Health Care : Current Reviews

Modified lot quality assurance sampling (LQAS) for quality assessment of malaria parasite microscopy and rapid diagnostic tests (RDT) in Kano, Nigeria

4^th Global Summit on Healthcare

November 09-10, 2015 Dubai, UAE

F Sarkinfada1, N T Dabo1, A M Abbas2 and A Y Adamu1

1Bayero University Kano, Nigeria
2Sir Muhammad Sunusi Specialist Hospital Kano, Nigeria

Posters-Accepted Abstracts: Health Care: Current Reviews

Abstract:

Appropriate Quality Assurance (QA) of parasite-based diagnosis of malaria to justify Artemisinin-based Combination Therapy (ACT) is essential for Malaria Programs. In low and Middle Income Countries (LMIC), resource constrain appears to be a major challenge in implementing the conventional QA system. We designed and implemented a modified LQAS model for QA of malaria parasite (MP) microscopy and RDT in a State Specialist Hospital (SSH) and a University Health Clinic (UHC) in Kano, Nigeria. The capacities of both facilities for MP microscopy and RDT were assessed before implementing a modified LQAS over a period of 3 months. Eight quality indicators were monitored and evaluated. The capacities for MP microscopy were 59% and 55% for SSH and UHC respectively. At a daily average of 16 to32blood samples tested and a blood film quality of >70% recorded in both facilities, MP positivity rates of 50% (using microscopy) and 46% (using RDT) were recorded. Higher concordance rates of 88% by microscopy and 73% by RDT were recorded in SSH, while in UHC, lower concordance rates of 19% using microscopy and 28% using RDT were recorded. Error rates were higher when RDT was used than with microscopy, while sensitivity and specificity were higher when microscopy was used (95% and 84% in SSH; 94% in UHC) than when RDT was used (72% and 76% in SSH; 78% and 81% in UHC).It could be feasible to implement an integrated QA model for MP microscopy and RDT using modified LQAS in Malaria Control Programs in LMIC.

Biography :

Email: fsarkinfada@yahoo.co.uk