Comprehensive competency assessment of malaria microscopists and laboratory diagnostic service capacity in districts stratified for malaria elimination in Ethiopia.

摘要: Background Federal Ministry of Health (FMoH) Ethiopia achieved significant declines in malaria mortality and incidence has recently launched elimination selected low transmission settings. Successful calls for rapid accurate diagnosis cases so that the patients can promptly be treated before occurrence transmission. Therefore, this study assessed competency microscopists using panal slides, laboratory service availability readiness terms supplies equipments targeted districts Ethiopia. Method A cross-sectional was conducted from February to June 2018 all hospitals, health centers private clinics 20 districts, out 6 regional states Ethiopia. All available facilities during period were included study. Questionnaires used interviewing sociodemography personnel supplies. Per World Organization (WHO) criteria set proficiency testing, 10 Giemsa stained slide panels (8 positive low/high density pf/pv/Mixed 2 negative slides) administered each participant performance assessment on parasite detection, species identification count light microscopy. The are PCR confirmed WHO approved ones, which have been stored banks at national reference Ethiopian Public Institute. Result In assessment, 17(16%) district 71(67%) (HCs) 18(17%) (PCs) included. Of 18 PCs, only 10(55.6%) had license certificate. facilities, 91.5%(97) use microscopy, 2.83%(3) RDTs 2.9%(3) both microscopy RDT detect malaria. Accessible appropriate storage reported by 58.8%(10) 81.7%(58) HCs & 72.2%(13) clinics. 1896 474 slides 237 participants, 318(16.8%) falsely 47(9.9%) positive. participants “good” grade [Agreement(A): 84.6%, Kappa(K): 0.6] detection “poor” agreement (A: 43.8%; K: 0.11) every identification. No or slight seen differentiation P. falciparum other 28.41%; K:0.29). Above 95%(201) did not plus system estimation is least unreccomended method per guideline. Conclusion current study, particularly poor moderate capacity laboratories observed. This really a great obstacle strategy country. control program collaboration with partners supposed provide comprehensive training professionals giving fulfill gold standard service.