首页> 外文期刊>American journal of clinical pathology. >The Tanzania experience: clinical laboratory testing harmonization and equipment standardization at different levels of a tiered health laboratory system.
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The Tanzania experience: clinical laboratory testing harmonization and equipment standardization at different levels of a tiered health laboratory system.

机译:坦桑尼亚的经验:在分层健康实验室系统的不同级别上进行临床实验室测试的协调和设备标准化。

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摘要

The rapid scale-up of the care and treatment programs in Tanzania during the preceding 4 years has greatly increased the demand for quality laboratory services for diagnosis of HIV and monitoring patients during antiretroviral therapy. Laboratory services were not in a position to cope with this demand owing to poor infrastructure, lack of human resources, erratic and/or lack of reagent supply and commodities, and slow manual technologies. With the limited human resources in the laboratory and the need for scaling up the care and treatment program, it became necessary to install automated equipment and train personnel for the increased volume of testing and new tests across all laboratory levels. With the numerous partners procuring equipment, the possibility of a multitude of equipment platforms with attendant challenges for procurement of reagents, maintenance of equipment, and quality assurance arose. Tanzania, therefore, had to harmonize laboratory tests and standardize laboratory equipment at different levels of the laboratory network. The process of harmonization of tests and standardization of equipment included assessment of laboratories, review of guidelines, development of a national laboratory operational plan, and stakeholder advocacy. This document outlines this process.
机译:在过去的四年中,坦桑尼亚护理和治疗计划的迅速扩大,极大地提高了对用于诊断HIV和在抗逆转录病毒治疗期间监测患者的优质实验室服务的需求。由于基础设施差,缺乏人力资源,试剂供应和商品不稳定和/或缺乏以及手工技术缓慢,实验室服务无法满足这一需求。由于实验室中的人力资源有限,并且需要扩大护理和治疗计划,因此有必要安装自动化设备并培训人员,以增加所有实验室水平的测试和新测试的数量。随着众多合作伙伴采购设备,出现了多种设备平台的可能性,随之而来的是试剂的购买,设备的维护和质量保证的挑战。因此,坦桑尼亚必须在实验室网络的不同层次上协调实验室测试并标准化实验室设备。测试的统一和设备的标准化过程包括实验室评估,指南审查,国家实验室操作计划的制定以及利益相关者的倡导。本文档概述了此过程。

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