Effectiveness of the credit-line approach for support of CD4 equipment functionality in northern Uganda
Afr. j. lab. med. (Online)
; 23(2): 2-5, 2015. ilus
Artigo
em Inglês
| AIM (África)
| ID: biblio-1257294
Biblioteca responsável:
CG1.1
ABSTRACT
Background:
Improving laboratory service delivery requires a functioning logistics and supply system. Uganda's Ministry of Health uses the credit-line approach to provide laboratory supplies including commodities for CD4 test equipment.Objectives:
We examined the effectiveness of the credit-line approach in improving laboratory service delivery by using the functionality of CD4 test equipment as a proxy indicator.Method:
A cross-sectional survey was conducted at 7 level-three health centres (HC IIIs); 18 level-four health centres (HC IVs); and 10 hospitals in 15 districts of mid-northern Uganda; including the Lango (17 facilities) and Acholi sub-regions (18 facilities); between July 2013 and August 2013. Functionality; was determined through self- and interviewer-administered questionnaires. The chi-squared test was used to assess differences in functionality by subregion; facility type; and equipment type.Results:
A total of 38 CD4 test analysers were assessed. Of these; 26 (68%) were functional. In hospitals; 85% of CD4 analysers were functional; in HC IVs; 67% were functional and in HCIIIs; 43% were functional. The differences did not reach statistical significance. In the Langosub-region; 72% of analysers were functional; in the Acholi sub-region; 65% were functional. Non-functionality was mainly due to lack of reagents and cartridges; as well as low staffing levels of laboratory technicians with the skills necessary to operate the equipment.Conclusion:
The credit-line approach supported the functionality of CD4 equipment in the surveyed facilities. However; there is a need to address issues of staffing and availability of reagents to enhance the functionality of CD4 equipment and improve patient care; especiallyat HC IIIs
Texto completo:
Disponível
Base de dados:
AIM (África)
Assunto principal:
Crédito e Cobrança de Pacientes
/
Uganda
/
Estudos Transversais
/
Equipamentos e Provisões
Tipo de estudo:
Estudo observacional
/
Estudo de prevalência
/
Fatores de risco
País/Região como assunto:
África
Idioma:
Inglês
Revista:
Afr. j. lab. med. (Online)
Ano de publicação:
2015
Tipo de documento:
Artigo