Figures & Tables
Figures
- FIGURE 1
Mentorship and Accreditation Timelines for HIV Molecular Laboratories in Malawi
Abbreviations: SADCAS, Southern African Development Community Accreditation Service; SLIPTA, Stepwise Laboratory Quality Improvement Process Towards Accreditation; SLMTA, Strengthening Laboratory Management Toward Accreditation; WHO, World Health Organization.
- FIGURE 2
Median Score of Pre- and Post-Tests for HIV Molecular Laboratory Trainings, Malawia
a All post-test scores represent a statistically significant difference (P<.01).
Tables
- TABLE 1.
Characteristics of Malawi HIV Molecular Laboratories Selected for Mentorship to Achieve ISO 15189 Accreditation
# Laboratory Type Sample Type Accreditation Scope Testing Platform Staff, No. Distance From Lilongwe/ Central Lab, km Star Recognition Cohort 1 1 Public/NGO DBS/plasma HIV viral load Abbott m2000 8 60 km 3 2 Public/NGO DBS/plasma HIV viral load Abbott m2000 8 43 km 3 3 Reference DBS HIV viral load Abbott m2000 14 0 km 4 4 Private/public DBS/plasma HIV viral load Abbott m2000 12 20 km 3 5 District hospitala DBS HIV viral load, EID, TB, chemistry, serology, blood banking, and hematology GeneXpert 8 0 km 3 Cohort 2 1 Central hospital DBS HIV viral load Abbott m2000 8 55 km 4 2 Central hospital DBS HIV viral load Abbott m2000 8 46 km 1 3 Central hospital DBS/plasma HIV viral load Abbott m2000 8 7 km 4 4 Central hospital DBS/plasma HIV viral load Abbott m2000 8 10 km 3 5 District hospitala DBS HIV viral load, EID, TB GeneXpert 8 0 km 4 Abbreviations: DBS, dried blood sample; EID, early infant diagnosis; NGO, nongovernmental organization; ISO, International Organization for Standardization; SLIPTA, Stepwise Laboratory Quality Improvement Process Towards Accreditation.
a This laboratory was part of both cohort 1 and cohort 2, however, it reduced its scope for cohort 2.
- TABLE 2.
Nonconformities Identified During Baseline Audit and SADCAS Assessments of Malawi HIV Molecular Laboratories
Nonconformities, No. Laboratory Baseline Audit SADCAS Assessment Change Major Minor Total Major Minor Total Major Minor Total P Value Cohort 1 1 30 5 35 7 4 11 23 1 24 .06 2 20 9 29 6 9 15 14 0 14 3 25 10 35 5 7 12 20 3 23 4 20 10 30 5 5 10 15 5 20 5 28 8 36 30 1 31 -2 7 5 Cohort 2 1 68 10 78 8 3 11 60 7 67 .06 2 44 8 52 12 4 16 32 4 36 3 49 4 53 12 1 13 37 3 40 4 45 7 52 5 6 11 40 1 41 5a 30 1 31 11 2 13 19 -1 18 Abbreviation: SADCAS, Southern African Development Community Accreditation Service.
↵a Cohort 1 lab 5 transitioned to cohort 2 lab 5; therefore, its SADCAS assessment from cohort 1 was used as its baseline audit for cohort 2.
Laboratory Date Mentorship Began Accreditation Status/Date Cohort 1 1 January 2020 October 27, 2020 2 January 2020 October 16, 2020 3 January 2020 October 22, 2020 4 January 2020 October 29, 2020 5a January 2020 Not successful Cohort 2 1 March 2021 June 8, 2022 2 March 2021 June 28, 2022 3 March 2021 May 25, 2023 4 March 2021 June 12, 2022 5a March 2021 July 27, 2022 a This laboratory was part of both cohort 1 and cohort 2, however, it reduced its scope for cohort 2.
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