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Lessons from the Field
From benchmarking to best practices: Lessons from the laboratory quality improvement programme at the military teaching hospital in Cotonou, Benin
Submitted: 06 June 2019 | Published: 11 February 2021
About the author(s)
Alban Zohoun, Department of Hematology, Faculty of Health Sciences, National University Hospital Center - Hubert Koutoukou Maga, Cotonou, Benin; and, Army Teaching Hospital, University Hospital Center, Cotonou,, BeninTatiana B. Agbodandé, Department of Hematology, Faculty of Health Sciences, National University Hospital Center - Hubert Koutoukou Maga, Cotonou, Benin
Angélique Kpadé, Army Teaching Hospital, University Hospital Center, Cotonou, Benin
Raliatou O. Goga, Army Teaching Hospital, University Hospital Center, Cotonou, Benin
René Gainsi, Army Teaching Hospital, University Hospital Center, Cotonou, Benin
Paul Balè, Army Teaching Hospital, University Hospital Center, Cotonou, Benin
Bibata M. Sambo, Army Teaching Hospital, University Hospital Center, Cotonou, Benin
Remi Charlebois, Global Scientific Solutions for Health (GSSHealth), Baltimore, Maryland, United States
Rachel Crane, Global Scientific Solutions for Health (GSSHealth), Baltimore, Maryland, United States
Michele Merkel, Global Scientific Solutions for Health (GSSHealth), Baltimore, Maryland, United States
Ludovic Anani, Department of Hematology, Faculty of Health Sciences, National University Hospital Center - Hubert Koutoukou Maga, Cotonou, Benin
Ekaterina Milgotina, Global Scientific Solutions for Health (GSSHealth), Baltimore, Maryland, United States
Abstract
Background: In 2015, the Army Teaching Hospital–University Teaching Hospital (HIA-CHU [Hôpital D’instruction des Armées de Cotonou Centre Hospitalier et Universitaire]) laboratory in Benin launched a quality improvement programme in alignment with the World Health Organization Regional Office for Africa’s Stepwise Laboratory Improvement Process Towards Accreditation (SLIPTA). Among the sub-Saharan African laboratories that have used SLIPTA, few have been francophone countries, and fewer have belonged to a military health system. The purpose of this article was to outline the strategy, implementation, outcomes and military-specific challenges of the HIA-CHU laboratory quality improvement programme from 2015 to 2018.
Intervention: The strategy for the quality improvement programme included: external baseline SLIPTA evaluation, creation of work plan based on SLIPTA results, execution of improvement projects guided by work plan, assurance of accountability via regular meetings, training of personnel to improve personnel competencies, development of external stakeholder relationships for sustainability and external follow-up post-SLIPTA evaluation.
Lessons learnt: Over a period of 3 years, the HIA-CHU laboratory improved its SLIPTA score by 29% through a quality improvement process guided by work plan implementation, quality management system documentation, introduction of new proficiency testing and internal quality control programmes, and enhancement of personnel competencies in technical and quality management through training.
Recommendations: The programme has yielded achievements, but consistent improvement efforts are necessary to address programme challenges and ensure continual increases in SLIPTA scores. Despite successes, military-specific challenges such as the high mobility of personnel have hindered programme progress. The authors recommend that further implementation research data be shared from programmes using SLIPTA in under-represented settings such as military health systems.
Keywords
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Total abstract views: 4636Total article views: 4797
Crossref Citations
1. Key success factors for the implementation of quality management systems in developing countries
Iryna Tanasiichuk, Olha Karaman, Larysa Natrus
African Journal of Laboratory Medicine vol: 12 issue: 1 year: 2023
doi: 10.4102/ajlm.v12i1.2058