Lab Matters Fall 2016 - Page 18

global health Participants receive their certificates after completing a SLMTA Workshop in Mutare, Zimbabwe Documentation and records A process are mapping clearly marked posterfor helps reference laboratorians check their progress Improving QMS in Zimbabwe by Lucy Atieno, PhD, laboratory and quality management system consultant, Global Health and Sadaf Chaudhry, manager, Global Health I mplementation of laboratory quality management systems (QMS) is moving forward in Zimbabwe under APHL’s leadership. A September 2016 audit conducted by the African Society of Laboratory Medicine (ASLM) found significant, overall improvement at all 12 Ministry of Health and Child Care (MoHCC) laboratories audited, with some indicators advancing to double or triple the baseline score. ASLM and internal audits performed in 2014 provided the baselines for the audit. Over the last two years, APHL has provided training and mentorship to support QMS implementation at 30 Ministry of Health and Child Care (MoHCC) laboratories in Zimbabwe. Working in partnership with the Centers for Disease Control and Prevention, APHL has led Strengthening Laboratory Management Toward Accreditation (SLMTA) workshops and directed the embedded mentorship program. Additional Findings All 12 laboratories audited achieved at least a one-star rating, with scores ranging between one and four stars with a one-star cut-off of 55% (see Table 1). Specifically, all laboratories improved across the 12 SLIPTA quality essentials (see Table 2) although some areas will require further attention. These include: • Management Review • Evaluation and Audits • Identification of Non Conformities, Corrective and Preventive Actions APHL will continue to implement QMS projects in targeted countries under the Global Health Security Agenda (GHSA) National Laboratory Systems Action Package. This GHSA package aims to implement measures to improve handling and containment of dangerous biological agents. Table 1: Audit Scores and Star Rating (2012 – 2016) Location ASLM Audit Score (2012)* ASLM Audit Score 2014* Lab 1 202/258 (78.3%) Three Stars Lab 2 Lab 3 Lab 4 In SLMTA/ Mentorship program since 2010 SLIPTA Checklist Section 171/258 (66.3%) 238/269 (88.5%) Four Stars 1: Documents & Records 171/258 (66%) One Star 193/258 (75%) Three Stars 207/267 (77.5%) Three Stars N/A 179/258 (69%) Three Stars 204/267 (76%) Three Stars N/A N/A 104/269 (38.7%) No Star 164/269 (60%) One Star 144/269 (53.5%) No Star 148/267 (55.4%) One Star 46/265 (17.4%) No Star 146/265 (55%) One Star N/A 64 (23.9%) No Star 154/267 (57.7%) One Star N/A 84 (31.5%) No Star N/A Lab 10 Lab 11 Lab 12 Did not go through SLMTA program, but have been under mentorship since September 2015 LAB MATTERS Fall 2016 50 70.9 34 80 34.6 67.7 50 8: Process Control 40.6 68.1 9: Information Management 55.3 74.7 10: Identification of Non Conformities, Corrective and Preventive Actions 7.9 44.7 75/267 (65.5%) One Star 11: Occurrence/Incident Management & Process Improvement 26.7 73.3 41 (15.2%) No Star 226/269 (84%) Three Stars 12: Facilities and Biosafety 51.6 79.8 N/A 58 (21.6%) No Star 196/269 (73%) Two Stars N/A 69 (25.7%) No Star 199/269 (74%) Two Stars N/A 50 (18.7%) No Star 152/267 (57%) One Star N/A 6: Evaluation and Audits 25 29.1 80.4 *Results obtained under ZINQAP Mentorship 16 5: Equipment 63.6 57.5 N/A Lab 9 4: Client Management & Customer Service 26.8 Average Score September 2016 (%) 7: Purchasing & Inventory Lab 6 Lab 8 2: Management Reviews 3: Organization & Personnel Average Score September 2014 (%) 6 163/253 (64%) One Star In SLMTA/ Mentorship program since September 2014 Table 2: Average Percentage Scores for the 12 audited facilities ASLM Audit Score 2016** Lab 5 Lab 7 APHL Baseline Audit Scores 2014 **Results obtained under APHL Mentorship PublicHealthLabs @APHL APHL.org