was to assess the implementation status of SLIPTA in selected public hospital laboratories in Ethiopia. Methods: Hospital based cross sectional study design was used to assess the implementation status of SLIPTA in four public hospital laboratories in Ethiopia. The facilities were selected using purposive technique. Their implementation status was assessed using SLIPTA standard checklist, and a semi-structured questioner to identify factors during the implementation phases. The current and the last audit scores of the facilities had compared against the SILPTA score level. Interview based exploratory discussion for the key informants were used. This study was conducted from April to October 2015. Results: This finding indicated that two laboratories (lab.3 and lab.4) were improved from zero stars [82(31.78%) and 102(39.5%) points] in pervious audit result to two stars [175(67.8%) and 182(70.5%) points] in current audit result respectively. The other two laboratories (Lab.1 and Lab. 2) had no changes that score zero stars with pervious audit result [94 (36.4%) and 82 (32.56%)] to current audit result [95 (36.8%) and 104 (40.31%)] respectively. All (16/16) key informants responded that they had no written plan, follow up, report of the SLIPTA program; and with staff attrition rate, no written duties and responsibilities. Conclusion: Improvements were seen with Lab.3 and Lab.4 which reaching two stars from zero stars at the WHO SLIPTA audit result within one year. These laboratories had better partnership support that initiate or drive the laboratories and better management style when it is compare to the other two laboratories. The factors that affect the SLIPTA program were mainly in human resources and development part that corresponding to lack of concern, commitment, dedication, managerial skill; and resistance to new approach, staff attrition rate, no written duties and responsibilities and demotivation.

Item Type:	Thesis (Masters)
Uncontrolled Keywords:	SLIPTA, WHO-AFRO, Transcription, Key Informants, Quality Management System
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	Africana
Depositing User:	Emmanuel Ndorimana
Date Deposited:	06 Jul 2018 08:32
Last Modified:	06 Jul 2018 08:32
URI:	http://thesisbank.jhia.ac.ke/id/eprint/6679

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